도영경 교수

Persons with disabilities use more health care services due to ill health and face higher health care expenses and burden. This study explored the incidence of catastrophic health expenditures of households with persons with disabilities compared to that of those without such persons. We used the Korean Health Panel (KHP) dataset for the years 2010 and 2011. The final sample was 5,610 households; 800 (14.3%) of these were households with a person with a disability and 4,810 (85.7%) were househol

The purpose of this study was to assess adequately equipped with convenience facilities for the disabled in 160 healthcare institutions in Jongno district, Seoul. Healthcare institutions were equipped an average of 3.7 facilities out of 10. General hospitals had an average of 5.0 facilities, which was higher than an average of 3.6 facilities for private clinics (p<0.05). Of 160 healthcare institutions, only 13 (8.1%) offered easy access to the outpatient setting from the entrance for wheelchair

Purpose:The objective of this study was to identify the conceptual constructs of patient centeredness from the perspective of patients and family members in Korea, and to compare them with those included in the Picker Institute framework. Methods: Two focus group discussions were conducted. Each focus group consisted of six participants who had experienced being either a patient or a caregiver. We carried out a thematic analysis, and then compared the contents of our focus group discussions with

This paper critically reviews three decades of research on geographic variations. in health services utilization in the United States, thereby drawing policy and research implications for Korea. The recent renewed interest in variations research in the United States, precipitated by studies on regional variations in Medicare expenditures, stems mainly from the policy implication that a substantial amount of Medicare expenditures could be saved without compromising quality and access. From the re

Purpose: This study was conducted to identify patients' dissatisfaction with health care through a content analysis of newspaper articles published between 1990 and 2015. It focused on developing a systematic coding scheme for content analysis as well as exploring changes over time. Methods: Among articles published by 8 major national newspapers, our content analysis used those that specifically covered the dissatisfaction of patients. Coding taxonomy was developed in two domains: (1) contents

본 연구는 지역아동센터 이용아동의 관점에서 급식서비스의 경험이 건강향상에 미치는 효과를 확인하였다. 지역아동센터 아동패널조사 1기자료 중 579명에 대한 서열로짓모형을 분석하였다. 분석결과, 이용아동의 주관적 건강향상평가에 영향을 미칠 수 있는 개인 특성 및 가정 내 특성, 그리고 급식서비스 평가에 영향을 미칠 수 있는 센터 내 특성들을 통제한 상태에서, 급식서비스 경험이 긍정적일수록 지역아동센터 이용 후 건강향상에 긍정적으로 응답할 확률이 통계적으로 유의하게 증가하였음을 확인하였다. 구체적으로, 급식서비스가 매우 도움이 되었다고 응답한 경우 건강향상에 매우 도움이 되었다고 응답할 예측확률이 38.1%로 기준그룹(급식서비스가 전혀 도움이 되지 않았거나 도움이 되지 않았다고 응답)의 예측확률인 9.3%에 비해 28.8% 포인트 증가하였다. 이러한 결과는 이용아동의 관점에서 급식서비스의 긍정적 경험은 건강향상에 효과적인 기제로 작용한다는 것을 지지할 수 있는 근거라 볼 수 있으며 향후

Purpose: To examine whether the Patient Experience Assessment (PEA) has led to perceptible changes at the ground level of health care, as a way of evaluating PEA as a policy intervention for quality improvement.Methods: Four focus group discussions (FGDs) were conducted, each comprising six to eight participants who were employees responsible for patient experience at their respective hospitals. The primary focus of the FGDs was on questions such as: 1) How do hospitals respond to PEA? 2) What s

The rapid increase in PET devices and its utilization in Korea necessitates relevant health insurance policies based on scientific evidence, including economic evaluation of PET in clinical conditions. However, there is very little amount of evidence regarding PET, and the first step would be to establish research priorities to give a momentum for research and assure efficient use of research capacities. To this end, we conducted a two-round Delphi study, which produced stable consensus on about

Objectives : To measure DALE (Disability-Adjusted Life Expectancy) in Korea to find out how long Koreans live in a state of full heath. Methods : DALE was calculated using the life table of 1999 and the disability prevalence from the National Health Interview Survey (NHIS), which was conducted with a sample of 13,523 households in 1998. The disability prevalence was measured using the annual prevalence of the long-term limitation of activities, which were divided into classes 1, 2, 3, 4, 5 and 6

이 연구는 암환자의 개구충제 복용을 둘러싼 논란의 시기 한가운데에서, 온라인 뉴스의 댓글을 통해 대중의 태도와 암 보완대체요법 이용에 긍정적인 태도를 낳는 심리적 기제를 이해하고자 하였다. 논란이 고조되었던 2019년 10~11월 중 댓글 수가 가장 많고 대조적인 입장을 다룬 두 온라인 뉴스에 달린 2,146개의 댓글을 대상으로 테마분석을 수행하였다. 가장 높은 비율을 차지한 세 개의 테마는 기적에 대한 열망(18%), “말기암이라면 그럴 수 있다(17%)”, 전문가 집단에 대한 불신(16%)이었다. 또한, 개구충제의 치료효과와 관련된 믿음의 바탕에는 호전된 사례, 즉 개인의 직･간접적 경험이 가장 많았고, 과학적 근거나 전문가의 의견은 가장 적었다. 암환자의 개구충제 복용은 말기암이라는 예외적이고 특수한 상황에서 기적에 대한 간절함, 죽음을 막고 싶은 절실함과 같은 심리적 기제로 이해할 수 있으며, 전문가집단에 대한 불신도 기여하는 것으로 보인다. 온라인 뉴스 댓글이라는 연구 자료

Objectives: Previous studies have shown that participation in social activities (SA) can prevent cognitive decline (CD) and that living arrangements (LA) can affect cognitive function. This study aimed to evaluate the effects of SA and LA on CD, as well as their interactions, using longitudinal data.Methods: Data were used from the 2006-2018 Korean Longitudinal Study for Aging, which followed 10 254 adults older than 45 years over a 12-year period. CD was defined as a ≥4-point score decrease in

Objectives: This study aimed to test our hypothesis that a raise in the emergency fee implemented on March 1, 2013 has increased the proportion of patients with emergent symptoms by discouraging non-urgent emergency department visits. Methods: We conducted an analysis of 728 736 patients registered in the National Emergency Department Information System who visited level 1 and level 2 emergency medical institutes in the two-month time period from February 1, 2013, one month before the raise in t

Globally, quality improvement (QI) activities are conducted in most health care institutions; however, results of QI activities are shared and communicated rather informally and often only among frontline practitioners. Unless QI activities, a cumulative experiential learning process in each healthcare institution, are shared widely through academic publication, scientific understanding in the QI field will remain a challenge. It was against this backdrop that in 2008 the Standards for QUality I

Background: While there are many studies estimating the effects of private health insurance on various types of health careutilization, few have examined how such effects change in conjunction with important policy reforms in national health insurance(NHI). This study examined how the effect of private health insurance (supplemental and fixed cash benefit) on high-cost outpatientimaging test utilization changed following the expansion of magnetic resonance imaging (MRI) coverage in 2018, which i