• Journal of Hospice and Palliative Care
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• 제13권3호
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• pp.143-152
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• 2010

목적: 본 연구는 호스피스 완화의료 기관 조사와 통계청 자료를 이용하여 호스피스 완화의료 기관 현황과 장애요인, 그에 따른 활성화 방안을 조사하고 분석하여 향후 정책수립을 위한 기초자료를 제공하고자 실시되었다. 방법: 현황조사를 위해 국내 호스피스 완화의료 관련 단체 및 기관을 통해 호스피스 완화의료 제공 기관을 선정 하여 2009년 2월에서 3월까지 설문을 시행하였으며 설문내용은 기관의 일반현황, 대상자, 서비스 제공인력, 시설, 재정, 활성화 방안으로 구성되었다. 또한 필요병상수 및 병상충족률 산출을 위해 통계청의 지역별 인구수 자료를 이용하였다. 결과: 전체 53개 호스피스 완화의료 기관 가운데 42개 기관이 종합병원 이상으로 총 설문대상 기관 중 의원급 기관은 6개였다. 전체 53개 기관 중 18.8%의 기관이 수도권 지역에 분포하고 있었다. 전반적인 호스피스 완화의료 병상충족률은 21.9%로 낮은 것으로 나타났으며 4개 광역시도의 경우 호스피스 완화의료 전용병상이 없는 것으로 보고되었다. 2008년 호스피스 완화의료기관의 사망자는 전체 암사망자의 6.3%에 불과했다. 기관의 재정 관련한 설문에서 86%의 시설이 재정이 부족하다고 답변하였으며 그 외 인력수급 장애요인 및 시설기준 미충족의 원인으로도 재정 부족을 원인으로 꼽은 기관이 과반수를 넘는 것으로 나타났다. 호스피스 완화의료 활성화를 위한 정부의 지원으로 가장 필요한 부분으로 재정지원이었으며(71.2%), 기부문화 활성화 방안으로 기부금 전액 세금 공제(43.1%), 공익재단 설립(23.5%) 등으로 나타났다. 결론: 본 연구는 이처럼 기관의 현황 자료조사 및 설문조사를 통해 국내의 호스피스 완화의료 이용률 및 병상충족률이 낮은 문제점, 지역별 병상충족률 편차가 큰 문제점 등을 파악하였으며 호스피스 완화의료의 장애요인으로 재정부족, 인력수급 장애, 인식부족 등을 파악하였다. 또한 이를 위해 호스피스 완화의료 기관의 재정마련 방안이 필수적이며 인식 부족에 대한 개선 노력도 동시에 이루어질 필요가 있을 것으로 결론지었다. 이 중 재정 부족에 대한 방안으로는 정부의 재정 지원과 기부금 전액 세금공제와 공익재단 설립이 검토해 볼 만한 대안으로 제시할 수 있겠다.

• 한국치위생학회지
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• 제23권2호
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• pp.125-132
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• 2023

Objectives: This study used the 2018 Korea Health Panel Survey data to analyze factors affecting employment status and income relating to unmet dental and medical care needs. Additionally it investigated measures to reduce oral health inequality among various socioeconomic classes. Methods: Descriptive statistics for the subjects' unmet dental and medical care needs were calculated through chi-square test analysis, and multivariate logistic regression analysis was applied to identify factors affecting the unmet dental and medical care needs. The odds ratio and 95% confidence interval were calculated for each level. These data were analyzed using STATA 17.0 SE (64-bit) version, and the statistical significance level was set to p<0.05. Results: As a result of unmet dental and medical care needs according to general characteristics, the lower the education level (p<0.001), the higher the age (p<0.001) and the lower the household equalization income (p<0.024) and the smoker status (p<0.003) were, respectively. Factors that have a statistically significant impact on unmet dental and medical care needs were divorce, separation and bereavement (p<0.001) in individuals than in married persons, and being smokers than non-smokers (p<0.009). The frequency of unmet dental and medical care needs were found to be lower in the cases of a high school graduate than an elementary school graduate (p<0.018), and of higher household equalization income (p<0.001) than the lowest household equalization income, respectively. Conclusions: It was found that various factors such as age, education level, household equalization income, employment status, type of working hours type, and smoking status affect unmet dental and medical care needs.

• 한국콘텐츠학회논문지
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• 제20권3호
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• pp.92-105
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• 2020

이 연구에서는 실손형 민간의료보험 가입의 영향요인과 실손형 민간의료보험이 외래 및 입원 의료이용에 미치는 영향에서 성별 차이를 파악하고자 하였다. 한국의료패널의 2010년부터 2016년까지 조사 자료를 패널자료로 구성하여 로짓모형과 회귀모형으로 분석하였다. 실손형 민간의료보험의 가입에서 남성은 여성보다 가입확률이 낮았고, 여성의 경우 미충족 의료 여부, 주관적 건강상태에 따라 가입확률의 차이가 있었고, 남성의 경우 결혼상태, 거주지에 따라 차이가 있었다. 실손형 민간의료보험은 여성군에서 외래 방문 당 진료비에 영향을 미치지 않았으나 남성군에서는 외래 방문 당 진료비를 증가시키는 것으로 분석되었다. 또한, 여성군에서 실손형 민간의료보험이 입원 당 진료비를 유의하게 증가시켰으나 남성군의 입원 당 진료비에는 영향을 주지 않았다. 실손형 민간의료보험의 가입과 실손형 민간의료보험이 의료이용에 미치는 영향에서 성별 차이가 있음을 확인하였으며, 이는 실손형 민간의료보험 관련 연구와 제도 운용에서 성별 차이를 고려할 필요가 있음을 시사한다.

• 한국치위생학회지
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• 제20권3호
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• pp.243-256
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• 2020

Objectives: This study aimed to determine and facilitate provisions for the unmet dental needs of Koreans, stratified by time, influencing factors, and research trends, through a systematic review of related published studies since 2006. Methods: this review focused on previous studies published between January 2006 and November 2019 that analyzed influencing the factors underlying the unmet dental needs of koreans. We followed the guidelines set for each phase of research and selected the final 32 studies that met the selection criteria for the analysis. Results: The number of studies has rapidly increased since 2015 (22 studies, 68.7%). the were 68.9% in 2006, 25.9% in 2009, 41.3% in 2010- 2012, and 33.3% in 2013-2015 for adults and 27.9% in 2010, 24.6% in 2015, and 16.1% in 2017 for the rates of older adults. the rates of unmet dental needs related to economic factors, were 38.6% in 2006, 41.4% in 2007-2009, and 35.9% in 2013-2015 for adults and 50.5% in 2010 and 41.2% in 2015 for the older adults. There were common influencing factors for unmet dental needs. the rate of unmet dental needs was increased by with female gender, younger age, single marital status, low family income, low educational level, worsened subjective health condition, and the presence of chronic diseases. Conclusions: Standardized studies with more accurate definitions and assessment tools are required. however, our study emphasizes the need for a policy intervention that accounts for the characteristics of subjects to reduce unmet dental needs.

• 한국치위생학회지
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• 제20권6호
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• pp.809-817
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• 2020

Objectives: This study aimed to analyze the relationship between socioeconomic factors and the unmet dental care needs of the living alone and living with family elderly groups to confirm the differences in their influence. Methods: Data from the Korea Health Panel Study of 2016 were used to analyze a total of 4,987 individuals: 4,008 in living with family group and 979 in living alone group. Chi-square test and multiple logistic regression analyses were performed using SPSS Version 22 (p<0.05). Results: We observed that 16.5% and 28.3% of the participants from the living with family and living alone groups had unmet dental care needs, respectively, indicating that the living alone group had more unmet dental care needs. Income level, residential area, and healthcare security were significant factors related to the living with family group. In contrast, medical aid for healthcare security was a significant factor related to the living alone group (p<0.05). Conclusions: The results confirmed that socioeconomic factors that affect unmet dental care vary according to the living situation. Therefore, the government should identify the number of elderly individuals living alone, which is increasing annually. These individuals are vulnerable in almost all aspects, and the government should establish and implement appropriate oral healthcare policies to support them.

• 보건의료생명과학 논문지
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• 제8권2호
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• pp.155-163
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• 2020

본 연구는 국민건강영양조사 제7기 제3년도(2018년)원시자료를 바탕으로 한국전기-후기노인의 안전 의식 및 건강요인이 손상 및 손상기전에 미치는 영향요인을 알아보고자 하였다. 연구 대상자는 1년간 손상발생 여부에 응답한 전-후기노인 1608명을 최종 대상자로 하였다. 분석은 빈도분석, 교차분석, 다중 로지스틱회귀분석을 실시하였다. 연구결과는 노인은 성별, 결혼상태, 안전의식, 건강요인이 손상발생률과 관련성이 있으며, 전기노인은 여성일수록, 결혼상태가 별거 및 이혼 등의 상태일 때, 안전의식이 낮을수록, 2주간 몸의 불편감, 1달간의 와병여부, 1년간의 입원여부, 2주간의 외래 진료여부, 연간 미충족 의료서비스 경험이 있을수록 손상 발생율이 높았다. 후기노인도 여성, 별거 및 이혼 상태, 안전의식 수준이 낮고, 와병 여부, 입원여부, 연간 미충족 의료서비스 경험자일수록 손상발생률이 높았다. 따라서 손상사고 발생율을 낮추는 예방 교육으로 사회활동이 많은 전기노인은 교통수단 이용증가에 따른 맞춤형 안전교육, 후기노인은 건강행태에 따른 맞춤형 안전의식 고취 교육을 선별적으로 강화하고, 다양한 운송수단에 대한 음주운행 시 법적 처벌 강화, 교육의 통합 시스템적인 접근이 요구된다 하겠다.

• 보건의료산업학회지
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• 제11권2호
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• pp.65-79
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• 2017

Objectives : This study aimed to investigate the types of unmet health care needs of the elderly and factors affecting them. Methods : This study used data from the 2012 Community Health Survey. Multinomial logistic regression analysis was conducted to identify the relevance between each type of unmet health care needs and predisposing, enabling, and needs factors, based on the cases without unmet health care needs. Results : Persons with unmet health care needs were 4,460 (9.5%) of the total sample. By types of unmet health care needs, 1,171 (2.5%), 1,026 (2.2%), and 2,263 (4.8%) persons reported inaccessibility, non-accommodativeness, and unaffordability respectively. It was concluded that the there were differences in the associated factors according to the types of unmet medical needs. Conclusions : It is suggested that unmet health care needs in the elderly should be examined from diverse angles rather than from a single aspect of partial limits. In particular, diverse types of unmet health care needs for health care in the elderly according to limited accommodation shoulder be examined. Finally, strategies to decrease unmet health care needs that reflect the associated factors should be developed.

• 보건의료산업학회지
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• 제9권1호
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• pp.81-93
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• 2015

This study investigated the prevalence of unmet needs for health care among Korean adults and related factors. Using data from the 2012 Korea Health Panel, 1,896 adults aged 65 and over and two age groups(Young-Old(66-74) and Old-Old($65{\leq}$)) were analyzed to identify these factors. Logistic regression analysis was used to examine the main factors associated with unmet medical needs. According to the results of this study, the factors influencing unmet medical needs with regard to economic factors were Subjective Health Status(young-old), Disability(young-old), Activity Limitation(young-old), Education Level(old) and Economic Activity(old). The factors influencing unmet medical needs were factors of attitude, information, and disease. factors were Disability(young-old), Activity Limitation(young-old), Education Level(old) and Economic Activity(old). Therefore, further research that investigates unmet needs depending on age group in the elderly would suggest helpful policy implications.

• 보건의료산업학회지
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• 제12권4호
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• pp.31-41
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• 2018

Objectives: This study was designed to evaluate whether employment status is associated with the experience of unmet care needs. Methods: This study utilized the Korea Health Panel data from 2012 to 2016. A total of 4,083 workers were selected as baseline subjects in 2012 and were followed for four years. This study used the GLIMMIX procedure under the marginal model while adjusting for covariates. Results: A total of 12.4% of 4,083 people said they had failed at least once to have a treatment or checkup despite the needs. Those more likely to experience unmet care needs were women and people of lower income level, with worse health conditions and chronic disease. Precarious workers, the self-employed, and the unemployed were more likely to experience unmet care needs caused by economic burden than permanent workers (Odds Ratio: 2.14, 2.07, 2.74, respectively). Conclusions: This disparity means that precarious workers and the unemployed are more likely to face barriers in obtaining needed health services. Given their insecure employment status, meeting their needs for health care is an important consideration.

• 보건의료산업학회지
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• 제12권2호
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• pp.39-49
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• 2018

Objectives : In this study, we used the data of the 2015 National Health and Nutrition Survey in its 6th Phase, and the total number of subjects included was 4,884. Methods : Frequency analysis, crosstab and logistic regression analysis were conducted to investigate unmet medical factors related to family members. Results : The subjects of the study were 10.3% single-person households and 89.7% non-single-person households. There were statistically significant differences in age, education level, marital status, income level, private health insurance, and subjective health status. Factors associated with unmet healthcare needs according to single-person households was subjective health status. Age, gender, marital status and subjective health status were the factors associated with unmet healthcare needs according to non-single-person households. Conclusions : It is necessary to establish health care policies that can expand the health education necessary for providing appropriate information on medical care and improving awareness of social illnesses and improving affordability and convenience.