Regional Factors Influencing Non-Take-Up for Social Support in Korea Using a Spatial Regression Model

Park, Gyubeom; Yoon, Ki-Chan; Lee, Munjae

doi:10.1177/21582440211061562

Cited by 2 publications

(2 citation statements)

References 31 publications

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“…Furthermore, in terms of insurance type, travel costs were higher in medical aid type 2, medical aid type 1, and health insurance subscribers. This indicates that the low-income bracket (medical bene ciaries) visit medical institutions located far from their residence, which is similar to existing research results suggesting that the lower the economic status, the lower the accessibility to medical care because of a lack of medical resources in the region [48,49].…”

Section: Discussionsupporting

confidence: 86%

Why do patients prefer tertiary hospitals?

Ji,

Park,

Choi

et al. 2024

Preprint

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Background: Tertiary hospital utilization for patients with mild diseases creates inefficiencies in medical utilization for medical consumers and providers, collapses the healthcare delivery system, and has negative consequences for the public health system. This study aims to identify the factors that lead to the selection of tertiary hospitals and the medical needs of patients with mild diseases. We evaluate the value of using medical institutions by comparing and analyzing regional and individual patient characteristics. Methods: The travel cost method based on the travel cost incurred according to the consumer's temporal choice, was used to evaluate the medical use. We considered data from Ajou University Hospital from 2017 to 2022. The variables used for travel costs are travel costs, time costs, and medical costs. The Quantum Geographic Information System(QGIS) network analysis was used to calculate travel costs and time costs, and independent sample t-tests and analysis of variance (ANOVA) were used to compare the evaluated values between groups. Results: The analysis revealed that travel costs were the highest for patients with diabetes. Regarding personal characteristics, men exhibited higher rates than women, and individuals under 65 years of age and those receiving type 2 medical benefits demonstrated higher travel costs. Travel costs and outpatient visit rates for mild diseases exhibited a direct proportional relationship. We compared the total economic value assessed for each type of mild disease and found the highest value for diabetes patients with the highest number of outpatient visits. Conclusion: These findings highlight the importance of incorporating patient segmentation into policy formulation to alleviate the overcrowding of patients with mild illnesses in tertiary care hospitals. Furthermore, they advocate adopting a primary care-centered approach to enhance the healthcare delivery system and address imbalances in community healthcare resources.

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Section: Discussionsupporting

confidence: 86%

Why do patients prefer tertiary hospitals?

Ji,

Park,

Choi

et al. 2024

Preprint

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“…Particularly, in rural areas, the role played by regional health and medical institutions as public health centers is becoming increasingly prominent; the medical infrastructure needed to meet the healthcare needs is insufficient. [3][4][5] Regional health and medical institutions are established and operated based on the Regional Public Health Act and the Act on Special Measures for Health and Medical Care in Rural Areas. The Regional Public Health Act regulates functioning of public health centers, health and medical centers, branch offices of health centers, health lifesupporting centers, and so on; healthcare centers and other similar institutions have been established in accordance with the Act on Special Measures for Health and Medical Care in Rural Areas.…”

Section: Introductionmentioning

confidence: 99%

Analyzing the Effectiveness of Data-Linked Projects for Health Promotion in Public Health Centers of South Korea

Yoon¹,

Kim²,

Choi³

et al. 2023

RMHP

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Purpose The purpose of this study lies in verifying the effectiveness of the health promotion project which the public health center at the local level conducted by systematically linking the health examination results from the Health Insurance Corporation. We intend to emphasize the importance of linking the health-related public data. Methods A survey was conducted to measure the effect of improving health behavior using EQ-5D-5L and demographic variables. Results As a result of the analysis, the residents (3.13) who had experienced the use of public health centers recognized more necessity for the service linked systematically with health checkup data than those (2.93) who had not. In addition, the residents who had experienced the use of public health centers responded that their chronic diseases had improved compared to a year ago (2.78→2.93). Next, those (3.04) who had experienced the services linked with health checkup data recognized that their chronic diseases and health conditions had been improved compared to those (2.81) who had not. However, in EQ-5D-5L, after using the service, mobility showed no difference between those who had used the service and those who had not. Furthermore, even in terms of self-management, daily life, etc., the management ability was further improved compared to those who had not used it, before using the service. Conclusion This study showed the improved health level when the health promotion service of the public health center was provided by systematically linking the health checkup data of the Health Insurance Corporation in Korea. In order to increase the effectiveness of health data-linked projects, it is necessary to prepare guidelines for linking the public health data and to expand the data-linked project. It will be needed to further subdivide the health checkup results to provide customized services, and to secure dedicated personnel to reinforce the system link.

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Regional Factors Influencing Non-Take-Up for Social Support in Korea Using a Spatial Regression Model

Cited by 2 publications

References 31 publications

Why do patients prefer tertiary hospitals?

Why do patients prefer tertiary hospitals?

Analyzing the Effectiveness of Data-Linked Projects for Health Promotion in Public Health Centers of South Korea

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