• The Korean Journal of Health Service Management
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• v.11 no.4
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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.

• Health Policy and Management
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• v.21 no.4
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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.

• Journal of Korean Society for Quality Management
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• v.46 no.4
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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.

• The Korean Journal of Health Service Management
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• v.12 no.2
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• pp.39-49
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• 2018

Objectives : In this study, we used the data of the 2015 National Health and Nutrition Survey in its 6th Phase, and the total number of subjects included was 4,884. Methods : Frequency analysis, crosstab and logistic regression analysis were conducted to investigate unmet medical factors related to family members. Results : The subjects of the study were 10.3% single-person households and 89.7% non-single-person households. There were statistically significant differences in age, education level, marital status, income level, private health insurance, and subjective health status. Factors associated with unmet healthcare needs according to single-person households was subjective health status. Age, gender, marital status and subjective health status were the factors associated with unmet healthcare needs according to non-single-person households. Conclusions : It is necessary to establish health care policies that can expand the health education necessary for providing appropriate information on medical care and improving awareness of social illnesses and improving affordability and convenience.

• Journal of Industrial Convergence
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• v.20 no.10
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• pp.197-207
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• 2022

The purpose of this study is to identify factors that affect the cost of rehabilitation services for people with congenital disabilities. The subjects of this study were 712 persons who had a disability from prenatal life from data of the 2020 National Survey of the Disabled Persons. 19-40 years, middle-class economic status, monthly family income level, use of vouchers, satisfaction with service institutions, autistic disability types significantly contributed to the cost of rehabilitation services. Among them use of vouchers had the greatest influence on the cost of rehabilitation services. Therefore, in order to reduce the cost of rehabilitation services for people with the congenital disabilities, it is suggested to improve the target of the voucher program and to establish a rehabilitation service support system for the entire life span.

• Journal of Korean Public Health Nursing
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• v.35 no.3
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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.

• Korean Journal of Social Welfare
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• v.62 no.3
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• pp.83-108
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• 2010

This study aims to estimate the trajectory of outpatient medical service use and examine what factors are associated with the trajectory among older adults 60 and over with specific focuses on age variations. Using the first three waves of the Korean Welfare Panel Study data, the trajectory and predictors were examined through the Latent Growth Curve Modeling and age variations were examined through the Multi-group Comparison Analyses. The research model was developed based on the Anderson Model. The results showed that study participants tend to increase outpatient medical service use with years. Individuals 75 or younger presented a much faster increasing rate of medical service use than those 75 and over. Similar to the findings of the previous studies, most predisposing factors, resource factors, and needs factors were found to be associated with the trajectory of outpatient medical service use. Needs factors were more closely associated with the medical service use trajectory than resource factors. With regard to age variations in predictors, few significant age variations were found. Based on the finding of the study, implications and future research directions were discussed.

• Health Policy and Management
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• v.22 no.3
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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.

• Korean Journal of Social Welfare
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• v.42
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• pp.7-40
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• 2000

This paper examines the changes $(1982{\sim}1992)$ of social welfare expenditures of 12 welfare states. This paper focuses on two questions. First, to what extent have there been changes in social welfare expenditure (total social welfare expenditures, income support expenditures, social service expenditures) of 12 welfare states? Second, what are the causes of the changes in social welfare expenditures? Using Comparative Welfare States Data Set by Stephens(1997) and Social Expenditure Database by OECD (1999), this paper attempts to answer two questions. Fuller-Battese model, a data analysis method in pooled cross-sectional time-series analysis, is adopted to identify variables predicting social welfare expenditure changes. This paper analyzes the predictors separately according to the types of welfare states by Esping-Andersen (1990). Predictors are different by the types of welfare states; thus, economic variables such as GDP and financial deficiency have effects on social welfare expenditures of Liberal and Corporatist welfare states. while they have no effects in Social Democratic welfare states. Political variables has effects on social welfare expenditures of Corporatist welfare states, not of Liberal and Social Democratic welfare states. Demographic variables has effects on social welfare expenditures of Social Democratic welfare states rather than Liberal and Corporatist welfare states. This paper provides an additional knowledge about social welfare expenditure changes of 12 welfare states and discusses implications for the development of welfare state in Korea.

• Health Policy and Management
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• v.29 no.2
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• pp.160-171
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• 2019

Background: This study purposed to compare the difference on medical utilization and health expenditure of baby boomer generation by depression between gender. Methods: Korea Welfare Panel Survey 2016, provided by the Korea Institute for Health and Social Affairs, was used for the analysis. For the research, we used the two-part model, yes or no of use (part 1), and frequency of use (part 2) for medical utilization. The dependent variables are the whether or not to use of hospitalization services, outpatient services, length of stay, outpatient service visits, and health expenditure. And the independent variables are used as the predisposing (education, spouse presence), enabling (insurance type, private insurance, economic activity, income), and need (chronic disease, self-rated health, disability) factors in the Andersen behavior model. Depression was used as intervening variables. Structural equation model and multiple group analysis by gender were used. Results: There were differences in the medical care usage and cost between men and women in baby boomer. For men, mediating effects of depression were present at the hospitalization (yes/no), length of stay, and health expenditure. On the other hand, for women, the mediating effect of depression was found only at the outpatient visits. Specially, depression was working at the medical services by the different way between gender. The size of effect (multiple group analysis) was affected by significant differences between men and women. Conclusion: This study found that the mediating effect of depression is increased medical usage and health expenditure and the effect factors are different by gender. Therefore, it is necessary to establish a medical care policy considering the socio-economic characteristics of baby boomers.