Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
권호 표지

Factors Affecting National Health Insurance Mass Screening Participation in the Disabled

장애인의 국민건강보험 건강검진 수검에 영향을 미치는 요인

  • Park, Jong-Hyock (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Lee, Jin-Seok (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Lee, Jin-Yong (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Hong, Ji-Young (Health Policy Team, Ministry of National Defense) ;
  • Kim, So-Young (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Kim, Seong-Ok (Health Insurance Research Center) ;
  • Cho, Byong-Hee (Graduate School of Public Health, Seoul National University) ;
  • Kim, Yong-Ik (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Shin, Young-Soo (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Kim, Yoon (Department of Health Policy and Management, Seoul National University College of Medicine)
  • 박종혁 (서울대학교 의과대학 의료관리학교실) ;
  • 이진석 (서울대학교 의과대학 의료관리학교실) ;
  • 이진용 (서울대학교 의과대학 의료관리학교실) ;
  • 홍지영 (국방부 보건정책팀) ;
  • 김소영 (서울대학교 의과대학 의료관리학교실) ;
  • 김성옥 (국민건강보험공단 건강보험연구센터) ;
  • 조병희 (서울대학교 보건대학원) ;
  • 김용익 (서울대학교 의과대학 의료관리학교실) ;
  • 신영수 (서울대학교 의과대학 의료관리학교실) ;
  • 김윤 (서울대학교 의과대학 의료관리학교실)
  • Published : 2006.11.30
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Abstract

Objectives : As the disabled have higher prevalence rates and earlier onsets of chronic diseases than the non-disabled, their participation in mass screening is important for the early detection and intervention of chronic diseases. Nevertheless, in Korea, the disabled have lower participation rates in mass screening services than the non-disabled. The purpose of the study was to find determinants for the participation in the National Health Insurance (NHI) mass screening program among the disabled. Methods : In this study, the NHI mass screening data of 423,076 disabled people, which were identified using the National Disability Registry (2003), were analyzed. Of the factors affecting the participation rates in mass screenings, the following variables were included for the analysis: socioeconomic stati, such as sex, age, category of health insurance program, region and income, disability characteristics, such as disability type, and severity. A multiple logistic regression analysis was used to evaluate the association between the participation rates, disability characteristics variables and demographic variables. Results : The participation rate in mass screening of the disabled was 41.3%, but was lower in females, an age of more than 70 years, self-employed and for those with an average monthly insurance premium over 133,500 Won and in metropolitan legions. The participation rate was 1.31 times lower in females than males (95% CI=1.29-1.33); 3.50 times lower in the elderly (more than 70 years) than the younger (95% CI=3.33-3.67); 1.43 times lower in those who live in metropolitan areas (95% CI=1.40-1.46); 2.59 times lower for those in a health Insurance program for the self-employed than for employees (95% CI=2.56-2.63), 1.19 times lower for the higher income (more than 133,500) than the lower income group (4,400-22,000) for the average monthly insurance premium (95% CI=1.15-1.23): 2.04 times lower for those with brain palsy and stroke disabilities than with auditory impairments (95% CI: 1.97-2.11) and 3.27 times for those with severe compared to mild disabilities (95% CI=3.15-3.40). Conclusions : The disabled with high severity, and locomotive and communication disabilities have lower participation rates in mass screening services in Korea.

Keywords

References

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