Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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Factors Influencing Utilization of Medical Care Among Osteoarthritis Patients in Korea: Using 2005 Korean National Health and Nutrition Survey Data

우리나라 골관절염 환자의 의료이용과 관련된 요인: 2005년 국민건강영양조사 자료를 이용하여

  • Kim, Min-Young (Department of Preventive Medicine, Yonsei University Wonju College of Medicine) ;
  • Park, Jong-Ku (Department of Preventive Medicine, Yonsei University Wonju College of Medicine) ;
  • Koh, Sang-Baek (Department of Preventive Medicine, Yonsei University Wonju College of Medicine) ;
  • Kim, Chun-Bae (Department of Preventive Medicine, Yonsei University Wonju College of Medicine)
  • 김민영 (연세대학교 원주의과대학 예방의학교실) ;
  • 박종구 (연세대학교 원주의과대학 예방의학교실) ;
  • 고상백 (연세대학교 원주의과대학 예방의학교실) ;
  • 김춘배 (연세대학교 원주의과대학 예방의학교실)
  • Received : 2010.05.31
  • Accepted : 2010.09.30
  • Published : 2010.11.30
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Abstract

Objectives: The purpose of this study was to define the association between the medical utilization of osteoarthritis patient and its related factors. Methods: We used the 2005 Korean National Health and Nutrition Survey data and we enrolled 2833 participants who were forty or older and who were diagnosed as having osteoarthritis by a doctor within 1 year and who had suffered from osteoarthritis for more than 3 months. The Andersen behavioral model was used as the analytic framework, and the variables were categorized into predisposing, enabling, and need factors. To determine the influence of each variable on the medical utilization of osteoarthritis patient, we applied hierarchical logistic regression analysis with two stages: the first stage included the predisposing and enabling factors and the second stage included the need factors. Results: On the hierarchical logistic analysis, the variables of personal income, the type of medical security, the duration of arthritis related symptoms within 1 month, the subjective health status and the duration of osteoarthritis showed a statistically significant association with medical utilization in men. And the variables of age, limitation activity due to osteoarthritis, arthritis related symptoms within 1 month, and the subjective health status had a statistically significant association with medical utilization in women. Conclusions: The patients who tend to receive less care are those who suffer less from symptoms of osteoarthritis, those who are within the initial phase, or those with a low-level severity of osteoarthritis. It is necessary to encourage patients to receive the treatment in the initial phase.

Keywords

References

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