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공간효과분석을 이용한 건강보험 환자 관외 의료이용도와 관련된 요소분석
노윤호 ( Yun Ho Roh ) 한국보건행정학회 2013 보건행정학회지 Vol.23 No.4
Background: The purpose of this study was to analyze the association between areas of Korea Train Express (KTX) region and external medical service use in Korean society using spatial statistical model. Methods: The data which was used in this study was extracted from 2011 regional health care utilization statistics and health insurance key statistics from National Health Insurance Corporation. A total spatial units of 229 districts (si-gun-gu) were included in this study and spatial area was all parts of the country excepted Jeju, Ulleungdo island. We conducted Kruskal-Wallis test, correlation, Moran`s I and hot-spot analysis. And after, ordinary linear regression, spatial lag, spatial error analysis was performed in order to find factors which were associated with external medical service use. The data was processed by SAS ver. 9.1 and Geoda095i (windows). Results: Moran`s I of health insurance patients` external medical service use was 0.644. Also, population density, Seoul region, doctor factors positively associated with health insurance patients` external medical service. In contrast, average age, health care organization per 100 thousand were negatively associated with health insurance patients` external medical service use. Conclusion: The finding of this study suggested that health insurance patient`s external medical service use correlated for seoul region in korea. The study results imply the need for more attention medical needs in the region (si-gun-gu unit) for health insurance patients of seoul region. It is important to adapt strategy to activation of primary health care as well as enhancing public health institution for prevent leakage of patients to other areas.
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청소년이 인지하는 부모양육행동과 흡연 및 음주와의 관련성
노윤호(Yun Ho Roh),김은주(Eun Joo Kim) 한국보건교육건강증진학회 2013 보건교육건강증진학회지 Vol.30 No.2
Objectives: The purpose of this study was to analysis the health behaviors differences of adolescents depending on whether parenting behavior perceived by adolescents. Methods: The data which is used in this study was extracted from the 2011 second korean adolescents’ penal data collected by the National Youth Policy Institute. Multivariate logistic regression analysis was performed in order to find how degree parents relationship factors are associated with adolescents’ health behavior after adjusting sex, smoking(alcohol drinking) friends, and other significant variables. The data was processed by SAS 9.1. Results: Respondent’s general characteristics such as smoking(alcohol drinking)friends, parents’ job were positively relative to smoking and alcohol drinking experience. Also Parents’s affection and experience of being abused from parents were significantly associated with smoking(alcohol drinking) experience. Conclusions: Negative vertical attitude for children is important for the health risk behaviors of adolescents. To increase effectiveness of the health policy for the adolescents in korea, it is important to adapt new strategy to include the positive empowerment of adolescents’ social networks except for smoking(alcohol drinking)friends and policy support to turn negative vertical attitude for children into positive attitude for children.
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