• 한국콘텐츠학회논문지
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• 제12권7호
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• pp.295-305
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• 2012

본 연구는 현재 급속히 증가하는 민간의료보험의 실태를 한국의료패널 데이터를 활용하여 실증적으로 분석하였다. 먼저 인구사회학적 요인이 민간의료보험 가입에 어떤 영향을 미치는 지를 살펴보았고, 다음으로 민간의료보험 가입과 의료이용 빈도 간에 어떠한 상관관계가 존재하는지를 찾아보았다. 패널데이터 분석결과를 살펴보면 경제적 능력이 낮은 사회적 취약계층은 상대적으로 민간의료보험의 가입이 낮은 경향이 있었다. 그리고 민간의료보험 가입자의 의료이용은 경향적으로 높게 나타났다. 이러한 결과는 지불능력이 있는 계층은 민간보험 가입을 통해 더 많은 의료서비스를 받게 되겠지만, 그렇지 못한 취약계층은 욕구가 있음에도 불구하고 의료서비스를 받을 기회가 점점 줄어들 수 있다는 가능성을 내포하고 있다. 따라서 민간보험을 보다 효과적으로 관리하기 위해서는 의료의 공공성을 사회적으로 보장하는 정책 방안이 시급히 필요하다고 사료된다.

• 한국사회복지학
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• 제59권1호
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• pp.5-25
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• 2007

본 연구에서는 노인으로만 구성된 가구를 대상으로 선행 연구에서 다루지 않은 설명변수를 투입하고, 패널분석(panel data model)을 활용하여 노인의 특성별로 이들의 빈곤에 영향을 미치는 요인에 대해 살펴보았다. 분석 결과 노인 빈곤에 영향을 미치는 요인들은 연령, 학력, 혼인상태, 자산, 거주지역 등과 함께 과거의 직업력이 중요한 요인임이 확인되었으며, 노인 빈곤에 영향을 미치는 요인들은 노인의 특성별로 다른 결과를 가져왔다. 이러한 분석 결과는 노후의 상황만을 고려한 노인의 탈빈곤정책은 사후적이라는 문제를 제기한다. 따라서 잠재적으로 노인 빈곤층이 될 수 있는 현재의 근로빈곤층에 대한 정책의 중요성과, 현재 보험방식으로 이루어지고 있는 공적연금제도의 전환을 위한 노력을 시사한다.

• 한국산학기술학회논문지
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• 제17권10호
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• pp.509-519
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• 2016

본 연구는 음주노인의 종단자료를 사용하여 주관적 건강인식의 변화가 우울 변화 궤적에 미치는 영향을 분석한 서술조사 연구이다. 본 연구는 고령화연구패널조사 1차(2006), 2차(2008), 3차(2010), 4차(2012) 자료를 모두 통합하여 균형패널를 구축하였으며, 최종 분석대상자는 네 시점 모두에서 응답한 음주노인 총 543명의 자료를 분석하였다. 연구방법으로는 기술통계와 변인들 간의 관계성을 검증하기 위하여 잠재성장모형을 이용하였다. 그 결과 첫째, 주관적 건강인식의 초기값이 우울수준 초기값에 미치는 영향이 부적(-)인 관계로 통계적으로 유의미하였다. 둘째, 한 주관적 건강인식 초기값이 우울의 변화율에 미치는 영향은 정적(+)인 관계가 있는 것으로 나타났으며, 초기 주관적 건강인식이 높은 음주노인은 우울 수준 변화율도 높다는 것을 의미하나 통계적으로 유의미하지 않았다. 셋째, 주관적 건강인식 변화율이 우울 변화율에 미치는 영향은 부적(-)인 관계가 있는 것으로 나타나 통계적으로 유미한 결과를 보였다. 즉 주관적 건강인식 변화율이 높을수록 우울의 변화율이 낮은 것으로 나타나, 주관적 건강인식의 증가속도가 빨라지면 음주노인의 우울은 증가속도가 느려진다고 할 수 있다. 이상을 토대로 지역사회에서 노인의 음주예방과 건강을 위한 프로그램을 개발하여 우울증과 자살을 예방하는 실효성 있는 정책과 시행이 요구된다.

• 한국직업건강간호학회지
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• 제29권1호
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• pp.49-57
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• 2020

Purpose: This study aimed to identify and compare the risk factors of depression among middle-class Korean workers. Methods: A cross sectional study was designed for secondary data analysis. From the 8th Korean Medical Panel Survey (2008~2013), a total of 3,056 data was drawn and analyzed. With SPSS version 24, a developmental stage comparison, with the stage being young adults (20~39), middle-aged adults (40~64), and older adults (65+) were conducted. Frequency, percentage, 𝑥² test and logistic regression analysis were statistical tools used to analyze the data. Results: In all developmental groups, experience of frustration was found to be a common risk factor of depression. Stress from excessive task, peer-compared subjective health status, and self-perceived social class were risk factors of depression in the young adults and the middle-aged adults. Anxiety for the future significantly influenced depression in the middle-aged adults and older adults. Conclusion: Experience of frustration was a major risk factor of depression among Korean middle-class workers. Interventions to reduce depression need to be developed focusing on the specific risk factors by developmental stages such as experience of frustration, stress from task burden, poor peer-compared subjective health status and anxiety for the future.

• 보건의료산업학회지
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• 제11권1호
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• pp.143-158
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• 2017

Objectives : This study aims to analyze differences in the use of postpartum care services and identify the factors affecting their use. Methods : Data were collected from the 2008-2014 Korean Health Panel. Chi-square tests were conducted to analyze differences in the characteristics of women after birth by the use of postpartum care services. Logistic regression analysis was used to identify factors affecting the use of each type of postpartum care service. Results : Participants with higher education and household income levels were more likely to use a postpartum care facility. Individuals with a lower number of household members, who gave birth in 2011-2013, and who used hospitals specializing in obstetrics and gynecology had a greater likelihood of using a postpartum care facility. The probability of using a postpartum caretaker was higher when participants did not perform any economic activities. Conclusions : It is meaningful to confirm that use patterns and determinants of postpartum care facilities and postpartum caretakers are completely different and that the socioeconomic status of women affects the utilization of postpartum care facilities.

• 한국병원경영학회지
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• 제19권4호
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• pp.57-68
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• 2014

Since the introduction of National Health Insurance(NHI) in 1977, it has grown rapidly and contributed to extend patient's access to the health care services. However, limited coverage for health care services of NHI has been ongoing challenge and private health insurance(PHI) has been rising as an alternative source of enhancing coverage and saving out-of-pocket(OOP) expenditure for patients. In this study, after controlling for socio-demographic, economic, health related variables, we identified the patients' healthcare utilization and subsequent OOP expenditure depending on their PHI enrollment and their enrollment types(fixed benefit, indemnity, fixed benefit plus indemnity). Data were collected from the 2010 Korean Health Panel. The unit of analysis was a member of household(n=13,324). Of the 13,324 cases, 70.7% of patients held PHI, in detail, fixed benefit(47.0%), indemnity(3.6%), fixed benefit plus indemnity(20.1%). Major findings showd that patients who enrolled in PHI used more outpatient services(outpatient visit, number of physician visit, number of examination) and spent more OOP expenditure than non-PHI patients. There were also differences of healthcare utilization and OOP expenditure among the types of PHI. In addition, PHI patients used more inpatient services(inpatient use, number of hospitalization, LOS), but there was no significant difference between PHI and non-PHI patients with regard to the OOP expenditure. Thus, we could not find any distinct relationship between the types of PHI and patients' tertiary hospital use. Policy-makers should need careful political deliberation for monitoring the effect of PHI on health care utilization and subsequent expenditure not only to improve patients' coverage but also to save their OOP expenditures.

• Journal of Korean Academy of Oral Health
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• 제42권4호
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• pp.167-174
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• 2018

Objectives: The aim of this study was to analyze the accessibility of dental care services among individuals with precarious employment in South Korea. Methods: We used the $9^{th}$ wave of the Korean Health Panel data (2015) and included 7,736 wage and non-wage earners in our study. We determined precariousness in the labor market as a combination of employment relationship and job income, and categorized individuals based on this into the following four groups: Group A comprising those who report job and income security, Group B comprising those who experience job insecurity alone, Group C comprising those who report a stable job but low income, and Group D comprising those who experience both job and income insecurity. Accessibility to dental care services was determined by experience of unmet dental care needs and unmet dental care needs caused primarily by financial burden. Logistic regression analyses were used to assess the effect of precarious work on access to dental care services. Results: Individuals with job insecurity (Group B; OR=1.445; 95% CI=1.22-1.70) and both job and income insecurity (Group D; OR=1.899; 95% CI=1.61-2.24) were more likely to have unmet needs than the comparison group. Both groups B and D were also 2.048 (95% CI=1.57-2.66) times and 4.435 (95% CI =3.46-5.68) times more likely, respectively, to have unmet dental care needs caused by financial burden. Education status, health insurance, and health status were all also effective factors influencing unmet dental care needs. Conclusions: Unstable employment and low income resulted in diminished access to dental care services. Therefore, governments should consider health policy solutions to reduce barriers preventing individuals with employment and income instability from accessing adequate dental care.

• 한국병원경영학회지
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• 제24권3호
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• pp.1-10
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• 2019

Purpose: The purpose of this study was to investigate determinants of purchasing indemnity private health insurance and its impact on the healthcare utilization among outpatients with chronic disease. Methods: The study analyzed 4,997 chronic ill patients using 2015 Korean Health Panel data. Logistic regression analysis was conducted to analyze the factors affecting the purchase of indemnity private health insurance and multiple regression analysis was conducted to analyze the effect of private health insurance on the number of outpatient visits and outpatient expenditures. Findings: The age, education level, and number of chronic diseases were significant factors affecting the purchasing of indemnity private health insurance among chronic patients. As a result of analyzing the impact of indemnity private health insurance on healthcare utilization, the number of outpatient visits for those who enrolled in the indemnity private health insurance was higher than the number of outpatient visits for those who did not. But there was no statistically significant difference in outpatient medical expenses. Practical Implications: The results of this study shows that indemnity private health insurance may cause inequality in the healthcare utilization of the socially vulnerable. It is necessary to seek ways to strengthen the health security of chronic disease patients and high-risk elderly people who need more healthcare.

• 대한통합의학회지
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• 제11권3호
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• pp.99-114
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• 2023

Purpose : The purpose of this study was to determine factors that affect the quality of life (QoL) of people with diabetes. We hope to provide a basis for intervention strategies for health promotion and related research among patients with diabetes in the field of physical therapy. Methods : We selected individuals diagnosed with diabetes who were aged 19 years or higher by using data from the 2019 Korean Health Panel survey and analyzed the results of 1,527 people. The influencing factors were sex, age, household income, marital status, age, education level, subjective health status, body mass index (BMI), smoking, drinking, regular exercise, experience of depression and anxiety, suicidal thoughts, stress, and frequency of walking (days/week). Frequency analysis, descriptive statistics, independent sample t-test, one-way analysis of variance, and multiple regression analysis were performed. Results : The EQ-5D score for QoL was .87 ± .12, with pain and discomfort being the most detrimental to the QoL of people with diabetes. In terms of patients characteristics, the QoL was lower among participants who were female, older, and separated/widowed/divorced; had an education level below middle school; had a poor subjective health status; were non-smokers and drinkers; and did not walk and exercise regularly, experienced a lot of stress, and experienced depression and anxiety; and had suicidal thoughts (p<.001). Being separated/bereaved/divorced; experiencing a lot of stress, depression, and anxiety; and having suicidal thoughts were negatively associated with QoL in people with diabetes (p<.01). On the other hand, age of 65 years or younger; graduation from high school, fair or better subjective health, regular exercise and alcohol consumption, and walking (days/week) were positively associated with QoL (p<.05). Conclusion : Regarding the QoL of patients with diabetes, intervention strategies should be formulated by considering general characteristics and disease-related characteristics. Among the various factors affecting QoL, the number of walking and regular exercise were found to be the factors that improved the QoL of patients with diabetes. These results can be used as a basis for the education and management of patients with diabetes in the field of physical therapy.

• 한국콘텐츠학회논문지
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• 제21권1호
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• pp.511-519
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• 2021

본 연구는 고령사회에 접어든 우리나라의 인구구조를 제고 하여, 중장년층의 저소득층들이 느끼는 삶에 대한 인식을 고찰하였다. 분석을 위하여, 보건복지부에서 제공하는 2019년 복지패널자료를 토대로 필요로 하는 변수를 선정하였고, 총 14,918명의 패널표본으로부터 '저소득층'의 '60대-70대' 중에서, 무응답 및 불성실한 표본을 제거하여, 최종 1,684명의 표본을 선정하였다. 특히, 본 연구에서는 종속변수로써, 패널자료에서 측정한 '삶의 사다리'로 정의하였다. 이에, '삶의 사다리'에 미치는 개인적 특성 및 생활만족도의 영향요인을 분석하였다. 분석결과, 종속변수인 「삶의 사다리」 변수에 대한 영향요인으로, 개인적 특성만을 고려하였을 경우에는, 대부분의 개인적 특성이 「삶의 사다리」의 영향요인으로 나타났다. 또한, 경제상태변수에 대한 상호작용 효과를 살펴본 결과, 유의미한 상호작용 효과를 나타내지 않았다. 이는 중년노인들의 삶의 사다리에 미치는 영향요인은 경제상태보다는 건강상태가 유의미한 영향요인임을 반증해주고 있다. 따라서, 노인의 '삶의 사다리'에 대한 인식은 노인 개인적인 여건과 환경보다는 노인의 내적 및 외적인 다양한 '환경요인'이 노인의 삶에 대한 인식에 영향을 미침을 제고 해야 한다. 즉, 그들의 삶에 대한 인식에 긍정적인 대안을 제시할 수 있는 방안이 필요할 것이다.