• Title/Summary/Keyword: Accessibility Factors

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The Determinants of private health insurance purchasing decisions under national health insurance system in Korea : The expanding of private health insurance market, for the better or worse (민간의료보험의 선택에 영향을 미치는 요인 : 민간의료보험 활성화에 대한 함의)

  • Yoon Tae-Ho;Hwang In-Kyung;Sohn Hae-Sook;Koh Kwang-Wook;Jeong Baek-Geun
    • Health Policy and Management
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    • v.15 no.4
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    • pp.161-175
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    • 2005
  • Since the introduction of mandatory health insurance in In, the Korean national health insurance(KNHI) has grown rapidly. In 2004, about $96.9\%$ of the total population are covered by the KNHI and the remaining $3.1\%$ by the Medical Aid program. Despite national health insurance system in Korea, private health insurance market has grown rapidly. In 2004, the size of the private health insurance market was estimated at 6,568 billion won. The purpose of this study Is to identify the factors that determine the purchasing decisions of supplementary private health insurance under mandatory national health insurance system in Korea. The data from n04 Busan Health Survey were analysed for the Purpose. The variables in this study are demographic factors, health status and health behavioral factors, health care systemic factors, and socioeconomic factors. For statistical analyse, we used logistic regression. The Findings show that female, economically active age group(especially 35-49 years), persons with better health status or experience of health screening test are more likely to purchase private health insurance. And higher household income and expenditure, higher education level are more associated with the increased probabilities of private health insurance purchases. This results imply that the expanding of private health insurance market could widen the gap between the have and have-not in terms of equal health care accessibility.

Model Construction for Treatment-Seeking Behaviors in Patients with Arthritis (관절염 환자의 치료추구행위 분석에 의한 이론구축 - 병원치료와 민속요법 이용행태 -)

  • Lee, Eun-Ok;Kang, Hyun-Sook;Lee, In-Sook;Eun, Young;Lee, Jong-Soo
    • Journal of muscle and joint health
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    • v.4 no.2
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    • pp.177-196
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    • 1997
  • This study was undertaken to explore the antecedent factors and process of the treatment-seeking behaviors of medical and alternative treatments in patients with arthritis using methodological triangulation. The data were collected from 995 arthritic patients who were registered either in a center of rheumatology for medical treatment or residents of community having no treatment to classify different treatment patterns. Sixteen patients with various types of treatment only, alternative treatment only, and no treatment were selected among the total samples to identify the antecedent factors through in-depth interview. The quantitative data were analyzed by percentile, t-test, chi-square test and discrimant analysis using SAS PC program, while the qualitative data were analyzed by means of grounded theory methodology. Treatment-seeking behaviors of patients change from the early stage to the sick-role stage. At the early stage, initial characteristics of pain and acculturation of medical professionalism affect the choice of treatment patterns. The acculturation of medical professionalism is affected by health care accessibility, level of education, duration of sickness and lay referral system. At the sick-role stage, lay referral system and acculturation of medical professionalism affect the choice of treatment patterns. The acculturation of medical professionalism is affected by characteristics of symtoms, perceived treatment effects, perceived causes of diseases and socio-economic status as well as health care accessibility, level of education and lay referral system. In conclusion, different factors as well as common factors are influencing the treatment-seeking behaviors depending on the disease and treatment stages. More detailed further studies are required to explore the value system or medical acculturation of patients which is one of the most important factors in decision-making about treatment modalities.

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Review on Acceptability of Patients towards Obesity Treatment Program (비만 진료 프로그램에 대한 수용성 태도 분석)

  • Lee, Eom-jee;Kim, Seo-Young;Lim, Young-Woo;Park, Young-Bae
    • Journal of Korean Medicine for Obesity Research
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    • v.19 no.1
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    • pp.42-55
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    • 2019
  • Objectives: Acceptability of patients towards obesity treatment program is associated with better weight loss outcomes. The purpose of this study was to review previously published study results of the predictive factors associated with patients' acceptability in obesity treatment. Methods: Authors searched for the articles related to acceptability reported as continuation, attendance and adherence, published from 2011 to 2018 found on Pubmed, Scopus, Research Information Sharing Service, and Koreanstudies Information Service System. A total of 23 articles were finally selected. From the study results, unchangeable and changeable predictors were extracted, and these predictors were examined according to detail categories. Results: Regarding the continuation of the treatment, unchangeable factors such as younger age, lower educational level, male sexuality and lower accessibility to physical activity predicted lower continuation. Furthermore, changeable factors such as early and half weight loss, better accessibility to the treatment and financial incentives for retention predicted higher continuation rate. Greater degree of attendance was predicted by unchangeable factors such as economical affordability, and changeable predictors such as half weight loss and proximity to the clinic. Main factors of adherence to the recommendation were unchangeable predictors such as weight loss experience, and changeable predictors such as more physical activity and appropriate dietary habits. Negative psychological state predicted lower continuation, attendance and adherence rate. Conclusions: Our review results suggest that unchangeable and changeable predictors of acceptability of patients should be carefully examined during treatments of obesity.

Factors influencing unmet dental needs of preschool children: A study based on data of the 2013-2015 Korea National Health and Nutrition Examination Survey (KNHNES) (제6기(2013-2015년) 국민건강영양조사를 활용한 미취학 아동의 미충족 치과의료에 영향을 미치는 요인)

  • Yeo, An-Na;Kang, Yu-Min;Lee, Su-Young
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.1
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    • pp.117-129
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    • 2019
  • Objectives: The purpose of this study was to investigate the influence of demographic characteristics and oral health status on unmet dental needs among preschool children and to provide a basis for improvement of the dental care equality and accessibility using data from the $6^{th}$ National Health and Nutrition Survey. Methods: This study was performed using data collected from the $6^{th}$ National Health and Nutrition Survey. The subjects were 1,472 out of 22,940 people, who participated in the survey and under went oral examination. IBM SPSS Statistics (Version 20.0) was used for statistical analyses based on the complex sampling design. Frequency analysis was performed to determine the distribution of unmet dental needs according to the characteristics of the subjects. The Rao-Scott ${\chi}^2$ test was performed to examine the relationship of unmet dental needs with general characteristics and health- and oral health-related variables. Relevant factors were determined using binary logistic regression analysis. Results: The factors that had statistically significant relations with unmet dental needs included age, medical insurance, household income, limited physical activity, history of dental caries in deciduous teeth, and subjective health status. Logistic regression analysis of complex samples was conducted to determine factors related to unmet dental needs. The results of analysis showed that limited physical activity and history of dental caries in deciduous teeth were related to unmet dental needs. Conclusions: The results show the factors affecting, and the reasons for, the unmet dental needs of preschool children. Future studies are needed to develop national projects and oral health education reforms to address inequalities in preschool children's dental care.

A Study on Pedestrian's Psychological Estimation by Control of Main Design Factors in the Public Open Space (Focused on the Public Open Space of Centum and Seomyeon in Pusan) (공개공지 주요 설계요소 제어에 의한 보행자의 심리적 평가 (부산광역시 센텀지역 및 서면지역 공개공지를 중심으로))

  • Kim, Jong-Gu;Wang, Sang-Min
    • Journal of Korean Society of Transportation
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    • v.28 no.6
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    • pp.55-62
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    • 2010
  • The purpose of this research is to provide an a basic data for setting design standards and proposing improvement for public open space by analysis one which is the factor that quite influences public open space by factor analysis. First, Extract main design factors by survey and field investigation of the Public Open Space of Centum and Seomyeon in Pusan. After the extraction, Control and simulation of main design factors which selected by survey for making better improved public open space and resolving problems of it. Based on simulation data, the five-factors drawed by psychological estimation and factor analysis are Accessibility, Intimacy, Openness, Amenity, Convenience. By use of a result, Multiple Regression Analysis is implemented for correlation analysis between five-factors and user's satisfaction in the public open space. Therefore the it which influenced user's satisfaction in the public open space most was Accessibility. So, the public open space must be designed to improve Accessibility and Intimacy, Openness, Amenity, Convenience which influenced user's satisfaction were reviewed primary.

The Effect of Environmental Perception in Neighborhood Park on User's Recognition of Health Improvement - Focusing on 8 Neighborhood Parks in Changwon City - (근린공원에 대한 환경지각이 이용자의 건강증진인식에 미치는 영향 - 창원시의 8개 근린공원을 대상으로 -)

  • Park, Young-Eun;Lee, Woo-Sung;Jung, Sung-Gwan;Park, Kyung-Hun
    • Journal of the Korean Institute of Landscape Architecture
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    • v.43 no.1
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    • pp.54-68
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    • 2015
  • The purpose of this study was to analyze the effect of environmental perception in neighborhood parks on user's recognition of health improvement. This study used objective field survey data and subjective user survey data at 8 neighborhood parks in Changwon City. According to the results, the perceptions of distance and street environment from home to park were evaluated highly but the perception of water spaces and various attractions within the parks were rated lowly in most of parks. As a result of factor analysis, 23 environmental perception variables were classified into 6 factors such as scenery, comfort, accessibility, activity, convenience and amenity. For the result of regression analysis between environmental perceptions and user's recognition of health improvement based on 6 factors, the recognition of physical health improvement was significantly influenced from environmental perception factors in 4 parks among 8 parks. 'Accessibility' and 'activity' were analyzed as the meaningful factors in 3 parks. Also, recognition of mental health improvement was significantly influenced from environmental perception factors in 5 parks among 8 parks and especially 'accessibility' was showed as the significant factor in 4 parks. The findings from this study can contribute to improve the physical environments of the present parks and can be a basic data for new park development.

A Study on Access and Convenience to Local Food Farmers Market (로컬푸드 직매장의 접근성 및 편의성)

  • Nam, Yun-Cheol
    • Journal of the Korean Institute of Rural Architecture
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    • v.19 no.1
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    • pp.43-50
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    • 2017
  • This paper presents improvement of consumer's access and convenience to Farmers Market(Local Food Shop). We analyzed case studies and proposed plans of Local Food Shop and related facilities. The results are described below. Thorough pre-education and public relations with extensive support for agricultural products in the area and external support are necessary. Most importantly, the consuming population was close. These factors were the factors of success. Tourists' visit is effective. Consumer distance should be within 10km. Long distance tourists need a way to attract tourists on weekends. It is an advantage that there are many consumers. And it would be nice to have a market in the vicinity. And it is necessary to develop various activities such as experience activities and programs. Also, a place convenient for cooperation with the government office, public health center, etc. is good. Accessibility is enhanced when ICs of frequent highway and highway are close to cars. As a suggestion of placing a direct sales place, we will set up a place for consumers to collaborate and relax and also consider the convenience of providers. For the convenience of consumers' shopping, including sales outlets, we set up booths for daily necessities and industrial products, and place other agricultural cooperatives (NACF banks), local cafes and farmer restaurants in front. Consider multifunction combined service center for consumers and farmers.

A Study on the Spatial Planning of Community in Urban Underground Space for Sustainable Urban Regeneration (지속가능한 도시재생을 위한 도심 지하공간의 커뮤니티 공간 계획에 관한 연구)

  • Ha, Mi-Kyoung;Kim, A-Hyun;Lee, Hyo-Chang
    • Korean Institute of Interior Design Journal
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    • v.22 no.3
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    • pp.205-216
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    • 2013
  • Korean cities need sustainable urban regeneration based on the effective application of space and resource. Especially a sustainable urban regeneration needs the activation of community in the urban underground space as urban development center. The purpose of this study is to propose elements and factors of spatial planning of community in urban underground space for sustainable urban regeneration and to propose the characteristics of spatial planning of community in urban underground space according to strategies of sustainable urban regeneration. The research methods of this study used to conduct research include precedent study reviews and survey. The conclusions of this study are as following; The application of various factors related to spatial planning aspect of communication, supportive cultural facilities, accessibility and nature is needed for creating a sustainable urban regeneration. Especially, in urban underground space, the application of spatial planning for community activation considered strategies of sustainable urban regeneration should be necessary. And introduction of cultural facilities, multi-dimensional pedestrian network for accessibility and natural elements for activating community in urban underground space are needed for making sustainable urban regeneration.

A Study on the Planning Characteristics of Interior Space Aiming for the Exterior Space in Mixed-Use Development (복합용도개발 내부공간의 외부공간 지향성에 관한 계획특성 연구)

  • Kim, Suk-Ki;Sung, Lee-Yong
    • Korean Institute of Interior Design Journal
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    • v.22 no.3
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    • pp.43-51
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    • 2013
  • The purpose of this study is analysing the characteristics of interior space aiming for the exterior space in mixed-used development. The range of this study is limited as passage, department store, shoppingmall and Mixed Use Development. The method of this study is as follows. First, analysing the 7 samples of the interior space aiming for the exterior space in MXD through the framework of public character categorized as 5 factors, accessibility, openness, comfort properties, connectivity, convenience in use. Second, drawing a conclusion from the precedent step. The result of this study is as follows. First, the interior space has become bigger with time. And the public character is expanded with having the same structure of the city space. Second, the interior space solves the problem of the exterior space of city but prefers the same factors with the exterior space. Third, the street in the interior space has the characteristics of openness and comfort properties through diversification. And the open space is planned in various parts of the MXD and has the character of accessibility and connectivity.

A Study on Environmental Plan To Support Pedestrians in Public Space of Urban Mixed-use Commercial Facilities (도심 복합상업시설 공용공간의 보행자 지원적 환경계획에 관한 연구)

  • Ha, Mi-Kyoung;Kim, A-Hyun;Kim, Sook-Ha;Lee, Hyo-Chang
    • Korean Institute of Interior Design Journal
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    • v.23 no.3
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    • pp.181-192
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    • 2014
  • Recently, urban mixed-use commercial facilities have been required to raise a safe environment in public areas. So, this study focuses on analyze planning factors selected through the precedent research for Pedestrian safety and environment of urban mixed-use commercial facilities. The first purpose of this study is to analyse the applicative estimation of environmental plan to support pedestrians in public space of urban mixed-use commercial facilities in Seoul. And the second purpose of this study is to propose the directions of environmental planning for creating a pedestrian-friendly environment in public space of urban mixed-use commercial facilities. In order to accomplish this purpose, the environmental planning factors for supporting pedestrians and guidelines for disabled shown in the precedent studies are drawn. A survey of research subjects are 4 urban mixed-use commercial facilities located in downtown Seoul. And then a questionnaire survey is performed on architecture and interior design students to evaluate the importance. As a result of the study, the following conclusion are drawn. The pedestrian-friendly environment in urban mixed-use commercial facilities requires planning to strengthen accessibility, supporting and safety of public space.