• 한국치위생학회지
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• 제18권5호
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• pp.771-783
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• 2018

Objectives: This study aimed to identify methods that help medical consumers to be aware of relevant information regarding changes in dental health insurance policy. Methods: The following results were obtained from a survey regarding awareness and satisfaction with dental health insurance policy among the general public aged 20 years or older in Seoul, Gyeonggi Province, and other areas from August 1, 2017 to August 23, 2017. Results: The correlation between adults' awareness of and satisfaction with dental health insurance was 0.471, where satisfaction with dental health insurance was enhanced with increasing awareness of dental health insurance (p<0.001). Factors that significantly affected awareness of dental health insurance were marriage (married p<0.05), medical service (dental university hospital, p<0.01), and satisfaction with dental health insurance (p<0.001); these factors explained 29.2% of the variance. Factors that significantly affected satisfaction with dental health insurance were final education (high school graduation, p<0.05), medical service (dental hospital, p<0.05), and awareness of dental health insurance (p<0.001); these factors explained 27.8% of the variance. Conclusions: Importantly, awareness of the government's operation of dental health insurance and the benefits of such dental health insurance were low, suggesting that the government and national health insurance agency should improve the level of transparency in dental health insurance operations and continuously promote dental health insurance benefits to the public.

• 한국콘텐츠학회논문지
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• 제14권8호
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• pp.277-286
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• 2014

본 연구의 목적은 국민건강보험 가입자의 건강보험에 대한 인식수준과 만족도와의 관계를 확인하는 연구이다. 자료의 분석은 SPSS/WIN 14.0 프로그램을 이용하여 기술통계, $X^2$검정, 독립표본 T검정과 일원배치 분산분석(ANOVA)을 실시하였으며, 연구결과는 다음과 같다. 국민건강보험제도에 대한 인식수준과 만족도 관계에서는 국민건강보험의 보장 수준이 높다고 생각하는 집단, 자신이 내고 있는 국민건강보험료를 알고 있는 집단, 평소 국민건강보험에 대한 생각이 긍정적인 집단, 국민건강보험료 부담이 공평하다고 느끼는 집단이 국민건강보험 제도에 대한 만족도가 통계적으로 유의하게 높게 나타났다. 또한 물가인상과 비교한 보험료 인상 수준이 높을수록, 국민건강보험료 부담이 가계에 부담이 더하다고 느낄수록 국민건강보험 제도에 대한 만족도는 통계적으로 유의하게 낮게 나타났다. 본 연구는 국민건강보험에 대한 세부적인 인식수준을 파악하고 이와 국민건강보험제도 만족도의 관계를 확인하였다. 이 결과는 건강보험제도를 다수의 국민이 만족할 수 있는 방향으로 재설정하는데 기초자료를 제공해줄 수 있을 것으로 사료된다.

• 한국융합학회논문지
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• 제12권1호
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• pp.119-125
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• 2021

본 연구의 목적은 20대 성인의 치과보험지식과 구강건강지식이 치과보험인식만족도에 미치는 융합적 관계를 보고자 함이다. SPSS WIN 18.0로 분석해 유의성 있는 결과를 얻었다(p<.05). 치과건강보험인식만족도 '치과치료에 적용되는 진료과목의 수는 확대시킬 필요성이 있다'가 높았으며 '치과보험이 적용되는 치과치료 진료비에 만족한다'가 낮았다. 치과보험유무지식은 치아미백, 교정치료, 구강건강지식은 '섭취하는 음식이 치아에 영향을 미친다.' 높았다. 치과 건강보험인식만족도는 민간치과보험을 가입한 경우 높았다. 치과건강보험인식만족도는 치과건강보험지식과 양의 상관 관계를 나타냈다. 총괄적으로 치과건강보험 인식 만족를 높이기 위해서는 치과보험지식과 구강건강지식에 대한 체계적인 교육이 이루어져야 할 것이다.

• 한국치위생학회지
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• 제15권6호
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• pp.1107-1116
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• 2015

Objectives: The purpose of this study was to examine awareness and satisfaction toward health insurance coverage of scaling. Methods: A self-reported questionnaire was completed by 221 patients receiving scaling service from July to August, 2014. The informed consent was approved after the explanation of purpose of the study. The questionnaire consisted of general characteristics of the subjects, awareness toward health insurance coverage of scaling, scaling service covered by health insurance, and satisfaction with health insurance service. Results: Those recognizing the health insurance service extension accounted for 87.3 percent and 67.4 percent answered that the appropriate coverage age would be 20 years old. The recommendable frequency of scaling was once a year and this accounted for 49.3 percent. Fifty percent of the subjects thought health insurance coverage of scaling would be reasonable and 34.8 percent acquired the information from mass media. The most common service providers were dental hygienists and the length of service was from 20 to 30 minutes. The contents of service included scaling service, toothbrushing method, and oral care. The satisfaction was 4.39 points. Conclusions: The health insurance coverage of scaling will improve the oral health and quality of life in Korean adults. So the government should try to extend the scaling coverage by health insurance and the frequency of scaling.

• 보건의료산업학회지
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• 제9권3호
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• pp.115-126
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• 2015

Objectives : This research was performed to investigate the characteristics and determination factors of health care policy satisfaction and welfare recognition for health insurance & health care financing. Methods : The utilized data were 4,174 cases who responded to a welfare recognition survey in the 8th wave of the Korea Welfare Panel Study (2013). The statistical methodology used in this study is the multiple regression model. Results : The significant affecting factors of health care policy satisfaction were age, education, household income, welfare attitudes, and health status. Medical utilization & private medical insurance were not related to health care policy satisfaction. The affecting factors of health insurance reinforcement were age, health status, welfare attitudes. The affecting factors of health care financing expansion were age, economic activity type, medical utilization, welfare attitudes. The affecting factors of welfare attitudes were age, economic activity type, household income, health insurance, and health status. Conclusions : Health care policy satisfaction, health insurance reinforcement, and health care financing expansion were all affected by age and welfare attitude; but this was not the case for private health insurance. This study recommended that the Korean government provide active planning for reinforcement of health insurance and publicity of the health care system in order to accord with the prospects of people.

• 보건행정학회지
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• 제19권4호
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• pp.78-97
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• 2009

This study examined the factors related to family caregiver satisfaction with institutional care services for beneficiaries under the Public Long-Term Care Insurance(PLTCI) system. Determining what contributes to family caregiver satisfaction is a critical step toward implementing effective quality improvement strategies. A national cross-sectional descriptive survey was conducted from November to December 2008, using proportionate quota sampling based on the location and level of Long-Term Care of the beneficiaries. Total 1,745 family caregivers wrote informed consents and 733 (response rate 42%) completed questionnaires, which included caregiver characteristics, organizational resources, primary objective and subjective stressors, perceived quality of services, and family caregiver satisfaction. Family caregivers were satisfied overall with institutional care. In multiple regression analysis, there was a statistically significant difference in degree of family caregiver satisfaction according to caregiver characteristics(relationship to beneficiary), primary objective stressors (insurance type of beneficiary), perceived quality of services(respect to family caregivers' idea, ADL support, expertness of staff, careful concern of staff, fulfillment of client's requests, and safety of institution's environment). In public long-term care, satisfaction efforts are in an early stage of development. This study is meaningful as the first attempt to measure family caregiver satisfaction with institutional care for beneficiaries under the PLTCI system, and to identify factors affecting the satisfaction. Among the identified factors, the policy makers, the insurer, and the providers need to pay attention to perceived quality of services, in particular, to improve customer satisfaction. Our findings can provide quality care improvement initiatives in the public long-term care setting.

• 한국콘텐츠학회논문지
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• 제14권1호
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• pp.200-208
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• 2014

본 연구는 민간의료보험이 국민보건의료에 미친 영향과 관련된 오랜 논쟁에 관한 기존연구들을 분석하고, 논의가 부족했던 의료서비스 이용만족에 대한 영향을 확인하여 민간의료보험의 발전적 역할설정에 기여하는 데 목적이 있다. 선행연구 고찰을 통해 민간의료보험이 국민보건의료에 미친 영향을 확인한 결과 민간의 료보험 활성화가 저소득층과 건강상태가 좋지 않은 국민을 배제시키는 국민양극화를 초래할 가능성이 있고, 민간의료보험에 가입한 가입자의 의료이용량이 많아서 건강보험 추가재정지출을 유발할 가능성이 있었다. 그러나 민간의료보험이 의료서비스 질 개선과 의료소비자 만족에 기여하는지는 더 많은 연구가 필요한 상황이었다. 문헌고찰에서 연구가 미진한 것으로 확인된 민간의료보험이 소비자의 의료서비스 만족에 미치는 영향을 국민건강영양조사 자료를 통하여 확인한 결과 민간의료보험가입여부에 따라서 외래의료이용과 입원의료이용에 대한 의료서비스 만족도의 차이가 없었으며, 통계적으로 유의미한 영향관계도 없었다. 즉, 민간의료보험가입이 의료서비스 만족에 영향을 미치지 않는 것이다. 이러한 분석결과에 따라 향후 우리나라의 민간의료보험은 비급여 보충형으로 운영하는 것이 바람직할 것이다.

• 한국치위생학회지
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• 제16권2호
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• pp.185-193
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• 2016

Objectives: The purpose of the study was to examine the recognition and satisfaction of dental care customers after 1 year national health insurance coverage of dental scaling. Methods: A self-reported questionnaire was completed by 477 dental care customers in Gyeongbuk, Busan, Yangsan, and Gyeonggido from July 18 to September 30, 2014 after receiving informed consents. The questionnaire consisted of general characteristics of the subjects(5 items), subjective awareness of oral health(4 items), recognition of scaling(5 items), and recognition and satisfaction of scaling health insurance(5 items). Data were analyzed using SPSS version 20.0 program. Results: Those who recognized the national health insurance coverage of dental scaling accounted for 80.1 percent and 47.2 percent of them got the health insurance coverage via media advertisements. Those who received the scaling service by health insurance coverage accounted for 73.8% and 66.2% of them were very satisfied with the service. Among the customers, 91.8% were satisfied with scaling health allotment. There was a statistical significance between scaling health insurance and subjective oral condition recognition(p<0.01). Through the health insurance coverage scaling service, the oral health in Korea will improve much. Conclusions: The expansion of health insurance coverage of scaling service will provide the universal oral health care for all people. Owing to low cost service, people will actively try to come in contact with public health service in the future.

• 한국직업건강간호학회지
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• 제25권1호
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• pp.19-28
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• 2016

Purpose: This study was a descriptive research to identify the effects of communication skills, compassion satisfaction, compassion fatigue on burnout among staff of long term care insurance for the elderly in National Health Insurance Services in Korea. Methods: A descriptive cross-sectional design was used. The participants were 191 staffs of long-term care insurance in National Health Insurance Services. Data were collected via mail from the 24 branch offices which were randomly selected among the total of 226 centers of National Health Insurance Corporation. Stamm's professional quality of life (ProQOL) and Communication Skills Test tool were included in questionnaire to detect. SPSS/WIN 20.0 was used to conduct the descriptive statistics, t-test, ANOVA, correlation analysis, and multiple regression. Results: Compassion fatigue had a significant positive effect on burnout, while Compassion satisfaction had a negative effect on burnout. The explained variance for burnout was 69% and compassion fatigue was the most significant factor in burnout among staff of long term care insurance services. Conclusion: The results indicate that the factors influencing staffs' burnout are compassion fatigue, compassion satisfaction, and education level. Therefore, strategies to decrease compassion fatigue and improve compassion satisfaction are needed to decrease burnout for staffs of long-term care insurance in National Health Insurance Services.

• 한국의료질향상학회지
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• 제12권1호
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• pp.40-51
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• 2006

Backgrouds : This study was performed to compare the satisfaction levels for health examination programs provided by between the Korea National Health Insurance Corporation (KNHIC) and private healthcare organizations in Korea. We investigated factors associated with the satisfaction level for the KNHIC health examination. Also, factors explaining for the additional receipt of private healthcare organization's examination were identified. Methods : A self-administered questionnaire survey was conducted in June 2004 with 250 beneficiaries of the KNHIC industrial workers' program and 100 beneficiaries of the KNHIC selfemployed program. A total of 297 completed the questionnaire, including 213 (85.2%) and 84 (84.0%) for each insurance program. Ten questions measuring satisfaction levels for each examination program were rated on a scale ranging from 1 (strongly unsatisfied) to 5 (strongly satisfied). Results : Among the subjects receiving both examinations, the mean satisfaction level for the KNHIC examination (3.07) was significantly lower than that for the private healthcare organization's examination (3.50) (p<0.05). The KNHIC examination showed lower satisfaction for all of the 10 items than the counterpart. In particular, the KNHIC examination had the scores of lower than 3.0 for the items reflecting post-examination management services. According to the multiple regression analysis results, the satisfaction for the KNHIC examination was positively associated with the positive attitude toward health examination(${\bullet}$,=0.38, p<0.00). The logistic regression results showed that the likelihood of receiving the private healthcare organization's examination in addition to the KNHIC examination increases as the respondents were less healthier(OR=0.29, 95% CI = 0.10¢¶0.84), the satisfaction level for the KNHIC examination decreased(OR=0.46, 0.28¢¶0.75) or the attitude toward health examination was more positive (OR=2.56, 1.31¢¶5.12). Conclusion : The relatively low satisfaction level for both examination programs suggests that there's ample room for improvement of health examination services in Korea. The negative association between additional receipt of private healthcare organization's examination and satisfaction level for the KNHIC examination implies that the improvement of the satisfaction for the KNHIC examination would help to reduce the national expenditure spent on the additional examination.