• Health Policy and Management
• /
• v.15 no.2
• /
• pp.16-36
• /
• 2005

Due to the existence of asymmetry of information between doctor and patient, it has been believed that doctor might affect patient's decision making process of purchasing medical care. Based on this notion, doctor's reimbursement method has been suggested as an effective policy device of improving efficiency of patient's medical care use by way of its affecting doctor's practice pattern. By using the Community Tracking Study (CTS) household and physician data set, which includes not only various information on patient's medical care use, but doctor's practice arrangements and sources of practice revenue, this paper investigates the effect of community doctor's characteristics of reimbursement method on community patient's medical care use under the control of patient's socio-demographic characteristics and community doctor's practice type. In the process of estimating econometric model, the endogeneity problem of individual health insurance purchase was corrected by using 2818. And due to the existence of sample selection problem, Heckman's two-step estimation method was used for strengthen the robustness of estimation which was adversely affected by sample selection problem The empirical results show that as the average value of community doctor's portion of practice revenue determined by prospective method out of total revenue increases, the community patient's total out-of-pocket medical cost decreases. This results suggest, as doctor's practice revenues are mainly determined by prospective method, such as capitation, doctors would be more conscious about practice cost, which might affect doctor's practice pattern and by which his/her patient's use of medical care would decrease.

• 한국노년학
• /
• v.36 no.3
• /
• pp.905-926
• /
• 2016

Although the concept of the elderly varies depending on scholars and laws, as consumption expenditure is deeply associated with income due to the nature of this study, 55 years old was set as the low limit standard for the elderly according to Prohibition of Discrimination on Age in Employment and Employment Promotion for the Aged Act and the elderly households were limited to single-elderly person household and an elderly couple family household for this study. It is considered consumption characteristics as a significant analysis subject in terms of social welfare because it could be understood as an expressed need which was a reflection of desire. Therefore, the present study aimed to investigate the consumption characteristics of the elderly households by stereotyping the consumption pattern of the elderly households, and find the determining factors for consumption patterns and thus contribute to the establishment of related policies through the expressed needs of the elderly households. K-means of cluster analysis was performed by putting the consumption expenditure of the elderly households to investigate inherent structural type of consumption pattern of the elderly households, which were the investigation subjects. As a result, four groups were stereotyped and named as below: 'health care-centered type', 'saving-centered type', 'livelihood-centered type', and 'food expenses-centered type' Binary Logistic Regression analysis was used to identify the factors that influence the decision of consumption pattern of the elderly households. The result of study showed that the elderly households faced all different needs and problems and thus there is a need for various approach plans to solve this situation. In particular, although the elderly have been viewed as economically poor people so far, the study showed that there were also kind of prepared households through saving. Overall, livelihoodcentered type accounted for the highest portion and, as a factor that influenced this, marital state and household income played an important role. Therefore, it is considered that more active efforts to increase the income of the elderly households are needed. In addition, age, owning of house and subjective health state were found to also have significant influence. Through these results of the study, the elderly's own improvement of awareness on health, presentation of overall standard for health state of the elderly, securement of the elderly's access to cultural life, and financial management coordination for improvement of quality of life, development and dissemination of jobs suitable for the elderly, and dissemination of communal life household, which is a cooperation residential type, were presented as institutional task in the conclusion.

• Health Policy and Management
• /
• v.26 no.4
• /
• pp.305-314
• /
• 2016

Background: The purpose of this study is to examine the characteristics of and factors associated with long-term care (LTC) utilization under public long-term care insurance (LTCI) among end-of-life older adults in Korea. Methods: Using a 5% sample of older people aged 65 or older and their health and LTC insurance data, two-part model analyses were conducted. We compared LTC uses and their determinants during the last year of life among decedents in the year 2010 with those of survivors. We also compared the medical uses of the same sample with their LTC uses. Results: The end-of-life elderly were more likely to use LTC, and their expenditure on LTC was higher than their counterparts. Whether or not older people used LTC during their last year of life was significantly affected by age, sex, health insurance, household income, and living alone; however, LTC costs of the decedents were only affected by functional status, which may have been due to the reimbursement scheme of the current LTCI, which is mainly based on functional dependency level. For the survivors, having chronic diseases significantly increased the likelihood of LTC use, which was not the case for the decedents. End-of-life elderly with relatively low social economic status were more likely to use the LTC other than medical services, while the health conditions affected their medical uses most significantly. Conclusion: The study findings provide key information for predicting demand related to the increasing LTC needs of Korean older people at the end of life.

• Journal of Families and Better Life
• /
• v.9 no.2
• /
• pp.225-240
• /
• 1991

The purpose of this study is to find the main factor which influences the housing satisfaction of elderly who lives alone or with spouse and to make it sure that housing satisfaction is an important factor to life satisfaction of elderly. The specific purpose of this study is as follows; 1) How does the locus of control of elderly influence a housing satisfaction\ulcorner 2) How does the housing characteristics of elderly influence on the housing satisfaction and this relationship has any difference between urban and rural area. 3) Which variables influence upon the housing satisfaction and life satisfaction of elderly and how much do they influence \ulcorner The locus of control scale, housing satisfaction scale. life satisfaction scale were composed on the basis of precedent researches. For this study 202 elderly sho live in urban and rural area ere interviewed. To analyze the data, such as F-test, t-test, two-way ANOVA, Multiple regression analysis were used with SPSS program. The results are as follows; 1) The interrelation between locus of control and housing satisfaction is as follows. Namely , if he believes in his deeds and will rater than his fate, he feels more housing satisfaction. 2)the housing satisfaction of the elderly was found to be influenced by location, Namely, the elderly living in the urban area feels more housing satisfaction, especially he lives in apartment and unshared house. On the contrary, the elderly living in the rural area was not affected by housing type and the number of household who live together, The housing satisfaction of the elderly living in the rural area or the urban area equally influenced by the housing tenure, heating system, bathroom facility, flush toilet, and convenient service form the outside. 3) The main factoers which influence the housing satisfaction of the single household elderly are bathroom facility louse of control and income. When we concern about the location in urban area the housing satisfaction of the elderly were mainly influenced by income, but in the rural area, they were influenced by the service facility from the outside. As a Conclusion, the main factor which influenced life satisfaction of the elderly proved to be housing satisfaction inn both rural and urban area.

• Proceedings of the Membrane Society of Korea Conference
• /
• 1997.06a
• /
• pp.207-231
• /
• 1997

The use household water purifier is continuously increasing due to the distrust of the piped, rap water, which may be caused by the deterioration of water quality and water supply facilities in Korea. The water purifier distributing in the domestic market is the membrane type that composes of membrane as a basic filter, sediment filter as a prefilter and activated carbon filter instead of one purifying water system. The membrane type using as a water cleaning system is mainly the method of micro filtration(NIF) as well as ultra filtration(UF) and reverse osmosis(RO). The types of MF and UF are using to remove suspended solids and virus, and RO is using to remove ionic compound in chemical organic compounds. At the beginning the household water purifier was imported as end-product or assembled by only importing module from small businesses in Korea. Therefore, people was hard to confide in the product quality because the sales policy and management of water purifier by small business were not effectively organized. However, the defects of water purifier having up to now ate improving by the efforts of special branches of water purifier and large enterprises, and new great products are developing and producing. To develop the best quality product of water purifier in Korea, it should be considered seasonal water characteristrics rather than any other condition. For example, the water purifier can be affected by the water temperature change, increase of suspended solids in the rainy season and inflow of raw water having concentration in a dry season. The subject we have to investigate in the future is to develop the water purifying system adaptable in Korea which can treat the water quality using close analyses of local and seasonal water characteristics.

• Journal of Families and Better Life
• /
• v.23 no.3 s.75
• /
• pp.25-33
• /
• 2005

This study examines socio-demographic characteristics of married couples and their desire for a second child. Questionnaires were completed by 355 married men and women who have only one child currently. The participants were classified into four groups by their desire, or a lack thereof, for a second child. Group I consisted of married people who wanted to have another child, and whose spouse wanted the same. Members of Group II were in a marriage where only the wife wanted to have another child. Members of Group III were in a marriage where only the husband wanted a second child. Group IV consisted of participants who did not want another child, and whose spouse agreed with thor The research questions were (1) how different those four groups are in terms of socio-demographic characteristics, (2) what are the reasons to stop having children and to have another child, and (3) what are the perceptions of the current low fertility rate in Korea, and the policies designed to increase birth rata The results indicate that wife' age, husband's educational level, expectant level of household economy, age at marriage, marriage duration and the time length between marriage and birth of the first child were significantly different among the four groups. The reasons to stop having children were expected constraint of privacy and time, physical and psychological burden and economic pressure. The most pronounced reason for wanting another child was the desire to give their first child a sibling. Group III had more serious disagreement about having another child than did Group II. There were significant differences among the four groups in the perceptions of possible consequences of the low birth rate. These perceptions included: undermined competitiveness of the nation and weakened family ties.

• Land and Housing Review
• /
• v.13 no.4
• /
• pp.1-12
• /
• 2022

Clean water is an essential urban infrastructure in human daily life, and water plays a vital role in public health. Due to restrictions on outdoor activities during COVID-19, time staying at home has increased. Therefore, it is plausible to assume that large-scale disaster incidences such as COVID-19 will affect water consumption. In this regard, this research aims to explore the factors that influence household water use during COVID-19. The analysis period of the study is 2020, and the geographical scope covers Seoul and Incheon. A dependent variable was water consumption in the autonomous districts of Seoul and Incheon, and the factors reflecting urban characteristics were used as independent variables. Multiple regression was used for analysis, and the unit of analysis was the autonomous district in Seoul and Incheon. The finding confirmed that the pandemic situation caused an increase in water consumption. In addition, it supports policy for the elderly so that they can use water without financial difficulty. It implies that a stable supply of clean water is essential for managing infectious diseases. The findings of this study are expected to provide some implications for efficient water supply policies and efficient water supply management in the event of the spread of infectious diseases such as COVID-19.

• Health Policy and Management
• /
• v.31 no.3
• /
• pp.292-300
• /
• 2021

Background: Medication adherence in hypertension is the most important to control blood pressure and prevent major complications. The purpose of this study was to identify factors affecting medication adherence and to examine the relationship between medication adherence and blood pressure control in Korea. Methods: This study used data from the 7th Korea national health and nutrition examination survey (2016-2018) of the Korea Disease Control and Prevention Agency. We selected 4,063 hypertensive patients from the data. And we choose socio-demographic, health behavior, healthcare utilization, and severity characteristics as hypertensive patient characteristics. Results: Of the patients with hypertension, 92.3% had shown adherence to medication as of 2016-2018 and shows variation according to the characteristic of patients. The cases with male, under 50 years old, urban area, single household, unmet medical services, less than 5 years of hypertension duration, no comorbidities (diabetes mellitus, myocardial infarction) showed significantly low medication adherence. After adjusting for confounders, adherent patients tended to have lower current systolic blood pressure (β=-10.846, p<0.001) and diastolic blood pressure (β=-5.018, p<0.001) than nonadherent patients. And, adherent patients increased the control odds of blood pressure compared with nonadherent patients (odds ratio, 3.02; 95% confidence interval, 2.21-4.12). Conclusion: This study confirmed that adherence to antihypertensive drugs was effective in controlling blood pressure. In order to more actively manage hypertensive patients at the national level, it is necessary to make an effort to improve the medication compliance of nonadherent groups, such as early-diagnosis patients, young patients under 50 years of age, and patients living alone.

• Research in Community and Public Health Nursing
• /
• v.16 no.4
• /
• pp.381-391
• /
• 2005

Purpose: The purpose of this research is to develop and classify district visiting nursing standards and to standardize visiting nursing service pathways. Method: This research was conducted as a focus group study and analyzed visiting nursing records. We surveyed 201 recipients at urban health centers, who were selected through convenient sampling, from April 2003 to November 2003. Result: First, visiting nursing service recipients were classified into four groups according to household and financial characteristics, existence of disease, ability of self-care, and existence of home care service needs. Standardized pathways of the selected items were assessment. nursing care plan, disease management and promotion of self-care ability for Level I (mean=12.2 visits). For Level II (7.3 visits) were offered assessment. disease management. health education. and health promotion services. For Level III (5.2 visits) were offered assessment. disease management. health education and health promotion services, and for Level IV (2.7 visits) were offered thorough assessment, education for self-care and health promotion. Conclusion: The visiting nursing service pathways identified in this research need to be developed further as basic materials applicable to quality assurance and agency evaluation. For this, we suggest repeated research and test to apply the derived standardized visiting nursing services pathways in visiting nursing programs.

• Journal of Korean Society of Rural Planning
• /
• v.10 no.4 s.25
• /
• pp.39-44
• /
• 2004

This study aims to suggest new development strategy for rural villages considering their tourism income. In order to select the several study villages, the present study surveyed roughly the outline for resource characteristics about green-tourism of 83 rural tourist villages introduced on the internet. On the five rural villages, which are Moondang-ri, Yangsoo-ri, Molwoon-ri(Tomato-village), Yongsan-ri(Yongbayi-gol), and Kaya-ri(Ogam-village) located on Chungnam, Kyunggi, Kangwon, Chungbuk, and Kyunggi province, this study surveyed detailed data on the tourism income. The results show that the food sales business in the village makes about 50% of the total village income per year from the tourist, and followed by agricultural products sale, stay in farmhouses, and experience activity in the villages. The average total income of the five villages was estimated 93 million won per year and the average income per household was 1.5 million won in the study villages. The study suggests new strategy with the three kinds of important components for the rural village development considering the analysis results such as the bringing up of human resources for the village management and developing experience program for tourist, the characterization of agricultural products in the village, and the remodeling of village amenity environment for tourists.