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Kim and Kim: Maternal and Hospital Factors Impacting the Utilization of Rooming-in Care in South Korea: Secondary Analysis of National Health Data
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2011; 41(5): 593-602.

Published online: 31 October 2011

DOI: https://doi.org/10.4040/jkan.2011.41.5.593

Maternal and Hospital Factors Impacting the Utilization of Rooming-in Care in South Korea: Secondary Analysis of National Health Data

Yunmi Kim1, Eun-Young Kim2

1Associate Professor, Department of Nursing, Eulji university, Seongnam, Korea.

2Associate Professor, Department of Nursing, Dong-A university, Busan, Korea.

Address reprint requests to: Kim, Eun-Young. Department of Nursing, Dong-A University, 3 Dongdaeshin-dong, Seo-gu, Busan 602-714, Korea. Tel: +82-51-240-2785, Fax: +82-51-240-2920, eykim@dau.ac.kr

Received 10 March 2011       Accepted 24 October 2011

© 2011 Korean Society of Nursing Science

Abstract

Purpose

Purpose: In this study analysis was done of utilization of rooming-in care in South Korean hospitals in order to examine the factors related to mothers and hospitals that affect rooming-in care.

Methods

With the involvement of 254,414 mothers who gave birth across 953 hospitals, the analysis used the health insurance qualification data of the National Health Insurance Corporations and Health Insurance Review and Assessment Service (2006). Factors associated with rooming-in care were analyzed using a GEE logistic regression analysis to consider factors related to both mothers and hospitals.

Results

Only 45.1% of the mothers used rooming-in care. The results of the regression analysis revealed that individual factors of the mothers were not associated with rooming-in care, whereas group factors of the hospitals were. Rooming-in care use was primarily related to small hospital, location of hospital, and higher nurse staffing level.

Conclusion

The findings of this study indicate that the utilization of rooming-in care is not associated with factors an individual mother, but rather with the group factors of the hospitals. Thus, a policy-based approach considering both of these types of factors is required to enhance the utilization of rooming-in care.

Keywords: Rooming-in care, Mothers, Hospitals, Logistic models

Figures and Tables

Figure 1
Participant selection process.
jkan-41-593-g001
Figure 2
The maps of rooming-in rates.
jkan-41-593-g002
Table 1
Characteristics of Hospitals
jkan-41-593-i001
Table 2
General Characteristics of Mothers (N=254,414)
jkan-41-593-i002
Table 3
Utilization of Rooming-in Care by General Characteristic of Mothers and Hospitals
jkan-41-593-i003

*Including Busan, Daegu, and Ulsan.

Table 4
GEE Logistic Regression on Use of Rooming-in Care
jkan-41-593-i004

*Including Busan, Daegu, and Ulsan; GEE=Generalized estimation equation.

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