한국 노인들의 미충족 의료 유형별 관련요인

Abstract

Objective : This study aims to investigate types of unmet needs for health care of the elderly and to find out factors affecting them. Methods : This study used the data from the 2012 Community Health Survey. This study conducted the Chi-square analysis of the relevance between predisposing factors, enabling factors, needs factors, unmet needs for health care and types; the multiple logistic regression analysis was carried out to investigate factors related to unmet needs for health among the classified predisposing, enabling and needs factors. The multinomial logistic regression analysis was conducted to identify relevance between each type of unmet needs for health care and predisposing, enabling and needs factors, based on the cases without unmet needs for health care. Results : Those of unmet health care needs were 4,460(9.5%) persons of the total. By types of unmet health care needs, inaccessibility 1.171(2.5%) persons, unaccommodation 1,026(2.2%), unaffordability 2,263(4.8%). As a result of identifying the associated factors for unmet needs for health care in the elderly, there was a high possibility that they would have unmet medical needs in the following cases: they were female patients, they had no spouse or a low educational background, they lived in a rural area, they had a low income, they smoked or drank, or when they had unhealthy living habits and diseases. This was related to unmet needs for health care according to the three different types of unmet needs for health care. However, the subjects had higher levels for problems with accommodation when they were younger senior citizens, were insured privately, and were engaged in economic activity. The subjects living in urban areas had higher levels of financial difficulty than those living in rural areas. It was concluded that the there were differences in associated factors according to the types of unmet needs for health care. Conclusion : It is suggested that unmet needs for health care in the elderly should be examined from diverse angles rather than from a single aspect of partial limits and in particular, diverse types of unmet needs for health care in the elderly according to limited accommodation should be examined and to decrease unmet needs for health care, strategies for which the associated factors were reflected should be developed.

key words: Elderly, Unmet needs, Types of unmet needs for health care