Journal of the Korean Data Analysis Society

  • 제16권2B호
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  • Pages.1017-1030
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  • 2014
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  • 1229-2354(pISSN)
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  • 2733-9173(eISSN)
한국자료분석학회 (Korean Data Analysis Society)
권호 표지

노인의 미충족 의료에 미치는 영향 요인: 2011년도 한국의료패널자료를 이용하여

The Factors Affecting Unmet Medical Needs in Elderly by using Korea Health Panel Data 2011

  • 박민정 (국립군산대학교 간호학과)
  • 투고 : 2014.01.19
  • 심사 : 2014.03.29
  • 발행 : 2014.04.30
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 인구의 고령화에 따라 의료이용에 대한 욕구와 필요도가 높은 노인의 미충족 의료의 현황을 확인하고 노인의 미충족 의료에 미치는 영향 요인을 규명하기 위해 시도되었다. 본 연구는 한국보건사회연구원과 국민건강보험공단이 수행한 한국의료패널 2011년도 베타버전 2.0자료를 활용하였고, SPSS WIN version 20.0을 이용하여 카이제곱(chi-square) 검정과 다중로지스틱 회귀분석(multiple logistic regression)을 하였으며 모형은 적합하였다(chi-square=97.516, p<.001). 연구대상은 65세 이상 노인으로 이들 가운데에서 미충족 의료 경험 여부에 대한 질문에 응답한 노인 2,647명이다. 연구 결과 우리나라 65세 이상 노인의 미충족 의료 경험은 전체의 13.5%로 나타났으며, 미충족 의료를 경험하는 가장 큰 원인은 경제적인 이유(55.9%)로 나타났다. 미충족 의료에 영향을 미치는 요인은 소인성요인에서 초졸 이하보다 고졸 이하가 0.63배(CI 0.43-0.94) 미충족 의료를 덜 경험하고, 가능요인으로 계층인지도가 '상'인 경우보다 '하'에서 3.48배(CI 1.51 - 8.01) 미충족 의료를 더 경험하는 것으로 나타났으며, 필요요인으로 우울감이 있는 사람이 없는 사람보다 1.77배(CI 0.28 - 2.45), 주관적 건강상태가 '매우 좋음'보다 '나쁨'에서 2.03배(CI 1.02 - 4.03), '매우 나쁨'에서 2.71배(CI 1.20 - 6.13) 미충족 의료를 경험하는 것으로 나타났다. 본 연구는 65세 이상 노인의 미충족 의료의 현황과 원인을 살펴보고, 미충족 의료에 영향을 미치는 요인을 분석하였으며, 이에 따라 향후 증가하는 노인인구의 미충족 의료 해결방안을 마련하는데 기초자료로 활용될 수 있을 것이다.

The purpose of this study is to measure unmet medical needs and to investigate the factors affecting unmet medical needs in elderly using Korea health panel data 2011. Korea health panel data 2011 were collected from May to December 2011 by Korea Institute for Health and Social Affairs and National Health Insurance Corporation. The data was analyzed by chi-square and multiple logistic regression using SPSS WIN 20.0 program. The model was suitable (chi-square = 97.516, p<.001). The major finding of this study were that the ratio of unmet medical needs was 13.5% and the main reason of unmet medical needs is for economic reasons. Factors of affecting influences to unmet medical needs revealed that less than elementary school graduation, low perceived stratum, presence of depression, and very low and low self-rated health status had more unmet medical needs in elderly by 0.63 times (CI 0.43-0.94), 3.48 times (CI 1.51-8.01), 1.77 times (CI 1.28-2.45), 2.03 times (CI 1.02-4.03), and 2.71 times (CI 1.20-6.13), respectively. This study is meaningful as an attempt to measure unmet medical needs, to identify reason on ummet needs, and to analysis factors affecting unmet medical needs in elderly. The results of this study will be utilized as basic data on decreasing unmet medical needs in elderly.

키워드

과제정보

연구 과제 주관 기관 : 국립군산대학교

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