粮食不安全,医疗保健利用和医疗保健支出:一个纵向队列研究
1Department of Consumer Science and Convergence Program for Social Innovation, Sungkyunkwan University, Seoul, Republic of Korea.
International journal of public health
|August 11, 2023
概括
家庭粮食不安全性显著增加了医疗保健的使用,包括更多的医生访问和住院. 然而,它也与韩国成年人个人医疗保健支出较低有关.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 社会学 社会学 社会学
背景情况:
- 粮食不安全是一个日益严重的公共卫生问题,可能对医疗保健系统产生影响.
- 了解粮食不安全与医疗保健利用之间的关系对于政策制定至关重要.
研究的目的:
- 调查家庭粮食不安全和医疗保健利用和支出之间的纵向关联.
- 确定与不同程度的粮食不安全相关的医疗保健使用和支出的具体模式.
主要方法:
- 一个使用韩国福利小组研究 (2008-2021) 的多波纵向队列研究.
- 包括12166名19岁以上的韩国成年人,有关粮食不安全和医疗保健的数据.
- 使用回归模型分析了门诊访问,住院住院,住院日和个人医疗保健支出.
主要成果:
- 严重的粮食不安全与更高的门诊访问率 (IRR 1.14),住院日数 (IRR 1.18) 和住院病人的入院率 (IRR 1.40) 相相关.
- 适度的粮食不安全与个人医疗保健支出减少有关 (10.4%或238,276韩元).
结论:
- 家庭粮食不安全明显与韩国成年人医疗保健使用率的增加有关.
- 研究结果表明,粮食不安全可能导致医疗保健需求增加,但个人支出也减少,这突显了针对性干预的必要性.
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