일부지역의치과병 의원선택요인의중요도와영향. Importance and Influence in Factors of Selecting Dental Clinics in Some Regions

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1 Journal of Dntal Hygin Scinc Vol. 10, No. 1 pp. 45~54 (2010) 일부지역의치과병 의원선택요인의중요도와영향 Á ƒ w w, 1 w w Importanc and Influnc in Factors of Slcting Dntal Clinics in Som Rgions A-Jong Chun and Ka-Yan L 1 Dpartmnt of Dntal Hygin, Tagu Scinc Collg, Tagu-City , Kora 1 Dpartmnt of Dntal Hygin, Choonha collg of Halth scincs, Ulju-Gun, Ulsan , Kora "CTUSBDU Th purpos of this study was to offr th importanc on factors of slcting dntal institution according to gnral charactristics targting gnral dntal patints, and th information of having important influnc upon choosing dntal clinic and dntal hospital. Th survy was carrid out from August 2009 to Sptmbr. As a rsult of analyzing SAS(vr 9.1), th following conclusions wr obtaind. In th importanc on factors of slcting dntal institution according to gnral charactristics, it was thought to b important in convninc of movmnt or mobility such as distanc, transportation, and parking convninc according to ag lvl. According to final acadmic background, th importanc in a factor of rumor in dntal clinic was high(p < 0.05). According to job, th significant diffrnc was shown in rumor of dntistry and parking convninc(p < 0.05). According to incom, th factor in th apparanc of training a was indicatd to b statistically highr in th group with ovr 5 million won than th group with undr 2 million won(p < 0.05). Givn sing th distribution of opinion about dntal hospitals (comparison with dntal clinics), th xcllnc in th mdical staff's ability was indicatd to b th highst in all of th factor of influncing th us satisfaction(β = 0.18), th factor of influncing th rcommndation lvl(β = 0.21), and th factor of influncing th r-us intntion(or = 2.09).,FZ XPSET Choic of dntal clinic, Dntist, Dntal institution 서 론 ƒ» v w. p w x z w œ». x œ, «, r y ëš 1). w y» ùkùš, w y z y wì» w v ƒ. ú { w y s Corrsponding author Tl: Fax: blllov01@hanmail.nt wš w ƒ š 2).y z, w wš kw ù w» ƒ. p» y k š w w. y w j» w w, r, l w ƒ w 3). y, w wš. w y dw w 4).», z x, w ù. p» y ƒ û

2 Importanc and Influnc in Factors of Slcting Dntal Clinics in Som Rgions w ƒ ƒ k j» j 5). w w» w» œ w y ª y y w w. w y w, w kw w w.» w k w,» ƒ» kw w w. w y k ƒ ƒ k ƒ š w 6). w y š wš ƒ y w ww» w w v k w ƒ w š w 7). j ú» y w œ w ƒ. p» w y w w x ù ³ ƒ» y w» w w w š. y, y l z y y w y œw š y w y 5). w z y» wš y w p ƒwš, k q wš,» k y k w y, y y w» œwš w. 연구대상및방법 l 9 ¾ D ü wš B, H, R 3œ y 210 w 24 w 186 w. 2. w š, w w w z,»» ww.,, w,, s³ z p w ƒ sw š,»» w 9 w(», ) sww,» k» 15 w(, m,, ) w fp 5 w š, wì k» 1, 2, 3 w, w w 9 w(, ) fp 5 w 39 w. 3. m m SAS (vr 9.1) w p» k w s, w» p, w( ) s w, p» k, ƒ w ƒ w (1 :3, 2 :2, 3 :1 ) w. p» k w s³ w. 2 t t-tst w š 3 (ANOVA) w. w,, w, ƒ w k w d (Modl I), k» (Modl II) ƒƒ w k w w xz, w w pz w. m q» α=0.05 w. 결 과 1. p s 67.2%, û 32.8% ƒ š, d 20 ƒ 49.5% ƒ, %, %, %, %. w 44.7% ƒ š, š 25.8%, 23.6%, w 4.8%, w 1.1%. w 32.8% ƒ, 16.1%, z 15.6%,»kƒ ƒƒ 13.4%, 6.5%, œ 2.2% š, ƒ ( ) %, %. (Tabl 1) 2. k w s» k 15ƒ w w,,, mr, r, ü

3 Journal of Dntal Hygin Scinc Vol. 10, No. 1, pp. 45~54 (2010) 5BCMF Subjcts' gnral charactristics (N=186) Itm Classification Frquncy Prcntag(%) Gndr Mal Fmal Ag(yars old) Undr ~ ~ ~ Ovr Final acadmic background Undr middl-school graduat High-school graduat Junior-collg graduat Univrsity graduat Ovr graduat school Job Studnt Profssional Houswif Slf-mployd businss Company mploy Public srvant Othrs Houshold incom Undr (10,000 won/month) 200~ ~ ~ Ovr BCMF Distribution of importanc on factors of slcting dntal institution N(%) Standard of choic Not so at all Not so Modrat So Vry so Carr in mdics 14 ( 7.6) 24 (13.0) 42 (22.7) 75 (40.5) 30 (16.2) Gndr in mdics 40 (21.5) 49 (26.3) 50 (26.9) 36 (19.4) 11 ( 5.9) Nam of dntistry 50 (26.9) 51 (27.4) 45 (24.2) 29 (15.6) 11 ( 5.9) Apparanc of training in mdical 3 ( 1.6) 8 ( 4.3) 42 (22.7) 87 (47.0) 45 (24.3) spcialist Apparanc of mdics 56 (30.1) 53 (28.5) 57 (30.7) 18 ( 9.7) 2 ( 1.1) Rumor of dntistry 2 ( 1.1) 7 ( 3.8) 41 (22.0) 84 (45.2) 52 ( 28.0) Distanc, transportation convninc 3 ( 1.6) 2 ( 1.1) 50 (26.9) 85 (45.7) 46 (24.7) Parking convninc 10 ( 5.4) 24 (12.9) 52 (28.0) 73 (39.3) 27 (14.5) Intrior 8 ( 4.3) 17 ( 9.1) 76 (40.9) 72 (38.7) 13 ( 7.0) Stat-of-th-art implmnt 6 ( 3.2) 36 (19.4) 92 (49.5) 52 (28.0) Scal of dntistry 4 ( 2.2) 16 ( 8.6) 73 (39.3) 75 (40.3) 18 ( 9.7) Kindnss 2 ( 1.1) 31 (16.7) 97 (52.2) 56 (30.1) Doctor's f 6 ( 3.2) 49 (26.5) 76 (41.1) 54 (29.2) Apparanc of mdical cur at night 11 ( 5.9) 26 (14.0) 67 (36.0) 67 (36.0) 15 ( 8.1) and on holiday Tim of standing by mdical cur 4 ( 2.2) 8 ( 4.3) 63 (33.9) 83 (44.6) 28 (15.1) l,», ³,,. œ{» 12ƒ w w š ƒw ùkû,, k ùkû. (Tabl 2) 3. p» k w p» k w w (Tabl 3). k w m w ƒ ùkù,,

4 5BCMF Comparison of importanc on factors of slcting dntal institution according to gnral Mdical Mdical Nam of Apparanc Mdical Rumor Distanc, Parking Intrior Stat of Scal of Kindnss Doctor's f Appar- Tim of staff's carr staff's gndr dntistry of staff's of dntistry transporta- convninc th art dntistry anc of standing by (M±SD) training in apparanc mdiccal spcialist tion convninc implmnt mdical cur at night and on holiday mdical cur (M±SD) (M±SD) (M±SD) (M±SD) (M±SD) (M±SD) (M±SD) (M±SD) (M±SD) (M±SD) (M±SD) (M±SD) (M±SD) (M±SD) Gndr Mal 3.38± ± ± ± ± ± ± ± ± ± ± ± ± ± ±1.01 Fmal 3.48± ± ± ± ± ± ± ± ± ± ± ± ± ± ±0.79 t Ag Undr ± ± ± ± ± ± ± ± ± ± ± ± ± ± ±0.90 (Yars old) 30~ ± ± ± ± ± ± ± ± ± ± ± ± ± ± ±0.72 Ovr ± ± ± ± ± ± ± ± ± ± ± ± ± ± ±0.85 F * 8.74** Final acadmic carr Acadmic background Middl school & undr high school graduat Junior-collg graduat Ovr univrsity graduat 3.27± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ±1 3.66± 0.73 F * Job Studnt 3.34± ± ± ± ± ± ± ± ± ± ± ± ± ± ±0.91 Profssional 3.8± ± ± ± ± ± ± ± ± ± ± ± ± ± ±0.72 Houswif, 3.42± ± ± ± ± ± ± ± ± ± ± ± ± ± ±0.96 othrs Slf-mployd 3.17± ± ± ± ± ± ± ± ± ± ± ± ± ± ±0.67 businss Company mploy, public srvant 3.53± ± ± ± ± ± ± ± ± ± ± ± ± ± ±0.78 F * ** Houshold Undr ± ± ± ± ± ± ± ± ± ± ± ± ± ± ±0.86 Incom (10, ~ ± ± ± ± ± ± ± ± ± ± ± ± ± ± ±0.90 won /month) 300~ ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ~ ± ± ± ± ± ± ± ± ± ± ± ± ± ± ±0.83 Ovr ± ± ± ± ± ± ± ± ± ± ± ± ± ± ±0.56 F *p < 0.05, **p < 0.01 I m p o r ta n c a n d In f lu n c in F a c to rs o f S l c tin g D n ta l C lin ic s in S o m R g io n s

5 Journal of Dntal Hygin Scinc Vol. 10, No. 1, pp. 45~54 (2010) m r m ùkû (p < 0.05), r m ùkû (p < 0.05).,, m, r ù r w ƒw š. w w Áš w m ùkû (p < 0.05)., r w m w ƒ ùkû (p < 0.05). p r w w ƒ» ƒ û ùkû. ƒ š ƒ w ƒw w ùkþ m ùkû (p < 0.05), m û sƒw ùkû (p < 0.05). (Tabl 3) 4. p» k p» k Tabl 4., 1 ùkû, w» k,, ƒ 1 ùkû. 5. ( ) w s w( ) s r (Tabl 5). 9ƒ w 8,, r, n», z r,», y, m w ùkû, ƒ šƒ 5BCMF Priority to importanc of slcting dntal institution according to gnral charactristics Itm Variabls 1st ranking 2nd ranking 3rd ranking Gndr Mal Apparanc of training in Rumor of dntistry Kindnss Fmal Apparanc of training in Doctor's f Rumor of dntistry Ag Lss than 30 yars old Doctor's f Rumor of dntistry Kindnss yars old Rumor of dntistry Kindnss Apparanc of training in Mor than 40 yars old Apparanc of training in Kindnss Mdical staff's carr Education Middl school & undr Apparanc of training in Kindnss Doctor's f high school graduat Junior-collg graduat Kindnss Rumor of dntistry Mdical staff's carr Ovr univrsity graduat Rumor of dntistry Apparanc of training in Doctor's f Job Studnt Doctor's f Rumor of dntistry Kindnss Profssional Rumor of dntistry Kindnss Mdical staff's carr Houswif, othrs Apparanc of training in Kindnss Rumor of dntistry Slf-mployd businss Company mploy, public srvant Apparanc of training in Apparanc of training in Doctor's f Rumor of dntistry Rumor of dntistry Kindnss Incom Undr 200 Kindnss Doctor's f Rumor of dntistry 200~299 Apparanc of training in Rumor of dntistry Doctor's f 300~399 Rumor of dntistry Kindnss Apparanc of training in 400~499 Doctor's f Apparanc of training in Kindnss Ovr 500 Kindnss Rumor of dntistry Apparanc of training in

6 Importanc and Influnc in Factors of Slcting Dntal Clinics in Som Rgions 5BCMF Distribution of opinion about dntal hospital(comparison with dntal clinic N(%) Itm Not so at all Not so Modrat So Vry so Mdical staff's ability is mor xcllnt 2( 1.1) 25(13.7) 70(38.3) 75(41.0) 11( 6.0) Stat-of-th-art mdical facilitis 12( 6.5) 44(23.9) 111(60.3) 17( 9.2) Convninc of a booking systm 10( 5.5) 58(31.9) 87(47.8) 27(14.8) Short tim of standing by such as mdical 1( 0.6) 30(16.5) 74(40.7) 61(33.5) 16( 8.8) cur and mdication Convninc of acquiring mdical information 1( 0.6) 33(18.1) 92(50.6) 46(25.3) 10( 5.5) Fling saf about strilizing implmnt 1( 0.6) 11( 6.0) 72(39.3) 83(45.4) 16( 8.7) High-pricd mdical f 1( 0.6) 30(16.5) 81(44.5) 58(31.9) 12( 6.6) Bing thorough in patint managmnt 2( 1.1) 9( 4.9) 54(29.5) 95(51.9) 23(12.6) Prfction in mass transportation and parking facilitis 13( 7.1) 72(39.3) 81(44.3) 17( 9.3) 5BCMF Rsults of multipl linar rgrssion analysis on factors of influncing rcommndation lvl Itm Rlativ priority aspct in hospital compard to clinic Variabl Mdical staff's ability is mor xcllnt Stat of th art mdical facilitis Convninc of a booking systm Mdical cur, mdication Short standing-by tim Convninc of acquiring mdical information Fling saf about strilizing implmnt Modl Modl Itm Variabl β p β p Important critrion Mdical staff's carr givn slcting dntistry Mdical staff's gndr Nam of dntistry Apparanc of training in Mdical staff's apparanc Rumor of dntistry High-pricd mdical f Distanc, transportation convninc Bing thorough in patint Parking convninc managmnt Prfction in mass transportation and parking facilitis Intrior Stat of th art implmnt Scal of dntistry Kindnss Doctor's f Apparanc of mdical cur at night and on holiday Tim of standing by mdical cur w. 6. w w xz k w q w» w w d (Modl I), k» (Modl II) ƒƒ w xz w. Modl I (β=0.21), z r (β=0.19), r (β=0.17), (β=0.09) ƒ j,, (β=-0.32), šƒ (β=-0.15) j. (p=0.013), z r (p=0.014), r (p=0.029),

7 Journal of Dntal Hygin Scinc Vol. 10, No. 1, pp. 45~54 (2010) 5BCMF Rsults of multipl logistic rgrssion analysis on factors of influncing th r-us intntion Itm Rlativ priority aspct in hospital compard to clinic Variabl Mdical staff's ability is mor xcllnt Stat-of-th-art mdical facilitis Convninc of a booking systm Mdical cur, mdication Short standing-by tim Convninc of acquiring mdical information Fling saf about strilizing implmnt Odds ratio Modl I 95% CI Itm Important critrion givn slcting dntistry Variabl Mdical staff's carr Mdical staff's gndr Nam of dntistry Apparanc of training in mdical spcialist ( ) Mdical staff's apparanc Rumor of dntistry High-pricd mdical f ( ) Distanc, transportation convninc Bing thorough in patint Parking convninc managmnt Prfction in mass transportation and parking facilitis Intrior Stat of th art implmnt Scal of dntistry Kindnss Doctor's f Apparanc of mdical cur at night and on holiday Tim of standing by mdical cur Odds ratio Modl II 95% CI ( ) (p=0.001), šƒ (p=0.027) m w. Modl II l (β=0.20), (β=0.17), (β=0.13), { (β=0.07), r (β=0.06), (β=0.06) ƒ j,,» ³ (β=-0.15), (β=-0.09), (β=- 0.12), (β=-0.06),» (β=-0.05),, mr (β=-0.04) j. l (p=0.009), (p=0.027) m w. 7. w w pz w q w» w w d (Modl I), k» (Modl II) ƒƒ w pz w. k stpwis w w Modl I z r (OR = 0.64) šƒ (OR = 1.74)ƒ m w. Modl II œ{ (OR = 1.47) m w. 고 찰 D w y w 210 w z w z w 24 wš 186 w w. p 67.2%, û 32.8% ƒ, 8) ¾» û û»ƒ š. 20 ƒ 49.5%, %, %, %, % 20 ƒ 20»

8 Importanc and Influnc in Factors of Slcting Dntal Clinics in Som Rgions w q. w s 44.7%, š 25.8%, 23.6%, w 4.8%, w 1.1% ƒ š, s w 32.8%, 16.1%, z 15.6%,»kƒ ƒ ƒ 13.4%, 6.5%, œ 2.2% ùkû. ƒ ( ) %, %, % %, %, ƒ w ùkû. p r» 31.9%, 21.6% ùkù 20, w š w ú w w 5) ƒ w» w. w ù z w 2006 l œ 9), w š w. f y w q. w ëš, y y œ š,» w x g k š w 10). w yƒ ¼ w š, y k y w w w. ƒ y w w ƒ š»» 11). kw y kw w x w š š w. ù ƒ» l w ƒ. w w w w kw ƒ k. w ƒ z ƒ œ y w kwš w y œ y y g, y s ƒ 3). w m ù ƒ v w 12). y q wš y ƒ w t œw» y š œw 13) ywš w k w w w. k w s w,,,» w ƒ š ùkû. 14) k w ƒ ùkù w,» ƒ w ùkù y ½ 5) 15)» ƒ w ùkù. p k w s k w ƒ ùkù, 30, m r, r ùkù, m, r r w ƒw š. w ƒ» r w ƒ û ùkû, ƒ ƒ š ƒ w ƒw w ù kû. y 10) ù m r w ù, w» ƒ y» j» w»» y wd yw w. w w w 16) x ü» x, x, x 3ƒ w, w, w, r w z w, x y š w ü», r, { œ w ƒw ùkû. w xz w w w d w, z r, r,, šƒ ƒ m w š, k» l, m w.» ³,, y šƒ, ƒ j ƒ j. w û yw, w. w w d m w š, k»,,, { m w. r y w w w w

9 Journal of Dntal Hygin Scinc Vol. 10, No. 1, pp. 45~54 (2010) ƒ w.»,, š 17) w. 3) k k «w w x œm k k «w ƒ w ùkù š w. w ƒ, w» k, l, w ù. 18) k,, ü y w» w y š w. w ½ 19) k š w. w w ƒ ùkû, z r, ùkûš, šƒ k w w w ùkû. w,,,, w w. w y w» j» w ƒ, w w, ƒ wì œ w»» w v w. 요 약 y p» k w k w w œw š l 9 ¾ w SAS(vr 9.1). 1. p» k w w, m, r ù r w ƒwš, w ƒ,(p < 0.05), r w ƒ ùkû.(p < 0.05) m ùkû.(p < 0.05) 2. w y 23.7% ƒ, ƒ «ƒ ƒƒ 17.7% ùkû l w ù ƒ «z ƒ j. 3. w Modl I (p = 0.013), z r (p=0.014), r (p=0.029), (p = 0.001), šƒ (p = 0.027) m w, Modl II l (p = 0.009), (p = 0.027) m w. 4. w Modl I z r (OR = 0.64) šƒ (OR = 1.74)ƒ m w, Modl œ{ (OR = 1.47)ƒ m w. 참고문헌 1. L KE: A study on factor to influnc th utilization of hospital srvics and customr's satisfaction. Mastr's Thsis of Graduat School Kyungsan Univrsity, Yu SY, Kim EH: A study on factors in slcting of hospital: focus on mdical advrtising implication. Journal of Advrtising 17(5): , Jung SY: Comparison of orthodontia patints' choic and satisfaction at diffrnt typ of dntal hospital. J Koran Acad Dnt Halth 29(4): , Kim JO: A study on factors in slcting of dntal hospital: focus on univrsity dntal hospitals in Soul. Mastr's Thsis of Graduat School Kyungh Univrsity, Hwang JS: Customr's prfrnc rsarch about slctd factors of dntal hospital. Mastr s Thsis of Graduat School Kyungh Univrsity, Gorg J, Stiglr: Th conomics of information. Journal of political Economy 69(6): , Kim J, Park CH, Kang EJ: A study on mdical consurmrs' slction of dntal clinic institutions dpnding on thir lifstyl. J Dnt Hyg Sci 31(4): , Khang IS: A study on dntal consumr's dntal clinic choic critria. Mastr s Thsis of Graduat School Hanyang Univrsity, Jang HS, Park SK, You SJ: Dmand and supply planning for th dntal profssions. KHID 40(7): 14, L GS, Min BK: Th rsarch about th influnc of mdical srvic whn choosing th dntal clinic. J Dnt Hyg Sci 8(2): 51-56, Kwon J: Thory of valu by consumrs choos hospitals idntifid factors. Mastr's Thsis of Graduat School Yonsi Univrsity, Hyun SJ: Th slctiv factors and patint satisfaction of th snior hospitals and gnral hospitals. Mastr's Thsis of Graduat School Yonsi Univrsity, 2003.

10 Importanc and Influnc in Factors of Slcting Dntal Clinics in Som Rgions 13. Kim JS, Yoo MS, Ju OJ: Satisfaction with dntal car in orthodontic patints. J Dnt Hyg Sci 6(3): , Choi HJ: Information sarching bhavior and factors affcting choosing dntal institutions. Mastr's Thsis of Graduat School Inj Univrsity, Kim JW: Choosing pattrns for dntists and dntal car institutions among collg studnts. Mastr's Thsis of Graduat School Inj Univrsity, Han KS: A study on subjctivity about th utilization of dntal srvic. Mastr's Thsis of Graduat School Chungang Univrsity, L HK, Chang IW: Effct of th non-mdical srvics on attitud to hospital utilization. J Prv Md Pub Halth 21(2): , Sung DI: A study on xprt influnc on satisfaction on rus intntion by choic factor for dntal clinic. Mastr's Thsis of Graduat School Kumoh National Institut of Tchnology Univrsity, Kim UO, Jo SY: A study on th rus, motivation and satisfaction of th hospital choic for som hospital patints. Clinical nursing rsarch 10(1): (Rcivd Dcmbr 24, 2009; Rvisd Fbruary 20, 2010; Accptd Fbruary 22, 2010)