Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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Structural Model of health status in Rural Community: Social Trust, Medical Communication, and Health Information

사회적 자본과 건강정보, 의료 커뮤니케이션 요인이 농어촌 지역의 건강상태에 미치는 영향에 대한 구조모델

  • Jang, Han-Jin (Dept. of Interaction Design, Graduate School, Hallym University) ;
  • Noh, Ghee-Young (Dept. of Interaction Design, Graduate School, Hallym University)
  • 장한진 (한림대학교 대학원 인터랙션디자인) ;
  • 노기영 (한림대학교 대학원 인터랙션디자인)
  • Received : 2015.05.28
  • Accepted : 2015.08.20
  • Published : 2015.08.28
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Abstract

Industrialization and urbanization have caused health inequality between rural areas and cities. Health care in rural area is insufficient comparing to urban areas. This study examined the effects of social capital, Health Information, and medical communication factors on Health status in rural community using structural equation modeling. First, social capital has an effect on medical communication with physicians and medical communication impacts on health status. Second, health information orientation has an impact on health behavior and Internet health information. Lastly, health information orientation influenced by Internet health information as a mediator affects health status. As a whole, this study contributes to theoretical explanation about determinants of health status in communities by examining structural path of the effects of social factors and communication factors on health status in rural area.

농어촌 지역은 산업화 도시화로 도시보다 건강관리가 미흡하며 이에 따른 지역 간 건강불균형 문제가 중요한 사회적 아젠다가 되었다. 이 연구는 사회적 자본과 건강정보, 의료 커뮤니케이션 요인들이 지역사회의 건강상태에 어떠한 영향을 미치는지를 구조방정식 모델을 통해서 검증하고자 하였다. 먼저 사회적 자본은 의료진과의 의사소통성에 영향을 미치는 것으로 나타났고, 의료진과의 의사소통성은 건강상태에 영향을 미치는 것으로 나타났다. 또한 건강정보추구는 건강행위, 인터넷 건강정보이용에 영향을 미치는 것으로 확인되었으며, 인터넷 건강정보이용을 매개로 건강상태에 영향을 미치는 것으로 나타났다. 마지막으로 인터넷 건강정보이용과 건강행위는 건강상태에 영향을 미치는 것으로 확인되었다. 이 연구는 사회적 요인과 커뮤니케이션 요인이 농어촌 건강상태에 영향을 미치는 선행 경로구조를 형성하고 있다는 점을 검증함으로써 지역사회 건강상태의 결정요인에 대한 설명력을 한층 풍부하게 하는 데 기여하고 있다.

Keywords

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