Browse > Article

Factors influencing Health-related Quality of Life in Korean Medicaid Beneficiaries  

Hong, Sun-Woo (College of Nursing, Kangwon National University)
Publication Information
Journal of Korean Academy of Nursing / v.39, no.4, 2009 , pp. 480-489 More about this Journal
Abstract
Purpose: The purpose of this study was to identify the factors which influence health-related quality of life (HRQoL) in Korean Medicaid beneficiaries. The relationships among sociodemographic factors, health status, health behavior, and HRQoL were analyzed. Methods: Data from the 2007 survey on Health Services Use and Health Status of Medicaid Beneficiaries conducted by the Ministry for Health Welfare and Family Affairs were examined. To analyze the sample survey data, descriptive statistics, correlation and hierarchical multiple survey regression analysis with SAS 9.1.3 package were used with SURVEYMEANS and SURVEYREG procedures, which incorporate the sample design into the analyses in order to make statistically valid inference for the whole Medicaid population. Results: The HRQoL correlated with limitations in Activities of Daily Living (ADL) (r=-.509, p<.001), stress (r=-.387, p<.001), depression (r=-.385, p<.001), alcohol consumption (r=.216, p<.001), and exercise (r=.293, p<.001). Significant factors that affect HRQoL of Medicaid beneficiaries were gender, region, limitations in ADL, stress, depression, alcohol consumption, and regular exercise. These variables explained 44.6% of HRQoL (F= 215.00, p<.001). Conclusion: The results indicate that to improve the HRQoL of Medicaid beneficiaries it is important to develop nursing intervention programs that focus on psychological health and health behavior and to give consideration to differences in gender and region.
Keywords
Medicaid; Health behavior; Quality of life;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
Times Cited By Web Of Science : 0  (Related Records In Web of Science)
연도 인용수 순위
1 Borgaonkar, M. R., & Irvine, E. J. (2000). Quality of life measurement in gastrointestinal and liver disorder. Gut, 47, 444-454   DOI   ScienceOn
2 Irvine, E. J. (1997). Quality of life issues in patients with inflammatory bowel disease. American Journal of Gastroenterology, 92(Suppl.12), S18-S24   PUBMED
3 Kim, Y. H., & Kim, K. S. (2002). A study on the relationship between self-esteem and quality of life of the elderly. Journal of Welfare for the Aged, 17, 157-189
4 Lee, I. S., & Hong, Y. S. (2005). Social support and quality of life for the recipients of the medical security with a chronic disease. Korean Journal of Social Welfare, 57, 71-92   과학기술학회마을   ScienceOn
5 Ministry of Health and Welfare. (2006, July). The third Korea national health and nutrition examination survey (KNHANES III), 2005 Summary (Issue Brief No. 11-1460000-000530-12). Seoul: Ministry of Health and Welfare & Korea Institute for Health and Social Affairs
6 Sohn, S. Y. (2006). A comparative study on the quality of life of the elderly and it's affecting factors between rural and urban areas. Journal of the Korean Gerontological Society, 26, 601-615
7 Fortin, M., Lapointe, L., Hudon, C., Vanasse, A., Ntetu, A. L., & Maltais, D. (2004). Multimorbidity and quality of life in primary care: A systematic review. Health and Quality of Life Outcomes, 2, 51   DOI   ScienceOn
8 Shin, H. C. (1998). Definition of health-related quality of life. Journal of the Korean Academy of Family Medicine, 19, 1008-1015
9 Lee, H. Y., Suh, M. J., & Kim, S. A. (2005). Health related quality of life of woman with disabilities and its affecting factors. Journal of Korean Academy of Nursing, 35, 575-583   과학기술학회마을   DOI
10 Belloc, N. B., & Breslow, L. (1972). Relationship of physical health status and health practices. Preventive Medicine, 1, 409-421   DOI   ScienceOn
11 SAS. (2009). Sample survey design and analysis. Retrieved July 11, 2009, from http://support.sas.com/rnd/app/da/new/dasurvey.html
12 Huxley, P., Evans, S., Burns, T., Fahy, T., & Green, J. (2001). Quality of life outcome in a randomized controlled trial of case management. Social Psychiatry and Psychiatric Epidemiology, 36, 249-255   DOI   ScienceOn
13 Kim, H. R., Oh, K. S., Oh, K. O., Lee, S. O., Lee, S. J., Kim, J. A., et al. (2008). Quality of life in low income Korean aged. Journal of Korean Academy of Nursing, 38, 694-703   과학기술학회마을   DOI   ScienceOn
14 Jinnett, K., Alexander, J. A., & Ullman, E. (2001). Case management and quality of life: Assessing treatment and outcomes for clients with chronic and persistent mental illness. Health Service Research, 36, 61-90   PUBMED   ScienceOn
15 Kim, K. H., & Kim, O. S. (2005). Influencing factors on HRQoL of physically disabled persons. Journal of Korean Academy of Nursing, 35, 478-486   과학기술학회마을   DOI
16 Medipharmnews. (2006, November 27). Medicaid expenses in 2015 reached 20.5 trillion. Retrieved July 1, 2009, from http://medipharmnews. co.kr/newsbuilder/service/article/mess.asp?P_Index=19391
17 Shin, K. R., Byeon, Y. S., Kang, Y. H., & Oak, J. W. (2008). A study on physical symptom, activity of daily living, and health-related quality of life (HRQoL) in the community-dwelling older adults. Journal of Korean Academy of Nursing, 38, 437-444   과학기술학회마을   DOI
18 Siller, A. B., & Tompkins, L. (2006, March). The big four: Analyzing complex sample survey data using SAS$^{®}$, SPSS $^{®}$, STAT$^{®}$, and SUDAAN$^{®}$. Poster session presented at the 31st annual meeting SAS Users Group International (SUGI) Conference, San Francisco, CA, USA
19 Lee, G. H., Kim, C. H., Shin, H. C., Park, Y. W., & Sung, E. J. (2007). The relation of physical activity to health related quality of life. Journal of the Korean Academy of Family Medicine, 28, 451-459
20 Lee, Y. S., Kim, K. Y., Park, K. S., Son, J. H., & Lee, J. Y. (1998). Quality of life, life satisfaction, and its determinants of the physically disabled in Taegu city. Korean Journal of Preventive Medicine, 31, 503-515   과학기술학회마을   ScienceOn
21 Borzecki, A. M., Lee, A., Kalman, D., & Kazis, L. E. (2005). Do poor health behaviors affect health-related quality of life and healthcare utilization among veterans. Journal of Ambulatory Care Management, 28, 141-156   DOI   ScienceOn
22 Lee, I. S., Um, T. Y., & Kim, D. K. (2007). The study of relationship between self-respect and quality of life, and mediation effect of health control for the recipients of the medical security with a chronic disease. Social Welfare Policy, 31, 239-259
23 Pyun, S. B., & Kim, S. J. (1994). Life satisfaction of individuals with disabling conditions. Journal of Korean Academy of Rehabilitation Medicine, 18, 532-543
24 Jeon, B. Y. (2007, November). Discussion on the outcome and development challenges of the Medicaid system. In O. K. Moon (Chair), Outcome and long-term and mid-term directions for development of the Medicaid system. Symposium conducted at the meeting of celebrating the 30th Anniversary of Korean Medicaid, Seoul, Korea
25 Lee, E. O., Eom, A. Y., Song, R. Y., Chae, Y. R., & Lam, P. (2008). Factors influencing quality of life in patients with gastrointestinal neoplasms. Journal of Korean Academy of Nursing, 38, 649-655   과학기술학회마을   DOI   ScienceOn
26 Kang, E. J., & Kim, N. Y. (2007). Korean health-related quality of life and health-adjusted life expectancy. In E. J. Kang, N. Y. Kim, D. J. Kim, H. R. Kim, Y. C. Beon, M. K. Seo, et al. (Eds.), Indepth analysis of the third national health and nutrition examination survey: The health interview and health behavior survey part (pp. 66-95). Seoul: Korea Centers for Disease Control and Korea Institute for Health and Social Affairs
27 Yun, S. N., Kim, S. Y., & Lee, J. Y. (2005). Korean women’s health promoting behavior. Seoul: Seoul National University Press
28 Lee, I. S., & Kim, D. K. (2006). A study on the effectiveness of medicaid case management program. Journal of Korean Social Welfare Administration, 8, 39-66
29 Shin, Y. A., Shin, H. C., Shin, H. W., Park, E. J., Hong, S. W., Shin, . M., et al. (2008). Health services use and health status of Medicaid beneficiaries according to Medicaid policy change. Seoul: Ministry for Health, Welfare and Family Affairs & Korea Human Resource Development Institute for Health and Welfare
30 Statistical indicators for 2008 medical expenses. (2009, February 24). Health Insurance Review and Assessment Service (2009). Retrieved July 1, 2009, from http://www.hira.or.kr/common/dummy. jsp? pgmid=HIRAF010303000000