Health Policy Manag.  2018 Mar;28(1):70-76. 10.4332/KJHPA.2018.28.1.70.

Determinants of North Korean Refugees' Trust in South Korea Health Service

• Um TR
• Min HJ
• Lee TH
• Lee EJ
• Jin KN

• KMID: 2410250
• DOI: http://doi.org/10.4332/KJHPA.2018.28.1.70

Abstract

BACKGROUND
The purpose of this study was to investigate the determinants of North Korean refugees' trust in South Korea health service.
METHODS
This study surveyed 168 North Korean refugees aged 19 and over living in Seoul, Gyeonggi, Incheon, and Gangwon. The collected data were analyzed by frequency analysis, t-test, analysis of variance, and hierarchical regression analysis to analyze the effect on the trust of refugees.
RESULTS
The difference analysis showed statistically significant difference according to duration of residence and employment status. The determinants of North Korean refugees' trust in South Korea health services were duration of residence, basic communication skills, health communication skills, and experience of health service.
CONCLUSION
In order to increase the trust of North Korean defectors in South Korea medical services, it is necessary to resolve communication problems and improve the satisfaction of health services. For this, the interpreter service should be activated. And specific education should be given to the North Korean refugees about the health care system and the utilization methods of health service in Korea.

Keyword

North Korean refugees; Health communication; Experience of health service; Trust in South Korea health service

MeSH Terms

Delivery of Health Care
Education
Employment
Gangwon-do
Gyeonggi-do
Health Communication
Health Services*
Humans
Incheon
Korea*
Refugees
Seoul