• Journal of Korean Academy of Fundamentals of Nursing
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• v.21 no.1
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• pp.18-28
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• 2014

Purpose: This study was done to apply Andersen's behavioral model to identify factors that determine oral health-related quality of life in elderly persons. Methods: Participants were 257 people ages 65 years or older. Data were analyzed using frequency, percentage, mean and hierarchical multiple regression. Results: The variables in the behavioral model, predisposing factors, enabling factors and need factors, explained 31% (F=12.7, p<.001) of variance in oral health-related quality of life. The predisposing factors, enabling factors, need factors and health behavior collectively explained 35% (F=9.22, p<.001) of variance in oral health-related quality of life. Factors influencing oral health-related quality of life in older adults were ADL and IADL, self-reported oral health status, xerostomia and dental care in last 12 months. Conclusions: The analysis results showed that the need factor had the highest level of relative importance of the three factors. The model used for this study can be used to predict oral health-related quality of life.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.10
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• pp.6046-6055
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• 2014

The present study identified the factors of economic retirement preparation for people living with disabilities using the Andersen's behavioral model. The 2012 Disabled Employment Panel Survey data were collected from May 21, 2012 to July 31, 2012 and were analyzed by applying the SPSS 20 program. Logistic regression analysis was carried out on a sample of 2,869 people aged 30 to 60 years. The predisposing factors (education, marital status), possibility factors (employment, non-basic livelihood security recipient status, homeowner status, income), and desire factors (subjective socioeconomic status, life satisfaction, self-esteem) affected the retirement preparation. To help people living with disabilities, policies and programs based on the factors that reflect the individual needs must be established.

• Journal of Digital Convergence
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• v.15 no.4
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• pp.327-337
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• 2017

The purpose of this study is to identify the current state of paid care services and to identify the factors that affect the utilization of private nursing services. This study constructed and utilized the Korean Health Panel data (2011-2014) in the form of panel data, and selected 5,110 patients who had experience using one or more hospitalization services per year. STATA 12.0 SE was used for data processing and analysis of this study. Frequency analysis was performed to confirm basic characteristics of hospitalized patients. Cross-analysis and t-test were conducted to confirm the status of paid care services according to characteristics. Respectively. Finally, panel logistic regression was performed by applying a hierarchical method to stepwise modeling the three categories of Andersen's Behavioral Model to identify factors affecting the use of paid care services for inpatients. The results showed that the use of paid nursing services was higher in women, elderly, long - term hospitalized and disabled. On the other hand, significant household income variables in private employment did not show significant results. The results of this study are expected to be used as basic data for the selection of the nursing care integrated services under discussion. In addition, detailed discussions on the selection of subjects should be made in the future.

• Journal of the Korea Convergence Society
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• v.10 no.8
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• pp.83-95
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• 2019

The purpose of this study was to comprehensively investigate predictive factors influencing on geriatric depression of the elderly by applying the Andersen's Behavioral Model of Health Service Use,. The research data was focused on the final analysis of 3,585 elderly population aged 65 or older among 21,724 participants in the 6th (2013-2015) Korea National Health and Nutrition Examination Survey. Hierarchical logistic regression analysis was conducted to multivariate analysis method of the variables for possible depression by the Andersen's Behavioral Model of Health Service Use. As a result of hierarchical regression analysis, there was a negative correlation of 0.49 times(0.31-0.78) for males. In addition, there was a positive correlation of pain 1.56 times(1.05-2.31), stress 0.55 times(1.10-2.19), walking exercise 1.44 times(1.03-2.00) and outpatient use 1.48 times(1.10-1.98). Therefore, differentiated support according to the gender of the community residents is necessary, and stress intervention or additional support for exercise is required.

• The Journal of the Korea Contents Association
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• v.17 no.9
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• pp.159-172
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• 2017

This study examined the predisposing, enabling and need factors, based on Andersen's behavioral model, affecting intention to use community organizing services at a community welfare center. 725 people aged 20 and older who lived in Gwang-jin-gu participated in this study and multiple linear regression analyses were utilized to analyze the deputation. The results demonstrate that intention to use is primarily affected by predisposing factors, age and duration of education. Female and more educated people were significantly associated with the intention to use community organizing services. Enabling factors, reputation and image of the community welfare center significantly affect intention to use community organizing services. People are more likely to use community organizing services when there is higher reputation of the community welfare center and better image of the community welfare center. Finally, intention to use is primarily affected by welfare consciousness, a need factor. People who have liberal welfare consciousness are more likely to use community organizing services. These findings provide implications and suggestions for increasing intention to use community organizing services at a community welfare center.

• The Journal of the Korea Contents Association
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• v.17 no.8
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• pp.290-300
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• 2017

This study concerns whether the public spirit of medical services, which is the foundational goal of national hospitals, is being realized. To derive results regarding this question, it is necessary to identify the determinants that influence the choice of national hospitals. The data are based on the number of cases of medical service use among the data for 6 years from 2008 to 2013 in the Korea Medical Panel, and the subjects were limited to those who were 18 years old or older. In the final analysis, 14,365 cases of hospitalization service uses were employed. For the research method, Andersen's behavioral model theory was applied, and predisposing, enabling, and individual factors were determined to be variables. Logistic regression analysis was conducted to analyze the determinants of national hospital choice factors. It was found that the rate of use of national hospitals was very low, with 5.23% for hospitalization services. Furthermore, socioeconomically vulnerable people, such as the elderly, low-income people, the national meritorious and medical care beneficiaries, chronic patients, and disabled patients are more likely to choose national hospitals than private hospitals. Therefore, for the appropriate management of medical service use for low-income vulnerable groups, it is necessary to discuss the enhancement of primary medical care in national healthcare.

• Korean Journal of Social Welfare Studies
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• no.39
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• pp.395-423
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• 2008

This study investigated population characteristics that influencing treatment service use of people who are voluntarily using drug dependency treatment services by using logistic and hierarchical regression analysis. The research model of the current study was driven by the framework of the 'the Behavioral Model of Health Services Use(the Andersen model)' that has been broadly applied to study on health behavior. This study used data from a sample group of 80 adults by using purposive sampling. This study found that some predisposing factors, enabling factors and need factors have direct effects on service use. In detail, individuals who graduated from high school use drug dependency treatment utilities more than those who did not. Further, individuals who were given more support from family, peers, or others, use the treatment utilities more frequently and were more willing to use the utilities continuously. Furthermore, the greater the perceived need felt by the dependent, the greater the tendency to enter hospitals or shelters. The important implications of this study for social work practice and social policy can be summarized as follows: first, this study supports the idea that intervention for drug dependents in Korea should be focused on environment resources rather than population characteristics; and government must support drug dependent treatment systems; the present study was the first to investigate Korean drug dependents through taking a more positive view, as well as the first to apply 'the Behavioral Model of Health Services Use', and as such represents an example of how studies could be productively conducted in the future. Despite these implications, there remain some limitations in this study. These include the following: limitation in generalizability of the results; the cross-sectional nature of the study design; survey research through the questionnaire method; using foreign scales; and the difficulty of classifying treatment settings.

• 한국노년학
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• v.40 no.2
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• pp.291-309
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• 2020

In this study, the behavioral model of Andersen and Newman(1973) was applied to identify the factors influencing the use of senior centers by the elderly in the community, and the mediating effect of user satisfaction was improved to improve the satisfaction of seniors using the Senior Center and operate the Senior Center. This study attempted to suggest policy and practical alternatives for activation. The subjects were 578 elderly people using 2,283 senior centers in Busan. As a result, the factors influencing the total usage period of the Senior Center were analyzed by age and type of potential factors among the leading factors, and the factors affecting the total number of days of senior center usage during the week were gender, age, and education level among the preceding factors. Appeared. Factors affecting user satisfaction as a parameter were analyzed as subjective health status among gender, age, and desire factors among preceding factors. As a result of verification of mediating effect of user satisfaction, there was a partial mediating effect between age and total use of Senior Center, full mediating effect between gender and days of Senior Center use, and partial mediating effect between age and Senior Center use days. Analyzed. According to the purpose and main findings of the study, the policy and practical suggestions for activating the satisfaction and use of Senior Center are as follows. First, program development and support according to the characteristics of senior center users are required. Second, there is a need to characterize per-path according to senior center type and regional environment. Third, there is a need to improve and raise the support standards for senior center operating expenses.

• Health Policy and Management
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• v.24 no.1
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• pp.35-46
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• 2014

Background: This paper describes the relationship and effect of health examination on personal medical cost by identifying the difference of the cost for medical care in physician visit between the population without and with health examination. Methods: After classifying into three cohorts in which, independent variables were designed according to the Andersen's behavioral model, the association of personal medical cost for medical care and prescription drugs which is dependent variable was analyzed by t-test and Mann-Whitney test for description and gamma regression model for inference. Results: In personal average medical cost, the population with health examination paid significantly more than without health examination, 11.6% more in cohort 2008, 26.6% more in cohort 2009, and 48.0% more in combined cohort. The odds ratio on medical expenditure of outpatients with health examination was 1.067, 1.126, 1.398 significantly in cohort 2008, 2009, and combined cohort respectively, comparing to the group without health examination. In independent variables, that is female, the elderly, never married, non-working, non-metropolitan, the higher family income, the smaller family size, people with disability, the people with chronic disease, and people with health examination have significantly being paid more tendency showing positive association with medical cost. Conclusion: This result showed that medical expenditure in physician visit has been increased after taking a health examination. Therefore reasonable limitation of getting preventive medical service is suggested to avoid medical shopping around and reduce being repeated health examination by unifying control to find out easily the clinical results from various medical facilities.

• The Journal of the Korea Contents Association
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• v.15 no.8
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• pp.313-325
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• 2015

This study aims to address factors affecting economic preparation of the elderly with industrial injury using Andersen model. In addition, it is also to explore differences in accordance with changes in the employment status between regular employees and non-regular employees. The authors analyze Panel Study of Worker's Compensation Insurance(PSWCI)'s 1st wave data in the logistic regression model. The authors found gender and education were related to economic preparation. In addition, earned income, national health insurance and the degree to which pain interferes with daily life and the lives caused by industrial accidents were associated with economic preparation. But national pension was not statistically significant to economic preparation. Based on the findings, the researchers addressed political implications to enhance financial security of injured workers.