DOI QR코드

DOI QR Code

Factors Affecting Unmet Healthcare Needs among Adults with Chronic Diseases

만성질환을 가진 성인의 미충족 의료 영향요인

  • Received : 2020.11.23
  • Accepted : 2021.04.07
  • Published : 2021.06.30

Abstract

Purpose: In adults with chronic diseases, unmet healthcare needs are likely to increase the risk of worsening the illness and complications. This study was conducted to explore factors affecting unmet healthcare needs among adults with chronic diseases. Methods: A cross sectional study was performed using the data from the seventh Korea National Health and Nutrition Examination Survey (KNHANES VII), 2016-2017. The sample of this study consisted of 6,104 adults with chronic diseases. The data were analyzed by Rao-Scott 𝑥2 test and logistic regression using complex samples analysis. Results: The proportion of subjects who experienced unmet healthcare needs was 10.9% of adults with chronic diseases. The factors affecting unmet healthcare needs of adults with chronic diseases were age, gender, employment status, household income, subjective health status, activity limitation, and perceived stress. Conclusion: The findings of this study suggest that various factors may be associated with their unmet healthcare needs. Finally, the development of strategies to reduce unmet healthcare needs for people with chronic diseases should consider the associated factors presented in the study.

Keywords

References

  1. Statistics Korea. Standard statistical terms and indicators[Internet]. Daejeon: Statistics Korea. 2020 [cited 2020 October 16]. Available from: http://kostat.go.kr/understand/info/info_lge/1/detail_lang.action?bmode=detail_lang&cd=SL4042
  2. Min DH, Cho JY, Kim JG, Seo SJ, Kim MK, Shim EH, et al. Medical experiences and unmet health care perception among elderly people with chronic disease. Health Policy and Management. 2018;28(1):35-47. https://doi.org/10.4332/KJHPA.2018.28.1.35
  3. Yoon HJ, Jang SI. Unmet healthcare needs status and trend of Korea in 2015, Health Policy and Management. 2017;27(1): 80-83. https://doi.org/10.4332/KJHPA.2017.27.1.80
  4. Kim YS, Lee J, Moon Y, Kim KJ, Lee K, Choi J, et al. Unmet healthcare needs of elderly people in Korea. BMC Geriatrics. 2018;18(1):98. https://doi.org/10.1186/s12877-018-0786-3
  5. Kim Y, Kim S, Jeong S, Cho SG, Hwang S. Poor people and poor health: Examining the mediating effect of unmet healthcare needs in Korea. Journal of Preventive Medicine and Public Health. 2019;52(1):51-59. https://doi.org/10.3961/jpmph.18.162
  6. Kim SJ, Huh SI. Financial burden of health care expenditures and unmet needs by socioeconomic status. Korean Health Economic Review, 2011;17(1):47-70.
  7. Hou F, Chen J. Unmet needs for health care. Health Reports. 2002;13(2):23-34.
  8. Ronksley PE, Sanmartin C, Quan H, Ravani P, Tonelli M, Manna B, et al. Association between chronic conditions and perceived unmet health care needs. Open Medicine. 2012;6(2):e48-e58.
  9. Lee SE, Yeon M, Kim CW, Yoon TH. The association among individual and contextual factors and unmet healthcare needs in South Korea: A multilevel study using national data. Journal of Preventive Medicine and Public Health. 2016;49(5):308-322. https://doi.org/10.3961/jpmph.16.035
  10. Bennett AC, Rankin KM, Rosenberg D. Does a medical home mediate racial disparities in unmet healthcare needs among children with special healthcare needs?. Maternal and Child Health Journal. 2012;16(2):330-338. https://doi.org/10.1007/s10995-012-1131-7
  11. Shin YJ, Son JI. The prevalence and association factors of unmet medical need: Using 1st and 2nd Korea welfare panel data. Health and Social Welfare Review. 2009;29(1):95-122. https://doi.org/10.15709/hswr.2009.29.1.95
  12. Kim DE, Ahn SA. Factors influencing unmet healthcare needs among the elderly with cognitive impairment in Korea. Journal of Korean Academy of Nursing Administration. 2020;26 (2):100-109. https://doi.org/10.11111/jkana.2020.26.2.100
  13. Marshall EG. Do young adults have unmet healthcare needs?. Journal of Adolescent Health. 2011;49(5):490-497. https://doi.org/10.1016/j.jadohealth.2011.03.005
  14. Andersen RM. Revisiting the behavioral model and access to medical care: Does it matter?. Journal of Health and Social Behavior. 1995;36(1):1-10. https://doi.org/10.2307/2137284
  15. Lim JH. Analysis of unmet medical need status based on the Korean health panel. Health and Social Science. 2013;34:237-256.
  16. Diamant AL, Hays RD, Morales LS, Ford W, Calmes D, Asch S, et al. Delays and unmet need for health care among adult primary care patients in a restructured urban public health system. American Journal of Public Health. 2004;94(5):783-789. https://doi.org/10.2105/ajph.94.5.783
  17. Choi YJ, Lee WY. A study on the exclusion from health care system: Explaining of unmet healthcare needs and catastrophic health expenditures of near poor with chronic diseases. Korea Social Policy Review. 2015;22(4):161-187. https://doi.org/10.17000/KSPR.22.4.201512.161
  18. Kim HJ, Jang J, Park EC, Jang SI. Unmet healthcare needs status and trend of Korea in 2017. Health Policy and Management. 2019;29(1):82-85. https://doi.org/10.4332/KJHPA.2019.29.1.82
  19. Hwang B, Chun SM, Park JH, Shin HI. Unmet healthcare needs in people with disabilities: Comparison with the general population in Korea. Annals of Rehabilitation Medicine. 2011;35 (5):627-635. https://doi.org/10.5535/arm.2011.35.5.627
  20. Ju YJ, Kim TH, Han KT, Lee HJ, Kim W, Lee SA, et al. Association between unmet healthcare needs and health-related quality of life: A longitudinal study. European Journal of Public Health. 2017;27(4):631-637. https://doi.org/10.1093/eurpub/ckw264
  21. Yoon YS, Jung B, Kim D, Ha IH. Factors underlying unmet medical needs: A cross-sectional study. International Journal of Environmental Research and Public Health. 2019;16(13): 2391. https://doi.org/10.3390/ijerph16132391
  22. Hwang J. Understanding reasons for unmet health care needs in Korea: What are health policy implications? BMC Health Services Research. 2018;18(1):557. https://doi.org/10.1186/s12913-018-3369-2
  23. Ha R, Jung-Choi K, Kim CY. Employment status and self-reported unmet healthcare needs among South Korean employees. International Journal of Environmental Research and Public Health. 2018;16(1):9. https://doi.org/10.3390/ijerph16010009
  24. Bryant T. Leaver C. Dunn J. Unmet healthcare need, gender, and health inequalities in Canada. Health Policy 2009;91(1): 24-32. https://doi.org/10.1016/j.healthpol.2008.11.002
  25. Lindstrom C, Rosvall M, Lindstrom M. Socioeconomic status, social capital and self-reported unmet health care needs: A population-based study. Scandinavian Journal of Public Health. 2017;45(3):212-221. https://doi.org/10.1177/1403494816689345
  26. Park EH, Park EC, Oh DH. Cho E. The effect of stress and depression on unmet medical needs, Korean Journal of Clinical Pharmacy. 2017;27(1):44-54. https://doi.org/10.24304/kjcp.2017.27.1.44
  27. Han KS. Perceived stress, mood state, and symptoms of stress of the patient with chronic illness. Journal of Korean Academy of Nursing, 2003;33(1):87-94. https://doi.org/10.4040/jkan.2003.33.1.87
  28. Choi R, Moon HJ, Hwang BD. The influence of chronic disease on the stress cognition, depression experience and suicide thoughts of the elderly. The Korean Journal of Health Service Management. 2010;4(2):73-84.