Differences in Medical Care Utilization by Regional Economic Status

지역 소득수준에 따른 의료이용의 차이

  • Lim, Nam Gu (Dept. of Medical Administration, Daejeon Health Sciences College)
  • 임남구 (대전보건대학교 의무행정과)
  • Received : 2013.07.17
  • Accepted : 2013.10.20
  • Published : 2013.10.28


The purpose of this study was to identify the differences in medical care utilization by regional economic status using the National Hospital Discharge Patients Injury Survey. In order to determine economic status of each region, 234 cities and counties were categorized 5 quintiles according to their financial self-reliance ratio. The main results are as follows. First, low economic region has high age-standardized admission rate and standardized mortality rate. Second, of 16 major diseases, cerebrovascular and heart diseases, lung cancer, and stomach cancer reported greater changes in standardized mortality rate by regional economic status. Third, the rate of admission via emergency room in low economic region is higher than that of high economic region. Lastly, in the major illnesses, lower economic status led to an increase in average length of stay. Therefore, In order to bridge the gap in health inequality across regions, a regional medical policy tailored for each region and characteristics of the economic status should be established.