• Journal of Preventive Medicine and Public Health
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• 제29권2호
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• pp.385-395
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• 1996

This study intends to examine the behavioral pattern and small area variations of health service utilization within Wonju city. We selected three small areas in Wonju city as the study site: Haksung-dong(central area of the city), Moonmak-myun (industrial area which is located 25km away from the center of the city), and Gure-myun (agricultural area which is located 32km away from the center). The data were collected by administering questionnaire interviews with 526 people in three areas. The questionnaire include the items on health service utilization behaviors, sociodemographic characteristics, health status, and perceptions. The statistical methods used for the analysis were ANOVA and hierarchical logistic regression. From the analysis, it was found that there was a variation of health service utilization by areas. Compared to those of other areas, the respondents from agricultural area showed a high probability of using health services. When respondents' personal characteristics were taken into account, the effect of dummy variables representing areas disappeared. Instead, the perceived health status became the prime factor of health service utilization. This result showed that the small area variations of health service utilization is due to the demand factor rather than the supply factor.

• 보건행정학회지
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• 제13권1호
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• pp.69-97
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• 2003

This study focuses on the determinants of the community health service utilization. Theories suggest seven models for community health service utilization, which are divided largely into two groups such as Health Service Supply Model and Health Service Demand Model: Supply Model includes Medical Implements Model, Personnel and Budget Model, Management System Model, Staffs' Behavior Model, Service Quality Model; Demand Model includes Area Model and Clients' Characteristics Model. This paper tests how the above models influence on the community health service utilization. After interviewing some administrative staffs of the Community Health Service Center at Pusan, questionnaires were made and mailed to the staffs of 198 Korean Community Health Service Center as a universe, among which from 98 centers we got response. Analyzing the data from the questionnaires, we found "the number of personnels in the health service center" and "demands for medical service" as important variables to affect the utilization of the community health service center. These two variables are typical factors representing Supply Model and Demand Model each. However, the variables selected from Management System Model, Administrative Behavior Model, Service Quality Model and Area model are not significant in a statistical sense. The paper suggests that to recruit the personnels, especially nurses, and to make out the demands of the clients for health service be the precedent conditions to increase the utilization of the Community Health Service Centers in Korea.ce Centers in Korea.

• 보건의료산업학회지
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• 제7권3호
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• pp.95-109
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• 2013

The objective of this study is to assess the utilization and satisfactions about public health centers in Korea. For the analysis, the study utilize the nationwide data of 229,229 person on '2010 Community Health Survey' of Ministry of Health & Welfare. The statistical methodology used in the study is ${\chi}^2$, ANOVA, logistic regression model and multiple regression model. This study have four major findings. First, the significant affecting socio-demographic factors in utilizing public health center were gender, age, region, national basic living secured, married, income, education, job, state of health, chronic disease, unmet medical needs and utilization reason. Second, the most serviced category of health center user was vaccination both city and rural area and the next was certificate, primary care, health screening, other use, the mother and child in city area, primary care, health screening, certificate, home visiting health in rural area. Third, the significant affecting socio-demographic factors in satisfaction degree on health center service were age, region, national basic living secured, income, education, job, state of health, utilization degree and reason. Fourth, the most satisfied service of health service center was home visiting health in city area and mental health service in rural area and the next was nutritive control and the lowest satisfied service was user of certificate. The utilization and satisfaction on health center service were identified as different with residental area and user's characteristics. The politic effort are needed to support socially disadvantaged class and to narrow regional gap.

• 한국도로학회논문집
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• 제19권2호
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• pp.143-152
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• 2017

PURPOSES : This study intends to estimate the tangible benefits derived from the integration of operations of an Express Intercity Bus Terminal and a Highway Service Area. METHODS: For the study, a highway service area was chosen to function as a bus terminal, integrating its services with that of a nearby bus terminal plagued by operating losses. The exercise also helped improve mobility owing to the introduction of local buses between the terminals and utilization of the existing infrastructure such as rest areas. Thus, a terminal that was not being utilized for its intended functionality was integrated with an existing facility to improve the utilization of both and subsequently aid local development. The impact of the exercise was then measured by evaluating the variation in utilization efficiency, operating costs, travel time between two regions (Seoul-Jeomchon and Seoul-Geumsan), and the social costs before and after the integration of the two facilities. RESULTS :The impact of the integration was an increase in utilization efficiency, a decrease in operating cost, a decrease in travel time, and a decrease in social cost in both the regions. The benefits of improved utilization and cost saving can be passed on to the citizens in the form of discounts. A local power generation facility will eventually replace the bus terminal, which can revitalize the local economy. CONCLUSIONS :The integration of the highway service area with the bus terminal is expected to have a win-win effect on the passengers as well as the operators. The study also proposes a sustainable strategic plan for existing terminals and rest areas to implement a method to compete with KTX transportation.

• 보건행정학회지
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• 제24권2호
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• pp.128-135
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• 2014

Background: With ageing and growing importance of disease management system, it is necessary to investigate the extent of regional difference in service utilization for chronic diseases among the elderly and to reflect it in designing the system. Methods: A multiple regression analysis and descriptive statistics analyses were employed using patient survey, which covers nationwide health facilities and their users. Results: While the differences in the rate of service utilization/utilization outside living area between urban and rural areas or between income levels are not large, considerable variations are observed within urban or rural areas and within income groups. Conclusion: This results suggest that it is important to subsidize economically disadvantaged segments of the population and residents of less-favored areas to be better-equipped for chronic disease management in order to prevent the development of severe ailments and the need for treatment at higher-level medical institutions. Improvements to the service infrastructure in vulnerable regions are essential.

• 보건의료산업학회지
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• 제5권3호
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• pp.63-76
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• 2011

The objective of this study is to analyze the utilization patterns of other region inpatients in general hospitals located in Seoul area. For the analysis, the study utilize the nationwide data on '2008 Survey of Patients' of Ministry of Health & Welfare. The statistical methodology used in the study is the logistic regression model. This study has three major findings. First, the significant affecting sociodemographic factors in selecting general hospitals located in Seoul area was sex, age, type of payment and inpatients residence region. Second, compared to other disease groups, the inpatients on both 'congenital malformation, deformity and chromosomal abnormalities' and 'neoplasm' groups are more likely to utilize general hospitals in Seoul area. Furthermore, in 'neoplasm' disease group, inpatients with 'bones and articular cartilage malignant neoplasm' are more likely to utilize general hospitals in Seoul area. Finally, hospitals with more than 1,000 beds was chief factor in selecting Seoul-based hospitals by other region inpatients. In conclusion, the study showed that other region inpatients are more likely to utilize general hospitals located in Seoul area in case of severe disease, rare case and surgical case. Therefore, central and local authority is required to monitor local hospitals on quality of the medical service as well as support them to establish specialized medical centers by providing human and physical resources.

• 간호행정학회지
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• 제11권4호
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• pp.401-414
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• 2005

Purpose: This study was to evaluate the utilization of health care service and to provide supportive data for health care policy making in one urban area in Korea. Method: This study tested the significance of public health service using the database of an university hospital and public health center from Feb. 2000 to Dec. 2004. Data were analyzed by multidimensional analysis and data mining technique and produced the information on the classification of utilization characteristics by main disease and the total cost of use and disease association with the users of the public health center. Results: The Results were as follows: 1) Top 10 diseases in the area accounted for 22.4% of total frequency for the most recent 5 years in university hospital, while 59.0% in public health center. 2) There were significant correlations between university hospital and public health center user's insurance type and place of residence: It showed higher use of public health center for free service beneficiaries residing in Seoul than residents in nearby or local area. The medical insurance types for hospital users were more various than those for public health center users. 3) The use of hospital for patients of hypertension, diabetes mellitus and hyperlipidemia was tended to concentrate in mostly autumn and winter since August 2000, while the cost of using public health center for those patients has been steadily reduced since July 2000. 4) As a result of cluster analysis, there were classified into three homogeneous groups according to the total cost of using public health service, age, and the frequency of use. 5) The association analysis on patients with chronic disease in public health center produced a detailed information on accompanying diseases related to the incidence rate of disease of high frequency due to aging, information on drug abuse and immune disease. Conclusion: The health care policy for local community should be evaluated continuously. And the policy to build an integrated data warehousing by public health indicator system and to enhance the faithfulness of data is required.

• 한국병원경영학회지
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• 제12권4호
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• pp.119-142
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• 2007

Although Korea joined OECD in 1996, there has still seen much unbalance in medical care and welfare standard between urban and rural area. The unbalance of medical demand between urban and rural area deepened low utilization of rural hospitals. So it caused many hospital's failure and conversion in rural area. Many rural hospitals are in difficulty managing business because of low medical demand along with the shortage of medical manpower, medical equipment and facilities. The objectives of this study were to reveal the cause of low utilization of hospitals in rural area, and to increase utilization of those hospitals. In this study the improvement methods of rural hospital's utilization were presented by examining were placed in difficult management condition, in respect of hospital's management conditions, manpower input, patient medical treatment record, financial record, and actual output. The causes of rural hospital's low utilization were as follows; 1) changes in number and structure of population 2) rural people's preference for large hospitals and hospitals which located in urban area 3) rural hospitals lacking in hospital management skill. Consequently rural hospital's operation condition got more and more deteriorated. To raise rural hospital's utilization, method for social policy, method for health policy, and intrinsic method of hospitals were presented in turn. For rural residents to utilize medical service conveniently, it is necessary for rural hospitals operated normally. So government must insist that rural hospitals solve the problems which come out from their internal management problems. And also these rural hospitals should be supported and nurtured by the government until their management is operated normally.

• 한국노년학
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• 제29권3호
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• pp.1063-1085
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• 2009

본 연구는 시간이 경과함에 따른 노인들의 복지서비스 이용경험의 변화를 살펴보고, Andersen과 Newman(1973)의 행동주의 모델을 적용하여 서비스 이용경험에 영향을 미치는 요인들을 밝힘과 동시에 지속적으로 영향을 미치는 요인을 밝히고자 시도되었다. 이를 위해 2003년부터 2007년까지 세 차례에 걸쳐 수집된 한림고령자패널자료 중 60세 이상 노인을 분석대상으로 경로우대서비스, 여가서비스, 재가복지서비스 이용경험과 Andersen과 Newman(1973)의 모델에서 제시된 선행요인(성, 연령, 교육수준), 가능성요인(거주지역, 배우자유무, 월 용돈, 서비스 인지수준), 욕구요인(일상생활동작수행능력)에 해당하는 문항들을 분석하였다. 연구문제를 해결하기 위해 자귀회귀모형과 회귀분석을 결합한 모형을 만들고 이를 구조방정식 모형을 이용하여 분석하였다. 분석결과 첫째, 시간이 흐름에 따라 노인들은 경로우대서비스를 점차 보편적으로 이용하게 되었지만 여가서비스와 재가복지서비스를 이용함에 있어서는 아직까지 제한적이었다. 둘째, 경로우대서비스와 여가서비스에 대한 이용경험은 다음의 서비스 이용경험에 정적인 영향을 미치고 있었다. 셋째, 서비스 이용경험에 영향을 미친 요인들이 조사시점마다 달라졌지만, 경로우대서비스 이용에는 선행요인인 연령과 가능성요인인 거주지역, 여가서비스 이용에는 가능성요인인 거주지역과 배우자유무, 그리고 재가복지서비스 이용에는 선행요인인 교육수준과 가능성요인인 서비스 인지수준이 5년 동안 지속적으로 영향을 미치는 것으로 나타났다. 특히 선행연구들에서 서비스 이용에 욕구요인이 중요한 요인으로 지목되어온 것과는 달리 본 연구에서는 가능성요인이 중요하게 부각되었다. 이러한 결과를 통해 노인 개인이나 가족의 특성보다는 서비스를 공급하는 지역의 복지환경이 노인의 서비스 이용에 더 영향을 미침을 확인하였다. 따라서 노인의 노인복지서비스 이용을 확대하기 위해서는 경로우대서비스와 여가서비스에 대한 복지자원과 재정에 있어서의 지역 간 격차를 줄이고 재가복지서비스에 대한 홍보를 체계화하는 노력이 요구되었다.

• 대한교통학회지
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• 제27권6호
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• pp.7-18
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• 2009

2008년 현재, 고속도로에는 135개소의 휴게소가 이용객에게 편의를 제공하고 있으나, 일부 휴게소는 주차면수 부족현상이 발생하고 있다. 이는 휴게소 이용특성이 다양함에도 불구하고 차종별 특성만을 고려하여 일괄적으로 휴게소의 규모를 산정하고 있기 때문이다. 본 연구에서는 휴게소의 차종별, 시간별, 공간별 이용특성을 살펴보고, 적정한 휴게소 규모산정계수를 찾고자 하였다. 2004년에 실시한 고속도로 부대시설 이용실태조사 자료를 이용하여 휴게소 이용특성 및 공간특성을 분석한 결과, 휴게소의 이용특성은 주야별, 차종별 각각의 차이는 통계적으로 유의하지 않았다. 그러나, 주야별 차종별로 이용률, 혼잡율을 세분화한 결과, 모두 통계적으로 차이가 있는 것으로 나타났다. 따라서 세분화된 휴게소 규모산정계수를 제시하였으며, 적정성을 검토한 결과 기존 방식의 주차면수 부족문제를 해결하는 것으로 나타났다.