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미충족 의료 경험이 삶의 질에 미치는 영향

Effect of Unmet Healthcare Needs on Quality of Life

  • 이정욱 (신라대학교 보건행정학과)
  • 투고 : 2020.06.01
  • 심사 : 2020.09.04
  • 발행 : 2020.09.30

초록

본 연구는 미충족 의료 경험과 삶의 질 관련 측정지표 간 인과관계를 실증하는 데 목적을 두었다. 이 두 변수간 인과관계 검증을 위해 본 연구는 한국의료패널의 부가조사 원자료를 가공하여 분석을 실시하였다. 삶의 질과 관련된 측정지표로는 운동능력, 자기관리, 일상 활동, 통증/불편, 불안/우울, 주관적 건강상태의 6개 변수를 투입해 선형회귀분석을 실시하였다. 본 연구의 분석 결과 미충족 의료 경험은 본 연구에 투입한 6가지의 삶의 질 하위변수 모두에 통계적으로 유의한 부(-)적 영향을 미치는 것을 확인할 수 있었다. 아울러 선형회귀분석을 통해 도출된 β값을 활용해 상대적 영향력의 크기를 검토한 결과 통증/불편, 주관적 건강상태, 불안/우울, 일상 활동, 운동능력, 자기관리의 순으로 차별적 영향 수준을 나타내는 것을 알 수 있었다. 이러한 분석 결과에 기초해 삶의 질적 수준 향상에 기여하기 위한 미충족 의료에 대한 정책 대응방안으로서 보건과 복지의 실무 연계 강화와 관련한 실무적 시사점을 제언하였다.

The purpose of this study was to investigate the potential causal relationship between unmet healthcare needs and metrics related to quality of life. To examine the relationships between these variables, the study conducted an analysis by processing additional irradiated raw materials of the Korean Medical Panel. The metrics related to quality of life included six variables: athletic ability, self-care, daily activities, pain/trouble, uneasiness/depression, and subjective health conditions. Linear regression analysis revealed that the unmet healthcare needs had statistically significant negative effects on all six quality of life variables. A review of the magnitude of the linear regression β values for those variables showed that the relative level of influence on the quality of life variables decreased in the following order: pain/trouble, subjective health conditions, uneasiness/depression, daily activities, athletic ability, and self-care. Based on the results, practical applications related to strengthening working-level links between health and welfare is considered an effective policy response to the continued presence of unmet healthcare needs; such applications could contribute to improving the quality of life of those with unmet healthcare needs.

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참고문헌

  1. Y. J. Shin, "Current Status and Policy Tasks of Unmet Medical Services", Healthcare Policy Forum, Vol. 12, No. 4, pp. 71-77, 2015. DOI: https://doi.org/10.14789/pjmj.58.472
  2. S. R. Shin, "The Effect of Income Source on Unmet Healthcare Needs among the Elderly Households", Consumer Policy and Education Review, Vol. 15, No. 1, pp. 129-155, 2019. DOI: http://doi.org/10.15790/cope.2019.15.1.129
  3. T. H. Kim, C. Y. Kim, "The Effect of Household Debt on Unmet Medical need", Health Economy and Policy Studies, Vol. 24, No. 4, pp. 71-95, 2018. http://s-space.snu.ac.kr/handle/10371/137687
  4. J. H. Kang, C. W. Kim, N. K. Seo, "Correlation of Unmet Healthcare Needs and Employment Status for a Population over 65 Years of Age", Korean Gerontology, Vol. 37, No. 2, pp. 281-291, 2017.
  5. M. J. Park, "The Factors Affecting Unmet Medical Needs in Elderly by Using Korea Health Panel Data 2011", Journal of the Korean Data Analysis Society, Vol. 16, No. 2, pp. 1017-1030, 2014.
  6. J. K. Park, "Factors influencing the unmet healthcare needs of elderly with chronic diseases: Focusing on the 2017 Korean national survey on elderly", Journal of the Korea Academia-industrial Cooperation Society, Vol. 20, No. 12, pp. 306-313, 2019. DOI: https://doi.org/10.37727/jkdas.2017.19.6.3317
  7. C. H. Jeon, J. W. Kwak, M. H. Kwak, J. H. Kim, Y. S. Park, "Factors associated with unmet healthcare needs of the older Korean population: The seventh Korea National Health and Nutrition Examination Survey 2017", Korean Journal of Health Promotion, Vol. 19, No. 2, pp. 84-90, 2019. DOI: https://doi.org/10.15384/kjhp.2019.19.2.84
  8. C. W. Son, S. J. Lee, J. N. Hwang, "Understanding factors associated with unmet need for outreach community health service among older adults in Seoul", Journal of Korea Gerontological Society, Vol. 39, No. 2, pp. 213-229, 2019. DOI: https://doi.org/10.31888/jkgs.2019.39.2.213
  9. M. H. Choi, "Factors on the unmet medical needs of the homeless people and general population in Busan, Korea", Journal of the Korean Data Analysis Society, Vol. 21, No. 2, pp. 1031-1042, 2019. DOI: https://doi.org/10.37727/jkdas.2019.21.2.1031
  10. J. W. Kim, H. J. Bae, "A study of the experience of unmet dental care needs among older adults", Health and Social Welfare Review, Vol. 39, No. 1, pp. 365-389, 2019. DOI: https://doi.org/10.15709/hswr.2019.39.1.365
  11. Y. R. Kim, "A Study on the Factors Related to Unmet Medical Needs among Some Injury Patient", Journal of Digital Convergence, Vol. 17, No. 12, pp. 535-543, 2019. DOI: https://doi.org/10.14400/JDC.2019.17.12.535
  12. Y. K. Park, C. Y. Kim, S. S. Hwang, "Interaction Effects of Income and Unmet Healthcare Needs to Subjective Health Status: Using the Korea Health Panel, 2009-2014", Health and Social Sciences, Vol. 47, pp. 57-83, 2018. DOI : https://doi.org/10.21489/hass.2018.04.47.57
  13. H. J. Lee, T. J. Lee, "Impact of Unmet Medical Need and Payment for Uncovered Services on Household Catastrophic Health Expenditure", Health Economy and Policy Studies, Vol. 21, No. 3, pp. 55-79, 2015.
  14. M. R. Kim, "A Comparative Study on the Quality of Life and Influence Factors of the Elderly in the Early and Late Periods", Korean Journal of Social Welfare, Vol. 58, No. 2, pp. 197-222, 2006.