보건행정학회지 (Health Policy and Management)

  • 제22권4호
  • /
  • Pages.497-521
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  • 2012
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  • 1225-4266(pISSN)
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  • 2289-0149(eISSN)
한국보건행정학회 (Korean Academy of Health Policy and Management)
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노인의 사회자본과 건강위해 행위 및 건강수준이 의료서비스 이용에 미치는 영향

The effect of social capital, health risk behavior and health status on medical care utilization by the elderly

  • 우경숙 (한양대학교 의과대학 예방의학교실) ;
  • 서제희 (한양대학교 의과대학 예방의학교실) ;
  • 김계수 (세명대학교 경영학과) ;
  • 신영전 (한양대학교 의과대학 예방의학교실)
  • Woo, Kyung-Sook (Department of Preventive Medicine, Hanyang University College of Medicine) ;
  • Seo, Jae-Hee (Department of Preventive Medicine, Hanyang University College of Medicine) ;
  • Kim, Gye-Soo (Department of Business Administration, Semyung University) ;
  • Shin, Young-Jeon (Department of Preventive Medicine, Hanyang University College of Medicine)
  • 투고 : 2012.10.04
  • 심사 : 2012.11.05
  • 발행 : 2012.12.31
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초록

Objectives This study aimed to investigate the effect of social capital, health risk behavior and health status on medical care utilization by the elderly. The data and Research method Data were obtained from the 4th wave survey of the Korea Welfare Panel Study. 4,087 household members aged 65 years and over were subject to analysis. Descriptive statistics are used to describe the basic features of the data in a study. we performed a structural equation modeling(SEM) analysis to evaluate the effect of social capital and mediating effect of health risk behavior and health status. Results Results showed that factors related to medical care utilization of the elderly were different depending on types of service (inpatient and outpatient service) except health status. Age, higher social capital, more health-risk behavior and poorer health status were associated with increased use of inpatient service. Social capital was found to have a positive direct effect on it. Also, social capital had an indirect effect on reducing use of inpatient services by improving health status. On the other hand, lower age and higher household income tended to increase use of outpatient service, while higher social capital and higher health status were inversely related. Social capital had a direct effect and an indirect effect on reducing use of outpatient service and, at that time, health status played a mediating role. Conclusions Social capital may contribute to improve health status and indirectly reduce medical care utilization of the elderly by enhancing their health status. These results provide evidence that more policy and strategy considerations should be needed for the elderly to strengthen their social capital in order to enhance their levels of health and more efficient utilization of medical care.

키워드

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