• Korea journal of population studies
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• v.29 no.2
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• pp.143-166
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• 2006

It has been well known that women live longer but suffer more from degenerative diseases than men do, which, in turn, results in frequent utilization of medical care services among women. Previous studies, mostly based on Western society, have discussed that women, particularly married women, are more likely to utilize medical care services than men even after considerations of different health status and demographic and socioeconomic characteristics. Social interests in women's health and socialization process of caring for health among women are known as causes. This study examines sex differentials in the medical care service utilization in Korean society, particularly focusing on marital status. Feministic perspectives in Korea have argued that sex division of labor within family puts women in a position that has to continuously provide physical and emotional services to other family members, which keeps them from taking care of their own health. This study empirically tests if this feministic perspective holds true in Korea. Results show that Korean women and those with spouse are more likely to utilize medical care services than their men and the spouse-less counterparts, net of other risk factors. However the effect of existence of spouse on the medical care utilization is much smaller among women than men. These results suggest that the feministic perspective is in part applicable to explain sex differentials on medical care service utilization in Korea.

• Proceedings of the KAIS Fall Conference
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• 2010.05b
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• pp.859-862
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• 2010

본 연구는 대전광역시의 응급의료서비스 취약지를 도출하고 취약지역의 보건학적 특성 및 응급의료서비스 취약여부와의 관련성을 분석하여 응급의료 관련 정책의 의사결정에 유용한 기초자료로 제공하기 위한 연구이다. 응급의료서비스 취약지 도출은 Arc GIS의 공간분석 방법 중 가중분석(Cost Weighted distance) 방법으로 응급의료센터로부터의 접근성 분석을 하였으며, 응급의료서비스 취약지의 보건학적 특성 및 응급의료서비스 취약여부와의 관련성은 SPSS 17.0을 이용하여 비모수 t-검정 및 다중회귀분석을 시행하였다. 본 연구의 주요 결과는 다음과 같다. 연구지역의 응급의료기관 분포는 동구와 유성구, 대덕구는 지정된 응급의료센터가 없으나 서구와 중구는 응급의료센터가 2개소 이상 위치하고 있어 응급의료기관 분포가 편중되어 있으며, GIS를 활용하여 응급의료센터와의 접근성 분석을 수행한 결과, 대전광역시 자치구별 전체 면적 대비 응급의료서비스 취약지의 비율이 높은 자치구는 동구가 41.2%로 가장 높았다. GIS를 활용하여 행정동별 응급의료서비스 취약지를 분석한 결과, 대덕구 신탄진동, 동구 대청동과 산내동, 유성구 구즉동과 노은2동, 서구 기성동, 중구 산성동으로 나타났으며, 응급의료서비스 취약지 중 기성동, 대청동이 노인 인구밀도가 높게 나타났다. 응급의료서비스 취약여부에 따른 보건학적 특성별 차이를 분석한 결과, 국민기초생활수급권자, 장애인등록자, 농업인구 비율의 평균은 취약지가 비취약지에 비해 높았으며 통계적으로 유의한 차이를 보였다(p<0.01). 응급의료서비스 취약여부를 종속변수로 하고 지역별 보건학적 특성을 독립변수로 하여 로지스틱 회귀분석을 시행한 결과, 농업인구 비율과 국민기초생활수급권자 비율이 높았으며 이는 통계적으로 유의하여 응급의료서비스 취약여부를 설명할 수 있는 변수인 것으로 나타났다(p<0.01, p<0.05). 이상의 결과를 종합하면 대전광역시 5개 자치구의 행정동 중 응급의료서비스 접근 불평등지역이 도출되었고 이러한 지역은 보건학적 특성 중 농업인구 비율과 국민기초생활수급권자의 비율이 높았으며 이는 통계적으로 유의하여 응급의료서비스 취약여부와 관련성이 있는 것으로 나타났다. 향후 효율적인 응급의료 자원 분배를 위해서는 GIS를 활용한 의사결정이 필요하며, 응급의료서비스 이용의 형평성을 증진시키기 위해서 응급의료서비스의 사각지대에 놓여있는 지역의 보건학적 특성을 고려한 정책이 시행되어야 할 것으로 사료된다.

• Proceedings of the Korean Institute of Intelligent Systems Conference
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• 2006.11a
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• pp.57-60
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• 2006

최근 유비쿼터스 헬스케어 서비스를 이용한 시간과 공간의 제약 없이 각종 의료서비스와 건강관리를 제공받는 유비쿼터스 헬스케어에 대한 관심이 증대되고 있다. 유비쿼터스 헬스케어 산업은 특성상 단일 제품이나 서비스로만 존재하지 않고, 의료정보, 장비, 소프트웨어, 네트워크, 전자상거래 등의 보건 의료를 구성하는 모든 산업이 IT에 기반 하여 집약된 새로운 산업분야이다. 이러한 산업 특성상 유비쿼터스 헬스케어 서비스는 다양한 기술들을 이용하기 때문에 이들을 서비스의 개발, 이용 단계에서 통합된 환경을 제공받아 이용하는 것이 효과적이다. 본 논문에서는 유비쿼터스 헬스케어 서비스 이용을 위한 서비스 시스템 아키텍쳐를 제안하고, 제안된 시스템에서 이용할 수 있는 서비스들을 개발하기 위한 유비쿼터스 헬스케어 서비스 개발 Framework을 설계한다. 제안된 시스템 아키텍쳐와 개발 Framework을 이용하면 헬스케어 서비스 이용자에게 적절한 인터페이스의 제공과 질환에 대한 추적 관찰, 증상의 판단, 진료 지원, 건강관리, 외부 기관과의 정보 교환 등의 서비스를 개발할 수 있다.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.7
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• pp.443-452
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• 2018

The purpose of this study was to investigate the utilization behavior of medical services according to the characteristics of socioeconomic status (SES) and prevalence by using the 6th National Health and Nutrition Survey data for adults over 25 years old. Frequency and technical statistical analysis, ANOVA, ${\chi}^2$-test, and regression analysis were performed using SPSS 23.0. The results were as follows: more female than male, 65 years old and over, high school graduate, and unemployed and income quintiles were similar. The SES score considering education level, function, and income quintiles was the highest at 7-8, and most of the respondents felt moderate about their subjective health condition. The mean number of prevalence was $1.07{\pm}1.497$, the mean utilization of outpatient services was $0.50{\pm}0.045$, and the mean number of inpatient services use was $0.12{\pm}0.454$. Depending on general characteristics, there was a significant difference between subjects with prevalence and subjective health conditions. Higher age was associated with lower education, skill level, income, and SES score, and average prevalence was associated with poor subjective health conditions. More serious prevalence was associated with greater utilization of inpatient services. More chronic prevalence was associated with utilization of outpatient services. In other words, higher SES score was associated with lower overall use of medical services. Lower SES score was associated with higher use of medical services. In conclusion, we must develop appropriate health education programs that can prevent diseases in groups with low socioeconomic characteristics. There is the need to construct and implement a community-based appropriate health service system so that proper medical services can be used.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.5
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• pp.3276-3283
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• 2015

The purpose of this study was to ascertain whether some socio-economic characteristics affect the service users' perception on the change of social condition in healthcare services. The research target for this study was fixed on the sample members in national sample design and the data of this study was used 37,648 effective samples collecting using Probability Proportional to Size. The results of this study using the causal relationships model are as follows: The variables including type of female, age, years of schooling show positive signs on the service users' perception on the social condition change of healthcare. And the variables including household income, temporary worker, casual worker, urban residents show negative signs on the service users' perception on the social condition change of healthcare. In conclusion, the socio-economic characteristics affect the service users' perception on the social condition change of healthcare. And the service user's perception on the social condition change of healthcare was affected positively on the beneficiary side.

• Journal of Korea Entertainment Industry Association
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• v.13 no.3
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• pp.249-258
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• 2019

The health care services are the most basic social institutions that are provided to citizen including disabled persons for improvement of health. However, the study of the difference of health care services according to the speech therapy use in the people with speech-language disorders was insufficient. The aim of this investigation was to compare the awareness of health care services and characteristics of people with speech-language disorders according to speech therapy use. The researchers selected 229 people with language disorder using raw data of National Survey of the Disabled Person (2017). We compared the characteristics and health care services of people with speech-language disorders by distinguishing between speech therapy non-users and speech therapy users. Among the 229 people with language disorder, speech therapy users were 37 persons (16.2%). In comparison with non-users, users were younger, more preschoolers, more family incomes, and intellectual disabilities and autistic disorder were the most common types of disability enrollment. Users had a lower proportion of unmet medical needs than non-users. For the reasons of unmet medical need, there were 6.8% and 6.3% of the "economic reasons" and "communication difficulties" Both users and non-users responded that "disability management services" need to be strengthened by the government. In conclusion, we suggest that access to health care services needs to be increased to lower the barriers of speech therapy use.

• KDI Journal of Economic Policy
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• v.33 no.1
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• pp.125-148
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• 2011

Although the patient's problem with access to health information has been improved due to rapidly developing information technologies, such as the internet, some patients still do not have enough ability to understand, interpret, and analyze the health information. Given this view on the patient's asymmetric information problem, if a doctor provides sufficient effort to help patients understand and interpret medical information, the efficiency of patient's medical care use could be improved. This paper shows firstly that the patient's inefficient use of medical care originates from his information problems, such as the misperception of the effectiveness of medical care and secondly suggests that if the doctor makes sufficient effort to correct patient's information problems, the inefficiency can be ameliorated. This paper also suggests the manipulation of a doctor's payment method can lead a doctor to provide optimal level of efforts which can in turn lead patients to use the optimal level of medical care. With an optimal level of effort, a doctor can more easily achieve a patient's compliance with the newly recommended amount of medical care.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.12
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• pp.6395-6402
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• 2013

This study evaluated dental health care providers to identify strategic management implications for providing improved dental health dental health care services to consumers. For this purpose, adental health care satisfaction survey was conducted on 1,156 patients (more than 20 years of age) at a dental clinic follow-up visit in a small-town dentist clinic Gyeongsangbuk-do province from August 1, 2013 to September 13, 2013. The dental health service value satisfaction in the gender and age (p<.05), monthly income (p<.001), dental health service quality satisfaction indentists according to gender (p<.05), education (p<.01), monthly income (p<.001), word-of-mouth effect of satisfaction job (p<.05), age and monthly income (p<.001) were investigated. Acorrelation was observed between the variables of the dental health services dental health services quality sub areas: certainty, reliability, and materiality. The interrelation between the dental health service showed the value of the variable(p<.000). The dental health services, routes elected, customer satisfaction with the dentist, reason for choosing a dentist, dental doctor reused and word-of-mouth effect of the satisfaction variable and the association with the volume(+) showed a correlation. The establishment new hospital management strategies can improve the quality of health care services to the patients and provide high-quality health care services.

• Journal of the Korean Data and Information Science Society
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• v.28 no.1
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• pp.195-206
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• 2017

The purpose of this study was to identify factors affecting quality of health care. Methods: The data were derived from the 2011-2013 Korea health panel survey (beta version 1.0). The data were analyzed using SPSS 21.0 with descriptive statistics, ${\chi}^2$-test, and multiple logistic regression analysis. In general characteristics, common factors influencing the quality of health care were age, marital status, education level, and subjective health status. In variables related to health care utilization, unmet healthcare needs, and limitation of dental care utilization were the significant factors affecting quality of health care. The results of this study show that various factors influence quality of health care. These findings can be used to develop strategies to improve health care.

• The Journal of the Korea Contents Association
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• v.16 no.11
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• pp.72-82
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• 2016

Various studies have been done in medical service area but they have just focused on the examination of the relationships between cause and effect variables. This study, thus, empirically analyzed qualitative data regarding medical service problems using word cloud technique. The major results of the paper are as follows. The data reveal ten sources in medical service - forced treatment, excess inspection, misdiagnosis, carelessness, inexperienced service, waiting for emergency, reservation problem, unkindness, process problem, and inconvenience. Major words in the category of irrecoverable service failure are misdiagnosis, careless treatment, and inexperienced service whereas those in recoverable service failure are unkind attitude and negative experience in reservation system. Those who experienced a medical service problem are usually engaged in a public act and they make public protests and legal action against very severe problems. The conclusion of this study also suggests a summary, implication, and agenda of the research.