연소노인과 고령노인 간 의료서비스 이용 예측요인의 연령차: 고령화 사회의 의료서비스에 주는 함의 = Age Differences in the Predictors of Medical Service Use between Young-Old and Old-Old: Implications for Medical Service in Aging Society

다국어 초록 (Multilingual Abstract)

Korea is one of the most rapidly aging countries in the world. Rapidly aging population indicates that the needs for medical service among the elderly will increase as well. As a result of longevity, which increases diversity among the older population, it is important to address age difference within the individuals aged 65 and over. Using the Andersen Model, the current study examines predictors of medical service use among the elderly aged 65 and over and further examines whether there is age difference in the predictors of medical service use between those aged between 65 and 75 and those aged 76 and over. The sample consisted of individuals aged 65 and over who participated in the first wave survey of the KLoSA (Korean Longitudinal Study of Aging). Results showed that (1) the predictors of medical service use in Korea are not exactly the same as those identified in foreign countries, (2) the predictors of inpatient medical service use differ from those of outpatient medical service use, and (3) the predictors of medical service use vary depending on age. Specifically, gender was a significant predictor of inpatient service use only for the old-old, indicating that the male old-old use more inpatient services than the female old-old. Regarding the predictors of outpatient service use, the young-old were different from the old-old in the effects of age, gender, informal social relationships, and chronic illnesses on outpatient service use. Implications of the study were discussed based on the findings.

참고문헌 (Reference)

1 통계청, "한국의 사회지표" 통계청 2009

2 전보영, "장애노인의 의료이용에 영향을 미치는 요인" 한국노년학회 31 (31): 171-188, 2011

3 통계청, "장래인구특별추계" 통계청 2005

4 통계청, "장래인구추계" 통계청 2011

5 강상경, "우울이 자살을 예측하는가? : 우울과 자살태도 관계의 성별·연령 차이" 한국사회복지연구회 41 (41): 67-100, 2010

6 통계청, "성 및 연령별 노인인구" 통계청 2009

7 통계청, "사회조사보고서" 통계청 2008

8 강상경, "사회경제적 지위가 우울수준에 미치는 영향의 생애주기별 차이에 대한 탐색적 고찰" 한국정신보건사회복지학회 30 (30): 332-355, 2008

9 통계청, "사망원인 생명표" 통계청 2010

10 통계청, "노인이 경험하는 가장 어려운 문제" 통계청 2009

11 도세록, "노인의 의료이용 현황과 정책과제" 157 : 66-79, 2009

12 이인정, "노년기 전기와 후기의 차이에 관한 연구" 19 : 35-50, 1999

13 강상경, "노년기 외래의료서비스 이용 궤적 및 예측요인:연령 차이를 중심으로" 한국사회복지학회 62 (62): 83-108, 2010

14 통계청, "건강평가" 통계청 2008

15 Erickson, E. H., "Vital involvement in old age" Norton 1986

16 Wolinsky, F. D., "The use of health services by older adults" 46 (46): 345-357, 1991

17 Kahng, S. K., "The relationship between the trajectory of body mass index and health trajectory among older adults : Multilevel modeling analyses" 26 (26): 31-61, 2004

18 Erickson, E. H., "The life-cycle completed" Norton 1982

19 Neugarten, B., "The Meaning of Age" University of Chicago Press 1996

20 Andersen, R. M., "Symbiotic relationships of quality of life, health services research and other health research" 3 : 365-371, 1994

21 Zimmer, Z., "Socioeconomic status and health among older adults in rural and urban China" 16 (16): 44-70, 2004

22 Andersen, R. M., "Societal and Individual Determinants of Medical Care Utilization in the United States" 51 (51): 95-124, 1973

23 Antonucci, T. C., "Social relations and depressive symptomatology in a sample of community-dwelling French older adults" 12 : 189-195, 1997

24 Garfein, A. J., "Robust aging among the younger old, old-old, and oldest-old" 50 : 77-90, 1995

25 Andersen, R. M., "Revisiting the behavioral model and Access to medical care: Does it matter?" 36 (36): 1-10, 1995

26 Linden, M., "Predicting health care utilization in the very old" 9 (9): 3-27, 1997

27 Erickson, E. H., "Life history and the historical moment" Norton 1975

28 Butler, R. N., "Late-life depression: How to make a difficult diagnosis" 52 : 37-50, 1997

29 한국노동연구원, "KLoSA 사용자안내서"

30 Kail. R., "Human development: A life-span view" Thomson Wadsworth 2007

31 Wolinsky, F. D., "Health service utilization among the noninstitutionalized elderly" 24 : 325-337, 1983

32 Nie, J. X., "Health care service utilization among the elderly: Findings from the study to understand the chronic condition experience of the elderly and the disabled" 14 : 1044-1049, 2008

33 Koopmans, G. T., "Gender and health care utilization: The role of mental distress and help-seeking propensity" 64 : 1216-1230, 2007

34 Bruce, M. L., "Depression and disability in later life: Directions for future research" 9 : 102-112, 2001

35 Hu, L., "Cutoff Criteria for fit indexes in covariance structure analysis: Conventional Criteria versus New Alternatives" 6 (6): 1-55, 1999

36 Ben-Zur, H., "Coping, affect and aging" 32 : 357-372, 2002

37 Beckett, L., "Analysis of change in self-reported physical function among older persons in four population studies" 143 : 766-778, 1996

38 Fung, H., "Age-related patterns in social networks among European Americans and AFrican Americans" 52 : 185-206, 2001

39 Neugarten, B., "Age groups in American society and the rise of young-old" 415 : 187-197, 1974

40 Laslett, P., "A fresh map of life: The emergence of the third age" Harvard University Press 1989

41 Andersen, R., "A behavioral model of families’ use of health service" Center for Health Administration Studies 1968