Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
권호 표지
DOI QR코드

DOI QR Code

Determinants of North Korean Refugees' Trust in South Korea Health Service

북한이탈주민의 한국의료서비스 신뢰에 대한 결정요인

  • Um, Tae-Rim (Department of Health Administration, Yonsei University Graduate School) ;
  • Min, Ha-Ju (Department of Health Administration, Yonsei University Graduate School) ;
  • Lee, Tae-Ho (Department of Health Administration, Yonsei University Graduate School) ;
  • Lee, Eun-Joo (National Health Insurance Service) ;
  • Jin, Ki-Nam (Department of Health Administration, Yonsei University College of Health Science)
  • 엄태림 (연세대학교 대학원 보건행정학과) ;
  • 민하주 (연세대학교 대학원 보건행정학과) ;
  • 이태호 (연세대학교 대학원 보건행정학과) ;
  • 이은주 (국민건강보험공단) ;
  • 진기남 (연세대학교 보건과학대학 보건행정학과)
  • Received : 2017.12.08
  • Accepted : 2018.01.26
  • Published : 2018.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Background: The purpose of this study was to investigate the determinants of North Korean refugees' trust in South Korea health service. Methods: This study surveyed 168 North Korean refugees aged 19 and over living in Seoul, Gyeonggi, Incheon, and Gangwon. The collected data were analyzed by frequency analysis, t-test, analysis of variance, and hierarchical regression analysis to analyze the effect on the trust of refugees. Results: The difference analysis showed statistically significant difference according to duration of residence and employment status. The determinants of North Korean refugees' trust in South Korea health services were duration of residence, basic communication skills, health communication skills, and experience of health service. Conclusion: In order to increase the trust of North Korean defectors in South Korea medical services, it is necessary to resolve communication problems and improve the satisfaction of health services. For this, the interpreter service should be activated. And specific education should be given to the North Korean refugees about the health care system and the utilization methods of health service in Korea.

Keywords

References

  1. Thom DH, Ribisl KM, Stewart AL, Luke DA. Further validation and reliability testing of the trust in physician scale: the Stanford Trust Study Physicians. Med Care 1999;37(5):510-517. DOI: https://doi.org/10.1097/00005650-199905000-00010.
  2. Lee MW. The role of satisfaction, trust, and commitment in the relationships of customer orientation of service providers and repurchase intentions. J Ind Econ Bus 2003;16(2):91-108.
  3. Kim SS, Kim MH. The effects of brand image on brand trust and customer satisfaction in healthcare services. J Distrib Manag Res 2011;14(4):151-185. DOI: https://doi.org/10.17961/jdmr.14.4.201109.151.
  4. Caterinicchio RP. Testing plausible path models of interpersonal trust in patient-physician treatment relationships. Soc Sci Med Med Psychol Med Sociol 1979;13A(1):81-99. DOI: https://doi.org/10.1016/0160-7979(79)90011-0.
  5. Pearson SD, Raeke LH. Patients' trust in physicians: many theories, few measures, and little data. J Gen Intern Med 2000;15(7):509-513. DOI: https://doi.org/10.1046/j.1525-1497.2000.11002.x.
  6. Rempel JK, Holmes JG, Zanna MP. Trust in close relationships. J Personal Soc Psychol 1985;49(1):95. https://doi.org/10.1037/0022-3514.49.1.95
  7. Ravald A, Gronroos C. The value concept and relationship marketing. Eur J Mark 1996;30(2):19-30. DOI: https://doi.org/10.1108/03090569610106626.
  8. Kim HK, Park S, Lee M, Lee D. A qualitative approach to understanding determinants and developing processes of service trust and loyalty. J Korean Mark Assoc 2004;19(4):1-33.
  9. Shin HH. The antecedents of the trust and customer response for healthcare service. Korea Soc Hosp Manag 2011;16(1):27-49.
  10. Kim YK, Yu JP. A study on verbal and non-verbal communication of medical service provider. Korea Serv Manag Soc 2008;9(1):225-258. https://doi.org/10.15706/jksms.2008.9.1.010
  11. Anderson JC, Narus JA. A model of distributor firm and manufacturer firm working partnerships. J Mark 1990;54(1):42-58. DOI: https://doi.org/10.2307/1252172.
  12. Dwyer FR, Schurr PH, Oh S. Developing buyer-seller relationships. J Mark 1987;51(2):11-27. DOI: https://doi.org/10.2307/1251126.
  13. Jung EC, Kwon YJ, Lee SY. Immigrants and their health communication process: focusing on health perception, healthcare service use, and health communication process. Korean Assoc Broadcast Telecommun Stud 2012;26(4):344-385.
  14. Sun A, Zhang J, Tsoh J, Wong-Kim E, Chow E. The effectiveness in utilizing Chinese media to promote breast health among Chinese women. J Health Commun 2007;12(2):157-171. DOI: https://doi.org/10.1080/10810730601150106.
  15. Ministry of Unification [Internet]. Seoul: Ministry of Unification [cited 2017 Sep 28]. Available from: http://www.unikorea.go.kr.
  16. Kwon SD. A study on South Korean social integration policy for North Korean defactors. Korea Polit Rev 2014;23(1):101-126.
  17. Choi MA, Choi JA. A study on treatment-seeking behavior of middleaged and old-age saetomins in South Korea. J Peace Unification Stud 2009;1:285-316.
  18. Cho AR, Ryu CG, Park SI, Seong WY, Sue JH. A qualitative research on the cognition of the initiation of diseases of North Korean refugees in South Korea. J Orient Neuropsychiatry 2013;24(4):373-384. DOI: https://doi.org/10.7231/jon.2013.24.4.373.
  19. Ha JH. Understanding of emotional communication pattern of North Korea defectors. J Humanit Unification 2012;53:303-329.
  20. Lee SH. Current status of medical service utilization by North Korean defectors and tasks in preparation for unification. World Conf North Korean Stud 2015;2:166-179.
  21. Choi JH. A study on Korea's national image of foreign residents in Korea [dissertation]. Seoul: Chung-Ang University; 2005.
  22. Neuliep JW, McCroskey JC. The development of intercultural and interethnic communication apprehension scales. Commun Res Rep 1997;14(2):145-156. DOI: https://doi.org/10.1080/08824099709388656.
  23. Hong JB, Lee HS. A comparative study of the relationship of communication apprehension and conflict management styles between Korean and Chinese college students in a multicultural society. J Speech Commun 2010;13:71-109.
  24. Chinn D, McCarthy C. All aspects of health literacy scale (AAHLS): developing a tool to measure functional, communicative and critical health literacy in primary healthcare settings. Patient Educ Couns 2013;90(2):247-253. DOI: https://doi.org/10.1016/j.pec.2012.10.019.
  25. Johnson RL, Saha S, Arbelaez JJ, Beach MC, Cooper LA. Racial and ethnic differences in patient perceptions of bias and cultural competence in health care. J Gen Intern Med 2004;19(2):101-110. DOI: https://doi.org/10.1111/j.1525-1497.2004.30262.x.
  26. Mechanic D, Schlesinger M. The impact of managed care on patients' trust in medical care and their physicians. JAMA 1996;275(21):1693-1697. DOI: https://doi.org/10.1001/jama.275.21.1693.