미충족 의료에 미치는 관련 요인 분석 = Factors Associated with Unmet Needs for Health Care

다국어 초록 (Multilingual Abstract)

Objectives : This study was aimed to investigate the conditions of unmet needs for health care in Korea and its associated factors.
Methods : 7,177 adults who aged 19 and over were analyzed, based upon the data of the National Health and Nutrition Examination Survey conducted in 2008 (the second year of the 4th stage). Unmet needs were measured as the response to the question “Have you ever Experienced a situation where you could not visit a hospital or a clinic, though you wanted to?” Overall, 22.9% experienced unmet needs for health care among the respondents. Female respondents experienced higher unmet needs for health care.
Logistic regression analysis was used to examine the main factors associated with unmet needs. The entire respondents of 19 years and older were classified into two subsets of out‐patients and in‐patients in order to analyze factors according to the use of health care services.
Results : The gap of unmet needs among inpatients with different income levels was approximately two times higher than the gap among out-patients, which shows there is a limitation on the accessibility of health care according to financial cause. It was also verified by the fact that Medicaid recipients’ unmet needs for health care increased when using services related to hospitalization.
Conclusion : The government is required to intervene appropriately in order to help people to get proper health care in a timely manner through investigating of factors of unmet needs for health care according to various subjects and by analyzing detailed causes depending on conditions.

참고문헌 (Reference)

1 배상수, "지역의료보험의 실시에 따른 의료이용변화 분석: 소득계층별의 료필요충족도를 중심으로" 2 (2): 167-203, 1992

2 이혜재, "일반층과 저소득층의 의료이용에 영향을 미치는 요인" 한국보건경제정책학��� 15 (15): 79-106, 2009

3 임국환, "의료기관 종별 소득계층간 의료이용 불평등" 한국보건경제정책학회 16 (16): 39-56, 2010

4 허순임, "우리나라 성인의 미 충족의료 현황: 연령 간의 차이를 중심으로" 한국보건경제정책학회 13 (13): 1-16, 2007

5 강은정, "우리나라 건강수준의 OECD 국가들과의 비교" 167 : 104-112, 2010

6 엄선희, "소득계층에 따른 보건의료의 형평성:『한국노동패널』자료를 중심으로" 한국보건경제정책학회 16 (16): 35-61, 2010

7 강성욱, "민간의료보험이 과연 의료이용을 증가시키는가: 내생성 통제를 이용한 검정" 한국보건경제정책학회 16 (16): 139-159, 2010

8 윤태호, "민간의료보험의 선택에 영향을 미치는 요인 : 민간의료보험 활성화에 대한 함의" 한국보건행정학회 15 (15): 161-175, 2005

9 윤희숙, "민간의료보험 가입이 의료이용에 미치는 영향" 한국개발연구원 30 (30): 99-128, 2008

10 양진영, "미충족 의료의 동태적 변화추세와 관련 영향요인" 고려대학교 2010

11 허순임, "미충족 의료수준과 정책방안에 대한 연구" 한국보건사회연구원 2009

12 신영전, "미 충족의료의 현황과 관련요인 -1차, 2차 한국복지패널자료를 이용하여-" 한국보건사회연구원 29 (29): 95-122, 2009

13 Bryant T., C. Leaver, "Unmet healthcare need, gender and health inequalities in Canada" 91 (91): 24-32, 2008

14 Alonso J, "Unmet health care needs and mortality among Spanish elderly" 87 (87): 365-370, 1997

15 OECD, "Towards Highperforming Health Systems" OECD 2004

16 Idler, E.L., "Selfratings of health: Do they also predict change in functional ability" 50 : 344-353, 1995

17 Idler, E.L., "Selfrated health and mortality: A review of twenty seven community studies" 38 : 21-37, 1997

18 OECD, "Indicators, Health at a Glance 2009" OECD Latest Edition 2009

19 Cunningham PJ., "Differences Between SymptomSpecific and General Survey Questions of Unmet Need in Measuring Insurance and Racial/Ethnic Disparities in Access to Care" 45 (45): 842-850, 2007

20 Aday L.A, "Development of Indexes of Access to Medical Care" 81 (81): 1257-1258, 1975

21 Diamant AL, "Delays and unmet need for health care among adult primary care patients in a restructured urban public health system" 94 (94): 783-789, 2004

22 Andersen, R. A, "Behavioral Model of Families’ Use of Health Services" 25 : 1968

23 Buchmueller, T., "Access to physician services: Does supplemental insurance matter: evidence from France" 13 : 669-687, 2004