• Health Policy and Management
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• v.34 no.1
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• pp.48-58
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• 2024

Background: The purpose of this study was to investigate the association between external medical service use and the characteristics of Chungcheongnam-do patients. We aimed to provide evidence of external medical service use enhance the healthcare delivery system in Chungcheongnam-do. Methods: We used the Health Insurance Cohort DB 2.0 of 2016-2019, and 2,570,439 patients were included in the study. Multivariate logistic regression and multinomial logistic regression were used to identify the association between external medical service use and each patient characteristic. Generalized linear model was used to identify the association between medical costs and external medical service use area. Results: During the study period, 32.2% of inpatients and 12.5% of outpatients had external medical service use in Chungcheongnam-do. In comparison to patients living in Cheonan and Asan, the odds ratio (OR) for external medical services use was higher across all regions. Specifically, hospitalized patients from Gyeryong, Nonsan, and Geumsan (OR, 116.817) and Gongju, Buyeo, and Cheongyang (OR, 72.931) demonstrated extremely high likelihood of external medical service use in the Daejeon area. Furthermore, compared to medical expenses incurred within Chungcheongnam-do, patients with external medical service use in the capitol area (outpatient=17.01%, inpatients=22.11%) and Daejeon area (outpatient=16.63%, inpatients=15.41%) spent more on healthcare services. Conclusion: This study found the evidence of external medical service use among Chungcheongnam-do patients. Further study should be conducted taking into account variables including satisfaction of local medical services, different types of patient diseases, and others. The study's findings may serve as a foundation for policy proposals aimed at ensuring the financial stability of our health insurance system, ensuring the efficient delivery of medical care, and localization of medical care.

• Korean Journal of Social Welfare Studies
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• v.40 no.3
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• pp.327-348
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• 2009

The purpose of this study is to understand the diverse lifestyles of Korean older adults by analyzing the consumption pattern of older households and its determinants. The 9th wave of the Korea Labor and Income Panel Study(KLIPS) data was used for analysis. The twenty consumption items provided by the dataset was reduced to thirteen according to the consumption purpose inherent in the item. K-means cluster analysis and multinomial logistic regression was employed to categorize the consumption pattern of older households and to analyze the determinants. The results are as follows. The consumption pattern of Korean older adults was clustered into six distinctive groups named Breadwinner, Leisure-time pursuer, Friendly outgoes, Daily-life survivor, Illness sufferer and Shelter seeker. Breadwinner, Leisure-time pursuer and Friendly outgoes were lifestyles that earn and spend more compared to the other three. Nevertheless, they differed according to the family size, indicating that the parenting burden might have direct influence on the lifestyle of Korean older adults. Older adults without parenting burden and with high level of education and economic capacity were likely to show Friendly outgoes lifestyle. On the other hand, Daily-life survivor, Illness sufferer and Shelter seeker showed lower level of spending, indicating that for those lacking in economic capacity, urgent needs such as medical need or housing need dominates the lifestyle. The results call for adequate custom policies that best fit the needs of older adults.

• 한국노년학
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• v.37 no.1
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• pp.15-32
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• 2017

The current study aims to identify the heterogeneous changes of functional disabilities in old age rather than to identify an average longitudinal pattern and to explore the effect of health status and social status as risk factors in functional disability trajectories. The sample consisted of a representative sample of community dwellers aged 65 and older from the Korean Longitudinal Study of Ageing (2006 - 2012) was the focus of the study. Latent Class Growth Analysis was used to identify the functional disability trajectory groups. Variables regarding health status and social status changes by class were identified using multinomial logistic regression. The results showed various change patterns in functional disability, which include independent (78%), stable high (4.4%), steeply increasing (7.1%), slightly increasing (5.5%), and moderate to low (4.7%). Aggravation in depressive symptoms and cognitive functions as well as decline in social participations and social engagements were significant predictors of membership in increasing group of functional disability. The findings provide important initial empirical information to target clinical practice and have implications in the importance of conducting research on groups with different characteristics.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.3
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• pp.164-172
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• 2020

This study investigated the longitudinal transition of adolescents' psychological character profiles, which includes self-esteem, acculturative stress, depression, and social withdrawal, and the predictive effects of parental efficacy, families' support, and friends' support in multicultural families. The sample consisted of 1,188 adolescents in elementary school, who were re-examined in three years, when they were in middle school from the part of waves 2 and 6 of the Multicultural Adolescents Panel Study. A latent profile analysis identified three distinct profiles of psychological character among adolescents in elementary school and middle school: stable, social withdrawal, and unstable. As compared to elementary school, adolescents' psychological characteristics stayed stable and played critical roles on the latent classes. Parental efficacy, and supports from family and friends played critical roles on the latent classes. Specifically, as adolescents perceived full of supports from friends, they were more likely to make transitions to the stable group. Implications for intervention in multicultural families are discussed.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.4
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• pp.145-155
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• 2020

Since Campbell (1990) proposed multidimensionality of job performance, unlike the single structure of traditional job performance, it has been largely classified as task performance, contextual performance, and counterproductive work behavior. The objective of this study is to validate the threecriteria currently considered major aspects of job performance, to identify different types of performance based on three dimensions, and to compare the power of personality factors among performance types. A total of 681 employees working at various organizations participated in an on-line survey. The survey included boththe exploratory and confirmatory factor analyses. A 3-factor job performance model consisting of three dimensions was also included. The relationships between performance dimensions and personality factors differedby dimensions of performance, supporting the validity of the 3-factor structure of performance.The results of the Latent Profile Analysis identified four types of performance: exemplary, moderately conscientious moderate, and conscientious, butlow.. The Multinomial logistic regression analysis showed each type differed significantly according to the predictors of personality variables. In conclusion, implications and limitations of the study were noted.

• 한국노년학
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• v.38 no.4
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• pp.963-979
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• 2018

The purpose of this study was to identify frailty profiles based on physical, psychological, and social domains of functioning and to examine the associated factors showing the differences among frailty profiles. Respondents were 70 years and older(n=403) and latent class analysis was applied to determine the optimal subgroups based on Tilberg Frailty Indicators which comprised of three domains(the physical, psychological, and social domain). Also, we performed multinominal logistic regression analysis to find out factors making differences among frailty profiles. Latent class analysis(LCA) identified three distinct types: multi-frail type(27.0%), psychologically frail type(26.8%), inadequate support type(46.2%). All three types had common difficulties in dealing with daily life problems and did not receive enough help with theses difficulties. Based on the results of the LCA three-class models, people in multi-frail type accumulated problems in physical and psychological domains and had partially social domain. On the other hands, psychologically frail type showed a relatively high anxiety disorder and depression. Lastly, people in inadequate support type reported the lack of helps, but they were relatively healthy. Comparing these groups with inadequate support type, people with multi-frail had lower educational level, poor nutritional management status and were less likely to participate in labor market. People in psychologically frail type were more likely to be male, to live in big cities rather than middle and small cities, and less likely to smoke. Based on these results, our results showed the multifaceted concept of frailty among Korean elderly people and we suggested several implications for preventing frail process.

• 한국노년학
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• v.37 no.3
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• pp.707-726
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• 2017

Korea is proceeding to aging society at much faster pace than other countries. To alleviate various problems (health, environment, social relationships, psychology and emotion, and financial problems) of the elderly caused by aging society, there has been increasing attention to social capital. This study investigated types of ways that the elderly at individual level are aware of social capital and the characteristic. In addition, factors that influence the types were studied. Data from 1060 elderly with the age of 65 and older were collected in Korea. Excluding missing data on variables used in the study, data of 960 elderly were used for analyses. K-mean cluster analysis was conducted to investigate types of elderly awareness on social capital at individual level. Multinominal logistic regression was used to find out factors of the types. K-mean cluster analysis resulted in three types of awareness on social capital among the elderly: (1) potential of social capital; (2) severance of social capital; and (3) wealth of social capital. Multinominal logistic regression resulted in that compared to potential of social capital type, when the elderly were younger, inclination of politics was more progressive, they did not have religion, they did not reside in rural, and they did not live in multiplex housing, the elderly were more likely to be in severance of social capital type. Also, when the elderly were women, had higher education and standard of living, were Christian, and did not reside in rural regions. they tended to be in wealth of social capital type. Based on the study results about awareness on social capital among the elderly and factors related to the awareness types, practical and political suggestions that promote social capital to solve problems of the elderly were provided.

• Journal of Family Resource Management and Policy Review
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• v.26 no.3
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• pp.1-17
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• 2022

This study focused on the heterogeneity of groups in single-person households, to identify how middle-aged single-person households is categorized by sub-groups and to come up with policy measures to overcome social exclusion by examining predictive factors for the type of social exclusion. Potential class analysis and multinomial logistic regression analysis were conducted on a total of 361 middle-aged single-person households using the 14th Korea Replication Panel data. The social exclusion index of these households was measured consisting of 10 six-dimensional indicators. The results showed that middle-aged single-person households had five different types: "non-exclusion"(29.6%), "health restriction"(14.3%), "interact restriction and middle-risk multiple-exclusion" (12.0%), "income and health exclusion"(14.1%), and "high-risk multiple-exclusion"(30.0%). More than 70% of the respondents experienced social exclusion, and most of the exclusion types were multiple exclusion. When examining the factors affecting each exclusion type, the 'subjective health level' was a common major predictor, and family interact, age and leisure activity satisfaction variables were significant predictors of the 'high-risk multiple exclusion type' and 'the interact restriction and middle-risk multiple-exclusion type'. Based on these results, a multidimensional intervention strategy is an effective measure to solve the social exclusion problem of middle-aged single-person households, and practical measures should be considered by strengthening 'health' and exchanges.

• 한국노년학
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• v.34 no.2
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• pp.387-407
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• 2014

This study aims to identify the multiple trajectories of depressive symptoms and the characteristics of each trajectory group among the elderly. This study uses five waves of longitudinal data from the Korean Welfare Panel Study (KWPS, 2006-2010). Subjects were older adults aged 60 and over who had completed at least three waves between 2006 and 2010. A total of 4,181 respondents were analyzed. The latent growth mixture model and the multiple logistic regression model were mainly used for data analysis. The major findings were as follows: After controlling for the variables of gender, age, education, marital status, self-assessed health, and poverty, this study identified four different trajectory classes: stable low depressive symptoms (71.8%), high but decreased depressive symptoms (10.6%), moderate but increased depressive symptoms (7.9%), and an increased, then a decreased pattern of depressive symptoms (9.7%). The characteristics of theses trajectories as compared to previous studies were a lower percentage of 'stable low depressive symptoms', no 'persistently high depressive symptoms', and higher level of depressive symptoms. Also, the elderly in the stable low trajectory group had better health status, higher self-esteem and a good relationship with family members, having longer working periods, and more living in non-poverty. In addition, chronic health problems, loss of spouse, and household income differentiated the increased and then decreased pattern from the low stable pattern. Also, age and public pension differentiated the moderated but increased pattern from the low stable pattern. Based on the findings of this study, the researchers suggested political and practical implications for reducing depressive symptoms in later life.

• 한국노년학
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• v.39 no.4
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• pp.941-958
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• 2019

The purpose of this study was to explore change trajectories patterns of Self-Rated Health in middle aged, to identify socioeconomic factors, self-esteem, family relationship factors, and to identify relevant predictors. For this purpose, the 2,418 middle aged, who married couples were extracted from the 2^nd to 12^st waves of Korea Welfare Panel Survey data. The data analysis included Latent Class Growth Analysis, multiple logistic regression. The change trajectories patterns of self-rated health in middle aged were classified into four types: (1) high state-retained type(46.3%), (2) low state-retained type(19.6%), (3) reduced type(17.5%), (4) increasing type(16.6%). Despite the control of chronic diseases that are closely related to health, when the low state-retained type, which is a crisis group, was set as the reference group for the self-rated health, the economic participation, self-esteem and satisfaction of the family relationship had a more inadequate effect than the high state-retained type. Likewise, when the reduced type, which is a crisis group, was set as the reference group for the self-rated health, the economic participation, self-esteem, satisfaction of the family relationship, and family stress had a more effect than the increasing type. Based on the analysis results, this study suggest political and practical intervention to maintain the proper health, and the details are as follows.