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KMID : 0350819940080010041
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Seoul Journal of Nursing
1994 Volume.8 No. 1 p.41 ~ p.51
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A Study on Factors Affecting Individual´s Health Care Expenditure
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박현애
송건용
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Abstract
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In order to study factors affecting individual's health care expenditure, Andersen's model for health utilization was modified by adding the health behavior component and health care expenditure and examined with two different approaches. Two different approaches were the multiple regression model and LISREL model. For multiple regression, dependent variable was reported health care expenditure during past 15 days before the survey and independent variables were various variables measuring predisposing factor, enabling factor, need factor, health behavior and health utilization. For the LISREL, six endogenous variables of health utilization, predisposing factor, enabling factor, need factor, health behavior, and health care expenditure and 10 exogeneous variables which measure six endogenous variables were used.
According to the multiple regression analysis, number of visits to physician during past 15 days of utilization factor; chronic illness, health status, and perceived health status of the need factor; residence and education of the predisposing factor; health insurance of enabling factor; sleeping and doing any kind of healthy behavior of the health behavior factor were the significant exploratory variables for the health care expenditure. From LISREL, utilization affects health care expenditure most following by need factor, predisposing factor, enabling factor and health behavior. For LISREL model, age, education, and residence for predisposing factor; health status, chronic illness, and perceived health status for need factor; medical insurance for enabling factor; doing any kind of healthy behavior for the health behavior; number of physician during past 15 days for the utilization factor; and health care expenditure during past 15 days for the expenditure were found as the significant observed variables for each theoretical variables.
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KEYWORD
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Health care expenditure, Andersen model, LISREL
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