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Title Page
Contents
Abstract 9
Chapter I. Introduction 11
1.1. Background of the Study 11
1.2. Objectives of the Study 13
Chapter II. Literature Review 14
2.1. Health Care Service Use 14
2.2. The Behavioral Model of Health Service Use 16
2.3. Determinants of Health Service Use 21
2.3.1. Contextual Characteristics 21
2.3.2. Individual Characteristics 22
2.3.3. Health Behaviors 26
Chapter III. Study Method 28
3.1. Study Model 28
3.2. Data and Analytical Method 29
3.2.1. Data and Study Population 29
3.2.2. Variables 30
3.3. Analytical Method 34
3.3.1. Factors affecting Health Service Use 34
3.3.2. Factors affecting Health Service Utilization 34
Chapter VI. Results 35
4.1. Factors affecting Health Service Use 35
4.1.1. Factors affecting Outpatient Service Use 35
4.1.2. Factors affecting Inpatient Service Use 38
4.2. Factors affecting Health Service Utilization 41
4.2.1. Factors affecting Outpatient Service Utilization 41
4.2.2. Factors affecting Inpatient Service Utilization 44
Chapter V. Discussion 49
5.1. Discussion on the Research Method 49
5.1.1. Health Service Use Model 49
5.1.2. Research Plan and Analytical Method 51
5.2. Discussion on the Research Result 52
5.2.1. Outpatient Service Use 52
5.2.2. Inpatient Service Use 57
Chapter VI. Conclusion 61
REFERENCE 64
〈Table 1〉 Outpatient Visit Days and Health Expenditure by Age Group (2006-2009) 15
〈Table 2〉 Contextual Factors and Individual Factors Measurement Index 20
〈Table 3〉 Definition and Measurement of Variables 32
〈Table 4〉 Differences of the Health Behaviors among Personal Health Practice 33
〈Table 5〉 Differences of Health among Personal Health Practice 33
〈Table 6〉 Factors affecting Outpatient Service Use 37
〈Table 7〉 Factors affecting Inpatient Service Use 40
〈Table 8〉 Factors affecting Outpatient Service Utilization 43
〈Table 9〉 Factors affecting Inpatient Service Utilization 46
〈Table 10〉 Significance Factors affecting Health Service Use and Utilization 47
〈Table 11〉 Significance Factors affecting Health Service Use and Utilization(continuos) 48
초록보기 더보기
A life transitional period is a period in personal life when the risk of experiencing health issues such as chronic diseases increases compared to previous age periods. The increase of chronic diseases, increasing proportionately with age, leads to increase in health service use.
Personal sickness behavior, after acknowledging health issues, is affected by various factors, and many researches are being conducted on theoretical models to predict these factors.
This research utilizes 'A Behavioral Model of Health Service Use', which was proved of its validity through many empirical studies, by using the data of Korea Healthcare Panel in order to reveal the factors affecting health service utilization in terms of each life transitional period.
This research showed that for outpatients, the predisposing factors, possibility factors, necessity factors, health behavior and contextual characteristics equally affected personal disease behavior. The explaining power of the model was strongest for outpatient service, and inpatient service subsequently followed. For each life transitional period, the possibility factors and necessity factors mainly affected the middle-aged group and similar trends were shown in use behavior. For the old-aged group, the predisposing factor, possibility factors, and necessity factors were found to be equally affecting factors.
This research confirmed that even when using the same theoretical model, the explaining power of the entire model and belief variables can depend on the life transitional period. The outpatient health service could be explained solely by personal characteristics while the inpatient health service could only be explained in a limited manner by personal characteristics.
This research has analyzed representative data in the nation based on models verified through empirical researches. By revealing the belief factors affecting the use of health service per life transitional period, this research attempts to provide a valuable material for subsequent researches and to provide a strategy to establish health and welfare policies in the future.
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