The Journal of Korea Institute of Information, Electronics, and Communication Technology (한국정보전자통신기술학회논문지)

Korea Information Electronic Communication Technology (한국정보전자통신기술학회)
권호 표지
DOI QR코드

DOI QR Code

Self-rated Health and Health Service Utilization of Chronic disease Patients

만성질환자별 주관적 건강상태와 의료시설 이용행태

  • Park, Eun-Ju (Department of Medical system information, Sangji Youngseo College)
  • Received : 2016.07.04
  • Accepted : 2016.08.02
  • Published : 2016.08.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study, based on the assumption that self-rated health status affects the use of health care utilization, aims to comprehend self-rated health status, as well as the differences in medical facility use depending on self-rated health status, and analyze according to chronic diseases to use it as the basis of a practical guide development for chronic disease patients' use of medical facilities. Used representative Korean Longitudinal Study of Ageing data to analyze 7,486 participants. There is a difference in Chronic disease patients' use of health care utilization depending on self-rated health, and this difference was the most apparent in Oriental healthcare service and dental treatment use. This study was unable to control all confounding variables affecting medical service use, so we want this studied to be used to assist future studies.

본 연구는 주관적 건강상태가 의료시설 이용에 영향을 미친다는 전제로 주관적 건강상태를 파악하고, 또한 주관적 건강상태에 따른 의료시설 이용의 차이를 만성질환자별로 분석하여 의료시설 이용 시 표준지침의 기초자료로 제공되는 것을 목적으로 하였다. 대표성 있는 고령화패널 자료를 사용하여 총 7,486명을 분석하였다. 만성질환자는 주관적 건강상태에 따라 의료시설 이용에 차이를 나타내고 있었으며, 특히 한의원 한방병원과 치과 치료에 있어서 질환별 차이가 두드러졌다. 하지만 이차자료의 활용으로 의료이용에 영향을 미치는 여러 변수들을 통제하지 못하여 후속 연구들을 제시하는데 본 연구의 의의를 두었다.

Keywords

References

  1. C. H. Kim, W. S. You, "Affected on the number of chronic disease morbidity on medical care utilization," 3rd, Korea Medical Panel Association Beta version 1.4, pp. 213-220, 2008.
  2. J. Y. Yun, "Medical care utilization of chronic disease Focusing on high blood pressure, osteoarthritis," Korea Health Industry Brief(KHIDI Brief), Vol. 163, 2015.
  3. D. Sunwo, H. J. Song, N. M. Hwang, E. J. Kang, Y. J. Seo, T. I. Kim et al, "The development of health care system for older Koreans," Korea Institute for Health and Social Affairs, pp. 297, 2005.
  4. J. G. Kim, "Factors affecting the choice of medical care use by the elderly person," Journal of Welfare for the Aged, Vol. 39, pp. 273-302, 2008.
  5. Y. H. Jung, S. J. Kyo & E. J. Kim, "Study of effective chronic disease management," Korea Institute for Health and Social Affairs, pp. 4, 2013.
  6. Y. Y. Park, "Promotion and development of national expansion strategy for registration and care of hypertension, diabetes mellitus," Centers for Disease Control and Prevention, 2012.
  7. M. K. Kim, W. J. Chung, S. J. Lim, S. J. Yoon, J. K. Lee, E. K. Kim, et al. "Socioeconomic inequality in self-rated health status and contribution of health behavioral factors in Korea," Journal of Preventive Medicine and public health, Vol. 43, No. 1, pp. 50-61, 2010. https://doi.org/10.3961/jpmph.2010.43.1.50
  8. J. S. Kim & B. L. Cho, "Association between self-perceived health status and health related behavior in routine health examination," Korean Journal of Family Medicine, Vol. 31, pp. 688-696, 2010. https://doi.org/10.4082/kjfm.2010.31.9.688
  9. M. A. Han, K. S. Kim. J. Kang, M. G. Park & S. Y. Ryu, "Association between levels of physical activity and poor self-rated health in Korean adults," The Third Korea National Health and Nutrition Examination Survey (KNHANES), Public Health, Vol. 123, No. 10, pp. 665-669, 2009. https://doi.org/10.1016/j.puhe.2009.08.005
  10. H. A. Cho, H. S. Shin, "Dental care utilization patterns by the status, of ADL and IADL in the elderly," Journal of Korean Academy of Oral Health, Vol. 39, No. 2, pp. 102-109, 2015. https://doi.org/10.11149/jkaoh.2015.39.2.102
  11. Idler, E. L., & Benyamini, Y. Self-Rated Health and Mortality: A Review of Twenty-Seven Community Studies. Journal of Health and Social Behavior. Vol. 38, No. 1, pp. 21-37, 1997 https://doi.org/10.2307/2955359
  12. S. L. Do, Health care utilization trends in Korea. Health and Welfare Issue & Focus, Vol. 8, 2009.
  13. S. Y. Lee. "Continue to build health care systems for chronic disease health care," Health and Welfare Policy Forum. Vol. 3, No.3, pp. 62-66, 2004.
  14. J. H. Yeom, "A comparison study of self-rated health(SRH) trajectory between urban and rural older adults: using latent growth modeling," The Korean Rural Sociological society, Vol. 23, No. 1, pp. 193-239, 2013.
  15. H. S. Shin, "Equity in health status and health care utilization and policy challenges(The evolution of health and utilization inequalities over time)," Health and Welfare policy Forum, Vol. 149. pp. 26-30, 2009.
  16. Y. M. Shin, "The relationship of health care utilization and subjective health status," Daegu, Korea; Kyungbook National University, 2011.
  17. H. C. Shin, J. Y. Kang, W. S. Park & S. A. Kim, "Health Status and Medical Utilization of Women in Rural Area," Journal of Agricultural Medicine & Community Health, Vol. 34, No. 1, pp. 67-75, 2009. https://doi.org/10.5393/JAMCH.2009.34.1.067
  18. H. S. Kim, S. M. Kwon, B. Y. Jeon & H. J. Lee, "Factors Associated with Health Service Utilization of the Disabled Elderly in Korea," Journal of the Korea Gerontological Society, Vol. 31, No.1, pp. 171-188, 2011.
  19. S. J. Kyo. "Medical Care Expenditures and Utilitizations for Depressed Adults with Chronic Disease," National Health Insurance Corporation, Press release, pp. 24-32, 2011.
  20. D. H. Lim, "The estimated lifetime medical expenses and characterization," Korea Health Industry Brief(KHIDI Brief), pp. 100, 2013.
  21. W. Cheong, et. al. "The Effect of a Clinic Based Incentive Program on Medication Adherence among Patients with Hypertension or Diabetes Mellitus in Incheon," Health Policy and Management, Vol. 23, No.4, pp. 427-433, 2013. https://doi.org/10.4332/KJHPA.2013.23.4.427
  22. G. S. Lee. "The Effect of Self-perceived Health on Medical Care Utilization," Seoul, Korea; Seoul National University, 2013.

Cited by

  1. 사회경제적 특성 및 유병에 따른 의료서비스 이용 행태 vol.19, pp.7, 2016, https://doi.org/10.5762/kais.2018.19.7.443