• 제목/요약/키워드: Andersen's model

검색결과 51건 처리시간 0.019초

발달장애인 부모의 성년후견제도 이용욕구에 영향을 미치는 요인 (Major Factors Influencing the Usage Needs for the Adult Guardianship System in Parents of People with Developmental Disabilities)

  • 이용표;송승연
    • 한국콘텐츠학회논문지
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    • 제16권6호
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    • pp.334-344
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    • 2016
  • 본 연구의 목적은 발달장애인 부모의 성년후견제도 이용관련 예측요인을 탐색하는 것이다. 이러한 연구 목적의 달성을 위해 앤더슨 행동모형을 근거로 발달장애인 부모 451명을 대상으로 한 성년후견제도 이용욕구 설문조사자료를 분석하였다. 분석자료로는 2011년 서울시 중 장년 발달장애인가족 복지욕구조사를 활용하였으며, 분석방법은 SPSS 22.0을 이용하여 빈도분석, 기술통계분석, 로지스틱 회귀분석을 실시하였다. 분석결과 주돌봄자가 직업이 없는 집단일수록, 피후견 대상인 발달장애인이 남성인 집단이 성년후견 이용욕구가 통계적으로 유의미하게 높은 것으로 나타났다. 또한 소득이나 사회보장제도 관련요인에서는 가구월평균소득이 높을수록, 욕구요인 중에서는 제3자에 의한 돌봄욕구가 존재할수록 성년후견 이용욕구가 통계적으로 유의미하게 높은 것으로 나타났다. 그러나 발달장애인의 의사소통능력, 장애등급, 돌봄부담의 정도는 영향을 미치지 않는 것으로 나타났다. 연구결과는 첫째, 성년후견제도의 활성화를 위해서는 이용에 관련되는 비용의 정부지원이 중요한 조건이 될 수 있다. 둘째, 발달장애인 부모의 성년후견제도 이용욕구와 관련된 제3자 돌봄욕구 개념 및 문화적 요인을 규명하기 위한 후속연구가 필요하다는 것이다.

에티오피아 여성의 권한 부여 정도가 건강 관리 결정에 미치는 영향 (Women's Empowerment in Making Health Care Decisions in Ethiopia)

  • 아지모바 굴잔;박상찬
    • 품질경영학회지
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    • 제46권4호
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    • pp.1029-1042
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    • 2018
  • Purpose: The purpose of this study is to explore the health care decision making of Ethiopian women at household level. Moreover it is to understand the factors that influence to potential customers in healthcare industry from the social quality level perspective. Methods: We used Ethiopia Demographic Health Survey (EDHS) 2005 & 2016, which provided data about currently married women aged 15-49 years (N=2003, N=2017, respectively). We performed a chi-square test, and a Pearson correlation and a logistic regression. Andersen model is considered as well. Results: This study revealed that the mobility decision making has an association with health care decision making of women. Furthermore, there is a moderate effect of an economic decision making of women. Lastly, the women's decision making empowerment level increase year by year. Conclusion: Health care industry has to consider potential costumers among women like in Ethiopia, whose decision making empowerment will enhance on their own healthcare in future. It is very important to figure out factors from the social quality management domain. It helps finding a new market from downstream approach. From this point, the impact of decision making of women empowerment has a significant implication from the holistic perspective.

EFFECT OF THE WATER-WALL INTERACTION POTENTIALS ON THE PROPERTIES OF AQUEOUS SOLUTIONS CONFINED WITHIN A UNIFORMLY CHARGED NANO-CHANNEL

  • Hoang, H.;Kang, S.;Suh, Y.K.
    • 한국전산유체공학회:학술대회논문집
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    • 한국전산유체공학회 2009년 춘계학술대회논문집
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    • pp.368-376
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    • 2009
  • Studies on the effect of the wall-ion, wall-water, water-ion and ion-ion interaction on properties of water and ions in nano-channels have been performed through the use of different kinds of ions or different models of potential energy between wall-ion or wall-water. On this paper, we address the effect of water-wall interaction potential on the properties of confined aqueous solution by using the molecular dynamics (MD) simulations. As the interaction potential energies between water and wall we employed the models of the Weeks-Chandler-Andersen (WCA) and Lennard-Jones (LJ). On the MD simulations, 680 water molecules and 20 ions are included between uniformly charged plates that are separated by 2.6 nm. The water molecules are modeled by using the rigid SPC/E model (simple point charge/Extended) and the ions by the charged Lennard-Jones particle model. We compared the results obtained by using WCA potential with those by LJ potential. We also compared the results (e.g. ion density and electro-static potential distributions) in each of the above cases with those provided by solving the Poisson-Boltzmann equation.

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일부 지체장애인의 미치료 경험에 영향을 주는 결정요인 분석 (Determinants of untreated experiences among persons with physical disability)

  • 유소연;김예순;홍현숙;천미경;모진아
    • 보건행정학회지
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    • 제21권4호
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    • pp.565-584
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    • 2011
  • Objective: This study is examined the factors affecting forms of untreated experiences in persons with physical disability. Method: The data collected from 461 persons with physical disability in community. Based on the Behavioral Model of Andersen, predisposing, enabling, and need factors are hypothesized to affect persons with physical disability's untreated experiences. The data were analyzed by statistical methods such as frequency and multiple logistic regression analysis. Result: Participation rates of untreated experiences were 26.7%. The significant factors of persons with physical disability's untreated experiences are predisposing factors (gender, partner, and religion), enabling factors (income, private insurance, information of assistive device, disability discrimination, and subjective discrimination), and need factors(subjective health status health screening and chronic disease). Also untreated experiences related to gender, subjective health status, health screening, and chronic disease factors using multiple logistic regression analysis. Conclusion: Implications of the findings were discussed and the recommendations for the improvement of health care utilization, subjective health statue. Especially, development of health education and program should be needed persons with physical disability.

중.고령자의 경제적 노후준비와 결정요인 (Economic Preparations for Aging of the Middle and Old-Aged and Their Determinants)

  • 박창제
    • 한국사회복지학
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    • 제60권3호
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    • pp.275-297
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    • 2008
  • 본 연구의 목적은 중 고령자의 경제적 노후 준비와 그 결정 요인을 분석하고, 이를 바탕으로 정책적 함의를 도출하는 데 있다. 분석자료는 통계청의 2007년 사회통계조사자료로서 이 조사에 포함되어 있는 45세에서 59세 사이의 중 고령자 18,354명을 분석대상으로 삼았다. 연구의 개념체계는 Andersen 모형에 기반했으며, 경제적 노후준비에 미치는 요인을 logistic 분석을 이용하여 찾고자 하였다. 분석결과는 다음과 같다. 첫째, 경제적 노후준비가 전혀 안된 중 고령자의 비율이 상당히 높고, 나이가 들수록 오히려 경제적 노후준비를 하지 않은 비율은 높다. 둘째, 남성, 교육수준, 결혼상태, 경제활동, 현재소득인식, 주택소유, 거주지역, 전반적 생활여건은 경제적 노후준비에 긍정적인 영향을 미친다. 셋째, 남성, 연령, 경제활동은 사적 경제적 노후준비에 부정적인 영향을 미치지만, 교육수준, 현재소득인식, 전반적 생활여건향상은 사적 경제적 노후준비에 긍정적인 영향을 미친다. 넷째, 남성, 교육수준, 결혼상태, 경제활동, 현재소득인식, 주택소유, 거주지역, 전반적 생활여건향상, 장래소득기대는 부수적 경제적 노후준비에 긍정적 영향을 미치고, 연령은 부수적 경제적 노후준비에 부정적 영향을 미친다.

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입원환자 본인부담액에 영향을 미치는 요인 (Factors Affecting Cost-Sharing Charges for Inpatients)

  • 안병기
    • 보건행정학회지
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    • 제22권3호
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    • pp.451-465
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    • 2012
  • In order to strengthen assurance of National Health Insurance, co-payment should be reduced. This can happen with collaborative efforts of patients, medical institutes, and government altogether at the same time. This research applied Dutton(1986)'s medical service research model with high R-square, and analyzed 2008 Korea Health Panel Data (Beta Version 1), that was examined by Korea Institute for Health and Social Affairs and National Health Insurance, in order to figure out influential variables on co-payment. In result of Multiple Linear Regression Analysis, R-square was 46.7%, the older the age, the patients who had surgery, the longer days of hospital treatment are, the higher gross income of a household is, the more hospitalized in upper grade general hospitals, and the more upper grade rooms and selecting a doctor are used. The results have statistical significance. When conducting research applying medical service research model, there is a need to apply Dutton(1986)'s medical service research model with high R-square. In order to strengthen assurance of National Health Insurance, first conditions should be that patients are hospitalized in upper grade general hospital, and at the same time, are patients who had surgery with long stay of hospitalization. In addition, if proven that patients used upper grade rooms and selecting a doctor due to lack of regular treatment and rooms, for certain number of days of such hospitalization, it is suggested to be provided with health care insurance in upper grade rooms and selecting a doctor in calculating co-payment limit.

앤더슨 뉴만모형을 이용한 아동의 치과의료이용행태에 영향을 미치는 요인에 관한 연구 (FACTORS AFFECTING CHILDREN'S DENTAL UTILIZATION: AN APPLICATION OF THE ANDERSEN MODEL)

  • 김수남;이흥수;김경회;김대업;박득희
    • 대한소아치과학회지
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    • 제25권1호
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    • pp.162-170
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    • 1998
  • 아동의 치과의료이용행태에 영향을 미치는 요인을 분석하여 아동의 구강보건행태에 관한 이해를 증진함과 동시에 이에 대한 기초자료를 확보하고자 전라북도 익산시에 거주하는 아동과 그들의 모친 1907쌍을 대상으로 앤더슨-뉴만 모형을 적용하여 조사연구를 시행하였다. 조사방법은 자기개별 기입법에 의한 설문조사법이었다. 모형에 의한 종속변수는 아동의 치과의료이용횟수였고, 독립변수는 소인성 요소, 가능성 요소 필요성 요소로 구분 된 39개 요인이었다. 소인성 요소는 인구 및 사회 경제학적 요소, 모친의 영향 요소, 아동 자신의 요 소로 세분된 32개 요인이었고 가능성 요소는 월 평균 세대소득 등 6개 요인, 필요성 요소는 구강병으로 인한 활동제약 및 활동불능일수였다. 아동의 치과의료이용행태에 대한 앤더슨-뉴만 모형의 설명력은 25%였다. 소인성 요소가 가능성 및 필요성 요소보다 아동의 치과의료용회수에 대한 설명력이 더 컸다. 직접적인 영향을 미친 변수는 치 의사에 대한 가치, 모친의 구강건강신념 중 감수 성, 아동의 구강건강신념 중 감수성과 유익성 및 장애도, 아동의 학년, 출생순위, 진료비에 대한 부담, 단골구강진료기관유무, 구강병으로 인한 활동제약 및 활동불능일수였다. 모친의 교육수준, 사회경제적지위, 가족수 등 12개 요인은 간접적인 영향을 미쳤다. 가장 큰 영향을 미친 요인은 모친의 치과의료이용횟수였고, 아동의 구강병으로 인한 활동제약 및 활동불능일수, 아동의 구강건강신념 중 감수성, 단골구강진료기관유무 등이 상대적으로 큰 영향을 미쳤다. 이상과 같이 아동의 치과의료이용에는 모친의 영 향이 매우 크며 다른 연령층과는 달리 소인성 요소에 속하는 요인들이 중요하다는 사실을 확인할 수 있었다. 그러므로 아동의 적절한 치과의료이용을 도모하기 위해서는 모친의 행동이 중시되어야 하며, 모친과 아동을 함께 고려하는 연구 및 교육 프로그램의 개발이 활발히 이루어져야 할 것으로 사료되었다.

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Factors Affecting Unmet Healthcare Needs of Working Married Immigrant Women in South Korea

  • Yi, Jinseon;Lee, Insook
    • 지역사회간호학회지
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    • 제29권1호
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    • pp.41-53
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    • 2018
  • Purpose: This study was conducted to identify the factors affecting on unmet healthcare needs of married immigrant women, especially who are working in South Korea. Methods: It is designed as a cross-sectional descriptive study. We analyzed data from 8,142 working married immigrant women to the 'National Survey of Multicultural Families 2015.' Based on Andersen's health behavior model, logistic regression was conducted to determine the predictors of unmet healthcare need. Results: The prevalence of unmet healthcare needs among the subjects was 11.6%. In multivariate analysis, significant predictors of unmet needs included existence of preschooler, country of origin, period of residence in predisposing factors, monthly household income, helpful social relationship, social discrimination, Korean proficiency, working hour per week in enabling factors, and self-rated health, experience of grief or desperation in need factors. Conclusion: The association between labor-related factors and unmet healthcare needs of marriage immigrant women currently working was found from nationally representative sample. Support policies for immigrant women working more than legally defined hours and having preschooler should be supplemented to reduce unmet healthcare needs. In addition, eradicating discrimination in workplace, enlarging social relationship, and developing culturally competent nursing services tailored to health problems caused by labor are needed.

결혼이주여성의 임신·출산 지원서비스 이용 및 서비스 요구도 관련 요인 (Correlates of Prenatal Care Service Use and Service Need Among Married Immigrant Women in Korea)

  • 나현;전경숙
    • 보건의료산업학회지
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    • 제11권4호
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    • pp.77-88
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    • 2017
  • Objectives : To examine the factors associated with the use of the prenatal care services provided by the Ministry of Gender Equality and Family by married migrant women in Korea. Methods : We employed data from the 2015 Nationwide Multiculturale Family Survey. We selected 19- to 39-year-old married immigrant women with children aged 5 years or less for the study (N=1,579). We included four predisposing factors, six enabling factors, and two need factors based on the Andersen's Health-care Utilization Model. Results : Only one third of married immigrant women(31.6%) used prenatal care service and 45.9% of them reported prenatal care service needs. Area of residence, country of birth, and Korean language proficiency were significantly associated with prenatal care service use. Further, age, country of birth, length of time in Korea, household income, and discrimination experience were significantly associated. Conclusions : Findings suggest the need to develop strategies to improve accessibility to prenatal care service use especially for married immigrant women from developing countries, low-income families, having poor Korean language proficiency or having discrimination experience.

대학생의 코로나19 백신 접종의도의 영향요인: 앤더슨 모형의 적용 (Influencing Factors of COVID-19 Vaccination Intention among College Students: Based on Andersen's Model)

  • 배수연;김희주
    • 한국보건간호학회지
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    • 제35권3호
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    • pp.384-400
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    • 2021
  • Purpose: This study aimed to investigate COVID-19 vaccination intention among college students in Korea and verify the factors influencing vaccination. Methods: From April 28 to May 3, 2021, an online survey was conducted on a total of 323 college students. Measures included the 5C scale and the vaccine literacy scale. A logistic regression analysis was performed to identify the factors associated with COVID-19 vaccination intention among students. Results: Among the respondents, 47.7% had the intention to receive the vaccine following the government vaccination plan. Influencing factors of intention to COVID-19 vaccination included the higher level of confidence and collective responsibility and the lower level of constraints and calculation. However, vaccine literacy, socio-demographics, the influence of others, the contents and main source of information about the COVID-19 vaccine, health status and COVID-19-related experiences did not influence the intention to vaccination. The content analysis on self-reported reasons for the decreased vaccination intention resulted in three main categories, including "anxiety about the vaccine", "distrust in the government" and "no need of vaccination." Conclusion: In order to increase COVID-19 vaccination acceptance among college students and form herd immunity, it is necessary to increase the trust in vaccines and emphasize the importance of herd immunity.