민간의료보험 가입 여부에 따른 건강행태와 의료이용 비교

Abstract

Objectives: This study compares the socio-demographic characteristics, subjective description of health behaviors and chronic diseases of those enrolled in private health insurance. Based on the comparison, this study aims to analyze the relationship between buying private health insurance and health behaviors, and use of medical service and number of consultations.

Method: The primitive data of the 6th Korea National Health and Nutrition Examination Survey (2013-2014) were selected as subjects for analysis. Descriptive analysis was performed to determine the distribution and behaviors related to socio-demographic and health related variables. Afterwards, to test socio-demographic characteristics and health related variables according to buying private health insurance status, student’s t-test was performed for continuous variables, and chi-square test was performed for categorical variables. In addition, to determine the relationship between buying private health insurance status, health behaviors and use of medical service. Logistical regression was performed. Analysis of covariance was performed to determine the relationship between buying private health insurance status and number of consultations.

Results: It was analyzed that the private health insurance buyer were significantly higher than non-buyer in current drinking status, heavy drinking status, walking exercises, awareness of nutrition information, usage of nutrition information related to buying private health insurance status and health behaviors. With regards to the relationship between buying private health insurance status and Health Care utilization, private health insurance buyer were significantly higher than non-buyer in cases where they had taken medical examinations, cancer screenings and oral examinations. For number of consultations depending on buying private health insurance status, private health insurance buyer had significantly higher numbers in number of times they had been hospitalized than non-buyer.

Conclusion:There is a health characteristic relationship depending on the buying private health insurance status, and there were more cases where private health insurance buyer undertook examinations. It was also found that those enrolled in private health insurance had more experiences and the number of cases of being hospitalized.

Keywords: Private Health Insurance, Health behaviors, Medical Examination, Health care utilization, number of consultations