• Title/Summary/Keyword: 한국 의료패널

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Trend of Unmet Medical Need and Related Factors Using Panel Data (패널 자료를 이용한 미충족 의료의 추세와 관련요인)

  • Kim, Eun-Su;Eun, Sang-Jun
    • Journal of Convergence for Information Technology
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    • v.10 no.9
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    • pp.229-236
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    • 2020
  • The purpose of this study was to investigate the current status of unmet medical need using data from the Korea Health Panel study from 2009 to 2013 (excluding 2010), and to analyze the trends of unmet medical need and related factors. The subjects of this study were 11,598 in 2009, 11,035 in 2011, 10,584 in 2012, 10,099 in 2013, and 7,144 people in panel data, and conducted frequency analysis, chi-square test and generalized estimating equation. As a result of the analysis by year, it was found that women, under middle school graduation, medical aid, the lowest household income and low subjective health status experienced more unmet medical need. As a result of analysis using generalized estimating equation, women, under 40 years of age, under elementary school graduation, lowest quartile household income, subjective health status of less than 20 points, and activity restrictions are more likely to experience unmet medical need. Based on these results, we intend to provide basic data for establishing policies on the use of medical services.

Gender Differences in Factors Affecting Purchase of Indemnity Private Health Insurance and Impact of Indemnity Private Health Insurance on Healthcare Use: Korea Health Panel Survey Data from 2010 to 2016 (실손형 민간의료보험 가입의 영향요인과 실손형 민간의료보험이 의료이용에 미치는 영향에서 성별 차이: 한국의료패널(2010-2016))

  • You, Chang Hoon;Kwon, Young Dae
    • The Journal of the Korea Contents Association
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    • v.20 no.3
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    • pp.92-105
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    • 2020
  • This study was aimed to identify factors affecting the purchase of indemnity private health insurance and analyze its effect on healthcare utilization by gender. This study analyzed data of the 2010-2016 Korea Health Panel Survey using panel logit model and panel regression model. Men were less likely to purchase indemnity private health insurance than women. Self-rated health and unmet need for healthcare in women were related to insurance purchases. In men, married people and residents of the metropolitan area were more likely to purchase. The indemnity private health insurance did not affect the women's outpatient expenses per visit, but for men it increased. The indemnity private health insurance significantly increased women's inpatient expenses per admission, but it did not affect men's inpatient expenses. This study confirmed gender differences in the factors affecting the purchase of indemnity health insurance and the impact of indemnity health insurance on healthcare utilization. This suggests that gender differences should be taken into account in private health insurance research and institutional operation.

Long-and Short-term Relationship between Human Resources Expenditure and Management Performance in South Korea -focusing on Public District General Hospitals- (인적자원관리비용과 경영성과에 대한 장·단기 효과분석)

  • Park, Jeongwon;Yoon, Heesoo;Choi, Mankyu
    • Korea Journal of Hospital Management
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    • v.26 no.3
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    • pp.84-99
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    • 2021
  • Purposes: 우리나라 공공의료기관들의 경영실적 보고에 따르면 대부분의 공공의료기관들이 만성적자로 인한 경영난 문제를 겪고 있는 실정이다. 이는 공공의료서비스 제공 등이 주요 원인이겠지만 그럼에도 공공의료기관들의 경영효율화 문제는 지속적으로 지적되고 있음은 공공연한 사실이다. 이에 본 연구는 고정비 성격이 강한 인적자원관리비용과 경영성과 간의 관계를 분석하여 공공의료기관의 경영성과 개선을 위한 경영적 함의를 제공하고자 하였다. Methodology: 분석자료는 2014년부터 2019년까지 39개 지역거점 공공병원의 재무자료를 이용하였고, STATA SE 12.0을 사용하여 다중회귀분석과 패널회귀분석을 실시하였다. Findings: 다중회귀분석을 통한 단면연구 결과에서는 인건비가 높을수록 경영성과가 높은 경향을(2014년 의료수익:1.523/ 2015년 의료수익: 2.002, 의료수익의료이익률: 0.002/ 2016년 의료수익: 1.223) 보였으나 패널회귀분석을 통한 종단연구 결과에서는 복리후생비가 높을수록 경영성과가 의미있게 높은 경향을(의료수익: 3.232582/ 의료수익의료이익률: 0.0014502) 보였다. 이는 인건비는 경영성과에 단기적인 효과가 있는 반면 복리후생비는 경영성과에 장기적인 효과가 있음을 반영하는 것이라고 볼 수 있다. Practical Implication: 본 연구는 이러한 결과를 기반으로 장기적인 효과가 있는 복리후생비의 중요성을 제시하고, 공공의료기관의 경영성과에 영향을 미치는 인건비와 복리후생비의 특성 파악을 통하여 효과적인 인적자원관리방법을 위한 경영적 함의를 도출하였다는 점에서 의의가 있겠다.

Factors influencing quality of health care: Based on the Korea health panel data (한국의료패널 자료를 활용한 의료서비스 질 영향 요인)

  • Han, Ji Young;Park, Hyeon Sook
    • 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.

Medical Costs between Dietary Supplement Users and Non-users Using the Korea Health Panel Data (한국의료패널 자료를 활용한 건강기능식품 섭취에 따른 의료비 지출 비교분석)

  • Hye-Young Kwon;Soohyun Oh
    • Health Policy and Management
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    • v.34 no.1
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    • pp.87-93
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    • 2024
  • Background: In recent years, studies have shown conflicting results regarding the benefits of dietary supplements in reducing healthcare expenditures. This study aimed to address this inconsistency by examining the association between supplement consumption and health expenditures using nationally representative data from the Korea Health Panel Survey (2019-2020). Methods: A 1:1 matched case-control dataset was established using propensity score matching technique based on supplement consumption. Then, total annual healthcare expenditures were compared between the two groups. In addition, a multivariate regression analysis (Proc Surveyreg) was performed to determine the association between the supplement consumption and medical costs. Results: The supplement user group spent about 1.72 million Korean won, while the non-user group spent about 1.43 million Korean won on medical services (p=0.0186). The results of multivariate regression showed that the costs were approximately 26.15% higher in the user group than in the non-user group (p=0.0004). Conclusion: Contrary to the previous studies that have shown the benefits of supplement use in reducing healthcare costs, this study showed that those who consistently consumed supplements spent more on medical services. This can be interpreted in the same context as previous studies suggesting that dietary supplement intake is a healthy behavior for managing one's health. However, we caution against drawing firm conclusions due to data limitations. Further analysis using patient-level epidemiologic data is needed.

Determinants of Purchasing Indemnity Private Health Insurance among Adolescents and Children (소아 및 청소년의 실손형 민간의료보험 가입 결정요인)

  • You, Chang Hoon;Kang, Sungwook;Choi, Ji Heon;Kwon, Young Dae
    • The Journal of the Korea Contents Association
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    • v.18 no.10
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    • pp.99-110
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    • 2018
  • As interest in adolescent and children's health risks increases, there is an increase in subscriptions to indemnity private health insurance. The purpose of this study was to investigate determinants of purchasing indemnity private health insurance. We conducted panel logit regression analysis on the sample of 4,567 adolescent and children using Korean Health Panel data from 2009 to 2015. As a result, it was analyzed that the participation of private health insurance for children and adolescents was affected not only by the characteristics of children and adolescents (age, birth order, residence, disability) but also by the characteristics of father (indemnity, disability, chronic disease) and mother (age difference between her and her children, indemnity, unmet needs) and the economic level of households (income). In views of this study, it is necessary to continuously implement policies to strengthen the healthcare of children and adolescents in order to alleviate the anxiety about the health risks of children and the burden of medical expenses caused by late marriages and maternal births. In particular, it is necessary to consider policies for multi-child families and vulnerable classes.

Analysis of Unmet Healthcare Needs and Risk Factors to Improve the Life Care of Osteoporosis Patients (골다공증 환자의 라이프 케어 증진을 위한 미충족 의료실태와 위험요인 분석)

  • Park, Hyeon-Hee
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.2
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    • pp.225-235
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    • 2020
  • Purpose: This study is a descriptive and secondary analytical study that uses panel data to analysis of unmet healthcare needs and risk factors for improving life care of osteoporosis patients. Methods: The subjects of this study were 941 patients who were diagnosed with osteoporosis using Korea Medical Panel 2015 data(β-version 1.0). Data analysis was performed using Chi-Square and logistic regression using SPSS/win 22.0. Results: The unmet healthcare needs of osteoporosis patients were 22.6%. The factors of unmet healthcare needs were education level and age in Model I of demographic factors, and eating problems, memory problems, activity limitation, and disability in Model II. In Model III, which added socio-psychological factors, eating problems, memory problems, Total family income, and pain/Discomfort were identified. Conclusion: Based on the results of this study, it should be considered in the planning of medical policies to improve the life care of osteoporosis patients, and it is necessary to improve access to medical services and to prevent and mediate realistically to reduce unmet healthcare needs.

Trend of Medical Care Utilization in Glaucoma Patients over 5 Years(2008-2012) -Korea Health Panel Data- (녹내장 환자의 의료이용에 대한 5년간(2008-2012)의 변화추이 -한국의료패널 자료를 활용하여-)

  • Lee, Junghoung;Kim, Hyojin
    • Journal of the Korea Convergence Society
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    • v.9 no.10
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    • pp.433-439
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    • 2018
  • The purpose of this study is to analyze outpatients of glaucoma aged 20 or older about their five-year use of ophthalmology and investigate trend of prevalence in glaucoma patients. The Korea Health Panel (KHP) data from 2008 to 2012 were analyzed using frequency and chi-square tests. The outpatients of glaucoma have increased significantly from 0.43% in 2008 to 0.47% in 2009, 0.49% in 2010, 0.61% in 2011, and 0.75% in 2012 (p<0.001). The outpatients of glaucoma are in the 20's to 70's, and higher utility rate is shown in those who are older (p<0.001), and the rate of use tends to increase each year in all the age groups (p<0.001). The medical care utilization attributed to glaucoma in Korea tends to increase lately; therefore, it is a crucial task to realize early detection and management according to the characteristics of different age groups.

Estimating social and economic costs for outpatient injuries by using Korea medical panel data (한국의료패널데이타를 이용한 외래 환자 손상의 사회경제적 비용 추계)

  • Choi, Eun-Mi;Yoo, In-Sook
    • Journal of Korea Society of Industrial Information Systems
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    • v.20 no.4
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    • pp.55-65
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    • 2015
  • An increase in patients' medical expenses for their injury. accident and intoxication is a major challenge to improve the sustain-ability of a national health security system, and increasing medical expenses need be suppressed through improving relevant systems and/or efficiently operating and managing the health insurance. At this juncture, in Korea which has a high rate of injury incidence and mortality, it is necessary to estimate social and/or economic costs for injuries with a focus on their social effects. This research has examined the results of a Korea medical panel investigation conducted in 2008, which largely surveyed of the actual conditions of outpatients' medical use for their injury, accident and/or intoxication and investigated relevant medical expenses, with a view to estimating the directly incurred costs when the patients use medical services and the production loss costs caused by an production decline and others, so that social and/or economic costs for injuries may be ultimately aggregated.

The Determinants and Medical Care Utilization Behavior of Private Health Insurance (민간의료보험의 가입요인과 의료이용행태)

  • Baek, In-Rib;Park, Hyun-Soo;Byun, Sung-Soo
    • The Journal of the Korea Contents Association
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    • v.12 no.7
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    • pp.295-305
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    • 2012
  • This study analyzes actual conditions of private health insurance empirically by using the decision to join Korea Health Panel data. First, the study investigates how sociodemographic factors influence joining the private health insurance. Next, the relationship between the private health insurance membership and the frequency of medical service utilization is analyzed. The main results of these analyses can be summarized as follows: the socially vulnerable are less likely to join private health insurance relative to the middle and upper classes. The frequency of medical service utilization of private insurance members is relatively higher. This fact contains the possibility that the middle and upper classes are able to receive more medical services through private health insurance membership, while the socially vulnerable have difficulty with obtaining medical services in spite of much need. Therefore, policies are needed which manage the private health insurance more effectively and secure the publicity of health service socially.