• Title, Summary, Keyword: Andersen's behavioral model

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Factors Associated With Oral Health Related-quality of Life in Elderly Persons: Applying Andersen's Model (노인의 구강건강 관련 삶의 질 결정 요인에 관한 연구 - 앤더슨 모델(Andersen Model)의 적용 -)

  • Yom, Young-Hee;Han, Jung-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.21 no.1
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    • pp.18-28
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    • 2014
  • Purpose: This study was done to apply Andersen's behavioral model to identify factors that determine oral health-related quality of life in elderly persons. Methods: Participants were 257 people ages 65 years or older. Data were analyzed using frequency, percentage, mean and hierarchical multiple regression. Results: The variables in the behavioral model, predisposing factors, enabling factors and need factors, explained 31% (F=12.7, p<.001) of variance in oral health-related quality of life. The predisposing factors, enabling factors, need factors and health behavior collectively explained 35% (F=9.22, p<.001) of variance in oral health-related quality of life. Factors influencing oral health-related quality of life in older adults were ADL and IADL, self-reported oral health status, xerostomia and dental care in last 12 months. Conclusions: The analysis results showed that the need factor had the highest level of relative importance of the three factors. The model used for this study can be used to predict oral health-related quality of life.

Study of the Factors Influencing the Economic Retirement Preparation for People Living with Disabilities Based on Andersen's Behavioral Model (Andersen모형을 적용한 장애인의 경제적 노후준비에 영향을 미치는 요인)

  • Kim, Jin-Mi;Lee, Youn-Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.10
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    • pp.6046-6055
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    • 2014
  • The present study identified the factors of economic retirement preparation for people living with disabilities using the Andersen's behavioral model. The 2012 Disabled Employment Panel Survey data were collected from May 21, 2012 to July 31, 2012 and were analyzed by applying the SPSS 20 program. Logistic regression analysis was carried out on a sample of 2,869 people aged 30 to 60 years. The predisposing factors (education, marital status), possibility factors (employment, non-basic livelihood security recipient status, homeowner status, income), and desire factors (subjective socioeconomic status, life satisfaction, self-esteem) affected the retirement preparation. To help people living with disabilities, policies and programs based on the factors that reflect the individual needs must be established.

A Convergence Study on Influencing Factors of Paid Care Service: Andersen's Behavioral Model (유급 간병서비스 이용 영향요인에 관한 융복합적 연구: Andersen's Behavioral Model)

  • KIM, Han-Kyoul;Kim, Sung Kuk;Shim, Hyun-Jin;Lee, Hee Myung;Rhee, Hyunsill
    • Journal of Digital Convergence
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    • v.15 no.4
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    • pp.327-337
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    • 2017
  • The purpose of this study is to identify the current state of paid care services and to identify the factors that affect the utilization of private nursing services. This study constructed and utilized the Korean Health Panel data (2011-2014) in the form of panel data, and selected 5,110 patients who had experience using one or more hospitalization services per year. STATA 12.0 SE was used for data processing and analysis of this study. Frequency analysis was performed to confirm basic characteristics of hospitalized patients. Cross-analysis and t-test were conducted to confirm the status of paid care services according to characteristics. Respectively. Finally, panel logistic regression was performed by applying a hierarchical method to stepwise modeling the three categories of Andersen's Behavioral Model to identify factors affecting the use of paid care services for inpatients. The results showed that the use of paid nursing services was higher in women, elderly, long - term hospitalized and disabled. On the other hand, significant household income variables in private employment did not show significant results. The results of this study are expected to be used as basic data for the selection of the nursing care integrated services under discussion. In addition, detailed discussions on the selection of subjects should be made in the future.

Factors Affecting Depression in the Elderly Over 65 Years in Korea: Using Andersen's Behavioral Model (한국 65세 이상 노인의 우울증에 영향을 미치는 요인 : 앤더슨 모형을 활용한 융합적 연구)

  • Park, Hyo-Eun;Seo, In Soon
    • Journal of the Korea Convergence Society
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    • v.10 no.8
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    • pp.83-95
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    • 2019
  • The purpose of this study was to comprehensively investigate predictive factors influencing on geriatric depression of the elderly by applying the Andersen's Behavioral Model of Health Service Use,. The research data was focused on the final analysis of 3,585 elderly population aged 65 or older among 21,724 participants in the 6th (2013-2015) Korea National Health and Nutrition Examination Survey. Hierarchical logistic regression analysis was conducted to multivariate analysis method of the variables for possible depression by the Andersen's Behavioral Model of Health Service Use. As a result of hierarchical regression analysis, there was a negative correlation of 0.49 times(0.31-0.78) for males. In addition, there was a positive correlation of pain 1.56 times(1.05-2.31), stress 0.55 times(1.10-2.19), walking exercise 1.44 times(1.03-2.00) and outpatient use 1.48 times(1.10-1.98). Therefore, differentiated support according to the gender of the community residents is necessary, and stress intervention or additional support for exercise is required.

Exploring the Factors of Selecting National and Public Hospitals of Hospitalization Service Users (입원의료서비스 이용자의 국공립병원 선택 결정요인)

  • Gil, Mi-Ryeong;Choi, Cheon Geun
    • The Journal of the Korea Contents Association
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    • v.17 no.8
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    • pp.290-300
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    • 2017
  • This study concerns whether the public spirit of medical services, which is the foundational goal of national hospitals, is being realized. To derive results regarding this question, it is necessary to identify the determinants that influence the choice of national hospitals. The data are based on the number of cases of medical service use among the data for 6 years from 2008 to 2013 in the Korea Medical Panel, and the subjects were limited to those who were 18 years old or older. In the final analysis, 14,365 cases of hospitalization service uses were employed. For the research method, Andersen's behavioral model theory was applied, and predisposing, enabling, and individual factors were determined to be variables. Logistic regression analysis was conducted to analyze the determinants of national hospital choice factors. It was found that the rate of use of national hospitals was very low, with 5.23% for hospitalization services. Furthermore, socioeconomically vulnerable people, such as the elderly, low-income people, the national meritorious and medical care beneficiaries, chronic patients, and disabled patients are more likely to choose national hospitals than private hospitals. Therefore, for the appropriate management of medical service use for low-income vulnerable groups, it is necessary to discuss the enhancement of primary medical care in national healthcare.

Factors Determining the Economic Preparation for Later Life of the Elderly with Industrial Injury: Based on Andersen Behavioral Model of Health Care Utilization (산재경험 고령자의 경제적 노후준비에 관한 연구: 앤더슨 모형을 중심으로)

  • Moon, Yong-pil;Won, Seo-jin
    • The Journal of the Korea Contents Association
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    • v.15 no.8
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    • pp.313-325
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    • 2015
  • This study aims to address factors affecting economic preparation of the elderly with industrial injury using Andersen model. In addition, it is also to explore differences in accordance with changes in the employment status between regular employees and non-regular employees. The authors analyze Panel Study of Worker's Compensation Insurance(PSWCI)'s 1st wave data in the logistic regression model. The authors found gender and education were related to economic preparation. In addition, earned income, national health insurance and the degree to which pain interferes with daily life and the lives caused by industrial accidents were associated with economic preparation. But national pension was not statistically significant to economic preparation. Based on the findings, the researchers addressed political implications to enhance financial security of injured workers.

The Association between Health Examination and Personal Medical Cost through Panel Survey (건강검진이 개인 의료비지출에 미치는 영향)

  • Lee, Hwan Hyung;Park, Jae Yong
    • Health Policy and Management
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    • v.24 no.1
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    • pp.35-46
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    • 2014
  • Background: This paper describes the relationship and effect of health examination on personal medical cost by identifying the difference of the cost for medical care in physician visit between the population without and with health examination. Methods: After classifying into three cohorts in which, independent variables were designed according to the Andersen's behavioral model, the association of personal medical cost for medical care and prescription drugs which is dependent variable was analyzed by t-test and Mann-Whitney test for description and gamma regression model for inference. Results: In personal average medical cost, the population with health examination paid significantly more than without health examination, 11.6% more in cohort 2008, 26.6% more in cohort 2009, and 48.0% more in combined cohort. The odds ratio on medical expenditure of outpatients with health examination was 1.067, 1.126, 1.398 significantly in cohort 2008, 2009, and combined cohort respectively, comparing to the group without health examination. In independent variables, that is female, the elderly, never married, non-working, non-metropolitan, the higher family income, the smaller family size, people with disability, the people with chronic disease, and people with health examination have significantly being paid more tendency showing positive association with medical cost. Conclusion: This result showed that medical expenditure in physician visit has been increased after taking a health examination. Therefore reasonable limitation of getting preventive medical service is suggested to avoid medical shopping around and reduce being repeated health examination by unifying control to find out easily the clinical results from various medical facilities.

Factors Affecting Intention to Use Community Organizing Services at a Community Welfare Center: The Impact of Welfare Consciousness based on Andersen's Behavioral Model (지역사회복지관 주민조직화 서비스의 이용의사에 영향을 미치는 요인: 앤더슨 행동모형의 적용을 통해 본 복지의식의 영향)

  • Lim, Hyo Yeon;Jeong, Eun Su
    • The Journal of the Korea Contents Association
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    • v.17 no.9
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    • pp.159-172
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    • 2017
  • This study examined the predisposing, enabling and need factors, based on Andersen's behavioral model, affecting intention to use community organizing services at a community welfare center. 725 people aged 20 and older who lived in Gwang-jin-gu participated in this study and multiple linear regression analyses were utilized to analyze the deputation. The results demonstrate that intention to use is primarily affected by predisposing factors, age and duration of education. Female and more educated people were significantly associated with the intention to use community organizing services. Enabling factors, reputation and image of the community welfare center significantly affect intention to use community organizing services. People are more likely to use community organizing services when there is higher reputation of the community welfare center and better image of the community welfare center. Finally, intention to use is primarily affected by welfare consciousness, a need factor. People who have liberal welfare consciousness are more likely to use community organizing services. These findings provide implications and suggestions for increasing intention to use community organizing services at a community welfare center.

Individual Determinants of Hospital Days m Community-dwelling Elders (지역사회 노인의 입원기간에 영향을 주는 개인요인의 분석)

  • Kim Jung Hee
    • Journal of Korean Public Health Nursing
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    • v.13 no.2
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    • pp.12-25
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    • 1999
  • This study examines individual determinants of hospital days in community-dwelling elders by estimating a linear structural equation model based upon Andersen's behavioral model. Data were collected through a national survey of elders in Korea in 1994. The subjects for this secondary data analysis were 1687 non-institutionalized elders aged 60 years or older. Except for the effect of age and gender on family help. the predisposing components had direct effects on the enabling components. Of the effects of the enabling components. family help had a direct effect on self-evaluated health; economic status had a direct effect on chronic disease and self-evaluated health; and access had a direct effect on chronic disease. functional health status and self-evaluated health. Of the enabling components. residence and family help directly affected hospital days. Self-evaluated health revealed the greatest direct effect on hospital days followed by functional health. Overall. the effects of the predisposing components and the enabling components on hospital days were not prominent. Since the model explained only $4\%$ of the variance in hospital days. the magnitude of the effect of the need components cannot be judged in terms of equity of distribution of health services. In particular. the effect of family help in the model reveals the importance of family support in health management of elders. The implications of these analyses for improving the proposed model of hospital days were discussed.

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Major Factors Influencing the Usage Needs for the Adult Guardianship System in Parents of People with Developmental Disabilities (발달장애인 부모의 성년후견제도 이용욕구에 영향을 미치는 요인)

  • Lee, Yong-Pyo;Song, Seung-Yeon
    • The Journal of the Korea Contents Association
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    • v.16 no.6
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    • pp.334-344
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    • 2016
  • The purpose of this research is to investigate usage related predictors to activate Adult Guardianship System of People with Developmental Disabilities. To achieve the purpose of this research, we have analyzed the survey of parents of People with Developmental Disabilities usage needs for Adult Guardianship System which is based on the Andersen's behavioral model. The study utilized data from 2011 Welfare Needs Assessment of Seoul middle and senior-aged Family with Developmental Disabilities, and the analysis method, the study applied used SPSS 22.0, frequency analysis, descriptive statistics analysis, logistic regression analysis. According to the result, the usage needs for Adult Guardianship System increases meaningfully if the parents does not have occupation, and the subject of Adult Guardianship System is male. In income and the social security system wise, the usage needs for Adult Guardianship System show remarkably large rating if the average income is high and the desire to be cared by others is high. But in case of People with Developmental Disabilities, communication skills, the degree of disability, burden of caring does not have effect on the usage needs for Adult Guardianship System. The conclusion for this research is, first, to activate vigorous usage of Adult Guardianship System, the government intervention is required. Second, the following study is needed to explain to the concept of the needs caring by others and the cultural factors relating to the usage needs for Adult Guardianship System.