Purpose This study explores the relationship between types of usual source of care (USC) and health behaviors.
Methods It used the 2019–2021 Korea Health Panel Annual Data (Version 2.2), including 11,498 adults aged 19 and older. The dependent variables were three health behaviors: smoking cessation, alcohol abstinence, and engagement in regular physical activity.
Results Individuals with a usual physician offering either comprehensiveness or coordination (Type 4) were 1.24 times more likely to quit smoking than those with no regular care (Type 1) (p=.047). Those whose physicians provided both functions (Type 5) were 1.25 times more likely to quit smoking (p=.038). For alcohol abstinence, individuals who regularly visited a facility but did not have a usual physician (Type 2), as well as those with a partially functional physician (Type 4), were 1.16 times more likely to abstain than Type 1 (p=.027 and p=.042, respectively). Regarding physical activity, individuals in Types 2 and 4 were more likely to exercise regularly, with odds ratios of 1.24 (p<.001) and 1.23 (p=.001), respectively.
Conclusion This study highlights that having a usual source of care (USC)—especially one that offers core primary care functions such as comprehensiveness or coordination—is positively associated with healthier behaviors, particularly smoking cessation. These effects may be strengthened by recent government-led incentive programs that support behavioral change. These findings suggest that expanding both access to and the quality of USC may be key to improving population health behaviors.
Purpose Local government public health nurses (LG PHNs) in South Korea deliver integrated community health and welfare services. However, their professional identity is often challenged within welfare-centered administrative structures, and the structural barriers to their role performance have not been fully explored.
Methods An exploratory qualitative study using focus group interviews was conducted. Seven LG PHNs from various local government divisions participated. Data were analyzed thematically to identify key challenges in role performance.
Results Three main themes emerged: (1) Systemic unreadiness and structural support gaps in deployment, characterized by inadequate orientation and ambiguous role boundaries resulting from rapid policy implementation; (2) Challenges in professional identity negotiation within integrated welfare-health frameworks, where the underutilization of nursing expertise and overlapping responsibilities within administrative settings led to role confusion and professional marginalization; and (3) Institutional isolation and absence of clinical governance, resulting from a lack of systematic clinical supervision and institutional backing. Participants reported significant difficulty prioritizing specialized nursing tasks due to limited resources and structural hierarchies.
Conclusion LG PHNs’ effectiveness is hindered by fundamental structural limitations and governance gaps. To prepare for the 2026 nationwide implementation of integrated care, a transition toward nursing-led care management is essential. Policy measures should include establishing a legal role framework, implementing dual-reporting systems for clinical supervision, and promoting inter-professional education (IPE) to empower LG PHNs as proactive community health leaders.
Purpose The government has implemented a pilot project for community care for older adults and the integrated visiting nursing center in Bucheon-si operated by public fund of government to provide visiting nursing service for older adults. This study aimed to analyze the outcomes of the utilization of visiting nursing service at the integrated visiting nursing center in Bucheon-si.
Methods This study linked the personal data from the pilot project for community care with the National Health Insurance data. The final subjects comprised 30 participants and 110 of the matched control group. The length of home stay, hospitalization, and the admission for long-term care facilities or convalescent hospitals were measured. Statistical analysis was performed through difference-in-differences analysis using generalized estimating equation and Cox proportional hazards model.
Results The results indicated an increase of 28.2 days for length of home stay and a reduction of 69% in hospitalization from medical institutions and 81% in admission of long-term care facilities or convalescent hospitals among participants compared to the control group.
Conclusion The visiting nursing service of the integrated visiting nursing center was effective in extending length of home stay and lowering the hospitalization of medical institutions and admission of long-term care facilities or convalescent hospitals.
Purpose To support implementation of comprehensive, person-centered healthcare, this study aimed to explore immigrant women's public health center (PHC) service experiences and needs while considering Photovoice's feasibility for this purpose.
Methods: This qualitative study included 15 marriage-based immigrant women.
Participants were recruited from churches and multicultural family support centers using purposive and snowball sampling. Data were collected through four focus group interviews and were subjected to inductive content analysis.
Results: Five categories of experiences were identified: language barriers, hectic environment, affordable and practical primary healthcare, feeling ignored and discriminated against, and feeling frustrated. In addition, five categories of needs were identified: language assistance services, ease of access, healthcare across the lifespan, expansion of affordable healthcare, and being accepted as they are. This study provides preliminary evidence that the Photovoice approach can facilitate the interview process in a qualitative inquiry involving participants with limited ability to express their perspectives in the researchers' language.
Conclusion: Study findings highlight the need to implement institutional policy and procedural changes within PHCs and to provide culturally competent, personcentered care for South Korea's marriage-based immigrant women and other ethnic minority populations. The findings also provide evidence-based direction for PHC service planning.
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Purpose The purpose of this study is to investigate the association between unmet healthcare needs due to financial reasons and catastrophic health expenditures.
Methods: This study used secondary data from the 2014~2015 Korean Health Panel survey. The subjects of this study were 21,495 people aged 20 or older, and of them, there were 16,227 people aged 20 to 64 and 5,268 people aged 65 or older, which were surveyed between 2014 and 2015. The association between unmet healthcare needs due to financial reasons and catastrophic health expenditures was analyzed through logistic regression.
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Purpose This study was to review the previous studies on the ‘Willingness to Pay (WTP)' for healthcare services and suggest future implications for nursing research. Methods Using the scoping review method, we used RISS, KISS, KMbase, Koreamed, PubMed, EMbase, CINAHL as searching engines. According to the selection and exclusion criteria, 40 appropriate studies were selected and analyzed. Results 24 studies were categorized into medical service field among medical, public health, and nursing service fields. A total of 16 studies were related to healthcare system (policies), 13 studies were to the healthcare intervention, and 11 studies were categorized into the health management. Most of the methods for eliciting WTP (70%) were about a contingent valuation method (CVM), and the use of double bounded dichotomous choice (DBDC) tended to increase. In the nursing field, five WTP studies were identified: two studies published in the early years of 2000, which were conducted on hospital-based home health visit services. Recent studies were mostly about counseling and education by advanced practice nurses (APNs). Conclusion WTP studies on healthcare services were largely published from the medical fields and health policy areas with the CVM method. In the field of nursing, studies have been conducted on the subject of limited service areas. More active exploration of research topics is required, particularly under the current policy setting, where discussion of the public health insurance fee for nursing practice is essential.
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PURPOSE The purpose of this study was to analyze married immigrant women's utilization of health care and their demand for public health care services. METHODS This study was conducted through descriptive survey with 102 married immigrant women in 2 cities, and survey was done from November, 2010 to May, 2011. RESULTS The results were as follows. Of respondents, 70% were using medical services in Korea and only 38.2% of them were satisfied with services. Major difficulties in using health care services were 'access problem' (35.7%), 'communication problem' (27.7%), and 'medical cost' (19.8%). The respondents' main sources of health information were family (56%), health care center (15%). The types of health information and education demanded by respondents were children's health care (22.1%), pregnancy and delivery (21.1%), and common disease care (20.0%). The most wanted services from public health care institutions were vaccination (24.5%), health promotion (21.5%), and leisure activity programs (20.6%). There was a statistically significant difference in period of immigration and public health care demands. CONCLUSION For married female immigrants, it is recommended to provide tailored public health care services such as outreach service and visiting nursing care service, and to set up different language signs for common disease patients.
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PURPOSE The study was conducted in order to identify factors influencing depression and quality of life in elderly customized home visiting health services. METHODS A total of 442 people participated as the subjects of this study. Data were collected during the period from June to September in 2010 and the measurement tool used for this study was the customized home visiting health service recording sheet recommended by the Ministry of Health. Data were analyzed using t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression with SPSS/WIN 17.0. RESULTS Depression was correlated negatively with quality of life. According to the results of this research, factors influencing depression in elderly customized home visiting health services were quality of life, customized home visiting health service period, and IADL. Factors influencing quality of life in elderly customized home visiting health services were depression, joint exercise capacity, age, connection to volunteerism, IADL and ADL. CONCLUSION The results of this study can be leveraged as complementary information for the effective management of customized home visiting health service subjects. Moreover, the results can be used as a reference for future studies.
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