Equity of Access to Primary Care Among Older Adults in Incheon, South Korea

Park, Ju Moon

doi:10.1177/1010539511409392

Cited by 18 publications

(23 citation statements)

References 6 publications

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“…Lastly, it is important to note that socio-economic factors, rather than health-related factors, have more predictive power of the use of health services. This finding is inconsistent with previous studies [13] [14], showing the opposite result. I observed a 20% -30% higher likelihood of health care utilization among individuals who have working status than those who have never had.…”

Section: Resultscontrasting

confidence: 99%

“…An interesting finding in this study is the fact that people living in urban areas have significant higher utilization of specialist services than people living in rural areas. This may be related to the geographic mal-distribution of providers that may be reflected in the lower utilization of specialists in rural areas [13]. In Korea, with the government's "laissez-faire" policy for the private medical sector, more than 90% of physicians and hospital beds are concentrated in urban areas.…”

Section: Discussionmentioning

confidence: 99%

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Chronic Diseases, Health Status and Health Service Utilization among Koreans

Park¹

2014

Health

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This study described the self-reported chronic diseases and health status and examined the factors that are associated with effective health service utilization. Descriptive and logistic regression analysis was performed to determine the factors significantly associated with self-rated health, in-patient and outpatient utilization. Self-rated health status was ranked lower among rural residents, lower-income families, married persons, and those with chronic diseases. Chronic diseases such as hypertension, arthritis, melancholy, and diabetes were common and they are associated with poor health of Koreans. The presence of chronic diseases was significant in predicting the likelihood of poor health while socioeconomic factors, rather than health-related need factors, had more predictive power of the use of health services. This study provides a unique contribution to the knowledge base of the Korean population. The study findings show that Koreans in poor health status were married, living in rural areas, having chronic diseases and lower income, with a high likelihood of health care utilization among employed individuals, which could significantly help in the public health policy required to address this issue.

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Section: Resultscontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Chronic Diseases, Health Status and Health Service Utilization among Koreans

Park¹

2014

Health

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“…CHC have taken a leading role helping states and local communities plan for public health problems by supporting vulnerable populations, managing chronic disease, and providing home healthcare, rehabilitation, and health education. However, despite these efforts, previous studies concluded that South Korea continues to have disparate access to healthcare [3,4].…”

mentioning

confidence: 96%

Unmet healthcare needs and community health center utilization among the low-income population based on a nationwide community health survey

2016

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“…Just nine studies referred explicitly to a conceptual framework that guided the analysis. For example, Litwin and Sapir [36] made reference to the Andersen-Newman model of health service utilisation [37] and Park [38] drew on the Aday and Andersen access framework [39]. …”

Section: Resultsmentioning

confidence: 99%

Identifying inequitable healthcare in older people: systematic review of current research practice

Salway

Payne

Rimmer

et al. 2017

Int J Equity Health

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BackgroundThere is growing consensus on the importance of identifying age-related inequities in the receipt of public health and healthcare interventions, but concerns regarding conceptual and methodological rigour in this area of research. Establishing age inequity in receipt requires evidence of a difference that is not an artefact of poor measurement of need or receipt; is not warranted on the grounds of patient preference or clinical safety; and is judged to be unfair.MethodA systematic, thematic literature review was undertaken with the objective of characterising recent research approaches. Studies were eligible if the population was in a country within the Organisation for Economic Co-operation and Development and analyses included an explicit focus on age-related patterns of healthcare receipt including those 60 years or older. A structured extraction template was applied. Extracted material was synthesised in thematic memos. A set of categorical codes were then defined and applied to produce summary counts across key dimensions. This process was iterative to allow reconciliation of discrepancies and ensure reliability.ResultsForty nine studies met the eligibility criteria. A wide variety of concepts, terms and methodologies were used across these studies. Thirty five studies employed multivariable techniques to produce adjusted receipt-need ratios, though few clearly articulated their rationale, indicating the need for great conceptual clarity. Eighteen studies made reference to patient preference as a relevant consideration, but just one incorporated any kind of adjustment for this factor. Twenty five studies discussed effectiveness among older adults, with fourteen raising the possibility of differential effectiveness, and one differential cost-effectiveness, by age. Just three studies made explicit reference to the ethical nature of healthcare resource allocation by age. While many authors presented suitably cautious conclusions, some appeared to over-stretch their findings concluding that observed differences were ‘inequitable’. Limitations include possible biases in the retrieved material due to inconsistent database indexing and a focus on OECD country populations and studies with English titles.ConclusionsCaution is needed among clinicians and other evidence-users in accepting claims of healthcare ‘ageism’ in some published papers. Principles for improved research practice are proposed.Electronic supplementary materialThe online version of this article (doi:10.1186/s12939-017-0605-z) contains supplementary material, which is available to authorized users.

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Equity of Access to Primary Care Among Older Adults in Incheon, South Korea

Cited by 18 publications

References 6 publications

Chronic Diseases, Health Status and Health Service Utilization among Koreans

Chronic Diseases, Health Status and Health Service Utilization among Koreans

Unmet healthcare needs and community health center utilization among the low-income population based on a nationwide community health survey

Identifying inequitable healthcare in older people: systematic review of current research practice

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