The Korean Journal of Health Service Management (보건의료산업학회지)

Korea Society of Health Service Management (보건의료산업학회)
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Factors Associated with Non-Participation in Health Screening for People with Disabilities

장애인의 건강검진 미수검에 영향을 미치는 요인

  • Kim, Seok-Yeong (Research Institute for Healthcare Policy Korean Medical Association) ;
  • Lee, Jung-Chan (Research Institute for Healthcare Policy Korean Medical Association) ;
  • An, Byeung-Ki (National Rehabilitation Center) ;
  • Kim, Yang-Kyun (School of Management, Kyung Hee University)
  • 김석영 (대한의사협회 의료정책연구소) ;
  • 이정찬 (대한의사협회 의료정책연구소) ;
  • 안병기 (국립재활원) ;
  • 김양균 (경희대학교 경영학부)
  • Received : 2017.11.24
  • Accepted : 2017.12.20
  • Published : 2017.12.30
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Abstract

Objectives : The purpose of this study was to find the determinants for non-participation in health screenings among the disabled. Methods : We used 2014-15 Korea Health Panel data and analyzed 1,073 people with disabilities older than 19 years to investigate the two-year health screening participation rates. Multiple logistic regression analyses were conducted to analyze the factors affecting non-participation in health screenings. Results : Of the 1,073 people with disabilities who were analyzed, 29.8% and 27.1% participated in NHI mass screenings and cancer screenings, respectively. In both screenings, non-participation rates were higher in people aged 19-49 and lower in people aged 50 -69 than those aged 70 or older; higher in people with lower education, higher in people with private health insurance; higher in people with fewer chronic diseases; and higher in people with severe disability ratings. Conclusions : People with disabilities should be provided with more appropriate preventive care services according to their disability types and severity compared to people without disabilities.

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References

  1. Ministry of Health and Welfare(2016), e-national Index, Disabled Status, [cited 2017 November 14]. http://www.index.go.kr/potal/main/EachDtlPage Detail.do?idx_cd=2768
  2. Y.H. Cho, T.Y. Kim, K.H. Song(2015), 2015 Statistical Yearbook of Disabled Persons, Korea Disavled people's Development institute, p.280.
  3. J.E. Yoon, B.R.M. Lim, S.H. Ho(2014), Original Articles : Trends and Factors Affecting Participation Rate in Korean National Health Screening among People with Disabilities. Health Policy and Management, Vol.24(2);172-180. https://doi.org/10.4332/KJHPA.2014.24.2.172
  4. H.J. Suh, S.W. Kim(2015), A Study on Applying Disability Impact Assessment for Health Screening Program, Journal of Rehabilitation Research, Vol.19(2);75-98. https://doi.org/10.16884/JRR.2015.19.2.75
  5. S.J. Eun, J.Y. Hong, J.Y. Lee, J.S. Lee, Y. Kim, Y.I. Kim, Y.S. Shin(2006), Differences in Medical Care Utilization Rates of the Disabled and the Non-disabled with Ambulatory Care Sensitive Conditions, J Prev Med Pubilc Health, Vol.36(5);411-418.
  6. Framework Act on Health Examinations, Act No. 13640, Dec. 29, 2015, [cited November 21], http://www.law.go.kr/lsInfoP.do?lsiSeq=178148&efYd=20160630#0000
  7. National Health Insurance Service(2017), 2017 General Health Examination Sheet, National Health Insurance Service, p.4.
  8. National Health Insurance Service(2016), 2015 National Health Insurance Statistical Yearbook, National Health Insurance Service, pp.54-59.
  9. J.H. Park, J.S. Lee, J.Y. Lee, J.Y. Hong, S.Y. Kim, S.O. Kim, B.H. Cho, Y.I. Kim, Y.S. Shin, Y. Kim(2006), Factors Affecting National Health Insurance Mass Screening Participation in the Disabled, J Prev Med Public Health, Vol39(6);411-418.
  10. Ministry of Health and Welfare(2015), Disabled persons, the rate of screening of health check is low, and medical use and medical expenses are higher. Press release of Ministry of Health and Welfare, 2015.11.23., pp.1-12, [cited 2017 November 21] http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=327745&page=2
  11. J.C. Lee, K.H. Kim, H.N. Kim, N,S Kim(2012), Factors associated with diabetes outpatient use of tertiary or general hospitals as their usual source of care in Korea, J Korean Med Assoc, Vol.55(12);1215-1225. https://doi.org/10.5124/jkma.2012.55.12.1215
  12. R.M. Andersen, Newman(1973), J.F. Societal and individual determinants of medical care utilization in the United States, The Milbank Memorial Fund Quarterly: Health and Society, Vol.51(1);95-124. https://doi.org/10.2307/3349613
  13. H.J. Lee, H.J. Lee, B.Y. Jeon, Y.I. Jung(2009), Factors Related to Health Care Utilization in the Poor and the General Populations, The Korean Journal of Health Economics and Policy, Vol.15(1);79-106.
  14. H.Y. Song, J.W. Choi, E.C. Park(2015), The Effect of Economic Participatory Change on Unmet Needs of Health Care among Korean Adults Health Policy and Management, Vol.25(1);11-21.
  15. M.R. Gil, C.G. Choi(2017), Exploring the Factors of Selecting National and Public Hospitals of Emergency Service Users, The Korea Association for Policy Studies. Vol.26(3);23-49.
  16. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention(2016), Korea Health Statistics 2015 : Korea National Health and Nutrition Examination Survey (KNHANES VI-3), p.137.
  17. B.Y. Jeon(2014), Factors affecting health care utilization and unmet health care needs of the disabled population in Korea [dissertation], Seoul: Seoul National University, pp.64-122.
  18. Y. Kim, J.Y. Lee, B.S. Lee, W.H. Kim, J.S. Lee, N.J, Moon, K.S. Lee, J.H. An , H.S. Sim, J.H. Park, S.O. Kim, J.J. Lee, J.E. Lee(2005), Analysis of Actual Use of Medical Care Benefits for Disabled Persons and Study on strengthening health insurance, National Health Insurance Service.Seoul National University College of Medicine, pp.65-84.
  19. S.M. Havercamp, D. Scandlin, M. Roth(2004), Health Disparities Among Adults with Developmental Disabilities, Adults with Other Disabilities, and Adults Not Reporting Disability in North Carolina, Public Health Rep, Vol.119(4);418-426. https://doi.org/10.1016/j.phr.2004.05.006
  20. L.I. Iezzoni, R.B. Davis, J. Soukup, B. O'Day(2003), Quality dimensions that most concern people with physical and sensory disabilities, Arch Intern Med, Vol.163(17);2085-2092. https://doi.org/10.1001/archinte.163.17.2085
  21. H.Y. Lee, J.H. Park, Y. Kim(2012), Assessment and Improvement Strategies of Korean National Health Screening Program, Journal of Critical Social Welfare, Vol.37;285-323.
  22. M.K. Kim, W.J. Jung, S.J. Lim, S.J. Yoon, J.K. Lee, E.K. Kim, N.J. Ko (2010), Socioeconomic Inequity in Self-Rated Health Status and Contribution of Health Behavioral Factors in Korea, J Prev Med Public Health, Vol.43(1);50-61. https://doi.org/10.3961/jpmph.2010.43.1.50
  23. S.O. Kim(2005), Choice of private health insurance and utilization of medical services, 6th Korean Labor and Income Panel Study Conference, pp.8-10.
  24. J.E. Shin(2013), Determinants of Unmet Healthcare Needs among the Communitydwelling Korean Adults with Disabilities : A Case of the National Health Insurance Beneficiaries, Health and Social Welfare Review, Vol.33(2);549-577. https://doi.org/10.15709/hswr.2013.33.2.549
  25. K.S. Moon, Y.K. Kim, H.J. Chang(2016), Determinants of the Use and Type of Comprehensive Medical Examination Services, The Korean Journal of Health Service Management, Vol.10(2);83-97. https://doi.org/10.12811/kshsm.2016.10.2.083

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