Poor People and Poor Health: Examining the Mediating Effect of Unmet Healthcare Needs in Korea

김영수; 김새롬; Seungmin Jeong; 조상근; Seung Sik Hwang

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자료유형: 학술저널

저자정보: 김영수 김새롬 Seungmin Jeong 조상근 Seung Sik Hwang

저널정보: 대한예방의학회 예방의학회지 예방의학회지 제52권 제1호

발행연도: 2019.1

수록면: 51 - 59 (9page)

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연구결과

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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 self-rated 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.

참고문헌 (40)

참고문헌 신청

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