• 대한소아치과학회지
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• 제24권1호
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• pp.195-203
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• 1997

The purpose of this study is to provide framework for understanding women's preventive dental utilization. In this paper Andersen-Newman's model is applied to the use of dental visits. This model consists of predisposing, enabling, and need components that describe a person's decision to use preventive health services. The sample consisted of 1907 women living Iksan city. Models are operationalized using stepwise multiple regression analysis and path analysis. The number of independent variables used in the analysis was 27 in total, i.e. 20 predisposing components, 6 enabling components, and 1 need component. Preventive dental utilization was measured based on the number of visits. The data collected by means of a questionnaire survey. In this study, the amount of variance by the model was 11 percent. Number of restricted activity days caused by oral disease, perceived threat of dental disease, having a regular dental care, and income were found to have significant major effects on preventive dental utilization of women. Number of restricted activity days caused by oral disease was the most important variable affecting preventive dental utilization of women.

• 간호행정학회지
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• 제15권1호
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• pp.136-146
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• 2009

Purpose: The purpose of this study was to investigate the effects of copayments for doctor visits and prescription drugs on health services utilization in the Type I Medicaid beneficiaries in Korea. Method: This study examined data from the 2007 survey on Health Services Use and Health Status of Medicaid Beneficiaries performed by the Ministry for Health Welfare and Family Affairs. To analyze these sample survey data, the SURVEYFREQ, SURVEYMEANS, and SURVEYREG procedures which incorporate the sample design into the analyses were used. Results: Findings of this study indicate that copayments for doctor visits and prescription drugs of Medicaid Type I beneficiaries have cut overall medical costs. However, although results should be interpreted very carefully because of the relatively low $R^2$, copayments have cut more health services utilization of people who need more health services because of their complex diseases and disability. In addition, besides copayment, several factors are affecting differences in health services utilization before and after copayments implementation. Conclusion: These results highlight the need to examine the effects of copayments more thoroughly according to the kinds of disease, the severity of disease, and the level of copayment.

• 대한간호학회지
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• 제42권2호
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• pp.199-206
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• 2012

Purpose: This study was done to identify the impact of physical activity on healthcare utilization among Korean adults. Methods: Drawing from the 2008 Korean National Health and Nutrition Examination Survey (NHANES IV-2), data from 6,521 adults who completed the Health Interview and Health Behavior Surveys were analyzed. Association between physical activity and healthcare utilization was tested using the $X^2$-test. Multiple logistic regression analysis was used to calculate the odds ratios of using outpatient and inpatient healthcare for different levels of physical activity after adjusting for predisposing, enabling, and need factors. A generalized linear model applying a negative binomial distribution was used to determine how the level of physical activity was related to use of outpatient and inpatient healthcare. Results: Physically active participants were 16% less likely to use outpatient healthcare (OR, 0.84; 95% CI, 0.74-0.97) and 23% less likely to use inpatient healthcare (OR, 0.77; 95% CI, 0.63-0.93) than physically inactive participants. Levels of outpatient and inpatient healthcare use decreased as levels of physical activity increased, after adjusting for relevant factors. Conclusion: An independent association between being physically active and lower healthcare utilization was ascertained among Korean adults indicating a need to develop nursing intervention programs that encourage regular physical activity.

• 보건행정학회지
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• 제9권1호
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• pp.110-138
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• 1999

This study intended to understand the factors influencing the utilization of charged retirement home services for the elderly by stage of discision making. At the same time the purpose of the study is also to present the results of this study as data for the expectation of the demand. The subject of this study was non-utilizer (635 persons) and utilizer (62 persons) of charged retirement home services over the age of sixty. Non-utilizer was selected by random sampling in urban and rural area, and utilizer was investigated by census survey in the three charged retirement home. The research method was interview survey by questionaire. The questionaire was composed of 59 items, 25 variables, 5 components. The research model was to add Andersen's Prediction Model. The components were predisposing component, enabling component, need component, actualizing component, psychologic component. The results of this study were as follows. 1)In the stage of recognizing the residence problem, the recognizer were 76.7% (487 persons) of all the non-utilizer. The factors of influencing were property (B=-4.1E-05), solidarity with children (B=-.1070), house satisfaction (B=-.2517), need of charged retirement home (B=.2614). 2)In the stage of selecting an altenative as utilizing of charged retirement home services, the selecter were 41.1% (261 persons) of all the non-utilizer. The factors of influencing were perception of charged retirement home (B=.2790), need of charged retirement home (B=.2971). 3)In the stage of decion-making, the decider were 29.6% (188 persons) of all the non-utilizer. The factor of influencing was need of charged retirement home (B=.3570). 4)In the stage of the actualization, the factors of influencing were charge ability of utilization (B=.1025), significant others (B=.1868). The upper results were implemented by using the statistical methods of frequency, t-test, $$\chi$^{2}$-test, multiple logistic regression ( and P 〈 .05 ).

• 보건행정학회지
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• 제30권1호
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• pp.37-49
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• 2020

Background: Unmet healthcare needs have many advantages for measuring inequalities in healthcare use. However, the existing indicator is difficult to capture the reality of unmet healthcare needs sufficiently and is not quite appropriate in comparing regional inequality. The purpose of this study is to critically analyze the utilization of the unmet healthcare need indicator for regional healthcare inequalities research. Methods: We used the level of healthcare accessibility and healthcare need to categorize the regions that are known to cause differences in healthcare utilization between regions and verified how existing unmet healthcare need indicator is distributed at the regional level. Results: Four types of regions were classified according to the high and low levels of healthcare needs and accessibility. The hypothesis about the regional type expected to have the highest unmet healthcare need was not proved. The hypothesis about the lowest expected regional type was proved, but the difference in the average rate of unmet healthcare needs among regional types was not significant. The standard deviation of the rate of unmet healthcare needs among regions within the same type was also higher than the overall regional variation, which also disproved the whole frame of hypothesis. Conclusion: Failure to prove the hypothesis means the gap between the supposed meaning of the indicator and the reality. In order to understand the current state of healthcare utilization of people in various regions of Korea and to resolve inequality, fundamental research on the in-depth structure and mechanisms of healthcare utilization is needed.

• 지역사회간호학회지
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• 제12권3호
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• pp.582-588
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• 2001

Purpose : This study is to examine the characteristics of the elderly and their family caregivers. to study the main factors affecting Nursing Home utilization, and to help frame a policy about Nursing Home's demand. management and welfare facilities. Method: Data for this present study were collected via questionnaires randomly distributed to family caregivers of the over 60-year-old patients at general hospital and university hospital in Seoul. Kyung-Ki Do and In-Chon from 26 June to 20 July, 2000. Questionnaires were issued to 512 people and 479 were returned. The data was analyzed by frequency, $x^2$-test, t-test, ANOVA. factor analysis. correlation coefficients analysis and Stepwise multiple regression analysis using SPSS 9.0. Result First. Instrumental Activities of Daily Living(IADL), duration of hospitalization, sex, marital status, behavior problems, home ownership, and cognitive disorder about elderly patients affect family caregivers burden. one of need factors. Secondly, marital status. religion. health status, sex, education and age in the family caregiver predisposing factors are main factors on Nursing Home utilization. Third, in need factors, care burden. time burden, family relation burden, physical burden and mental burden have an effect on Nursing Home utilization. Finally, the model the most important factors that affect Nursing Home utilization is composed of six of eleven totally, care burden, religion, time burden, health status, marital status and education. When the family caregivers get care burden and time burden. are highly educated, have no religion, have health problems, and have no spouse, it is possibility for them to utilize Nursing Homes. Conclusion: The government should decrease a family caregivers burden and seek to find how to support Nursing Homes. Furthermore. Social support program for the family caregivers should be required. Thus, the family caregivers need consultation and need to meet to talk about their patients. how to care them, get information, which are the crucial field in advancing the research in nursing science.

• 한국비블리아학회지
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• 제26권1호
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• pp.35-50
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• 2015

종합목록 활성화를 위해서는 서지네트워크 참여 도서관의 공동체 의식과 협력 정신이 가장 중요하겠으나, 기여에 대한 적절한 보상은 참여 동기를 유발시킬 수 있다. 따라서 본 연구는 해외 종합목록의 기여보상제도를 살펴보고, 우리나라 대학도서관 종합목록 참여 도서관의 기여 활동과 이용 정도를 탐사적으로 분석하였다. 연구의 내용을 구체적으로 기술하면 첫째, 기술통계 분석을 통해 종합목록 참여 도서관의 기여 활동과 이용도에 대한 전반적인 현황을 파악해 보며, 둘째, 피어슨 상관 분석(Pearson Correlation Analysis)을 통해 기여활동과 이용 정도간에 어떠한 상관관계가 존재하는지 분석해 보았다. 셋째, 계층적 군집 분석(Hierarchical Clustering)을 통해 참여 기관을 유형화하여 기여 집단의 규모, 특수 공헌 집단의 존재 여부 등을 분석하였다.

• 한국컴퓨터정보학회논문지
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• 제23권12호
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• pp.49-55
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• 2018

In this paper, we propose schemes of blockchain utilization in tactical communication environment. The military tactical communication environment has similar characteristics with blockchain network such as distributed architecture, decentralization, and the need for data integrity. A communication node constituting a tactical communication network is constituted by a system capable of configuring and connecting a network for each node. When a communication node, having such capabilities, is configured as a node of blockchain network, various functions could be performed. In this paper, we propose utilization schemes of authentication, integrity, record management, and privilege control based blockchain technology. Functions for authentication, integrity verification, and record management need to ensure the stored data and could track history. The requirement of function's characteristics are matched to blockchain which is storing data sequentially and difficult to hack data, so that it could perform functionally and sufficiently well. Functions for authority control should be able to assign different privileges according to the state of the requestor. Smart contract will function when certain conditions are satisfied and it will be able to perform its functions by using it. In this paper, we will look over functions and utilization schemes of blockchain technology which could reliably share and synchronize data in a tactical communication environment composed of distributed network environment.

• 한국환경과학회지
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• 제25권1호
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• pp.127-134
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• 2016

This study is conducted to get current state of data collection and utilization of the trees damaged by pine wilt disease, and to efficiently collect and utilize of the trees damaged by the pine wilt disease and abandoned fumigation-treated trees at forecasts. The method to control pine wilt disease damaged area is mostly fumigation treatment system, and there is no collection and utilization of damaged trees because of absence of efficient collection system, lack of collection cost, and absence of policy, etc. A survey is conducted that asked about the satisfaction degree for the trees damaged by pine wilt disease collection and use divided into 6 topics. It was positively recognized that the need and problem of the trees damaged by pine wilt disease, and results and satisfaction of forestry mechanization while it was mostly negatively recognized that the policy satisfaction for prevention and collection, satisfaction of collection and use, collection and forestry mechanization, and satisfaction of foundation equipment for forestry mechanization, etc. As a result of path analysis, it is necessary to promote a high-tech forestry mechanization to improve satisfaction level of results and satisfaction of forestry mechanization for the trees damaged by pine wilt disease collection and utilization, it is also need to make an effort in various ways for improve satisfaction level of satisfaction of collection and utilization.

• Journal of Preventive Medicine and Public Health
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• 제43권6호
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• pp.513-522
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• 2010

Objectives: The purpose of this study was to define the association between the medical utilization of osteoarthritis patient and its related factors. Methods: We used the 2005 Korean National Health and Nutrition Survey data and we enrolled 2833 participants who were forty or older and who were diagnosed as having osteoarthritis by a doctor within 1 year and who had suffered from osteoarthritis for more than 3 months. The Andersen behavioral model was used as the analytic framework, and the variables were categorized into predisposing, enabling, and need factors. To determine the influence of each variable on the medical utilization of osteoarthritis patient, we applied hierarchical logistic regression analysis with two stages: the first stage included the predisposing and enabling factors and the second stage included the need factors. Results: On the hierarchical logistic analysis, the variables of personal income, the type of medical security, the duration of arthritis related symptoms within 1 month, the subjective health status and the duration of osteoarthritis showed a statistically significant association with medical utilization in men. And the variables of age, limitation activity due to osteoarthritis, arthritis related symptoms within 1 month, and the subjective health status had a statistically significant association with medical utilization in women. Conclusions: The patients who tend to receive less care are those who suffer less from symptoms of osteoarthritis, those who are within the initial phase, or those with a low-level severity of osteoarthritis. It is necessary to encourage patients to receive the treatment in the initial phase.