Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Quantitative and Qualitative Difference in the Utilization of Health Care - Based on the Survey of Gwangju-Jeonnam Residents

소득계층별 보건의료이용의 양적.질적 차이 분석 -광주.전남 지역주민을 대상으로-

  • Kim, Jeong-Ju (The Graduate School of Public Health, Seoul National University) ;
  • Oh, Ju-Hwan (The Graduate School of Public Health, Seoul National University) ;
  • Moon, Ok-Ryun (The Graduate School of Public Health, Seoul National University) ;
  • Kwon, Soon-Man (The Graduate School of Public Health, Seoul National University)
  • 김정주 (서울대학교 보건대학원) ;
  • 오주환 (서울대학교 보건대학원) ;
  • 문옥륜 (서울대학교 보건대학원) ;
  • 권순만 (서울대학교 보건대학원)
  • Published : 2007.09.30
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Abstract

The purpose of this study is to analyze the equity of health care utilization by income groups in terms of both quantity and quality of care, which is measured by expenditure, type of care, and type of health care institutions. Equity in health care utilization is measured by HIwv index, based on the survey of 1,480 Gwangju-Jeonnam residents. Health care utilization in terms of the probability and quantity of outpatient and inpatient care show equitable or pro-poor inequitable distribution, whereas the distribution of health care expenditure, which can account for the quality of care, is pro-rich inequitable, implying that the better off tend to use more expensive medical care. In terms of the types of care, simple visits for basic care show equitable distribution, whereas the distribution of the utilization of traditional tonic medicine, comprehensive health examination, CT, MRI, and ultrasound is pro-rich inequitable. Utilization of general hospitals and traditional health institutions show pro-rich inequitable distribution, hospitals and dental care institutions equitable, and physician clinics and public health centers pro-poor inequitable.

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References

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