Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Factors influencing Health-related Quality of Life in Korean Medicaid Beneficiaries

의료급여 수급권자의 건강관련 삶의 질에 영향을 미치는 요인

  • Hong, Sun-Woo (College of Nursing, Kangwon National University)
  • Published : 2009.08.28
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Abstract

Purpose: The purpose of this study was to identify the factors which influence health-related quality of life (HRQoL) in Korean Medicaid beneficiaries. The relationships among sociodemographic factors, health status, health behavior, and HRQoL were analyzed. Methods: Data from the 2007 survey on Health Services Use and Health Status of Medicaid Beneficiaries conducted by the Ministry for Health Welfare and Family Affairs were examined. To analyze the sample survey data, descriptive statistics, correlation and hierarchical multiple survey regression analysis with SAS 9.1.3 package were used with SURVEYMEANS and SURVEYREG procedures, which incorporate the sample design into the analyses in order to make statistically valid inference for the whole Medicaid population. Results: The HRQoL correlated with limitations in Activities of Daily Living (ADL) (r=-.509, p<.001), stress (r=-.387, p<.001), depression (r=-.385, p<.001), alcohol consumption (r=.216, p<.001), and exercise (r=.293, p<.001). Significant factors that affect HRQoL of Medicaid beneficiaries were gender, region, limitations in ADL, stress, depression, alcohol consumption, and regular exercise. These variables explained 44.6% of HRQoL (F= 215.00, p<.001). Conclusion: The results indicate that to improve the HRQoL of Medicaid beneficiaries it is important to develop nursing intervention programs that focus on psychological health and health behavior and to give consideration to differences in gender and region.

Keywords

References

  1. Belloc, N. B., & Breslow, L. (1972). Relationship of physical health status and health practices. Preventive Medicine, 1, 409-421 https://doi.org/10.1016/0091-7435(72)90014-X
  2. Borgaonkar, M. R., & Irvine, E. J. (2000). Quality of life measurement in gastrointestinal and liver disorder. Gut, 47, 444-454 https://doi.org/10.1136/gut.47.3.444
  3. Borzecki, A. M., Lee, A., Kalman, D., & Kazis, L. E. (2005). Do poor health behaviors affect health-related quality of life and healthcare utilization among veterans. Journal of Ambulatory Care Management, 28, 141-156 https://doi.org/10.1097/00004479-200504000-00005
  4. Fortin, M., Lapointe, L., Hudon, C., Vanasse, A., Ntetu, A. L., & Maltais, D. (2004). Multimorbidity and quality of life in primary care: A systematic review. Health and Quality of Life Outcomes, 2, 51 https://doi.org/10.1186/1477-7525-2-51
  5. Huxley, P., Evans, S., Burns, T., Fahy, T., & Green, J. (2001). Quality of life outcome in a randomized controlled trial of case management. Social Psychiatry and Psychiatric Epidemiology, 36, 249-255 https://doi.org/10.1007/s001270170056
  6. Irvine, E. J. (1997). Quality of life issues in patients with inflammatory bowel disease. American Journal of Gastroenterology, 92(Suppl.12), S18-S24
  7. Jeon, B. Y. (2007, November). Discussion on the outcome and development challenges of the Medicaid system. In O. K. Moon (Chair), Outcome and long-term and mid-term directions for development of the Medicaid system. Symposium conducted at the meeting of celebrating the 30th Anniversary of Korean Medicaid, Seoul, Korea
  8. Jinnett, K., Alexander, J. A., & Ullman, E. (2001). Case management and quality of life: Assessing treatment and outcomes for clients with chronic and persistent mental illness. Health Service Research, 36, 61-90
  9. Kang, E. J., & Kim, N. Y. (2007). Korean health-related quality of life and health-adjusted life expectancy. In E. J. Kang, N. Y. Kim, D. J. Kim, H. R. Kim, Y. C. Beon, M. K. Seo, et al. (Eds.), Indepth analysis of the third national health and nutrition examination survey: The health interview and health behavior survey part (pp. 66-95). Seoul: Korea Centers for Disease Control and Korea Institute for Health and Social Affairs
  10. Kim, H. R., Oh, K. S., Oh, K. O., Lee, S. O., Lee, S. J., Kim, J. A., et al. (2008). Quality of life in low income Korean aged. Journal of Korean Academy of Nursing, 38, 694-703 https://doi.org/10.4040/jkan.2008.38.5.694
  11. Kim, K. H., & Kim, O. S. (2005). Influencing factors on HRQoL of physically disabled persons. Journal of Korean Academy of Nursing, 35, 478-486 https://doi.org/10.4040/jkan.2005.35.3.478
  12. Kim, Y. H., & Kim, K. S. (2002). A study on the relationship between self-esteem and quality of life of the elderly. Journal of Welfare for the Aged, 17, 157-189
  13. Lee, E. O., Eom, A. Y., Song, R. Y., Chae, Y. R., & Lam, P. (2008). Factors influencing quality of life in patients with gastrointestinal neoplasms. Journal of Korean Academy of Nursing, 38, 649-655 https://doi.org/10.4040/jkan.2008.38.5.649
  14. Lee, G. H., Kim, C. H., Shin, H. C., Park, Y. W., & Sung, E. J. (2007). The relation of physical activity to health related quality of life. Journal of the Korean Academy of Family Medicine, 28, 451-459
  15. Lee, H. Y., Suh, M. J., & Kim, S. A. (2005). Health related quality of life of woman with disabilities and its affecting factors. Journal of Korean Academy of Nursing, 35, 575-583 https://doi.org/10.4040/jkan.2005.35.3.575
  16. Lee, I. S., & Hong, Y. S. (2005). Social support and quality of life for the recipients of the medical security with a chronic disease. Korean Journal of Social Welfare, 57, 71-92
  17. Lee, I. S., & Kim, D. K. (2006). A study on the effectiveness of medicaid case management program. Journal of Korean Social Welfare Administration, 8, 39-66
  18. Lee, I. S., Um, T. Y., & Kim, D. K. (2007). The study of relationship between self-respect and quality of life, and mediation effect of health control for the recipients of the medical security with a chronic disease. Social Welfare Policy, 31, 239-259
  19. Lee, Y. S., Kim, K. Y., Park, K. S., Son, J. H., & Lee, J. Y. (1998). Quality of life, life satisfaction, and its determinants of the physically disabled in Taegu city. Korean Journal of Preventive Medicine, 31, 503-515
  20. Medipharmnews. (2006, November 27). Medicaid expenses in 2015 reached 20.5 trillion. Retrieved July 1, 2009, from http://medipharmnews. co.kr/newsbuilder/service/article/mess.asp?P_Index=19391
  21. Ministry of Health and Welfare. (2006, July). The third Korea national health and nutrition examination survey (KNHANES III), 2005 Summary (Issue Brief No. 11-1460000-000530-12). Seoul: Ministry of Health and Welfare & Korea Institute for Health and Social Affairs
  22. Pyun, S. B., & Kim, S. J. (1994). Life satisfaction of individuals with disabling conditions. Journal of Korean Academy of Rehabilitation Medicine, 18, 532-543
  23. SAS. (2009). Sample survey design and analysis. Retrieved July 11, 2009, from http://support.sas.com/rnd/app/da/new/dasurvey.html
  24. Shin, H. C. (1998). Definition of health-related quality of life. Journal of the Korean Academy of Family Medicine, 19, 1008-1015
  25. Shin, K. R., Byeon, Y. S., Kang, Y. H., & Oak, J. W. (2008). A study on physical symptom, activity of daily living, and health-related quality of life (HRQoL) in the community-dwelling older adults. Journal of Korean Academy of Nursing, 38, 437-444 https://doi.org/10.4040/jkan.2008.38.3.437
  26. Shin, Y. A., Shin, H. C., Shin, H. W., Park, E. J., Hong, S. W., Shin, . M., et al. (2008). Health services use and health status of Medicaid beneficiaries according to Medicaid policy change. Seoul: Ministry for Health, Welfare and Family Affairs & Korea Human Resource Development Institute for Health and Welfare
  27. Siller, A. B., & Tompkins, L. (2006, March). The big four: Analyzing complex sample survey data using SAS$^{®}$, SPSS $^{®}$, STAT$^{®}$, and SUDAAN$^{®}$. Poster session presented at the 31st annual meeting SAS Users Group International (SUGI) Conference, San Francisco, CA, USA
  28. Sohn, S. Y. (2006). A comparative study on the quality of life of the elderly and it's affecting factors between rural and urban areas. Journal of the Korean Gerontological Society, 26, 601-615
  29. Statistical indicators for 2008 medical expenses. (2009, February 24). Health Insurance Review and Assessment Service (2009). Retrieved July 1, 2009, from http://www.hira.or.kr/common/dummy. jsp? pgmid=HIRAF010303000000
  30. Yun, S. N., Kim, S. Y., & Lee, J. Y. (2005). Korean women’s health promoting behavior. Seoul: Seoul National University Press