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Original Article
- Poor People and Poor Health: Examining the Mediating Effect of Unmet Healthcare Needs in Korea
- Youngsoo Kim, Saerom Kim, Seungmin Jeong, Sang Guen Cho, Seung-sik Hwang
- J Prev Med Public Health. 2019;52(1):51-59. Published online January 23, 2019
- DOI: https://doi.org/10.3961/jpmph.18.162
- 7,787 View
- 205 Download
- 14 Crossref
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Abstract
Summary
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Supplementary Material - Objectives
The purpose of this study was to estimate the mediating effect of subjective unmet healthcare needs on poor health. The mediating effect of unmet needs on health outcomes was estimated.
Methods
Cross-sectional research method was used to analyze Korea Health Panel data from 2011 to 2015, investigating the mediating effect for each annual dataset and lagged dependent variables.
Results
The magnitude of the effect of low income on poor health and the mediating effect of unmet needs were estimated using age, sex, education level, employment status, healthcare insurance status, disability, and chronic disease as control variables and selfrated health as the dependent variable. The mediating effect of unmet needs due to financial reasons was between 14.7% to 32.9% of the total marginal effect, and 7.2% to 18.7% in lagged model.
Conclusions
The fixed-effect logit model demonstrated that the existence of unmet needs raised the likelihood of poor self-rated health. However, only a small proportion of the effects of low income on health was mediated by unmet needs, and the results varied annually. Further studies are necessary to search for ways to explain the varying results in the Korea Health Panel data, as well as to consider a time series analysis of the mediating effect. The results of this study present the clear implication that even though it is crucial to address the unmet needs, but it is not enough to tackle the income related health inequalities. -
SummaryKorean summary
이 연구에서는 2011년부터 2015년까지의 한국의료패널 자료를 이용하여 미충족의료과 불건강의 관련성을 살펴보고, 불건강을 매개하는 미충족의료의 크기를 추정했다. 미충족의료는 개인고정효과를 보정하였을 때 불건강에 유의한 영향 준다는 것을 확인할 수 있었고, 미충족의료가 매개하는 저소득의 건강 효과는 저소득이 불건강에 미치는 전체 효과 중 일부에 지나지 않았으며, 효과의 크기는 분석 연도 별로 일정하지 않게 나타났다. 이는 건강불평등을 줄이기 위한 정책 개입에서 미충족의료 해소가 유의미한 정책 목표로 가치가 있지만 그 한계 또한 명확하다는 것을 의미한다. -
Citations
Citations to this article as recorded by
- How did unmet care needs during the pandemic affect health outcomes of older European individuals?
Julien Bergeot, Florence Jusot
Economics & Human Biology.2024; 52: 101317. CrossRef - Unmet healthcare needs among older people in South Korea
Yong-Sook Eo, Jinpil Um
International Journal of Healthcare Management.2024; : 1. CrossRef - The prevalence and determinants of unmet healthcare needs in Bulgaria
Ivan Maslyankov, Mónica Hernández, Noorsuzana Mohd Shariff
PLOS ONE.2024; 19(10): e0312475. CrossRef - Unmet healthcare needs among the population aged 50+ and their association with health outcomes during the COVID-19 pandemic
Carlota Quintal, Luis Moura Ramos, Micaela Antunes, Óscar Lourenço
European Journal of Ageing.2023;[Epub] CrossRef - THE EFFECT OF PARTICIPATION IN JKN ON UNMET NEEDS FOR HEALTHCARE SERVICES
Farikh Alfa Firori, I Dewa Gede Karma Wisana
Jurnal Administrasi Kesehatan Indonesia.2023; 11(2): 186. CrossRef - Factors and at-risk group associated with hypertension self-management patterns among people with physical disabilities: a latent class analysis
Hye Jin Nam, Ju Young Yoon
BMC Public Health.2022;[Epub] CrossRef - Changes in Barriers That Cause Unmet Healthcare Needs in the Life Cycle of Adulthood and Their Policy Implications: A Need-Selection Model Analysis of the Korea Health Panel Survey Data
Woojin Chung
Healthcare.2022; 10(11): 2243. CrossRef - Intergenerational Differences in Factors Affecting Unmet Health Care Needs in South Korea: Comparison of Middle-aged and Older Adults
Eunjeong Noh
Journal of Intergenerational Relationships.2021; 19(1): 144. CrossRef - Identification of Unmet Healthcare Needs: A National Survey in Thailand
Sukanya Chongthawonsatid
Journal of Preventive Medicine and Public Health.2021; 54(2): 129. CrossRef - Factors affecting unmet healthcare needs of low-income overweight and obese women in Korea: analysis of the Korean National Health and Nutrition Examination Survey 2017
Ju-Hee Nho, Sook Kyoung Park
Korean Journal of Women Health Nursing.2021; 27(2): 93. CrossRef - Factors Affecting Unmet Healthcare Needs among Adults with Chronic Diseases
Ji-Young Han, Hyeon-Sook Park
Journal of Korean Academy of Community Health Nursing.2021; 32(2): 131. CrossRef - Association between osteoarthritis and unmet medical needs in Korea: limitations in activities as a mediator
Hooin Jo, Eun-san Kim, Boyoung Jung, Soo-Hyun Sung, In-Hyuk Ha
BMC Public Health.2020;[Epub] CrossRef - Unmet Healthcare Needs and Associated Factors in Rural and Suburban Vietnam: A Cross-Sectional Study
Ju Young Kim, Dae In Kim, Hwa Yeon Park, Yuliya Pak, Phap Ngoc Hoang Tran, Truc Thanh Thai, Mai Thi Thanh Thuy, Do Van Dung
International Journal of Environmental Research and Public Health.2020; 17(17): 6320. CrossRef - Factors Underlying Unmet Medical Needs: A Cross-Sectional Study
Young Suk Yoon, Boyoung Jung, Dongsu Kim, In-Hyuk Ha
International Journal of Environmental Research and Public Health.2019; 16(13): 2391. CrossRef
- How did unmet care needs during the pandemic affect health outcomes of older European individuals?
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