보건의료산업학회지 (The Korean Journal of Health Service Management)

  • 제12권4호
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  • Pages.31-41
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  • 2018
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  • 2093-5986(pISSN)
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  • 2288-0666(eISSN)
보건의료산업학회 (Korea Society of Health Service Management)
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근로자의 고용상태가 미충족 의료에 미치는 영향

The Effect of Employment Status on the Unmet Needs of Medical Utilization in Workers

  • 최재우 (연세대학교 약학대학 보건경제사회약학연구실)
  • Choi, Jae-Woo (Department of Health Economics & Social Pharmacy, College of Pharmacy, Yonsei University)
  • 투고 : 2018.08.02
  • 심사 : 2018.12.17
  • 발행 : 2018.12.31
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초록

Objectives: This study was designed to evaluate whether employment status is associated with the experience of unmet care needs. Methods: This study utilized the Korea Health Panel data from 2012 to 2016. A total of 4,083 workers were selected as baseline subjects in 2012 and were followed for four years. This study used the GLIMMIX procedure under the marginal model while adjusting for covariates. Results: A total of 12.4% of 4,083 people said they had failed at least once to have a treatment or checkup despite the needs. Those more likely to experience unmet care needs were women and people of lower income level, with worse health conditions and chronic disease. Precarious workers, the self-employed, and the unemployed were more likely to experience unmet care needs caused by economic burden than permanent workers (Odds Ratio: 2.14, 2.07, 2.74, respectively). Conclusions: This disparity means that precarious workers and the unemployed are more likely to face barriers in obtaining needed health services. Given their insecure employment status, meeting their needs for health care is an important consideration.

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참고문헌

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