일부 도서지역 주민의 의료이용 행태와 이에 영향을 미치는 요인 = Factors Affecting Medical Utilization Behavior in Island Habitant

다국어 초록 (Multilingual Abstract)

This study was conducted to investigate pattern of medical utilization and factors affecting medical utilization for population living in islands of Chungnam Province.
Demogrphic and socioeconomic state, medical utilization of 447 persons were surveyed from Sept. 9th to Sept. 18th, 2002.
1. Our research results showed that older, more poorly educated outpatients who were engaged in agricultural work used medical facilities more frequently than others. The frequency of medical facility use increased as the subjective health-inspection level decreased from high to low (p＜0.05). It was higher for the groups with greater rates of chronic diseases and with medical-facility access-time ranging fromtwo to three hours (p＜0.05).
2. The hospitalization rate was highest for the group where commercial hospitals were general hospitals (p＜0.05).
3. The statistically significant variables which affected the outpatients' usage of medical facilities were the presence of chronic diseases, the health inspection levels, and the educational backgrounds of patients. Of these, the health inspection level was the most statically significant variable (p＜0.05).
Island residents, compared to mainland residents, were poorer. They suffered from a lack of adequate medical services and had to wait a longer time to access medical facilities. These factors led to a lower frequency of medical service use. Since their average age was high, island residents showed a higher rate of chronic and degenerative diseases. Further, despite the fact that people from the low-income class required medical services more frequently, they did not receive intensive medical treatment at proper times, and their needs were not recognized by service policy. Therefore, a medical service policy distinct from that of the mainland people should be established. In order to increase accessto medical facilities, it is necessary that we pay more attention to the link service to mainland hospitals, the efficient operation of hospital ships, and the improvement of public health centers, home nursing services, and public health education.

목차 (Table of Contents)

• 목차
• Ⅰ. 서론 = 1
• Ⅱ. 연구방법 = 3
• 1. 조사대상 = 3
• 2. 조사방법 = 3
• 3. 분석방법 = 5
• Ⅲ. 연구결과 = 6
• 1. 도서별 조사대상자 수 = 6
• 2. 조사대상자의 특성 = 7
• 3. 조사 대상자의 특성에 따른 외래의료이용 횟수 = 11
• 4. 의료이용률에 영향을 미치는 요인 = 16
• 5. 조사대상자의 요인별 만성질환 유병상태 = 17
• 6. 고혈압환자와 당뇨환자의 요인별 의료이용 횟수 = 21
• 7. 조사대상자의 의료이용 장애요인 = 23
• 8. 의료이용 미충족 수요 = 25
• Ⅳ. 고찰 = 27
• Ⅴ. 결론 = 33
• 참고문헌 = 35
• ABSTRACT = 37