• Journal of Preventive Medicine and Public Health
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• v.44 no.6
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• pp.267-274
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• 2011

Objectives: We examined health care disparities in Korean urban homeless people and individual characteristics associated with the utilization of health care. Methods: We selected a sample of 203 homeless individuals at streets, shelters, and drop-in centers in Seoul and Daejeon by a quota sampling method. We surveyed demographic information, information related to using health care, and health status with a questionnaire. Logistic regression analysis was adopted to identify factors associated with using health care and to reveal health care disparities within the Korean urban homeless population. Results: Among 203 respondents, 89 reported that they had visited health care providers at least once in the past 6 months. Twenty persons (22.5%) in the group that used health care (n = 89) reported feeling discriminated against. After adjustment for age, sex, marital status, educational level, monthly income, perceived health status, Beck Depression Inventory score, homeless period, and other covariates, three factors were significantly associated with medical utilization: female sex (adjusted odds ratio [aOR, 15.95; 95% CI, 3.97 to 64.04], having three or more diseases (aOR, 24.58; 95% CI, 4.23 to 142.78), and non-street residency (aOR, 11.39; 95% CI, 3.58 to 36.24). Conclusions: Health care disparities in Seoul and Daejeon homeless exist in terms of the main place to stay, physical illnesses, and gender. Under the current homeless support system in South Korea, street homeless have poorer accessibility to health care versus non-street homeless. To provide equitable medical aid for homeless people, strategies to overcome barriers against health care for the street homeless are needed.

• Research in Community and Public Health Nursing
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• v.21 no.4
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• pp.375-385
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• 2010

Purpose: This study examined the effects of case management (CM) for Medicaid on healthcare utilization considering the Medicaid system. Methods: Data were extracted from survey data on "Healthcare utilization and health status of Medicaid beneficiaries" conducted in 2007 and 2008 by the Ministry for Health, Welfare and Family Affairs. This study was designed to compare the effects on healthcare utilization between the CM group and the non-CM group. The subjects were 535 Type I Medicaid beneficiaries who utilized healthcare more than 365 days during 2006. Results: The outpatient days and medication days of the CM group decreased significantly more than those of the non-CM group with the copayment system. There were no significant differences of healthcare utilization between the CM group and the non-CM group with the designated doctor system. Conclusion: CM worked effectively on Medicaid beneficiaries' outpatient healthcare utilization with the copayment system. However, its effects on hospitalization, which is a major cause increasing the total expense, were not observed. Therefore, future studies are needed to develop strategies to reduce hospitalization and Medicaid beneficiaries outpatient healthcare utilization with the designated doctor system.

• Asia-Pacific Journal of Business
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• v.13 no.3
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• pp.475-491
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• 2022

Purpose - This study analyzed the correlation and effect of FTA environmental factors (company internal environmental factors, corporate external environmental factors) between FTA utilization and performance of Shandong companies in China. Design/methodology/approach - To test the hypothesis, SPSS 24.0 statistical packages were used based on the collected data. Findings - First, it was confirmed that internal environmental factors (international marketing orientation, corporate competitiveness, and corporate awareness of FTA) of companies had a positive(+) effect on FTA utilization. Second, The government's support for FTA utilization will have a significant positive (+) effect on companies' FTA utilization.Non-tariff barriers will have a negative (-) effect on companies' use of FTA. Third, A company's FTA utilization will have a significant positive effect on FTA performance. Research implications or Originality - If Shandong companies want to increase the utilization of FTAs, they should strengthen international marketing, such as collecting information on competitors and improving product quality and price competitiveness, and increase corporate competitiveness through active export activities to the global market.In order to increase the awareness of FTA among enterprises in Shandong Province, the government should strengthen the relevant education of enterprises about FTA.

• Proceedings of the Korea Inteligent Information System Society Conference
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• 2001.01a
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• pp.473-477
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• 2001

Artificial neural network (ANN) is known to identify relationships even when some of the input data are very complex, ill-defined and ill-structured. One of the advantages in ANN is that it can discriminate the linearly inseparable data. This study presents an application of ANN to classify and predict the symptomatic status of HIV/AIDS patients. Even though ANN techniques have been applied to a variety of areas, this study has a substantial contribution to the HIV/AIDS care and prevention planning area. ANN model in classifying both the HIV and AIDS status of HIV/AIDS patients is developed and analyzed. The diagnostic accuracy of the ANN in classifying both the HIV status and AIDS status of HIV/AIDS status is evaluated. Several different ANN topologies are applied to AIDS Cost and Services Utilization Survey (ACSUS) datasets in order to demonstrate the model\`s capability. If ANN design models are different, it would be interesting to see what influence would have on classification of HIV/AIDS-related persons.

• Research in Community and Public Health Nursing
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• v.13 no.2
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• pp.272-279
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• 2002

Objectives: The purpose of this study was to analyze health service utilization, and its related factors in low income families who earned half of the average Korean household income. Methods: This was a cross-sectional descriptive survey study in which a nationwide randomization sampling technique was used. The data were collected from July 12 to August 7, 1999, and the total sample size was 5,819 individuals, belonging to 1.753 households. Results: 1) In the utilization of health services for the last 3months, the pharmacy was the type of service that was the most utilized (32.0%), and the health center was the one that was the least utilized (10.3%). About 29% (29.2%) of the respondents could not utilize the health service at all. and 19.8% of the respondents terminated their medical treatments half way to completion because of financial difficulty (89.4%). 2) Analysis of the data using logistic regression showed that living with spouse, level of education, occupation, and income had statistically significant effects on health service utilization. Conclusion: The parameters of health care policies are equity and efficacy for health status, and the health service utilization by low income families. The conclusive resolution for these is the improvement of public health centers for an increased utilization rate of their services.

• Research in Community and Public Health Nursing
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• v.21 no.3
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• pp.321-332
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• 2010

Purpose: This study examined change in healthcare utilization by disease severity after case management (CM) for Medicaid. Methods: Data were extracted from survey data on "Healthcare utilization and health status of Medicaid beneficiaries" conducted in 2007 and 2008 by the Ministry for Health, Welfare and Family Affairs. This study was designed to compare change in healthcare utilization between the CM group and the non-CM group. The subjects were 528 Type I Medicaid beneficiaries who utilized healthcare more than 365 days during 2006. Results: In beneficiaries having fewer than 3 among the 11 notified diseases, the CM group showed a significantly larger decrease in outpatient day, outpatient expense, medication day, and medication expense than the non-CM group. In beneficiaries having 3 or more among the 11 notified diseases, however, there was no significant difference in healthcare utilization between the CM group and the non-CM group. Conclusion: CM worked effectively on Medicaid beneficiaries outpatient healthcare utilization for mild diseases. However, its effects on hospitalization, which is a major cause increasing the total expense, were not observed. Therefore, a future study is needed to develope strategies to reduce hospitalization and care for Medicaid beneficiaries with severe diseases.

• Journal of Preventive Medicine and Public Health
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• v.24 no.3 s.35
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• pp.328-338
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• 1991

To find out the state of illness, patterns of medical care utilization, and factors which determine medical care utilization for aged we surveyed 679 rural old persons who live in the Chungnam province from Jan. 10 1991 to Jan. 19. The major findings of this study were as follows : 1. The morbidity rate of chronic illness during last 3 months was 56.4% for all surveyed old persons ; 58.7% for female and 52.8% for male. 2. As expected, 80 years old or above group showed the highest morbidity rate, 60.2% and the 65-69 years age group was the lowest, 50.5%. 3. Old persons who are householder, whose family income is less than 290,000 won per month, and who receive benifits from the public medical assistance program had relative higher morbidity rate than other groups and the difference was statistically significant (p<0.05). 4. The most frequent chronic illness was musculoskeletal disease, 49.6% ; the disease from which the aged had suffered for the longest period was gastrointestinal, 11.6yrs : the cerebrovascular was the disease which inflicts the lowest level of physical ability. 5. 67.1% of 383 persons who were suffering from chronic illness were in need of medical care but unmet ; among the remaining 32.9% who utilized medical care, 19.2% utilized it in local clinics or hospital OPD and 15% in th health centers or subcenters. 6. Old person who are married, whose sons are householder and whose family income is 500,000 won or above per month showed relative higher utilization rate than other groups and the difference was statistically significant (p<0.05). 7. The most common reason why the aged did not utilize, in spite of, need medical care was economic problem, 35.4%. For the aged whose family income per month is 500,000 won or above, however the most common reason was tolerable symptom, 46.9% while persons who answered economic problem were 6.1% of them, the lowest frequency.

• Journal of Digital Convergence
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• v.15 no.1
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• pp.329-338
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• 2017

This study aims to identify factors to affect cancer screening utilization and differences in cancer screening by household income. This research selected 3,393 adults aged ${\geq}40years$ among surveyees from the 6th(2014) Korea National Health and Nutrition Examination Survey. We analyzed state of cancer screening utilization according to general characteristics, life style, health status, income level using descriptive statistics. Logistic regression analysis was used to examine the factors associated with cancer screening utilization. In result, cancer screening rate was significantly different according to household income. And the significant factors associated with cancer screening utilization were sex, age, marital status, education level, economic activity, private insurance, smoking, presence or absence of high physical activity, number of chronic diseases, and household income. This indicates that the effective cancer screening program on the low household income, chronic disease patients is needed, suitable for digital age. We believe that these results will be used positively for the equity of cancer screening utilization, providing the basic materials for the further research on the establishment of the health-related policy.

• Journal of the Korean Home Economics Association
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• v.26 no.3
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• pp.79-91
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• 1988

The present survey was designed to find out the utilization status of korean traditional cookies and the evaluation degrees of their commercial products' quality subjects. The subjects were housewives randomly selected who lived in Seoul, Deajeon, Youngju city (Kyoung Buk Province area), and Sechon khun (Chung Nam province area). We performed this survey from November 16 to 28, 1987 by questionnaire method. The results obtained can be summarized as follows; 1) In the subjects' home, 25 kinds of Korean traditional cookies were used. All of them Youmilkwa and Kangjeong type were used more frequently than the other types and Jeonkwa, Dasik, and Suksilkwa were used scarcely. 2) Korean traditional cookies which were showed more than 20% of utilization ratio were follows; Yackwa (74.4%), Sanja (26.8%), Taraekwa (22.6%), Seban-kangjeong (21.7%). 3) On New Year's day, Korean traditional cookies were used more frequently than harvest festival day but their utilization ratio of western cookies was follows; New Year's day was 10%, and harvest festival day was 6.2%. 5) On ceremonial day, Youmilkwa and kangjeong type were used more frequently than jeonkwa, Dasik, and Suksilkwa type. 6) All of ceremonial days, korean traditional cookies were used most frequently on the 60th birth day and their utilization ratio was extremely low on the 100th day after birth, 1st birth day, and funeral day. 7) Generally western cookies were used more frequently than Korean traditional cookies on the birth day of children and adults. 8) Convinience (64.8%) was the most favored cause purchasing the commercial products but many subjects (37.0%) wanted to make the Korean traditional cookies at home. 9) All the quality properties of commercial products, taste, package, and storage property were favored but price and hygienic property were poorly evaluated by subjects. The evaluation about taste and package property of commercial products was affected by academic career (p<0.05), and shelf life was affected by age (P<0.01) significantly. And hygienic property was significantly affected by age and academic career respectively. (P<0.01).

• 한국노년학
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• v.31 no.1
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• pp.171-188
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• 2011

The purpose of this study is to examine the factors associated with the probability and levels of the health service utilization among the disabled elderly in Korea. The sample includes 2,111 people older than 65 who are extracted from the 2008 National Survey on People with Disabilities. More than half (54.3%) of the sample experienced at least 1 outpatient physician visit within two weeks and 26.7% were hospitalized within a year. The key factors associated with the outpatient visits were health insurance status, the existence of chronic disease, self-rated health, the Activities of Daily Living (ADLs), as well as renal impairment. Similarly, the utilization of inpatient care was related to health insurance status along with the existence of the internal organ disabilities such as cardiac or respiratory disorders. The study implies the need for the health care policies regarding the prevention of chronic diseases, dependency for daily activities of the elderly, and a management system that specifically targets those with internal organ disabilities. Moreover, the study suggests that financial supports for the low-income group would be helpful to increase their access to health service utilization.