• 한국콘텐츠학회논문지
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• 제18권4호
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• pp.664-676
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• 2018

본 연구는 의약품 지출 비용에 미치는 요인을 파악하기 위하여 한국의료패널조사의 2014년 원자료를 분석자료로 이용하여, 의약품 지출 비용이 있는 자 3,107명을 최종 분석 대상으로 하였다. 분석은 빈도분석, 교차분석, 회귀분석 및 t-test를 실시하였고, 모든 검증은 p=.05를 유의수준으로 하였다. 처방전 비용은 72.4%가 지출 경험이 있었고, 최소 비용은 84원, 최대 비용은 270,653원 이었고, '3천원 이상~1만원 이하'가 31.7%로 가장 많았다. 일반의약품 비용은은 81.8%가 지출 경험이 있었고, 최소 비용은 800원, 최대 비용은 2,718,000원 이었고, '2만원 이하'가 31.4%로 가장 많았다. 한약 및 첩약 비용은 9.4%가 지출 경험이 있었고, 최소 비용은 4,000원, 최대 비용은 2,700,000원 이었고, '10만원 초과'가 37.8%로 가장 많았다. 의약품 지출 총 비용은 최소 비용은 84원, 최대 비용은 2,760,093원 이었고, '10만원 초과'가 27.0%로 가장 많았다. 의약품 지출비용에 미치는 요인은 성별, 혼인상태, 소득분위, 지역권, 주관적 건강상태 이었다.

• Journal of Preventive Medicine and Public Health
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• 제48권6호
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• pp.319-329
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• 2015

Objectives: Parental socioeconomic status (SES) exerts a substantial influence on children's health. The purpose of this study was to examine factors determining children's private health insurance (PHI) enrolment and children's healthcare utilization according to PHI coverage. Methods: Korea Health Panel data from 2011 (n=3085) was used to explore the factors determining PHI enrolment in children younger than 15 years of age. A logit model contained health status and SES variables for both children and parents. A fixed effects model identified factors influencing healthcare utilization in children aged 10 years or younger, using 2008 to 2011 panel data (n=9084). Results: The factors determining children's PHI enrolment included children's age and sex and parents' educational status, employment status, and household income quintile. PHI exerted a significant effect on outpatient cost, inpatient cost, and number of admissions. Number of outpatient visits and total length of stay were not affected by PHI status. The interaction between PHI and age group increased outpatient cost significantly. Conclusions: Children's PHI enrolment was influenced by parents' SES, while healthcare utilization was affected by health and disability status. Therefore, the results of this study suggest disparities in healthcare utilization according to PHI enrollment.

• 한국치위생학회지
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• 제22권6호
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• pp.503-512
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• 2022

Objectives: This study aimed to study the association between unmet dental treatment and depression in the dental area of the elderly. Methods: The data was from the 7th period of the National Health and Nutrition Examination Survey. Multiple logistic regression analysis was performed to evaluate the relationship between depression and unmet dental treatment when confounding factors such as income quintile and smoking were considered. Statistical software, SAS 9.4 version was used. Results: After correcting all confounding factors, the analysis showed that the experience of unmet dental treatment was 2.73 times more likely among depressed men and 2.52 times more likely among depressed women (p<0.05). Conclusions: The results of this study suggested that we should consider that depression in the elderly can affect unmet dental treatment regardless of gender.

• 대한예방한의학회지
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• 제22권1호
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• pp.1-14
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• 2018

Objectives : This study aimed to analyze the characteristics of uninsured herbal medicine(UHM) users and the economic and social barriers of UHM utilization. Methods : We used the Korea Health Panel Data, representative national survey on medical utilization and cost, provided by National Health Insurance Service and Korea Institiute of Health and Social Affairs. The frequency analysis was used to identify the characteristics of the respondents, and the cross-analysis (${\chi}^2-test$) was used to verify the relationship between their characteristics and the usage of UHM. In order to analyze the determinants of using the UHM considering the individual's characteristics, logistic regression analysis and multiple regression analysis were conducted for those who used the Korean medicine (KM) outpatient service in 2015. Results : The usage of UHM was significantly lower for those (1) who's age of 20 to 65; (2) who have the university or higher education degree; (3) who live in Jeju province, and (4) who bought the herbal medicine for other health related purposes. On the other hand, the usage of UHM for those (1) who have the first quintile of household income; (2) who have the chronic respiratory disease; (3) who have been taking the medicine for health promotion purpose for more than 3 months and (4) who have purchased the food which has health promotion function was significantly higher than others. The patients who have chronic musculoskeletal diseases accounted the most among the UHM users. Conclusions : There was the considerable inequality in the usage of UHM among household income groups, which provides policy rationale for UHM to be covered by national health insurance. To facilitate the coverage expansion, restrictive covering model can be considered for children and adolescents, or for patients with muskuloskeletal diseases who have the high demand for UHM.

• Journal of Periodontal and Implant Science
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• 제49권4호
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• pp.248-257
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• 2019

Purpose: The purpose of this retrospective study was to investigate the relationships of types of dental insurance coverage in Korea with sociodemographic characteristics and the prevalence of systemic and oral diseases, as well as to evaluate the socioeconomic impact of Korean dental insurance policies. Methods: Sample cohort data from 2006 to 2015 were obtained from the National Health Insurance Service. Patients were divided into 2 groups. The exposed group comprised patients who received insurance benefits for complete dentures, removable partial dentures, and implant care, while the control group comprised patients who did not receive these benefits. The type of insurance coverage and the prevalence of systemic and oral diseases were compared between the 2 groups. Results: Patients who received benefits in the form of complete dentures, removable partial dentures, and implants had similar sociodemographic characteristics in terms of sex, age, income quintile, and type of insurance coverage to the control group. The prevalence of hypertension, anemia, renal disease, rheumatoid arthritis, osteoporosis, asthma, and cerebral infarction was higher in the exposed group than in the control group (P<0.05). The prevalence of periodontal diseases and dental caries was also higher in the exposed group. Conclusions: Korean dental health insurance policy has been beneficial for the medical expenses of low-income and elderly people suffering from a cost burden due to systemic diseases. However, since there is a tendency to avoid invasive interventions in older patients due to the high risk of systemic diseases, insurance coverage of dentures may be more helpful from a socioeconomic perspective than coverage of dental implant treatments.

• Journal of the Korean Data Analysis Society
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• 제20권6호
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• pp.3139-3153
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• 2018

본 연구는 한국노동패널조사(Korean labor and income panel study, KLIPS)의 2001년부터 2016년까지의 자료를 활용하여 사교육비 지출 격차에 대한 추이분석을 하는데 목적이 있다. 최종 분석대상은 해당 년도마다 한국노동패널 조사에 참여한 전국의 약 1,300개에서부터 1,800개 가구이다. 분석을 통한 주요 연구결과를 보면, 2001년도 이후 사교육비 지출은 계속적으로 늘었으며, 5분위 집단으로 나눈 집단간 비교에서도 사교육비 지출에 격차가 크게 존재하는 것으로 분석되었다. 특히 사교육비 지출에서 사교육비 지출이 적은 1분위의 사교육비 지출비용은 월평균 10만원에 머무르고 있는데 반해서 사교육비 지출이 많은 5분위의 사교육비 지출비용은 월평균 100만원을 넘은 것으로 분석되었다. 사교육비 지출 1분위와 5분위의 사교육비 지출격차는 지속적으로 늘어나 최근 11배에 달하는 것으로 나타났다. 2016년 이후 사교육비 양극화 추이를 브라운지수평활방법을 이용해 5년간을 예측한 결과는 사교육비 양극화가 더욱 확대될 가능성이 높은 것으로 나타났다. 마지막으로 연구결과를 바탕으로 사교육비에 대한 교육정책 수립과 후속연구를 위한 시사점을 제시하였다.

• 대한간호학회지
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• 제45권2호
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• pp.231-239
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• 2015

Purpose: This study was conducted to examine the prevalence of successful aging and factors influencing successful aging. Methods: This was a secondary analysis study. Data were analyzed from 10,462 elderly people who participated in the 2011 National Elderly Survey. According to the use of community senior facilities, participants were divided into 4 groups: those who used senior centers (group A, n=580), village senior clubs (group B, n=3,240), both of the 2 facilities (group C, n=339), and neither of the 2 facilities (group D, n=6,303). Cross-tabulation and logistic regression were performed. Results: The prevalence of successful aging was highest in group C (20.94%) and lowest in group D (10.41%). The physical & mental function and active engagement domains were highest in group C, while they were lowest in group D. The disease & risk factors domain were highest in group A, while lowest in group B. An educational level of middle-school or higher and income level in the third or higher quintile were significant factors for predicting successful aging in all groups. Conclusion: These results provide a basis for designing prevention and management programs as interventions to increase the prevalence of successful aging in Korean older adults.

• 대한통합의학회지
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• 제10권4호
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• pp.35-47
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• 2022

Purpose : As the number of patients with systemic diseases is increasing in the old, the relevance of oral health is gaining particular research interest. To provide fundamental resources for dental services, this study examined the relationship between doctors' diagnoses of circulatory diseases and patients' awareness of oral health and oral care behaviors. Methods : SPSS 26.0 was used to assess various variables, including doctor's diagnosis of circulatory diseases, gender, age, household income quintile, participation in economic activity, marital status, subjective level of oral health awareness, mastication discomfort, speaking and chewing discomfort, dental inspection, use of oral care goods, teeth brushing during the previous day, and untreated oral conditions. Results : The circulatory diseases suffered by the subjects were as follows: 56 % high blood pressure, 36 % dyslipidemia, 6 % stroke, and 8 % myocardial infarction or angina. A higher age meant a higher diagnosis rate of high blood pressure (p<.001) and stroke (p<.001). Those with dyslipidemia showed a higher rate of receiving oral inspection (p=.040), and an untreated oral condition was more frequently observed among those not diagnosed with the disease (p=.035). The subjects who were not diagnosed with stroke showed a higher rate of oral inspection (p<.001), while those who had a prior experience of stroke suffered a higher rate of mastication discomfort (p=.020). People who had high blood pressure showed a lower rate of using oral care goods (p<.001), and those diagnosed with stroke showed a lower rate of brushing teeth the previous day. Conclusion : This study found a correlation between the diagnosis of circulatory diseases and the awareness of oral health and oral care behavior. Consequently, oral health education should be included in mental health-related education, and customized training to teach teeth brushing and the use of oral care goods should be provided to patients with circulatory diseases during dentist visits.