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우리나라 노인들의 미충족 의료 유형별 관련요인

Factors Associated with the Types of Unmet Health Care Needs among the Elderly in Korea

  • 최희영 (서남대학교 의료경영행정학과) ;
  • 류소연 (조선대학교 의과대학 예방의학교실)
  • Choi, Hee-Young (Department of Healthcare Management Administration, Seonam University) ;
  • Ryu, So-Yeon (Department of Preventive Medicine, College of Medicine, Chosun University)
  • 투고 : 2017.02.28
  • 심사 : 2017.06.12
  • 발행 : 2017.06.30

초록

Objectives : This study aimed to investigate the types of unmet health care needs of the elderly and factors affecting them. Methods : This study used data from the 2012 Community Health Survey. Multinomial logistic regression analysis was conducted to identify the relevance between each type of unmet health care needs and predisposing, enabling, and needs factors, based on the cases without unmet health care needs. Results : Persons with unmet health care needs were 4,460 (9.5%) of the total sample. By types of unmet health care needs, 1,171 (2.5%), 1,026 (2.2%), and 2,263 (4.8%) persons reported inaccessibility, non-accommodativeness, and unaffordability respectively. It was concluded that the there were differences in the associated factors according to the types of unmet medical needs. Conclusions : It is suggested that unmet health care needs in the elderly should be examined from diverse angles rather than from a single aspect of partial limits. In particular, diverse types of unmet health care needs for health care in the elderly according to limited accommodation shoulder be examined. Finally, strategies to decrease unmet health care needs that reflect the associated factors should be developed.

키워드

참고문헌

  1. http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&bSeq=&aSeq=348565&pageNo=11&rowNum=10&navCount=10&currPg=&sTarget=title&sTxt=2015
  2. S.R. Do(2009), Medical utilizations of the aged: Issues and policy tacks, health and welfare policy forum, Vol.157;66-79.
  3. S.S. Moon, M.G. Choi(2013), Public health administration, Bomungak, pp.428-440.
  4. K.S. Song, J.H. Lee, K.H. Rhim(2011), Factors associated with unmet needs for health care, Korean Public Health Research, Vol.37(1);131-140.
  5. J.G. Kim(2008), Factors affecting the choice of medical care use by the elderly person, Joumal of Welfare for the Aged, Vol.39;273-302.
  6. J. Bradshaw(1972), The concept of social need, New society, Vol.496;640-643.
  7. A. Donabedian(1973), Aspects of medical care administration: Specifying requiremnts, MA: Harvard University Press, pp.1-649.
  8. B.D. Hwang, R. Choi(2015), The prevalence and association factors of unmet medical needs by Age group in the elderly, The Korean Journal Health Service Management, Vol.9(1);81-93. https://doi.org/10.12811/kshsm.2015.9.1.081
  9. B.R. Lee(2007), A study on the factors affecting to medical service utilization of the aged, Catholic University, p.22.
  10. R. Pencchansky, J.W. Thomas(1981), The concept of access: definition and realationship to consumer satisfaction, Medical Care, Vol.19(2);127-140. https://doi.org/10.1097/00005650-198102000-00001
  11. S.N. Huh, M.G. Kim, S.H. Lee, S.J. Kim(2009), Policcy options to tackle unmet health needs, KIHASA, pp.1-121.
  12. Y.J. Shin, J.I. Son(2009), The prevalence and association factors of unmet medical needs: Using 1st and 2en korea welfare panel data, Health and Social Welfare Review, Vol.29(1);111-142.
  13. B.W. Lee(2014), The study on regional variation of unmet needs for health care in korea, Konyang University, pp.1-98.
  14. S.S. Cho, T.K. Lee, Y.W. Bang, C.J. Kim, H.J. Im, Y.J. Kwon, Y. Cho, D.Y. Park, Y.S. Ju(2010), Factors associated with unmet needs for medical care among island inhabitants in korea, J Agr Med Commun Health, Vol.35(2);151-164. https://doi.org/10.5393/JAMCH.2010.35.2.151
  15. S.H. Kim, C.Y. Lee(2013), Analysis of factors affecting unmet health care needs of married immigrant women, J Korean Nurs, Vol.43(6);770-780. https://doi.org/10.4040/jkan.2013.43.6.770
  16. J.E. Lee, T.H. Kim(2014), Association of supplementary private health insurance with unmet health care needs, Journal of Health Informatics and Statistics, Vol.39(1);91-104.
  17. Y.H. Jung(2012), Limited activities and unmet medical care on the Korean health panel, Korea Institute for Health and Social Affairs, Vol.120(1);1-8
  18. D.Y. Lee, J.D. Park(2011), A study on the factors for elderly living alone at home to determine their participation in a health promotion activity program: with the application of Anderson Model, Social Welfare Policy, Vol.38(4);1-23.
  19. R. Anderson(1968), A behavioral model of families' use of health service, Center for Health Administration Studies, University of Chicago, pp.1-111.
  20. Korea Centers for Disease Control and Prevention(2012), Community Health Survey, pp.1-98.
  21. H.S. Jeon, S.K. Kahng(2012), Age differences in the predictors of medical service use between young-old and-old: Implications for medical service in aging society, Health and Social Wefare Review, Vol.32(1);28-57. https://doi.org/10.15709/hswr.2012.32.1.28
  22. O.M. Baek(2011), Factors associated with funtional health outcomes in community-dwelling older adults: Applying anderson's revised model, Journal of Community Welfare, Vol.9(1);1-27.
  23. H.C. Shin, J.Y. Kang, W.S. Park, S.A. Kim(2009), Helath status and medical utilization of women in rural aera, J Agri Med & Community Health, Vol.34(1);67-75. https://doi.org/10.5393/JAMCH.2009.34.1.067
  24. J.H. Kim(2011), A study of factors in unmet medical needs and equity, Yonsei University, pp.1-54.

피인용 문헌

  1. Factors Associated with Unmet Healthcare Needs According to Households vol.12, pp.2, 2018, https://doi.org/10.12811/kshsm.2018.12.2.039
  2. Studies on Consumer-Oriented Improvement Direction in Medical Service Markets for aged consumers : Focused on 2017 Korea Consumer Markets Performance Index vol.48, pp.3, 2017, https://doi.org/10.15723/jcps.48.3.201712.187
  3. 뇌혈관질환자의 미 충족 의료에 미치는 영향요인 연구 vol.16, pp.9, 2017, https://doi.org/10.14400/jdc.2018.16.9.279
  4. 일인 가구의 성별에 따른 미충족 의료현황과 관련 요인 vol.26, pp.1, 2017, https://doi.org/10.4069/kjwhn.2020.03.23
  5. Intergenerational Differences in Factors Affecting Unmet Health Care Needs in South Korea: Comparison of Middle-aged and Older Adults vol.19, pp.1, 2017, https://doi.org/10.1080/15350770.2021.1868242
  6. The Relationship between Unmet Healthcare Needs Due to Financial Reasons and the Experience of Catastrophic Health Expenditures vol.32, pp.1, 2017, https://doi.org/10.12799/jkachn.2021.32.1.95
  7. Factors Related to Regional Variation in the High-risk Drinking Rate in Korea: Using Quantile Regression vol.54, pp.2, 2017, https://doi.org/10.3961/jpmph.20.507
  8. 거주지역 이동이 의료이용량과 의료접근성에 미치는 영향 vol.31, pp.1, 2017, https://doi.org/10.4332/kjhpa.2021.31.1.125
  9. 한국 노인대상 민간의료보험에 관한 선행연구 고찰 vol.22, pp.4, 2017, https://doi.org/10.5762/kais.2021.22.4.75
  10. Factors Affecting Unmet Medical Care in Elderly Hypertensive Patients vol.26, pp.11, 2017, https://doi.org/10.9708/jksci.2021.26.11.201