DOI QR코드

DOI QR Code

A Study on the Determinants of Rescreening for Using the Private Health Screening Program

민간검진이용자의 재검진 결정요인에 관한 연구

  • Park, Il-Su (Dept. of Health, Uiduk University) ;
  • Kim, Yoo-Mi (Dept. of Health Policy and Management, Sangji University) ;
  • Kang, Sung-Hong (Dept. of Health Policy and Management, Inje University)
  • Received : 2014.10.29
  • Accepted : 2015.01.20
  • Published : 2015.01.28

Abstract

This study aims to identify factors related to rescreening the private health screening center. Data from private health screening center with seven district centers were analyzed. The number of subjects was 70,250 from 2008 through 2015. Socio-demographic characteristics, morbidity, history, physical measurement, laboratory test, and health behavior factors were analyzed the association with health rescreening using chi-square test and negative binominal regression. 19.2% of subjects were recheck their health status on each year from 2008 to 2012. The socio-demographic characteristics related to reuse private health screening center were male, 30-40 aged, Daegu, Gwangju, Jeonnam and Gyeongnam region residents. And overweight and pre-hypertension were also factors association with number of using the private health screening program. People who control their health risk factors such as alcohol intake, smoking and mental health and execute physical exercise tend to use health screening program regularly. Our finding suggest that customer relationship management can execute and private health screening center enable their strategic plan based on data-evidence.

본 연구의 목적은 건강검진 전문센터를 이용하는 민간검진자의 재검진 요인을 파악하는 것이다. 이를 위해 전국 7개 지역에 건강검진센터를 두고 있는 검진전문기관의 2008년도 70,250명을 대상으로 2012년까지 검진기관을 재방문한 요인을 분석하였다. 재검진 요인 분석을 위해 사용된 변수는 인구사회학적 특성, 유병 및 과거력, 신체계측, 생화학적 검사, 건강실천행태 등으로 교차분석 및 음이항 회귀분석을 실시하였다. 연구결과 19.2%가 2008년부터 2012년까지 매년 건강검진을 받았으며, 남성(exp(${\beta}$)=1.08), 30-40대(exp(${\beta}$)=1.09~1.18), 대구(exp(${\beta}$)=1.78), 광주(exp(${\beta}$)=1.57), 전남(exp(${\beta}$)=1.47), 경남(exp(${\beta}$)=1.52) 지역의 재수검 확률이 높았고, 과체중(exp(${\beta}$)=1.04) 및 고혈압 전단계인 사람(exp(${\beta}$)=1.06), 적정 음주(exp(${\beta}$)=1.17~1.21), 비흡연(exp(${\beta}$)=1.02), 낮은 스트레스(exp(${\beta}$)=1.02~1.06) 등 건강위험 요인을 관리하고 적정운동(exp(${\beta}$)=1.05~1.07) 등의 건강실천을 행하는 사람의 재수검 확률이 높았다. 검진전문기관은 이러한 결과를 바탕으로 CRM 수행 전략을 세우는 등 기관운영의 활성방안을 마련할 수 있을 것이다.

Keywords

References

  1. J. Y. Yeo, H. S. Jeng, Determinants of health screening and its effects on health behaviors. Korean J. of Health Policy & Administration, Vol. 22, No. 1, pp. 49-64, 2012. https://doi.org/10.4332/KJHPA.2012.22.1.049
  2. National Health Insurance Service, 2012 National Health Screening Statistical Yearbook, National Health Insurance Service, 2013.
  3. Y. M. Kim, J. H. Park, W. J. Kim, Analysis of utilization characteristics, health behaviors and health management level of participants in private health examination in a general hospital. Journal of the Korea Academia-Industrial cooperation Society, Vol. 14, No. 1, pp. 301-303, 2013. https://doi.org/10.5762/KAIS.2013.14.1.301
  4. http://m.yakup.com/index.html?m=n&mode=view&cat=&nid=151532
  5. S. W. Kang, C. H. You, Y. D. Kwon, The Determinants of the use of opportunistic screening programs in Korea. J Prev Med Public Health, Vol. 42, No. 3, pp. 177-182, 2009. https://doi.org/10.3961/jpmph.2009.42.3.177
  6. W. N. Choi, J. Y. Park, K. J. Kim, I. Y. Choi, Successful use of customer relationship management system in hospital healthcare centers. J Korean Med Assoc, Vol. 55, No. 8, pp. 748-756, 2012. https://doi.org/10.5124/jkma.2012.55.8.748
  7. Soo-Youn Lee, A Study on the Examination Inform System for the CRM using Mobile System. MPH dissertation, Graduate School of Health Science and Management, Yonsei University, 2004.
  8. M. C. Sturman, Multiple approaches to analyzing count data in studies of individual differences: The propensity for type I errors, illustrated with the case of absenteeism prediction. Educational and Psychological Measurement, Vol. 59, No. 3, pp. 414-430, 1999. https://doi.org/10.1177/00131649921969956
  9. Han-Suk Kim, A Study on the Efficient Policy of Health Examination based on Comparing Private Health Sector with Public Health Sector. Ph.D. dissertation, Kyunghee University, 2010.
  10. E. S. Ku, H. Y. Kim, Y. S. Suh, D. H. Shin, H. Y. Cho, M. K. Kang, H. G. Bae., An Investigation of the use of a General Health Examination Center. J Korean Acad Fam Med., Vol 12, No. 7, pp. 52-62. 1991.
  11. M. H. Sung, Characteristics of Individuals Seeking Comprehensive Health Check-ups. J Nurs Acad Soc., Vol 27, No. 3, pp. 563-576, 1997.
  12. S. A. Lee, K. S. Choi, S. Y. Hwang, J. Y. Lee, E. C. Park, K. J. Lee, W. C. Lee, K. Y. Yoo, H. R. Shin, The Effect of Socioeconomic Factors on Health Screening in Korea: the 2001 Koran National Examination Health and Nutrition Surveys (KNHANES). Journal of Korean Association of Cancer prevention, Vol. 9, No. 3, pp. 188-198, 2004.
  13. R. Andersen, J. F. Newman, Societal and individual determinants of medical care utilization in the United States. Milbank Mem Fund Q Health Soc., Vol. 51, No. 1, pp. 95-124, 1973. https://doi.org/10.2307/3349613
  14. J. H. Park, J. S. Lee, J. Y. Lee, J. Y. Hong, S. Y. Kim, S. O. Kim, B. H. Cho, Y. I. Kim, Y. S. Shin, Y. Kim. Factors affecting national health insurance mass screening participation in the disabled. J Prev Med Public Health, Vol. 39, No. 6, pp. 511-519, 2006.
  15. E. J. Chun, S. N. Jang, S. I. Cho, Y. T. Cho, O. R. M, Disparities in participation in health examination by socio-economic position among adult Seoul residents. J Prev Med Public Health, Vol. 40, No. 5, pp. 345-350, 2007. https://doi.org/10.3961/jpmph.2007.40.5.345