解构主观未满足的医疗保健需求:韩国案例研究与政策影响
Woojin Chung1,2
1Department of Health Policy and Management, Graduate School of Public Health, Yonsei University, Seoul, Republic of Korea.
Frontiers in public health
|May 27, 2024
概括
这项研究将未满足的医疗保健需求分解为"需求"和"未满足"组件. 针对这些特定组件的干预措施可以显著减少韩国未满足医疗保健需求的普遍性.
科学领域:
- 医疗保健政策 医疗保健政策
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 尽管全球都在努力,但对未满足医疗保健需求的组成部分的研究很少.
- 了解未满足需求的具体要素对于有效的医疗保健政策至关重要.
研究的目的:
- 将主观未满足的医疗保健需求分解为两个不同的组成部分:医疗保健需求的经验 ("需求") 和未满足需求的经验 ("未满足").
- 分析与每个组件相关的社会人口统计,健康和功能特征.
主要方法:
- 利用来自2018年韩国卫生小组调查的13359名韩国成年人 (19岁以上) 的数据.
- 雇佣人口比例分析和采用样本选择的多变量双变量探针模型.
- 研究了15个独立变量,包括社会人口统计,健康和功能特征.
主要成果:
- 11.6%的人口有主观的未满足的医疗保健需求.
- "需求"部分在96.7%的人口中存在,而"未满足"部分在12.0%的人口中存在.
- 有针对性的干预措施可以将未满足的医疗保健需求从11.6%降至4.0%.
结论:
- 韩国面临着一个重大的挑战,即普遍存在未满足的医疗保健需求.
- 全民医疗保健系统必须通过解决"需求"和"未满足"组件的特征来适应.
- 建议优先考虑和加强资源不足的社区基础初级医疗保健.
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