DOI QR코드

DOI QR Code

How Do Parents' Experiences Affect Children's Use of the Traditional Korean Medical Services? A Regression Analysis Using Cross-Sectional Data

  • Sungwon, Lee (Department of Economics, Sogang University) ;
  • Jihye, Kim (Research Institute of Korean Medicine Policy, The Association of Korean Medicine)
  • Received : 2022.11.13
  • Accepted : 2023.01.10
  • Published : 2023.03.31

Abstract

Objectives: Medical services are closely related to individual health and welfare, and health status in childhood or adolescence is widely recognized to be related to many socioeconomic outcomes. Therefore, providing appropriate medical services in childhood and adolescence is important. We aimed to investigate the determinants of traditional Korean medical services (TKMS) usage by children aged < 19 years. The focus was on the role of their parents' experiences with TKMS in determining TKMS use by children. Methods: Using a representative sample in South Korea, we conducted a regression analysis to assess how parents' experience with TKMS affects the probability of their children using TKMS. Results: We found parents' experience with TKMS to have a significantly positive effect on the probability of TKMS use by children and parents' biological information, such as age and sex, to affect the probability of TKMS use. Specifically, parents' experiences with TKMS generally increased the probability of children using TKMS by approximately 20%. Conclusion: This study's results suggest that considering parents' opinions and providing them the opportunity to participate in programs that enhance young children's use of TKMS may be effective.

Keywords

Acknowledgement

We thank the National Institute for Korean Medicine Development for approving the use of the data for this research.

References

  1. Doh S. Medical utilizations of the aged: issues and policy tasks. Health Welf Policy Forum. 2009;(157):66-79.
  2. Blackwell DL, Hayward MD, Crimmins EM. Does childhood health affect chronic morbidity in later life? Soc Sci Med. 2001;52(8):1269-84. https://doi.org/10.1016/S0277-9536(00)00230-6
  3. Currie J. Healthy, wealthy, and wise: socioeconomic status, poor health in childhood, and human capital development. J Econ Lit. 2009:47(1):87-122. https://doi.org/10.1257/jel.47.1.87
  4. Bharadwaj P, Loken KV, Neilson C. Early life health interventions and academic achievement. Am Econ Rev. 2013;103(5):1862-91. https://doi.org/10.1257/aer.103.5.1862
  5. Case A, Lubotsky D, Paxson C. Economic status and health in childhood: the origins of the gradient. Am Econ Rev. 2002;92(5):1308-34. https://doi.org/10.1257/00028280276202452
  6. Basu AM, Stephenson R. Low levels of maternal education and the proximate determinants of childhood mortality: a little learning is not a dangerous thing. Soc Sci Med. 2005;60(9):2011-23. https://doi.org/10.1016/j.socscimed.2004.08.057
  7. An J, Kim H. A study on the determinants of children and adolescents' health inequality in Korea. Stud Korean Youth. 2013; 24(2):205-31.
  8. Braveman P, Gottlieb L. The social determinants of health: it's time to consider the causes of the causes. Public Health Rep. 2014;129(Suppl 2):19-31. https://doi.org/10.1177/00333549141291S206
  9. Lee YW. Family income and child health gradient in Korea. Health Soc Welf Rev. 2014;34(3):7-32. https://doi.org/10.15709/hswr.2014.34.3.7
  10. Jung YH, Byon LN, Ko SJ. Lifetime distribution of medical cost in Korea. Health Soc Welf Rev. 2011;31(1):194-216. https://doi.org/10.15709/hswr.2011.31.1.194
  11. Shin JW, Lee SY, Shin HW, Yoon KJ, Lee SH, Son CG, et al. A report on the patient survey 2016. Sejong: Ministry of Health and Welfare; Korea Institute for Health and Social Affairs; 2016.
  12. Ministry of Health and Welfare; National Development Institute of Korean Medicine; Gallup Korea. 2017 Years national survey for Traditional Korean medicine (TKM) Usage [Internet]. Seoul: National Development Institute of Korean Medicine; 2018 Feb [cited 2022 Sep 22]. Available from: https://nikom.or.kr/koms/board/view.do?menu_idx=19&manage_idx=142&board_idx=27156&group_depth=0&parent_idx=0&group_idx=0&rowCount=10&search_type=title%2Bcontent&search_text=&viewPage=2.
  13. Yip AM, Kephart G, Veugelers PJ. Individual and neighbourhood determinants of health care utilization. Implications for health policy and resource allocation. Can J Public Health. 2002;93(4):303-7. https://doi.org/10.1007/BF03405022
  14. Krasnik A, Hansen E, Keiding N, Sawitz A. Determinants of general practice utilization in Denmark. Dan Med Bull. 1997;44(5):542-6.
  15. Lee KS, Cho KS. A study on utilization patterns of oriental medical care. Korean J Health Policy Adm. 1999;9(4):120-39.
  16. Yang SH. A study on the utilization pattern of traditional medicine in Korea [master's thesis]. Seoul: Kyung Hee University;1991.
  17. Song KY, Hong SK. A study on demand and supply of oriental medicine. Sejong: Korea Institute for Health and Social Affairs;1996.
  18. Kim P. A research into medical care utilization of patients visiting the collaboration Oriental - Western medical centers [master's thesis]. Iksan: Wonkwang University; 2000.
  19. Lee HW, Chong MS, Lee KN. A study on the patient's attitude of Korean medicine by social classes. J Soc Prev Korean Med. 2007;11(2):71-86.
  20. Park JE, Kwon SM. Determinants of the utilization of oriental medical services by the elderly. J Korean Med. 2011;32(1):97-108.
  21. Lee HJ, Yoo WS, Chung SK. Determining factors for the use of oriental healthcare services for survey subjects with chronic illnesses: 2005 National Health and Nutrition Examination Survey. J Soc Prev Korean Med. 2011;15(3):115-25.
  22. Lee S, Jo J, Kim H, Park HM, Yang JM, Choi SY. Nationwide study on the usage and characteristics of patients visiting Korean medical facilities- based on the treatment of major disorders, effectiveness, satisfaction and occurrence rate of side effects from the ministry of welfares report on usage and consumption of Korean medicine in 2011. J Soc Prev Korean Med. 2013;17(2):29-46.
  23. Seo S, Park BH, Choi SJ. A study on the sociodemographic characteristics of adult users of Korean traditional medicine. J Korean Public Health Nurs. 2016;30(1):136-48. https://doi.org/10.5932/JKPHN.2016.30.1.136
  24. Choi B, Son C, Lim B. The relationship between the use of Korean and Western medicine in treating musculoskeletal disease. J Korean Med. 2014;35(3):22-31. https://doi.org/10.13048/jkm.14027
  25. Jang HK, Jung IC, Park YC, Park SJ. Analysis of choice factors of Korean medicine and pain assessment- using a Korean longitudinal study of ageing (KLoSA). J Physiol Pathol Korean Med. 2018;32(6):411-7. https://doi.org/10.15188/kjopp.2018.12.32.6.411
  26. Jin HJ, Lee MK. Socio-economic factors affecting orthodontic treatment in Korean children. Asia-pac J Multimed Serv Converg Art Hum Sociol. 2017;7(5):475-84.
  27. Kim JW, Bae HJ. The household characteristics and underage children's dental clinic use- focusing on the mother's characteristics -. Korean J Soc Welf. 2017;69(3):121-40. https://doi.org/10.20970/KASW.2017.69.3.005
  28. Han SP, Kim EY, Rho YI, Yang ES, Park SK, Park YB, et al. A study on the status of utilization and criteria for selection of medical care facilities of elementary school children. J Korean Pediatr Soc. 2002;45(2):166-73.
  29. Yoon HJ, Lee JY, Kim DG. A study for the parent's recognition of the oriental medical treatment and the expectation of children's growth. J Pediatr Korean Med. 2011;25(1):119-27. https://doi.org/10.7778/JPKM.2011.25.1.119
  30. Wooldridge JM. Econometric analysis of cross section and panel data. Cambridge: MIT Press; 2010.
  31. Ahn SJ. Effect of parents' socio-economic characteristics on medical use of underage children. In: Choi BH, editor. In-Depth analysis of medical utilization in Korea using Korean Health Panel Survey (KHPS). Seoul: Korea Institute for Health and Social Affairs; 2012. p. 73-102.
  32. Lee DH. The effect of family structure on outpatient medical utilization of children and adolescents: focused on single-parent households and dual-income households [master's thesis]. Seoul: Yonsei University; 2020.
  33. Newacheck PW, Halfon N. The association between mother's and children's use of physician services. Med Care. 1986;24(1):30-8. https://doi.org/10.1097/00005650-198601000-00004
  34. Korea Health Promotion Institute. 2021 Integrated community health promotion program: traditional Korean medicine health promotion. Seoul: Korea Health Promotion Institute; 2020.
  35. Kim EO, Jo SY. The relationship among motives for the selection of a hospital, satisfaction with services in a hospital and the revisit intension of outpatients'. J Korean Clin Nurs Res. 2004;10(1):145-59.
  36. Seol S, Kim S. A study on the relationship among medical service quality, intention of re-use, word-of-mouth effects- in case of general hospital and special hospital-. Korean J Bus Adm. 2004;17(4):1485-512.
  37. Cho MS. The effect of outpatients' perceived service quality on satisfaction with treatment and willingness to recommend hospital. J Health Info Stat. 2019;44(4):349-58. https://doi.org/10.21032/jhis.2019.44.4.349
  38. Kim J, Park JK, Park JY, Lee EJ, Sung SH. The use of traditional Korean medicine (TKM) by children: a correlational study between parent's perception and their children's use reported by parents. Healthcare (Basel). 2021;9(4):385.
  39. Kwon MK, Kim JH, Kim YM, Park HJ, Seo HM, Kang HM, et al. A study on a paradigm shift towards a culture that respects parenting and raising positive awareness on parenting culture(III): creating a culture of respect for childcare at home and in local communities. Seoul: Korea Institute of Child Care and Educations; 2021.