Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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An Analysis of Convergence Factors on the Unmet Health Needs of the Indigent Elderly

빈곤노인의 미충족 의료와 관련된 융합적 요인 분석

  • Park, Sun Joo (Korea Institute for Pharmaceutical Policy Affairs) ;
  • Lee, Won Jae (Dept. of Healthcare Management, Gachon University)
  • 박선주 (의약품정책연구소) ;
  • 이원재 (가천대학교 헬스케어경영학과)
  • Received : 2016.11.21
  • Accepted : 2017.01.20
  • Published : 2017.01.28
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Abstract

The purpose of this study is to identify the convergence factors affecting the unmet health needs of the indigent elderly. The data the study is the Korean medical panel of 2011 and the parameters belonging to each factors were selected based on the Anderson model. We analyzed the general characteristics using frequency analysis and the correlations between variables using cross analysis. Finally, logistic regression analysis was conducted to examine the factors affecting unmet health needs. The indigent elderly with no education and elementary school graduates were 1.5 times more likely to experience unmet health needs than the poverty elderly with high school graduates. The indigent elderly who does not work for income, who were employers and self-employeds were 1.5 times more likely to experience unmet health care need than unpaid family workers. The indigent elderly with disabilities in activites of daily living were 2.9 time more likely to experience unmet health care needs than the indigent elderly with no disability in activites of daily living. The results of this study confirm that the increase in the economic burden of medical care for the indigent elderly can lead to the unmet health needs.

이 연구는 빈곤층 노인의 미충족 의료에 영향을 미치는 융합 요인들을 규명하고자 하였다. 분석자료는 2011년 한국의료패널이며 Anderson모형에 기초하여 각 요인에 속하는 변수들을 선정하였고 빈도분석을 통해 일반적 특성을, 교차분석을 통해 변수간의 연관성을 검정하였다. 마지막으로 로지스틱 회귀분석으로 미충족 의료에 영향을 미치는 요인들을 분석하였다. 분석 결과, 빈곤층 노인이 미충족 의료를 경험할 가능성이 소인성 요인에서는 무학 및 초등학교 졸업 노인이 고졸이상 학력의 노인보다 약 1.5배 이상 높았다. 가능성 요인에서는 수입목적으로 일하지 않은 노인과 고용주 자영업자 노인이 무급가족종사자보다 1.5배 이상 높으며, 필요요인에서는 일상 활동에 제한을 받는 노인이 그렇지 않은 노인보다 2.9배 높았다. 이 연구의 결과를 통해 빈곤층 노인의 의료 이용시 경제적 부담 증가가 빈곤층 노인의 미충족 의료를 발생시킬 수 있다는 것을 확인하였다.

Keywords

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