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Factors Determining Children's Private Health Insurance Enrolment and Healthcare Utilization Patterns: Evidence From the 2008 to 2011 Health Panel Data

  • Shin, Jawoon;Lee, Tae-Jin;Cho, Sung-il;Choe, Seung Ah
    • 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.

도시 재택노인의 저작능력과 건강상태와의 관련성 (The Relationship between Chewing Ability and Health Status in the Urban Elderly who Resides in the House)

  • 배윤호;이희경
    • Journal of Yeungnam Medical Science
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    • 제21권1호
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    • pp.51-59
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    • 2004
  • Background: The objective of this study is to evaluate the relationship between chewing ability and health status in order to provide basic information for the development of program which may lead to an improvement of a the elderly health status in urban areas. Materials and methods: The subjects of this study were 128 elderly urban female over the age of 65 who reside at house. The data were collected from May 21 to August 20, 2001, through questionnaires about nutrient intake status, direct measurement of anthropometrics, and oral examinations. Results: In terms of remaining teeth, there was significant negative relationship between age and number of remained teeth. The average number of remained teeth our subjects was $13.1{\pm}10.6$. About sixty five percent of the subjects were denture users (partial or full dentures) and there was positive relationship between age and the percentage of denture user. There was a significant negative correlation between age and chewing ability. The group that was able to chew had more remained teeth than the other group. Conclusion: This study suggests that there is strong positive relationship between chewing ability (remaining teeth) and elderly health status in urban areas, and the importance of preserving original teeth to improve the elderly health status in the public health program.

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병원의 특성에 따른 의료 인력의 진료 생산성 결정요인 (Factors Affecting Productivity of Medical Personnel in Training Hospital)

  • 이명근
    • Journal of Preventive Medicine and Public Health
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    • 제20권1호
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    • pp.56-66
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    • 1987
  • Information on productivity of hospital personnel is required for optimum staffing and hospital management. This study deals with the quantitative aspects of workload of medical personnel in training hospitals by their specific characteristics. Specifically this study attempted to find relevant determinants of the productivity of medical personnel using multiple stepwise regression analysis based on data obtained from 135 training hospitals. The findings of this study were as follows: 1) Daily average number of outpatients and inpatients treated by a physician were 20.4 and 10.2, respectively. 2) Daily average number of patients cared by a nurse was 8.2. Daily average number of tests performed by pathologic technician and radiologic technician were 83.2 and 21.5, respectively. 3) Productivity of medical personnel were significantly different for the three groups of factors: hospital sire (number of beds, number of medical personnel per 100 beds): institutional characteristics (medical school affiliation, training type, profit status); and environmental factors (location, number of physician and beds per 1,000 population in the region). 4) The factors a(footing the productivity varied according to the types of medical profession: the number if beds, the number of physicians per 100 beds, training type, and profit status for physicians; the number of nurses per 100 beds, the number of beds, medical school affiliation for nurses; the number of physicians per 100 beds, the number of technicians per 100 beds, and ownership for pathologic technicians; the number o( technicians, training type, and the number of physicians per 100 beds for radiologic technician.

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치과기공사의 이직에 관한 연구 (A Study on the Turnover of Dental Technicians)

  • 권순석
    • 대한치과기공학회지
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    • 제20권1호
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    • pp.61-89
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    • 1998
  • Having taken as cause of dental technicians separation from their service a variety of individual idiosyncrasies, function-related factors, external environment factors, functional satisfaction, organizational commitment, and intention to remain, the present study conducted a mail questionnaire poll and interviews on those dental technicians who are mow in the service with private dental technical workshops and dental technical workshops in general hospitals and private dental clinics. The resultant findings from analysis of the repondent's general characteristics of cause of separation form service were revealed, as follows : 1) It was shown that the higher the academic career, the considerably higher cause of position commitment among causes of individual idio-syncrasies, reflecting a statistically significant result(P<0.05) 2) The less the number of working hours as viewed from the average number of working hours per day, the higher the positive emotion, reflecting a significant relation(P<0.01) 3) Causes from performing duties among function-related causes diclosed a statistically significant relation among marital status, career, monthly income, and positions(P<0.01) 4) Causes from wages showed a statistically significant relation in the average number of working hours per day(P<0.01), monthly income(P,0.05), and positions(P<0.05) 5) Causes from supervision exposed a significant relation in workplaces(P<0.01) 6) Causes from promotion represented a significant relation in positions(P<0.001) 7) Causes from opportunnities for taking a job as seen from external environment causes also disclosed a statistically significant relation in workplaces(P<0.05) 8) Reponsibility for family sustenace reflected a statistically significant relation in sex, age, marital status, career, monthly income, work fields, term of employment, positions, and experience of separation(P<0.001) 9) Functional satisfaction showed a statistically significant relation in marital status, career, monthly income, and the average number of hours a day(P<0.05) 10) Oraganizational commitment disclosed a statistically significant relation in work experience, monthly income, term of employment, positions(P<0.05) and the average number of working hours a day(P<0.001) 11) The intention to remain indicated a statistically significant relation in age, marital status, work experience, monthly income, positions(P<0.001) and term of employment. the average number of working hours a day(P<0.01), and in the performing work field(P<0.05)

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노인의 구강건강상태와 체질량지수의 연관성 (Association between oral health status and body mass index in older adults)

  • 조윤영;이윤환;김진희
    • 한국치위생학회지
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    • 제16권1호
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    • pp.129-136
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    • 2016
  • Objectives: The purpose of the study is to investigate the relationship between oral health status and body mass index (BMI) in adults over 65 years old. Methods: The study subjects were 4,550 adults over 65 years old from the 5th Korea National Health and Nutrition Examination Survey(KNHANES V) in 2010-2012. Mastication-related oral health status included the number of remaining teeth, and mean number of decayed, missing, and filled permanent teeth(DMFT). Body mass index(BMI, $kg/m^2$) was categorized as underweight(<18.5), normal weight (18.5-22.9), overweight(23.0-24.9), and obese(${\geq}25.0$). Multinomial logistic regression analysis was performed to examine the association of BMI categories with the number of remaining teeth and DMFT. Results: The mean number of DMFT was highest($13.0{\pm}0.7$) in the underweight group and lowest($8.8{\pm}0.3$) in the obese group. Those having less favorable masticatory ability, and fewer number of remaining teeth and no prosthesis, tended to be underweight. Those having a higher number of remaining teeth and prosthetic teeth tended to be overweight or obese. In the multinomial logistic regression analysis, compared with those having 20 or more remaining teeth, including prosthetic teeth, those having less than 20 remaining teeth and no prosthesis had 4.48 times higher odds ratio of being underweight. DMFT was positively associated with underweight, while negatively associated with overweight or obesity. Conclusions: The masticatory ability and dental caries prevention maintained the healthy body weight in adults of old age.

미장공사의 품기준 변화 요인에 관한 연구 (A Study on Factors Affecting Changes in Estimating Standards in Plaster Work)

  • 오재훈;안방율
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2019년도 춘계 학술논문 발표대회
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    • pp.232-233
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    • 2019
  • The plater work in the standard of estimate presents a variety of construction types. However, there is a part that does not fit the change of specification standards and on-site construction status, and it was revised in 2019's standard of estimate. In this study, we analyzed in detail the factors affecting the changes in estimating standards in the plater work. There were changes in the specification standards previously presented as primary coat, secondary coat, and formal coat as well as changes in on-site construction status such as thickness according to the number of plastering. Therefore, it is analyzed that the estimating standards can be classified by the number of finishes according to the site conditions by reflecting the analysis of the specification standards and site application status, and suggesting the finishing standards according to the number of plastering.

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일부 노인장기요양환자의 구강실태 및 구강기능 (Dental Status and Oral Function in Some Long-term Care Elderly Patients)

  • 이윤희;윤희정;이희경;이성국
    • 보건교육건강증진학회지
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    • 제25권4호
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    • pp.55-65
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    • 2008
  • Objective: This study aims to investigate the relationship between dental status and oral function by analyzing those in some long-term care elderly patients. Methods: It performed oral examination and 4 oromotor function examinations such as repeated swallowing function, correct pronunciation function, saliva secretion rate and maximum mouth opening to 91 elderly patents aged 65 and older in the municipal geriatric hospital located in Cheonan. Results: Dental status of patients such as the number of dental caries, treated teeth, retained teeth and function teeth were better in mobile elderly patients than in immobile elderly patients. Attachment rate of dental plaque and the number of teeth being extracted were more in mobile patients than in immobile patients. More retained teeth, the number of function teeth and dental caries and the score in pronunciation status test were significantly higher. With more function teeth, the score in pronunciation status test was significantly higher. As saliva secretion rate is higher, repeated swallowing function was significantly better. repeated swallowing function rate is higher pronunciation status was significantly better. Conclusions: With the results of this study, it was found that among long-term care elderly patients, oral function was worse in immobile patients than in mobile patients. Therefore, it may be necessary to plan and perform an oral function improvement program preferentially for elderly patients requiring long-term care.

여성의 건강상태와 산후조리 경험과의 관계 연구 (A study on the relationship between women's health status and the experience of Sanhujori, the Korean traditional non-professional postpartal care.)

  • 유은광
    • 대한간호
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    • 제36권5호
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    • pp.74-90
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    • 1998
  • This descriptive study sought to define the relationship between women's health status and the experience of Sanhujori, Korean traditional non-professional postpartal care after delivery and abortion. A convenience sample of 308 women in 7 provinces in Korea including Seoul were studied from December, 1994 to December, 1996 for two years. Mean age of respondents was 50.5 years and mean number of children was 3. The rate of abortion was 91.5% and mean frequency was 2.2 times per woman. 82% of respondents did not have Sanhujori after abortion. The period and subjective evaluation of experience of Sanhujori after delivery were decreased according to the increment of the number of childbirth. The health status implies both subjective health status women perceived and physical symptom distress women are experiencing presently, The respondents expressed the physical symptom distress as painful one. 56.7% of respondents perceived unhealthy, such as sick and 99.6% complained more than one symptom. The factors related to health status were the first and third experience of Sanhujori after delivery, such as the period and subjective evaluation whether she did Sanhujori well or not; whether or not of Sanhujori after abortion and menopause: the number of child: and age. at the level of 1% or 5% of significance statistically. The factors related to the rate of physical sumptom distress were only two: the first experience of Sanhujori after delivery, especially the subjective evaluation and whether women did Sanhujori after abortion or not. at the level of 1% or 5% of significance statistically. In conclusion. this finding reconfirmed the possible relationship between women's health status and the experience of Sanhujori after delivery & abortion. It provides a challenge to the professional care givers .to research further on the effects of Sanhujori on the health status. health recovery after abortion or delivery from the various aspects through the cross-sectional and longitudinal research for the refinement of the reality of Sanhujori not only as cultural phenomenon but as conceptual model for the appropriateness of intervention and qualty of care for desirable health outcomes. Besides, it is indispensable to refine and reestablish postpartal caring system by finding universal law through international & cross-cultural research on postpartal traditional care for women's life long health toward the 21C

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중소기업 남성근로자의 건강행태와 구강건강상태의 관련성 (The Relationship between Health Behaviors and Oral Health Status of Male Workers in small and medium industry)

  • 안인술;박승위;이경수;장은진
    • 대한치과기공학회지
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    • 제34권1호
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    • pp.25-36
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    • 2012
  • Purpose: The purpose of this study is to investigate the status of oral health behaviors and oral health status, and to analysis the association between health behavior and chronic disease and oral health status of male workers. Methods: The survey used structured self administered questionnaires from September to October in 2009 in Daegu and Gyeongsangbuk-do province, randomize thirty workplace which work more than 50 workers and carry out a survey targeting 30 to 50 age male laborers who work selected workplace. Total of 1,532 replies were analysed. Results: Age, education, monthly income, job was significantly associated with number of toothbrushing, scaling experience, number of missing teeth. Smoking, amount of smoking, frequency of drinking, number of tooth brushing, unmet need and subjective oral health condition, HBP and DM was significantly associated with the number of missing teeth. In logistic regression, age(above 40), monthly income and DM were significant factors on loss of teeth. Conclusion: In conclusion, it is important to provide education on the teeth-brushing and DM management to workers engaged in a small or medium sized workplace with many tooth loss and low educational status, and to recommend a regular scaling as well as to establish policy for creating conditions upon an oral health check-up and a tooth scaling and allow the maintenance of an oral health.

교사의 자기효능감, 자아존중감 및 건강증진 생활양식 (The Self-Efficacy, Self-Esteem and Health Promoting Lifestyle of Teachers in Korea)

  • 김순례;이규난
    • 한국직업건강간호학회지
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    • 제7권1호
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    • pp.47-54
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    • 1998
  • The purpose of this study was to identify the factors affected with health promoting lifestyle of teachers to provide the data for efficient health management of teachers. The subjects of this study were 809 teachers, who were chosen in Choong-Buk province. Data were collected by written questionnaires by mail and visiting from September 1 to 30, 1997. Data was analyzed by descriptive statistics, t-test, ANOVA using SPSS/PC(v.4.01) program. The results are as follows; 1. The mean scores of Health Promoting Lifestyle was 2.53 on the average, self-actualization 2.97, nutrition 2.90, interpersonal relationship 2.52, stress management 2.33, exercise 1.91, health responsibility 1.82. Total Health Promoting Lifestyle was significantly different by sex, age, marital status, career, teaching load, monthly income education, number of children. 2. Income was the factors affect with self-actualization, age, marital status, teaching load, number of children, career, education, income were the factors significantly affect with Nutrition. Sex, marital status were the factors affect with stress management, sex, age, career were the factors affect with exercise, and sex, age, marital status, career, teaching load, income, education, number of children were the factors affect with health responsibility. 3. Marital status, sex, age, income, number of children, living with family were the factors significantly affect with Family Function. 4. Sex affected with Self Efficacy. The above findings indicate the need to develop nursing intervention to improve Self-Efficacy, Family Function to improve Health Promoting Lifestyle. Further studies are needed to confirm these findings and to determine factors which significantly influence Health Promoting Lifestyle of teachers.

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