장애인 가구의 보건의료비 불평등 실태에 관한 연구

A Study on Inequality of Health and Medical Service for the Households with the Disabled

본 연구는 2010년부터 2012년까지의 장애인고용패널조사 자료를 적용하여 구성집단별 보건의료비 불평등을 분석함으로써 장애인 가구의 보건의료 불평등 개선정책 수립에 기초자료를 제공하는 것을 목적으로 이행되었다. 분석결과, 지니계수에서는 여성장애인, 경제활동 미참여, 40대, 신체외부장애, 중증장애인일수록 보건의료비 지출에서 더욱더 불평등하였으며, 경북지역은 불평등이 계속 높아지는 것으로 나타났다. 그리고 보건의료 소비가 낮은 그룹에서의 격차에 가중치를 부여한 엔트로피지수에서는 여성장애인, 경제활동 미참여, 정신적장애, 중증장애인일수록 보건의료 소비가 더욱더 불평등하였으며, 울산과 경북지역은 불평등이 심해지는 것으로 나타났다. 그리고 구성집단별 요인분해에서 집단 간보다는 집단 내의 보건의료비 불평등이 높게 나타났다. 이러한 결과를 토대로 연구의 제한점과 함의를 제안하였다.

This research was carried out for the purpose of providing basic data to establish a policy for improving health and medical service inequality in the disabled's households, by analyzing it according to composed groups through the application of data about the panel survey of the employment for the disabled, from 2010 to 2012. The results of analysis showed that as for Gini's coefficient, disabled women, the disabled without participation in economic activities, the disabled in their 40s, physically handicapped people and severely disabled people had more and more inequality in expenditure of health care expenses, and inequality in North Gyeongsang Province continued to be on the rise. As for the entropy coefficient, disabled women, the disabled without participation in economic activities, the mentally disabled and severely disabled people had more and more inequality in consumption of health care, and the inequality got severe in Ulsan and North Gyeongsang Province. And as for the decomposition of factors by composed group, inequality in health care expenses were higher inside a group than between groups. Based on these results, research limitations and implications were suggested.