• Health Policy and Management
• /
• v.4 no.2
• /
• pp.58-76
• /
• 1994

In order to study factors affecting the use of the ambulatory physician services. Andersen's model for health utilization was modified by adding the health behavior component and examined with three different approaches. Three different approaches were the multiople regression model, logistic regression model, and LISREL model. For multiple regression, dependent variable was reported illness-related visits to a physician during past one year and independent variables are variaous variables measuring predisposing factor, enabling factor, need factor and health behavior. For the logistic regression, dependent variable was visit or no-visit to a physician during past one year and independent variables were same as the multiple regression analysis. For the LISREL, five endogenous variables of health utiliztion, predisposing factor, enabling factor, need factor, and health behavior and 20 exogeneous variables which measures five endogenous variables were used. According to the multiple regression analysis, chronic illness, health status, perceived health status of the need factor; residence, sex, age, marital status, education of the predisposing factor ; health insurance, usual source for medical care of enabling factor were the siginificant exploratory variables for the health utilization. Out of the logistic regression analysis, health status, chronic illness, residence, marital status, education, drinking, use of health aid were found to be significant exploratory variables. From LISREL, need factor affect utilization most following by predisposing factor, enabling factor and health behavior. For LISREL model, age, education, and residence for predisposing factor; health status, chronic illess, and perceived health status for need factor; medical insurance for enabling factor; and doing any kind of health behavior for the health behavior were found as the significant observed variables for each theoretical variables.

• Research in Community and Public Health Nursing
• /
• v.12 no.3
• /
• pp.557-569
• /
• 2001

The purpose of the study was to test the Pender's New Health Promotion Model in order to explain and predict female workers' health promotion behavior at manufacturing plants by using latent variable structural equation model. The data were collected from 280 female workers at 8 electronic factories located at Seoul. Kyunggi. and Incheon using a structured questionnaire through interview and self-report. LISREL was used to test the model. The results are as follows: 8 out of 15 paths of the modified one from the hypothetical model of Health Promotion were statistically significant and the total variance was 40%. The relationship between the previous health behavior and the cognitive emotional factor, and the interpersonal factor. and the situational factor each. and the relationship between perceived health status and interpersonal factor, and health promotion behavior each among gamma paths were unidirectional. On the beta paths. the relationship between the interpersonal factor and the cognitive emotional factor was bi-directional: the relationships amongst the interpersonal factor and the commitment to action, and the health promotion behavior were unidirectional. But the commitment to action was not a significant mediating factor to the health promotion behavior. Pender's New Model is considered good to explain and predict the female workers' health promotion behavior. The interpersonal factor should be considered in occupational nursing practice. But the concepts of situation and commitment to action should be further validated and measured.

• Korean Journal of Health Education and Promotion
• /
• v.21 no.4
• /
• pp.75-97
• /
• 2004

Objectives: To examine whether the socioeconomic characteristics of communities (contextual effects) are related to the self-rated health of community residents after controlling individual characteristics (compositional effects). Methods: A linked data set including information on individuals from raw data of 1998 Korean National Health and Nutrition Survey(KNHNS) and information on the regions where the individuals lived from the socioeconomic statistical indices of Si-Gun-Gu (city-county-ward) in 1998 was established. The contextual factors of communities were generated from these socioeconomic indices through factor analysis. The contextual effects of community over and above the individual characteristics on the self-rated health were investigated using multilevel analysis. Results: The contextual factors of the community expressed as the factor scores have influence on the self-rated health of their residents above the compositional factors. When the communities were categorized into 5 groups (highest, high, middle, low, lowest) according to each of their factor scores, for factor 1 reflecting urbanization reversely, the residents of the communities that had the high, middle, and low factor scores showed significantly poor subjective health status than the residents of the lowest (most urbanized) group. For factor 2 reflecting community services and health resources, the subjective health status of the residents gradually became poorer when the group went from the highest to the lowest, and the low and lowest groups showed a significant difference. For factor 3 reflecting the manufacturing industry, as compared with the communities that have the highest factor scores, the other 4 groups showed significantly poorer subjective health status. And for factor 4 reflecting the scale of the regional government, as compared with the middle group, the rest of the 4 groups showed significantly better self-rated health. Conclusions: There existed regional contextual effects on their residents' health in Korean adults. To make policies tackling these contextual effects possible, more elaborate researches to find more specific factors and to explain the mechanisms of how health is influenced by the contextual factors are needed.

• Korean Parent-Child Health Journal
• /
• v.17 no.1
• /
• pp.37-45
• /
• 2014

Purpose: This study aimed to review measurements of environmental health behavior and assess the construct validity of Environmental Health Engagement Profile (EHEP) through confirmatory factor analysis. Methods: The literature review was performed for selection of measurements. Confirmatory factor analysis with AMOS 19.0 was used for validation of EHEP. Results: The model fitness was not appropriate in the one-factor model; $x^2=91.11$ (df=5, p<.001), Comparative Fit Index (CFI)=8.19, Non Normed Fit Index (NNFI)=6.39, and Root Mean Square Error of Approximation (RMSEA)=0.20. The model fitness was appropriate in the two-factor model; $x^2=3.19$ (df=1, p=.074), CFI=9.95, NNFI= 9.71, RMSEA=0.07. A modification of scale was found to be the most suitable for use in the investigation of environmental health behavior. Conclusion: This study confirms that a two-factor model underlies the concept of environmental health behavior. The review of measurements can help nurses and researchers to assess the environmental health behaviors.

• Journal of Korean society of Dental Hygiene
• /
• v.12 no.6
• /
• pp.1071-1081
• /
• 2012

Objectives : This study were to find out differences in mother's oral health knowledge and oral health care behaviors and to find out factors that affected mothers' oral health care behavior for their young children. Methods : The survey was carried out with questionnaire about personal factor, cognitive factor, psychological factor and behavioral factor to 227 mothers. They had children from 3 to 5 years. The collected data was analyzed by SPSS WIN 12.0. Results : There were statistically significant differences in oral health knowledges as mother's educational background, importance of oral health, experience of oral health education, and oral health locus of control. There were statistically significant differences in mother's oral health care behaviors as mother's job, interest of oral health, importance of oral health, experience of oral health education, and oral health locus of control. And mother' oral health care behavior for herself, interest of oral health, and oral health locus of control were found as important variables in mothers's oral health care behavior for their children. Conclusions : Mother's oral health care behavior for herself was the powerful factor that affected mother's oral health care behavior for her children.

• Health Policy and Management
• /
• v.23 no.4
• /
• pp.343-348
• /
• 2013

Background: Price control alone may not successfully restrain growth in health expenditures. This study aimed to propose fee adjustment model suitable for Korea reflecting health service volume and to clarify applicability of the model by comparing actual conversion factor with estimated conversion factor from simulation of this model. Methods: Fee adjustment model was developed based on Alberta's fee adjustment formula in Canada and 7 alternatives were assessed according to diversely applied parameters of the model. Results: Estimated conversion factors of the tertiary care hospital and the hospital were lower than actual conversion factors, since the utilization of heath service has been increased. However, there was no big difference between estimated conversion factors and actual conversion factors of the general hospital and the clinic. Eventually this fee adjustment model could estimate proper conversion factor reflecting health service volume. Conclusion: This model may be applicable to the mechanism as determining conversion factor between insurer and provider via negotiation and controling growth in health expenditures.

• Korea Journal of Hospital Management
• /
• v.10 no.2
• /
• pp.26-44
• /
• 2005

The purpose of this study was to investigate these major factors on patient satisfaction, and to examine the affecting level of major factors in. The subjects in this study was 70 hospitals that were surveyed the hospital evaluation program containing the survey of patient satisfaction by KHIDI(Korea Health Industry Development Institute) from 1997 to 1999. The collected data was analysed SPSS for Windows(Ver 10.0). On basically, frequency analysis, t-test, and ANOVA was performed and, for more analysis, correlation analysis, factor analysis, multiple regression analysis, logistic regression analysis was utilized. According to this study, the major factors of inpatient satisfaction are divided 3 types facility factor, manpower factor, and service factor. And the major factors of outpatient satisfaction are analyzed 5 types; facility factor related direct medical service, facility factor related indirect medical services, manpower factor, pharmacy factor, and facility factor related utilization convenience. The importance of this study lies in the identification of major factors on hospital patient satisfaction.

• Journal of Korean Academy of Nursing
• /
• v.22 no.3
• /
• pp.316-324
• /
• 1992

The purpose of this study was to develop a ratio scale to measure job satisfaction of nurses and health workers in health centers. Of the 224 health centers in Korea, 105 were drawn as the sample using disproportion리 stratified random sampling. The data collection period was from May 1 to June 30, 1990 and 771 nurses and health workers working at 75 health centers participated. Subjects were instructed to rate, according to the level of satisfaction, from one to four points, 42 items revised from the tool made by Stamps et. al. (1978). The internal consistency reliability of the tool was measured by Cronbach $\alpha$ and the corrected item-total correlation coefficient. As a result of the item analysis, one item was excluded since the item had negative correlation with total items. As a result of factor analysis on the 41 items with varimax or above. Labeling and numbering of 6 factors were as follows ; factor 1 (8 items) ; Professional status of job. factor 2 (6 items) ; Interaction. factor 3 (8 items) ; Autonomy. factor 4 (8 items) ; Administration. factor 5 (7 items) ; Pay. factor 6 (4 items) ; Job(Task). Further studies are needed to identify the relationship between this tool and the effectiveness of the health center and more research is needed for generalization.

• Journal of Korean society of Dental Hygiene
• /
• v.16 no.6
• /
• pp.931-941
• /
• 2016

Objectives: The purpose of this study was to examine the association between depression and poor oral health in Korean elderly using Korean version of the Patient Health Questionnaire-9 (PHQ-9) for assessment of depressive symptoms. Methods: This study used the data from Korean National Health and Nutrition Examination Survey (KNHANES VI-2). The study included 1,454 elderly Korean aged over 65. Variables included demographic characteristics (gender, age), socioeconomic factor (income, education), systemic diseases, oral health related factor (tooth brush, dental products), health related factor (alcohol drinking, smoking), and depression. Logistic regression analysis was used as sequential models. Effects were quantified as odds ratios (OR) and 95% confidence intervals (CI). Results: From frequency analysis, being female, primary school or less, non-alcohol drinking, poor oral health were significantly related to depression. In the multiple logistic regression model, depression was significantly associated with poor oral health (OR=1.96, CI=1.15-3.53) after adjustment for other covariates including demographic characteristics, socioeconomic factor, systemic diseases, oral health related factor, and health related factor (OR=1.91, CI=1.13-3.27). Conclusions: Depression had an influence on the poor oral health after adjustment as confounding variable in the elderly. It should be focused on the health promotion for the elderly vulnerable to depression and poor oral health. The development of the mental health and oral health should be established.

• Journal of Korean society of Dental Hygiene
• /
• v.6 no.4
• /
• pp.387-402
• /
• 2006

This research carried out a survey for 569 students in a junior college of jeollanamdo to provide a needful basic data in developing suitable health promotion program and creating a direction of the oral hygiene education process to intial adult population after holding the oral cavity health action and a affecting factors to it. A collected data obtained the following conclusion. According to school grade, a difference of action factor is Chi-square and Pearson's correlation coeficient in actionfactor and acknowledgement-perception factor and a step-by-step recurrence analysis processed a related factor of the oral health action. 1. A related action factor of the oral health appeared meaningful difference of the oral cavity medical examination, the oral cavity clean device use or not, dental surgery prevention cure or not among the third grade who had the most experience of the oral hygiene education within one year recently. 2. A significant of the oral cavity health acknowledged and perceived and a concern of the oral cavity health, acknowledged the oral cavity health state distribution are the highest in the third grade. 3. According to monthly income, a large income is higher than a small income about self-effects in a relation between the oral cavity health action and acknowledgement-perception factor. the average of a large income is 30.59(${\pm}5.79$). The obstacle of the oral cavity health action is 12.51(${\pm}3.19$). a large income is highest. according to school career, under middle school layer obtained the highest average 16.33(${\pm}3.53$). according to a school year, acknowledge-perception factor of the oral cavity health control of the third grade is the highest(38.81(${\pm}6.25$). 4. In mutual relation between acknowledge-perception factor and the oral cavity health action, a variable constants of meaningful mutual relation are the oral cavity health perception, self-effects, the oral cavity health action obstacle, the oral cavity health action benefit, the oral health action control, aggressive. and they are self-effects, the oral cavity health action in the oral cavity health perception. A significant of the oral cavity health and the oral cavity health action obstacle are the oral cavity health action benefit and the oral cavity health action control. 5. The affecting factors to the oral health action are self-effects, action factor, acknowledged the oral health control.