Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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The Relationship between Trust in Healthcare System and Health Examination Participation

보건의료체계에 대한 신뢰도와 건강검진 수진율 간의 관계

  • Jeong, Baek-Geun (Department of Preventive Medicine, School of Medicine, Gyeonsang National University.Institute of Health Science) ;
  • Hwang, In-Kyoung (Department of Preventive Medicine & Occupational Medicine, School of Medicine, Pusan National University) ;
  • Sohn, Hae-Sook (Department of Preventive Medicine, College of Medicine, Inje University) ;
  • Koh, Kwang-Wook (Department of Preventive Medicine, College of Medicine, Kosin University) ;
  • Yoon, Tae-Ho (Department of Preventive Medicine & Occupational Medicine, School of Medicine, Pusan National University) ;
  • Lim, Jeong-Hun (School of Public Health, Seoul National University)
  • 정백근 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원) ;
  • 황인경 (부산대학교 의학전문대학원 예방의학 및 산업의학교실) ;
  • 손혜숙 (인제대학교 의과대학 예방의학교실) ;
  • 고광욱 (고신대학교 의과대학 예방의학교실) ;
  • 윤태호 (부산대학교 의학전문대학원 예방의학 및 산업의학교실) ;
  • 임정훈 (서울대학교 보건대학원)
  • Received : 2010.11.08
  • Accepted : 2010.12.20
  • Published : 2010.12.31
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Abstract

Objectives: This study was conducted to investigate the relationship between vertical trust in the healthcare system and participation in routine health examinations. Method: Data from the 2008 Pusan Health Survey were analyzed for this study. Multiple logistic regression analyses were performed to investigate the influence of possible confounders (sex, age, education, monthly mean household income, horizontal trust) on participation in routine health examinations according to trust in the healthcare system. Result: In a total sample of 7,683 participants, 3,756 (48.9%) were classified as health examination participants. Respondents with high trust in the healthcare system had significantly higher odds ratios of participation, 1.17 (95% CI 1.03-1.33), after multiple adjustments. Conclusion: Vertical trust in the healthcare system was significantly associated with higher odds of participation in routine health examinations. Improvements to the healthcare system have potential for increasing participation in routine health examinations.

본 연구는 건강검진 수검과 보건의료체계에 대한 신뢰 수준 간의 관계를 파악하기 위하여 수행된 연구로서 2004년 부산시민 건강조사에 참가한 만 20세 이상 7,683명을 대상으로 하였다. 그 결과 남성과 50대 연령층의 건강검진 수진율이 높았으며 교육수준과 소득수준, 수평적 신뢰수준이 높을수록, 주관적 건강상태가 좋지 않을 수록 수진율이 증가하였다. 또한 보건의료체계에 대한 신뢰도가 높은 사람들이 낮은 사람들에 비하여 건강검진을 받을 확률이 높았다. 향후 국민들의 보건의료체계에 대한 신뢰도에 영향을 미칠 수 있는 요인들을 파악하고 이러한 요인들이 국민들의 건강검진 수진율에 영향을 미치는 경로를 파악한다면 국민 보건에 이바지할 수 있는 다양한 방안들이 마련될 수 있을 것으로 판단된다.

Keywords

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