손민성 교수

The moral hazard behind insurance membership, depending on how NHI maintains policies to confer benefits, may give rise to differences in medical utilization. This phenomenon must be closely monitored to find a way to reform NHI when the rights of medical service consumers are solidified through PHI.

This study examined the effects of healthcare inequality on personal health. It aimed to determine how health insurance type and income level influence catastrophic health expenditure and unmet healthcare needs among South Koreans. Unbalanced Korean Health Panel data from 2011 to 2015, including 33,374 adults, were used. A time-trend and panel regression analysis were performed. The first to identify changes in the main variables and, the second, mediating effects of unmet healthcare needs and c

Despite its importance to maternal health, women’s empowerment in developing countries has yet to be adequately addressed. We investigated the effects of women’s empowerment and media use on maternal antenatal care in Southeast Asian countries. The data originate from the Demographic and Health Surveys conducted in Southeast Asia between 2011 and 2014 (n = 35,905). We conducted Poisson regression and meta-analyses to examine communication inequalities in the media use for the relationships betwe

The objective of this study was to identify the association between social deprivation, outdoor air pollution, and tuberculosis (TB) incidence rate or mortality rate. The study sample comprised 25 districts in Seoul, Korea. We used two public data derived from the Community Health Survey and Seoul Statistics. The geographic information system analysis and random effects Poisson regression were applied to explore the association of social deprivation and air pollution with TB incidence and mortal

There is a need to develop non-occupational intervention programs, which provide workers with training about workplace depression and improve social support, and the programs should provide time for employees to have active communication. Additionally, companies should provide employees with support to access mental healthcare thereby decreasing the occurrence of workplace depression.

Methods: Major data sources were the “2012 Korean Assessment of Propriety by Long-term Care Hospitals” obtained from the HealthInsurance Review & Assessment Service. Cost variables were supplemented by a National Tax Service accounting document. First, dataenvelopment analysis was performed by generating efficiency scores for each LTCH. Second, matrix analysis was conducted to ascertainassociation between efficiency and quality. Lastly, kruskal-wallis and mann-whitney tests were conducted to ide

It is essential to enforce legal standards appropriate to the facilities, reduce turnover of nursing staff, and invest properly in human resources. These consequences will help LTCH to maintain the balance of high efficiency-high quality in the long-run.

Background and objectives: It is now accepted that vaccination is a critical public health strategy in preventing child morbidity and mortality. Understanding factors that promote vaccination is a critical first step. The objective of this study was to investigated associations of maternal decisional authority and media use on vaccination for children in six South and Southeast Asian countries. Materials and Methods: Data come from demographic and health surveys conducted in Bangladesh, Cambodia

We evaluated the effect of the National Health Insurance (NHI) policy including dental sealant on changes in the prevalence of sealant and caries, and examined how NHI affected sealant utilization and untreated caries in children from diverse income groups in South Korea. We used a multivariate logistic regression analysis to explore the effects of three stages of dental sealant policy (pre-policy: 2007–2009, first post-policy: 2010–2012, and second post-policy: 2013–2015) on the prevalence of d

최근 복합만성질환자 수가 급속하게 증가하면서 이는 건강보험 재정을 위협하는 위험요인 뿐만 아니라 가구경제 전반에 부정적인 영향을 미친다. 이에 이 연구는 성인들의 만성질환 보 유 개수 및 가구 내 복합만성질환자 보유율 등 복합만성질환자의 의료비 부담을 줄이기 위한 실질적인 관리방안을 제안하고자 한다. 이 연구는 2011년부터 2015년까지의 5개년도 한국 의 료패널자료를 활용하였으며, 연구대상은 만 19세 이상 성인 총 16,136명(8,164가구)이다. 개인 의 만성질환 보유 개수가 연간 총 의료비에 미치는 영향을 알아보기 위해 패널회귀분석을 실 시하였으며, 가구 내 복합만성질환자 보유율이 과부담 의료비에 미치는 영향을 확인하기 위해 패널 로지스틱 회귀분석을 실시하였다. 또한 개인의 만성질환 개수 및 가구 내 복합만성질환 자 보유율에 따른 과부담 의료비의 분리점(cut-off point)을 찾기 위해 ROC 곡선을 활용하였 다. 연구결과, 개인의 만성질환 보유 개수가 많을수록 연간

South Korea recently expanded its coverage rate of long-term care insurance (LTCI) by adding a "dementia special grade" in 2014 to improve care service accessibility and extend health life for older adults with dementia. In this study, we propose a multifaceted policy to reduce the suicide risk among older adults with dementia by evaluating the effectiveness of using the long-term care services (LTCS). A sample of 62,282 older adults was selected from the "Older Adults Cohort DB" of the National

This study investigates whether self-employed beneficiaries experience greater difficulties in accessing dental care than insured employees based on their income level. This analysis uses 2011-2015 data from the Korea Health Panel, a population-based and nationally representative sample, covering 7083 participants aged 18 years and older. We measured barriers to dental access based on unmet needs or the inability to receive necessary dental care owing to the past year's economic burdens. The typ