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중국내 북한이탈주민을 통해 본 북한의료이용 만족도

Other Titles
 Satisfaction with Health Care in North Korea: A Study of North Korean Refugees in China 
Authors
 김개영  ;  정우진  ;  이윤환  ;  박종연  ;  Courtland Robinson  ;  이명근  ;  이옥철  ;  Gilbert Burnham 
Citation
 Korean Journal of Health Policy and Administration (보건행정학회지), Vol.16(4) : 48-67, 2006 
Journal Title
 Korean Journal of Health Policy and Administration (보건행정학회지) 
ISSN
 1225-4266 
Issue Date
2006
Keywords
North Korean refugees ; satisfaction of health care ; North Korea health caresystem
Abstract
The aim of the study was to examine levels of satisfaction with health care in North Korea and to identify factors associated with it using a convenience sample of North Korean refugees in China. Data from the 2004 Survey of Health Seeking Behavior of North Korean Households conducted by the Center for Refugee and Disaster Response, Johns Hopkins Bloomberg School of Public Health were used. The study subjects were 273 North Korean refugees whose length of stay in China was less than 3 months. Factor analysis was used to extract factor dimensions from the 12 satisfaction items. Bivariate (t test and ANOVA) and multiple regression analyses were used in examining factors associated with satisfaction with health care use in North Korea. Overall, satisfaction level was low (2.36±0.36, score range: 1-5). Of the three-factor dimensions, physician skills scored the highest (2.93±0.36), followed by drug availability (2.51±0.07) and general cleanliness (1.66+0.55). In the multiple regression analysis, having a usual source of care was significantly associated with patient satisfaction. Respondents who identified primary care (section) doctors as their usual source of care tended to be less satisfied than those with the city or county hospital as their usual source of care. County residents tended to report a lower degree of satisfaction with general cleanliness than city residents. Among socioeconomic characteristics, the number of household assets positively predicted satisfaction with drug availability. North Korean residents appear to be dissatisfied with their medical care. It may reflect some inadequacies in the North's universal health care system to meet the healthcare needs of its people.
Files in This Item:
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Appears in Collections:
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Chung, Woo Jin(정우진) ORCID logo https://orcid.org/0000-0003-2090-4851
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/110729
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