[논문]한국 미충족 의료 니즈 수준 및 발생 사유의 거주지역 간 격차 분석과 정책적 시사점

정우진

doi:10.4332/kjhpa.2023.33.3.273

한국 미충족 의료 니즈 수준 및 발생 사유의 거주지역 간 격차 분석과 정책적 시사점
Exploring Regional Disparities in Unmet Healthcare Needs and Their Causes in South Korea: A Policy-Oriented Study 원문보기

Health policy and management = 보건행정학회지, v.33 no.3, 2023년, pp.273 - 294

정우진 (연세대학교 보건대학원 보건정책학과)

Abstract ▼ AI-Helper

Background: Most developed countries are working to improve their universal health coverage systems. This study investigates regional disparities in unmet healthcare needs and their causes in South Korea. Additionally, it compares the unmet healthcare needs rate in South Korea with that of 33 European countries. Methods: The analysis incorporates information from 13,359 adults aged 19 or older, using data from the Korea Health Panel. The dependent variables encompass the experience of unmet healthcare needs and the three causes of occurrence: "burden of medical expenses," "time constraints," and "lack of care." The primary variable of interest is the region of residence, while control variables encompass 14 socio-demographic, health, and functional characteristics. Multivariable binary logistic regression analysis, accounting for the sampling design, is conducted. Results: The rate of unmet healthcare needs in Korea is 11.7% (95% confidence interval [CI], 11.0%-13.3%), which is approximately 30 times higher than that of Austria (0.4%). The causes of unmet healthcare needs, ranked in descending order, are "lack of care," "time constraints," and "burden of medical expenses." Predictive probabilities for experiencing unmet healthcare needs and each cause differ significantly between regions. For instance, the probability of experiencing unmet healthcare needs due to "lack of care" is approximately 10 times higher in Gangwon-do (13.5%; 95% CI, 13.0%-14.1%) than in Busan (1.3%; 95% CI, 1.3%-1.4%). The probability due to "burden of medical expenses" is approximately 14 times higher in Seoul (4.1%; 95% CI, 3.6%-4.6%) compared to Jeollanam-do (0.3%; 95% CI, 0.2%-0.4%). Conclusion: Amid rapid sociodemographic transitions, South Korea must make significant efforts to alleviate unmet healthcare needs and the associated regional disparities. To effectively achieve this, it is recommended that South Korea involves the National Assembly in healthcare policy-making, while maintaining a centralized financing model and delegating healthcare planning and implementation to regional authorities for their local residents-similar to the approaches of the United Kingdom and France.

주제어

표/그림 (9)

표 Table 1. Population proportions and rates of subjective unmet healthcare needs (overall and for each of the three causes) for each residential area
표 Table 2. Population proportions and rates of subjective unmet healthcare needs (overall and for each of the three causes) for each control variable
표 Table 2. Continued
표 Table 3. Multivariable logistic regression models for subjective unmet healthcare needs (overall and for each of the three causes)
그림 Figure 1. Rates of "subjective unmet healthcare needs" in selected European countries and South Korea, 2018.
그림 Figure 2. Predictive probability of experiencing "subjective unmet healthcare needs" for each residential area in South Korea.
그림 Figure 3. Predictive probability of experiencing subjective unmet healthcare needs due to "burden of medical expenses" for each residential area in South Korea.
그림 Figure 4. Predictive probability of experiencing subjective unmet healthcare needs due to "time constraints" for each residential area in South Korea.
그림 Figure 5. Predictive probability of experiencing subjective unmet healthcare needs due to "lack of care" for each residential area in South Korea.

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표제어: PCR

동의어: Packet Collision Rate

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용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

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