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KMID : 0379220110310010171
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Journal of Korea Gerontological Society
2011 Volume.31 No. 1 p.171 ~ p.188
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Factors Associated with Health Service Utilization of the Disabled Elderly in Korea
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Jeon Bo-young
Kwon Soon-Man
Lee Hye-Jae
Kim Hong-Soo
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Abstract
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The purpose of this study is to examine the factors associated with the probability and levels of the health service utilization among the disabled elderly in Korea. The sample includes 2,111 people older than 65 who are extracted from the 2008 National Survey on People with Disabilities. More than half (54.3%) of the sample experienced at least 1 outpatient physician visit within two weeks and 26.7% were hospitalized within a year. The key factors associated with the outpatient visits were health insurance status, the existence of chronic disease, self-rated health, the Activities of Daily Living (ADLs), as well as renal impairment. Similarly, the utilization of inpatient care was related to health insurance status along with the existence of the internal organ disabilities such as cardiac or respiratory disorders. The study implies the need for the health care policies regarding the prevention of chronic diseases, dependency for daily activities of the elderly, and a management system that specifically targets those with internal organ disabilities. Moreover, the study suggests that financial supports for the low-income group would be helpful to increase their access to health service utilization.
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KEYWORD
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Disabled elderly, Health Service Utilization, Outpatient, Inpatient
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