The Korean Journal of Health Service Management (보건의료산업학회지)

Korea Society of Health Service Management (보건의료산업학회)
권호 표지
DOI QR코드

DOI QR Code

The Prevalence and Association Factors of Unmet Medical Needs by Age Group in the Elderly

노년기에 따른 미충족 의료 현황 및 관련 요인

  • Hwang, Byung-Deog (Department of Health Care Management Catholic University of Pusan) ;
  • Choi, Ryoung (Department of Health Administration Dongshin University)
  • 황병덕 (부산가톨릭대학교 병원경영학과) ;
  • 최령 (동신대학교 보건행정학과)
  • Received : 2015.02.20
  • Accepted : 2015.03.16
  • Published : 2015.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study investigated the prevalence of unmet needs for health care among Korean adults and related factors. Using data from the 2012 Korea Health Panel, 1,896 adults aged 65 and over and two age groups(Young-Old(66-74) and Old-Old($65{\leq}$)) were analyzed to identify these factors. Logistic regression analysis was used to examine the main factors associated with unmet medical needs. According to the results of this study, the factors influencing unmet medical needs with regard to economic factors were Subjective Health Status(young-old), Disability(young-old), Activity Limitation(young-old), Education Level(old) and Economic Activity(old). The factors influencing unmet medical needs were factors of attitude, information, and disease. factors were Disability(young-old), Activity Limitation(young-old), Education Level(old) and Economic Activity(old). Therefore, further research that investigates unmet needs depending on age group in the elderly would suggest helpful policy implications.

Keywords

References

  1. J. Le Grand, P. Vizard(1998), The National Health Service : Crisis, Marget, 1980, Equity in the Distribution of Municipal services, In H.J. Bryce(ed) Revitalizing Cities Lexington, Mass, Lexington Books, p.77.
  2. S.I. Huh, S.J. Kim(2007), Unmet Needs for Health Care Among Korean Adults: Differences Across Age Groups, The Korean Journal of Health Economics and Policy, Vol.13(2);1-16.
  3. Y.J. Shin, J.I. Shon(2009), The Prevalence and Association Factors of Unmet Medical Need - Using the 1st and 2nd Korea Welfare Panel Data, Health and Social Welfare Review, Vol.29(1);111-142.
  4. A. Donabedian(1973), Aspects of medical care administration, MA: Harvard University Press, pp.1-649.
  5. L.A. Aday, R. Andersen(1975), Development of indexes of access to medical care, American Journal of Sociology, Vol.81(5);1257-1258. https://doi.org/10.1086/226220
  6. 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.
  7. B.M. Yang(2004), Health Care Economics, Nanam, pp.99-100.
  8. J. Chen, F. Hou(2002), Unmet Needs for Health Care, Health Reports, Vol.13(2);23-34.
  9. R. Choi, B.D. Hwang(2014), Health Care Utilization of Age Group in the Elderly on the Korean Health Panel, The Korean Journal of Health Service Management, Vol.8(3);49-61. https://doi.org/10.12811/kshsm.2014.8.3.049
  10. S.M. Kwon(2006), Population Aging, Medical Expenditure and Long-term Care Reform in Korea, Korean social security studies, Vol.22(2);1-22.
  11. Health Insurance Review & Assessment Service, National Health Insurance Service(2014), 2013 National Health Insurance Statistical Yearbook, Jisung, p.134.
  12. S. Crystal, R.W. Johnson, J. Harman, U. Sambamoorthi, R. Kumar(2000), Out-of-pocket health care costs among older Americans, Journals of Gerontology Serics B, Vol.55(1):S51-S62. https://doi.org/10.1093/geronb/55.1.S51
  13. S.J. Kim, S.I. Huh(2011), Financial Burden of Health Care Expenditures and Unmet Needs by Socioeconomic Status, The Korean Journal of Health Economics and Policy, Vol.17(1);47-70.
  14. K.H. Cho, H.K. Mok, J.H. Lee(2014), Analysis and Association Factors of Unmet Medical Need, The 2014 Korea Health Panel Conference, Vol.6;167-177.
  15. http://www.law.go.kr
  16. J.H. Kim, Y.S. Kim, M.S. Kim(1999), Unmet Medical care needs in Elders Using the Public Health Center, Journal Korean Gerontol Nurs, Vol.1(2);172-180.
  17. K.S. Song, J.H. Lee, K.H. Rim(2011), Factors Associated with Unmet Needs for Health Care, Korean public health research, Vol.37(1);131-140.
  18. J.H. Lim(2013), Analysis of unmet medical need status based on the Korean Health Panel, Health and Social Science, Vol.34;237-256.
  19. S.I. Huh(2011), Unmet Medical Need, The 2011 Korea Health Panel Conference, Vol.3;341-351.
  20. Y.H. Choi(2001), A Comparative Study on Health-Promoting Behavior, Life Satisfaction and Self-esteem of the Young and Old, Korean Academy of Community Health Nursing, Vol.12(2);428-436.
  21. J.D. Kwon(2013), Essentials of Aged Welfare, Hakjisa, p.19.
  22. http://kostat.go.kr
  23. J.Y. Yang(2010), The Longitudinal Trend and Association Factors of Unmet Medical Need, Unpublished master's thesis, Korea University, pp.1-64.

Cited by

  1. Factors Associated with the Types of Unmet Health Care Needs among the Elderly in Korea vol.11, pp.2, 2017, https://doi.org/10.12811/kshsm.2017.11.2.065
  2. Factors Associated with Unmet Healthcare Needs According to Households vol.12, pp.2, 2018, https://doi.org/10.12811/kshsm.2018.12.2.039
  3. Unmet healthcare needs of elderly people in Korea vol.18, pp.1, 2018, https://doi.org/10.1186/s12877-018-0786-3
  4. 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, 2015, https://doi.org/10.15723/jcps.48.3.201712.187
  5. The Effects of National Health Insurance Denture Coverage Policies for the Elderly on the Unmet Dental Needs of the Edentulous Elderly vol.18, pp.3, 2015, https://doi.org/10.17135/jdhs.2018.18.3.182
  6. 뇌혈관질환자의 미 충족 의료에 미치는 영향요인 연구 vol.16, pp.9, 2015, https://doi.org/10.14400/jdc.2018.16.9.279
  7. Factors Underlying Unmet Medical Needs: A Cross-Sectional Study vol.16, pp.13, 2015, https://doi.org/10.3390/ijerph16132391
  8. 일인 가구의 성별에 따른 미충족 의료현황과 관련 요인 vol.26, pp.1, 2015, https://doi.org/10.4069/kjwhn.2020.03.23
  9. Factors Affecting Unmet Medical Care in Elderly Hypertensive Patients vol.26, pp.11, 2015, https://doi.org/10.9708/jksci.2021.26.11.201