[논문]지역쇠퇴 유형별 의료이용행태 영향요인: 도시쇠퇴 지표와 의료취약지 지표를 활용하여

정지윤; 정재연; 윤인혜; 최화영; 이해종

doi:10.4332/kjhpa.2022.32.2.205

지역쇠퇴 유형별 의료이용행태 영향요인: 도시쇠퇴 지표와 의료취약지 지표를 활용하여
Factors Influencing Medical Care Utilization according to Decline of Region: Urban Decline Index and Medical Vulnerability Index as Indicators 원문보기

Health policy and management = 보건행정학회지, v.32 no.2, 2022년, pp.205 - 215

정지윤 (연세대학교 대학원 보건행정학과) , 정재연 (단국대학교 바이오헬스 혁신공유대학) , 윤인혜 (연세대학교 대학원 보건행정학과) , 최화영 (연세대학교 대학원 보건행정학과) , 이해종 (연세대학교 대학원 보건행정학과)

Abstract ▼ AI-Helper

Background: The purpose of this study is to identify the factors infecting the medical care utilization from a new perspective by newly classifying the categories of administrative districts using the urban decline index and medical vulnerability index as indicators. Methods: This study targeted 150,940 people who used medical services using the 2015 cohort database (DB), 2010-2015 urban regeneration analysis index DB, and 2014-2015 public health and medical statistics DB. The decline of the region was classified using the urban decline index typed using k-means clustering and the medical vulnerability index typed using the quantile score calculation. Regression analysis was performed 3 times with medical expenditure, length of stay, and the number of outpatient visits as dependent variables. Results: There were 37 stable region (47.4%), 29 health vulnerable region (37.2%), and 12 decline region (15.4%). The health vulnerable region had lower medical expenditure, fewer outpatient visits, and a higher length of stay than the stable region. The decline region was all higher than the stable region but had no significant effect. Conclusion: The factors that cause the health disparity between regions are not only factors related to individual health behavior but also environmental factors of the local community. Therefore, there is a need for a systematic alternative that properly considers the resources within the community and reflects the characteristics of the population.

주제어

표/그림 (9)

그림 Figure 1. Medical vulnerability categorization.
표 Table 1. Cluster means of urban decline
표 Table 2. Cluster of urban decline
표 Table 3. Cluster means of urban decline
표 Table 4. Cluster of medical vulnerability
표 Table 5. Cluster of decline of region
표 Table 6. Characteristic of study subjects (n=150,940)
표 Table 7. Medical care utilization according to general characteristics
표 Table 8. Factors influencing medical care utilization

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