• 한국정보전자통신기술학회논문지
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• 제9권4호
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• pp.404-413
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• 2016

본 연구는 주관적 건강상태가 의료시설 이용에 영향을 미친다는 전제로 주관적 건강상태를 파악하고, 또한 주관적 건강상태에 따른 의료시설 이용의 차이를 만성질환자별로 분석하여 의료시설 이용 시 표준지침의 기초자료로 제공되는 것을 목적으로 하였다. 대표성 있는 고령화패널 자료를 사용하여 총 7,486명을 분석하였다. 만성질환자는 주관적 건강상태에 따라 의료시설 이용에 차이를 나타내고 있었으며, 특히 한의원 한방병원과 치과 치료에 있어서 질환별 차이가 두드러졌다. 하지만 이차자료의 활용으로 의료이용에 영향을 미치는 여러 변수들을 통제하지 못하여 후속 연구들을 제시하는데 본 연구의 의의를 두었다.

• 보건행정학회지
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• 제11권2호
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• pp.29-57
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• 2001

Since the inauguration of the medical insurance system in 1977, the increasing medical expenses which can be menace to tile finance of the medical insurance system, have become major concern in the medical insurance field In Korea. This study focuses on the determinants of the medical expenses in the health insurance in Korea and analyzes the impact of these factors on the increase in the medical expenses. The empirical work is done using the pooled cross-section and time-series data of the medical insurance for the self-employeds and the industrial workers from the year 1995 to 1997. The result of this study shows that the main determinants of the medical expenses in the health insurance are the ratio of the population of the aged to the total population, the frequency of the utilization, number of doctors per capita and the regime changes. Although the increasing trend in the medical expenses seems to be unavoidable, we probably need to add some efficiency to the medical expenses by suppressing the supply and the utilization of the unnecessary medical services. The fee-for-service reimbursement system of today can't suppress the supply of the unnecessary medical services effectively. So we need to convert the present fee-for-service system into DRG's which is known to reduce the medical costs. The increase in the medical expenses comes from a lot of factors. Therefore, we should develop more systematic and comprehensive measures to control the soaring medical expenses in consideration of the various factors such as demand, supply, and the organizational side of the medical system.

• 보건의료산업학회지
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• 제8권3호
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• pp.49-61
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• 2014

Due to the rapid population's aging, the life span's expansion and social & cultural characteristics, the standards of age classes in senescence are changed. Thus, this study aimed to identify the influential factors on health care utilization in the elderly by age class, and targeted 2,937 adults in their ages over 55 years old from the Korea Health Panel's 2009 Yearly Integrated Data. This study investigated the target health care utilization in the elderly in relation with the gender, the education level, the health-care insurance type, the income, the current job state, the chronic disease. In order to analyze the influential factors on health care utilization in the elderly, the multiple linear regression analysis was conducted to the data. As the results from this study, Concerning the influential factors on the health care utilization, the income, the subjective health state, the chronic disease and the regularly meals for the young-old influenced. Concerning the influential factors on the health care utilization, the subjective health state for the old. Concerning the influential factors on the health care utilization, the subjective health state, the income for the older-old influenced. Concerning the influential factors on the health care utilization, the education level, the spouse, the economic activity and the drinking oldest-old influenced. Therefore, it will need to provide systemic health-care & medical services, to develop health-care & medical programs and the health-care & medical policies and to execute them according to the age classes in senescence.

• 한국병원경영학회지
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• 제22권2호
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• pp.58-69
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• 2017

Recently, with the increase in the number of private health insurance subscribers, interest in overuse of the medical service is increasing. This study analyzed the impacts of private health insurance (PHI) on medical institution selection in outpatient service utilization among persons with arthritis. In order to control patients' health status, we extracted outpatient episodes with the same disease (KCD6, M13) from Korea Health Panel. The unit of analysis was an outpatient visit with arthritis in 2014 (n=23,363). In the light of insurance coverage, we redefined three type of private health insurance (ex, indemnity, fixed benefit, and non-insured) as a test variable and two type of medical institution (ex, hospital and physician visit) as a dependent variable. We conducted a probit regression analysis to identify the impacts of PHI on medical institution selection controlling for heteroscedasticity. The results of this study showed that the insured with indemnity were more likely to choose hospital departments than clinics (marginal effect=0.0475, p=0.000). The impact of participation of fixed benefit PHI was not as clear as that of indemnity type (marginal effect=0.0162, p=0.047). In conclusion, this study confirmed that PHI, particularly indemnity type has a significant impact on the selection of medical institutions. Healthcare policy makers should consider that PHI not only affects the overall quantitative increase in healthcare utilization, but also influences the selection of medical institutions.

• 한국인구학
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• 제29권2호
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• pp.143-166
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• 2006

일반적으로 여성들은 남성에 비해 사망률은 낮지만 유병률이 높고 그에 따라 의료이용도 더욱 많이 하는 것으로 알려져 있다. 이는 주로 서구사회의 경험적인 연구를 통해 알려진 바인데, 한국의 경우 그렇지 않을 수 있다는 주장이 여성학계의 일부를 통해 제기되어 왔다. 본 연구는 성별을 배우자의 유무에 따라 구분하여 의료이용행태와 그 관련 변인들이 어떠한 차이를 보이는지 구체적으로 살펴봄으로써 우리나라 여성과 남성의 의료서비스 이용의 차이가 과연 서구사회와 같은 형태로 존재하는지 확인하는 것을 목적으로 한다. 특히 한국사회에서 배우자의 유무는 여성이 가정 내에서 점유하는 위치를 결정짓는 중요한 요소가 되고 이는 의료서비스 이용에 영향을 미칠 수 있으므로 배우자 유무에 따른 남녀집단 간 환경조건적 변인들과 의료요구적 변인들을 살펴보았다. 의료서비스 이용에 대한 결정요인 분석 결과 한국의 여성들 역시 서구의 여성들처럼 남성들보다 의료이용을 많이 하며 배우자가 있는 경우 의료서비스를 이용할 가능성이 높은 것으로 나타나 여성주의적 주장과는 상반된 것으로 나타났다. 그러나 남성과 여성을 나누어 의료 이용에 대한 결정요인을 분석한 바에 의하면 서로 일치하지 않는 결과를 보였고, 이는 성별에 따른 의료이용행태에 있어서 남녀간 상이한 사회적 맥락을 고려해야 한다는 여성주의적 시각의 필요성을 일부 뒷받침해주는 것으로 나타났다.

• 한국임상약학회지
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• 제28권2호
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• pp.117-123
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• 2018

Background: Prostatitis, one of the most common diseases of the prostate, is a complex disease with various clinical features. This study aims to analyze the utilization and prescribing patterns of antibiotics in Korean patients with prostatitis between 2008 and 2015. Methods: We used the National Health Insurance Database complied from the Health Insurance Review and Assessment Service (HIRA). The outcomes included the number of claims, number of patients, medical cost, and length of stay for each year. In addition, the prescribing patterns of antibiotics, including fluoroquinolone, and low-dose use of ciprofloxacin and levofloxacin were investigated. Results: The total number of patients and medical cost increased by 9.5% and 51.7% from 2008 to 2015, respectively. Most prostatitis patients were classified as chronic prostatitis patients. The prescribing proportion of antibiotics for chronic prostatitis outpatients decreased from 71.0% to 66.9% from 2008 to 2015, and fluoroquinolone accounted for more than half of the total antibiotics. Over 80% of prescription of levofloxacin and ciprofloxacin was identified to be for low-dose use. Conclusion: Most of the patients with prostatitis experienced pain relief and condition improvement after antibiotic treatment; however, chronic prostatitis and chronic pelvic pain syndrome recur easily. Therefore, active disease management and further studies are needed to enhance our understanding of effective treatment for prostatitis.

• 한국치위생학회지
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• 제14권1호
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• pp.33-38
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• 2014

Objectives : The purpose of the study is to investigate satisfaction, awareness and utilization of dental telephone services in dental clinic patients. Methods : A self-reported questionnaire was filled out by 220 dental clinic patients in G metropolitan city from March 11 to September 27, 2013. The data were analyzed by a descriptive analyses, ${\chi}^2$-test and relevant factors were determined using logistic regression analysis by SPSS 12.0. Results : The experience rate of scaling was 68.0% and the average number was $1.04{\pm}1.13$. The experience rate of regular check-up was 41.0% and the average number was $1.01{\pm}1.29$. Satisfaction and utilization rate of scaling and regular checkup was higher than that in those who did not receive the services. The major variables influencing the experience of scaling were woman, utilization of dental telephone service and regular check-up were awareness, utilization of dental telephone service and reason of utilization of dental telephone service(preventive). Conclusions : The dental telephone service in dental patients improved oral health. Accordingly, it is necessary to develop the professional dental hygiene program for oral health in dental patients.

• 보건의료산업학회지
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• 제7권3호
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• pp.95-109
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• 2013

The objective of this study is to assess the utilization and satisfactions about public health centers in Korea. For the analysis, the study utilize the nationwide data of 229,229 person on '2010 Community Health Survey' of Ministry of Health & Welfare. The statistical methodology used in the study is ${\chi}^2$, ANOVA, logistic regression model and multiple regression model. This study have four major findings. First, the significant affecting socio-demographic factors in utilizing public health center were gender, age, region, national basic living secured, married, income, education, job, state of health, chronic disease, unmet medical needs and utilization reason. Second, the most serviced category of health center user was vaccination both city and rural area and the next was certificate, primary care, health screening, other use, the mother and child in city area, primary care, health screening, certificate, home visiting health in rural area. Third, the significant affecting socio-demographic factors in satisfaction degree on health center service were age, region, national basic living secured, income, education, job, state of health, utilization degree and reason. Fourth, the most satisfied service of health service center was home visiting health in city area and mental health service in rural area and the next was nutritive control and the lowest satisfied service was user of certificate. The utilization and satisfaction on health center service were identified as different with residental area and user's characteristics. The politic effort are needed to support socially disadvantaged class and to narrow regional gap.

• 디지털융복합연구
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• 제12권1호
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• pp.491-500
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• 2014

본 연구는 결혼이민자 귀화자의 건강상태와 의료기관 이용 실태 및 장애요인을 파악하여 의료기관 이용시 어려움 해소할 수 있는 개선방안을 모색하고자 실시되었다. 조사방법은"2012년 다문화가족실태조사" 원자료를 활용하였으며, 본 조사는 전국의 결혼이민자 귀화자 15,001명을 대상으로 2012년7월10일 ~ 2012년7월31일까지 실시되었다. 연구결과, 결혼이민자 귀화자의 주관적 건강상태는 평균 3.96점으로 양호한 것으로 나타났으며, 아플 때 주로 이용한 의료기관은 병의원이 82.7%로 가장 많은 것으로 나타났다. 조사대상자의 39.1%가 의료기관 이용 시 어려움이 있다고 응답하였으며, 의료기관 이용 시 어려웠던 점은 의사소통의 어려움(52.0%)이 1순위, 비용이 많이 듬(28.9%)이 2순위로 나타났다. 의료기관 이용 시 의사소통을 가장 큰 어려움이라 응답한 사람들의 한국어 수준이 다른 사람들에 비해 낮은 것으로 나타났으며, 비용을 가장 큰 어려움이라 응답한 사람들의 경제적 수준이 다른 사람들에 비해 낮은 것으로 나타났다. 결혼이민자 귀화자들의 의료기관 이용 시 어려움을 해소하기 위한 방안으로 결혼이민자 귀화자들의 건강권을 위한 정부차원의 제도적 정책 마련, 특히 비용부담 문제 해결 방안 마련이 필요하며, 의료기관 차원에서는 통역서비스 제공을 통해 원활하게 의료서비스를 제공받을 수 있도록 하여야 할 것이다.

• 한국주거학회:학술대회논문집
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• 한국주거학회 2005년도 추계학술대회 논문집
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• pp.367-370
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• 2005

Offer of medical treatment service for recovery or preservation of physical spiritual function of elderly people by sudden population graying developing is essential. Therefore, according to increase of elderly's medical treatment demand, medical treatment service request is augmented. Number of medical treatment service utilization wishes to grope medical treatment service support way for elderly residing cloth elevation laying stress on elderly's Aging in Place in increase trend in this research. If decide, is as following : First, national hospital and public health center were concentrated most on Seoul and kyonggi, and there were many hospitals to south of a river nine, Songpagu, Seochogu, and public health center was expose that is one by one to each nine. Second, in the case of Seoul, elderly population ratio was expose that comparatively high Yeongdeungpo, Chongno, Yongsan, west passage nine is few hospital number relatively in elderly's residential area. Third, need that establish elderly full text clinic on part of general hospital or university hospital equipment. Fourth, must do so that can use access as is easy little more in local community to all elderly who need medical treatment service of visit nursing, visit medical examination and treatment etc.. that consist in present public health center.