Skip Navigation
Skip to contents

JPMPH : Journal of Preventive Medicine and Public Health

OPEN ACCESS
SEARCH
Search

Search

Page Path
HOME > Search
2 "Unmet healthcare needs"
Filter
Filter
Article category
Keywords
Publication year
Authors
Original Articles
Association Between Convenience of Transportation and Unmet Healthcare Needs of Rural Elderly in Korea
Youngeun Choi, Kiryong Nam, Chang-yup Kim
J Prev Med Public Health. 2019;52(6):355-365.   Published online October 3, 2019
DOI: https://doi.org/10.3961/jpmph.19.172
  • 9,401 View
  • 216 Download
  • 23 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
In rural areas of Korea, where public transportation infrastructure is lacking and alternative systems are poor, the elderly experience inconveniences in using healthcare, although their need is high. This study aimed to analyze the association between the convenience of transportation and unmet healthcare needs among the rural elderly.
Methods
The data used were collected in the 2016 Community Health Survey among rural elderly individuals aged 65 or older. Dependent variable was the unmet healthcare needs, explanatory variable was the convenience of transportation. The elderly were divided into 3 groups: with no driver in the household, with a driver, and the elderly individual was the driver (the self-driving group). Covariates were classified into predisposing, enabling, and need factors. They included gender, age, education, income, economic activity, household type, motor ability, subjective health level, number of chronic diseases, anxiety/depression, and pain/discomfort. The data were analyzed using logistic regression and stratification.
Results
A significant association was found between the convenience of transportation and unmet healthcare needs. When examined unadjusted odds ratio of the group with a driver in the household, using the group with no driver as a reference, was 0.61 (95% confidence interval [CI], 0.54 to 0.68), while that of the self-driving group was 0.34 (95% CI, 0.30 to 0.38). The odds ratios adjusted for all factors were 0.69 (95% CI, 0.59 to 0.80) and 0.79 (95% CI, 0.67 to 0.91).
Conclusions
We confirmed a significant association between inconvenient transportation and unmet healthcare needs among the rural elderly even after adjustment for existing known factors. This implies that policies aimed at improving healthcare accessibility must consider the means of transportation available.
Summary
Korean summary
대중교통 인프라가 부족하고 대안적 교통수단 체계가 미흡한 농촌 지역 노인들은 의료 필요는 높으나 도보이동이나 불편한 이동수단을 이용하기 어려워 의료이용에 불편을 겪는다. 본 연구는 의료접근성 향상과 불평등한 접근성 문제에 대한 제안의 근거 마련을 목적으로 질병관리본부 지역사회건강조사 데이터를 이용하여 농촌 노인의 이동수단의 편의성과 미충족의료 경험의 연관성을 살펴보았다. 분석결과 농촌지역 노인에게 교통편 불편은 미충족의료 경험의 주된 이유로 나타났고 기존에 알려진 요인들을 보정한 후에도 이동수단의 편의성과 미충족의료 경험 사이에 유의한 관계가 있음을 확인하였다.

Citations

Citations to this article as recorded by  
  • Patients with diabetes in regions with population decline and likelihood of receiving diabetes management education and screenings for related complications in Korea
    Yeong Jun Ju, Woorim Kim, Kyujin Chang, Tae Hoon Lee, Soon Young Lee
    Preventive Medicine.2024; 178: 107793.     CrossRef
  • Rural mobility in later life; counteracting accessibility poverty with digital service solutions
    Vanessa Stjernborg, Gustav Lopez Svensson
    Transportation Research Part D: Transport and Environment.2024; 126: 104030.     CrossRef
  • Inequalities in unmet health care needs under universal health insurance coverage in China
    Jingxian Wu, Yongmei Yang, Ting Sun, Sucen He
    Health Economics Review.2024;[Epub]     CrossRef
  • Does unequal economic development contribute to the inequitable distribution of healthcare resources? Evidence from China spanning 2001–2020
    Afei Qin, Wenzhe Qin, Fangfang Hu, Meiqi Wang, Haifeng Yang, Lei Li, Chiqi Chen, Binghong Bao, Tianjiao Xin, Lingzhong Xu
    Globalization and Health.2024;[Epub]     CrossRef
  • Does the Padma Bridge improve livelihoods of the local community? An application of the ordered logit model
    Shayeda Shoulin, B. M. Assaduzzaman Nur, Md. Shibber Hossain, Md. Mizanur Rahman
    SSRN Electronic Journal.2024;[Epub]     CrossRef
  • Health Expenditures and Unmet Health Care Needs of Single-Person Households between Pre-Baby Boomer and Baby Boomer Generations: A Secondary Data Analysis
    Dajung Ryu, Eunjung Ryu
    Korean Journal of Adult Nursing.2023; 35(1): 13.     CrossRef
  • Transportation infrastructure development and subjective socio-economic status: A quasi-experiment in establishing rural bus stations in China
    Yadong Cui, Su Xu, Yaohui Jiang, Zhaowen Zhang
    Research in Transportation Business & Management.2023; 49: 101006.     CrossRef
  • Impact of health and transportation on accessing healthcare in older adults living in rural regions
    Sarah Krasniuk, Alexander M. Crizzle
    Transportation Research Interdisciplinary Perspectives.2023; 21: 100882.     CrossRef
  • Factors associated with the perceived need for assistance from voluntary services in home-based older adults in Chinese urban areas: a cross-sectional study
    Lei Huang, Hongyan Wu, Fengjian Zhang, Huimin Zhao, Yuqin Chen, Mingjiao Feng, Yanjie You, Xiao Peng, Chunyan Guan, Yilan Liu
    BMC Geriatrics.2023;[Epub]     CrossRef
  • Factors Associated with the Delay in Seeing a Doctor: Evidence of Chinese Middle-Aged and Older Adults
    Shangren Qin, Xiaoyan Ni, Ye Ding
    Journal of Multidisciplinary Healthcare.2023; Volume 16: 4239.     CrossRef
  • Long-term Care Utilization Discrepancy Among the Elderly in Former Evacuation Areas, Fukushima
    Yurie Kobashi, Tomohiro Morita, Akihiko Ozaki, Toyoaki Sawano, Nobuaki Moriyama, Naomi Ito, Masaharu Tsubokura
    Disaster Medicine and Public Health Preparedness.2022; 16(3): 892.     CrossRef
  • Association of Race and Neighborhood Disadvantage with Patient Engagement in a Home-Based COVID-19 Remote Monitoring Program
    Bradley A. Fritz, Brett Ramsey, Dick Taylor, John Paul Shoup, Jennifer M. Schmidt, Megan Guinn, Thomas M. Maddox
    Journal of General Internal Medicine.2022; 37(4): 838.     CrossRef
  • The association between healthcare needs, socioeconomic status, and life satisfaction from a Chinese rural population cohort, 2012–2018
    Caiyun Chen, Richard Huan Xu, Eliza Lai-yi Wong, Dong Wang
    Scientific Reports.2022;[Epub]     CrossRef
  • The impact of entering poverty on the unmet medical needs of Korean adults: a 5-year cohort study
    Yun Hwa Jung, Sung Hoon Jeong, Eun-Cheol Park, Sung-In Jang
    BMC Public Health.2022;[Epub]     CrossRef
  • Water, land, and air: how do residents of Brazilian remote rural territories travel to access health services?
    Patty Fidelis de Almeida, Adriano Maia dos Santos, Lucas Manoel da Silva Cabral, Eduarda Ferreira dos Anjos, Márcia Cristina Rodrigues Fausto, Aylene Bousquat
    Archives of Public Health.2022;[Epub]     CrossRef
  • Access Barrier in Rural Older Adults’ Use of Pain Management and Palliative Care Services: A Systematic Review
    Zainab Suntai, Cho Rong Won, Hyunjin Noh
    American Journal of Hospice and Palliative Medicine®.2021; 38(5): 494.     CrossRef
  • Unmet care needs of older people: A scoping review
    Dominika Kalánková, Minna Stolt, P Anne Scott, Evridiki Papastavrou, Riitta Suhonen
    Nursing Ethics.2021; 28(2): 149.     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
  • A Study on Supply–Demand Satisfaction of Community-Based Senior Care Combined with the Psychological Perception of the Elderly
    Jiangang Shi, Wenwen Hua, Daizhong Tang, Ke Xu, Quanwei Xu
    Healthcare.2021; 9(6): 643.     CrossRef
  • Factors influencing emergency medical competencies of health centers and fire stations in areas that are vulnerable to earthquakes
    Seolhyang Baek, Seungwoo Han
    Clinical and Experimental Emergency Medicine.2021; 8(3): 192.     CrossRef
  • Unmet Healthcare Needs Among Elderly Malaysians
    Shamsul Azhar Shah, Nazarudin Safian, Saharuddin Ahmad, Siti Rohani Nurumal, Zulkefley Mohammad, Juliana Mansor, Wan Abdul Hannan Wan Ibadullah, Yugo Shobugawa, Megumi Rosenberg
    Journal of Multidisciplinary Healthcare.2021; Volume 14: 2931.     CrossRef
  • Influencing Factors of Transportation Costs regarding Healthcare Service Utilization in Korea
    Su Yeon Jang, Jeong Yeon Seon, In-Hwan Oh
    Journal of Korean Medical Science.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
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
  • 6,361 View
  • 190 Download
  • 11 Crossref
AbstractAbstract AbstractSummary PDFSupplementary 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.
Summary
Korean 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 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
  • 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

JPMPH : Journal of Preventive Medicine and Public Health