Quality Improvement in Health Care (한국의료질향상학회지)

Korean Society for Quality in Health Care (한국의료질향상학회)
권호 표지

Comparison of customer satisfaction with health examination programs provided by the Korea National Health Insurance and private healthcare organizations in Korea

건강보험공단 건강검진과 자비 건강검진 수검자간의 만족도 비교

  • Shin, Youn-Soo (Graduate School of Public Health Yonsei University, National Health Insurance Corporation) ;
  • Park, Chong Yon (National Health Insurance Corporation, Health Insurance Research Center) ;
  • Jung, Sang Hyuk (Department of Preventive Medicine, College of Medicine, Ewha Womens University) ;
  • Jung, Hye Young (Graduate School of Public Health, Yonsei University) ;
  • Kang, Hye-Young (Graduate School of Public Health, Yonsei University)
  • 신연수 (연세대학교 보건대학원, 국민건강보험공단) ;
  • 박종연 (국민건강보험공단 건강보험연구센터) ;
  • 정상혁 (이화여자대학교 의과대학 예방의학교실) ;
  • 정혜영 (연세대학교 보건대학원) ;
  • 강혜영 (연세대학교 보건대학원)
  • Published : 2006.05.24
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Abstract

Backgrouds : This study was performed to compare the satisfaction levels for health examination programs provided by between the Korea National Health Insurance Corporation (KNHIC) and private healthcare organizations in Korea. We investigated factors associated with the satisfaction level for the KNHIC health examination. Also, factors explaining for the additional receipt of private healthcare organization's examination were identified. Methods : A self-administered questionnaire survey was conducted in June 2004 with 250 beneficiaries of the KNHIC industrial workers' program and 100 beneficiaries of the KNHIC selfemployed program. A total of 297 completed the questionnaire, including 213 (85.2%) and 84 (84.0%) for each insurance program. Ten questions measuring satisfaction levels for each examination program were rated on a scale ranging from 1 (strongly unsatisfied) to 5 (strongly satisfied). Results : Among the subjects receiving both examinations, the mean satisfaction level for the KNHIC examination (3.07) was significantly lower than that for the private healthcare organization's examination (3.50) (p<0.05). The KNHIC examination showed lower satisfaction for all of the 10 items than the counterpart. In particular, the KNHIC examination had the scores of lower than 3.0 for the items reflecting post-examination management services. According to the multiple regression analysis results, the satisfaction for the KNHIC examination was positively associated with the positive attitude toward health examination(${\bullet}$,=0.38, p<0.00). The logistic regression results showed that the likelihood of receiving the private healthcare organization's examination in addition to the KNHIC examination increases as the respondents were less healthier(OR=0.29, 95% CI = 0.10¢¶0.84), the satisfaction level for the KNHIC examination decreased(OR=0.46, 0.28¢¶0.75) or the attitude toward health examination was more positive (OR=2.56, 1.31¢¶5.12). Conclusion : The relatively low satisfaction level for both examination programs suggests that there's ample room for improvement of health examination services in Korea. The negative association between additional receipt of private healthcare organization's examination and satisfaction level for the KNHIC examination implies that the improvement of the satisfaction for the KNHIC examination would help to reduce the national expenditure spent on the additional examination.

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