|
KMID : 0379320030280020087
|
|
Korean Journal of Rural Medicine
2003 Volume.28 No. 2 p.87 ~ p.105
|
|
|
Health Care Utilizat ion Patt ern and Its Related Factors of Low- income Populat ion with Abnormal Results through Health Examination
|
|
Kwon Bog-Soon
Kam Sin
Han Chang-Hyun
|
|
|
Abstract
|
|
|
Objectives : The purpose of this study was to examine the health care utilization pattern and its related factors of low- income population with abnormal results through health examination.
Methods : Analysed data were collected through a questionnaire survey, which was given to 263 persons who 30 years or over with abnormal results through health examination at Health Center. This survey was conducted in March, 2003. This study employed Andersen’s prediction model as most well known medical demand mode and data were analysed through 2- test, and multiple logistic regression analysis.
Results : The proportion of medical utilization for thorough examination or treatment among study subjects was 51.0%. In multiple logistic regression analysis as dependent variable with medical utilization, the variables affecting the medical utilization were feeling about abnormal result (anxiety versus no anxiety: odds ratio 2.25, 95% confidence intervals 1.07-4.75) , type of health security(medicaid type I versus health insurance: odds ratio 2.82, 95% confidence intervals 1.04- 7.66; medicaid type II versus health insurance: odds ratio 3.22, 95% confidence intervals 1.37-7.53) , experience of health examination during past 2 years (odds ratio 2.39, 95% confidence intervals 1.09- 5.21) and family member ’s response for abnormal result (recommendation for medical utilization versus no response: odds ratio 4.90, 95% confidence intervals 1.75- 13.75; family member recommended to utilize medical facilities with him/her versus no response: odds ratio 19.47, 95% confidence intervals 5.01-75.73) . The time of medical utilization was 8- 15 days after they received the result(29.9%), 16-30 days after they receive the result(27.6%), 2-7 days after they received the result (20.9%) in order. The most important reason why they didn’t take a medical utilization was that it seemed insignificant to them(32.4%).
Conclusions : In order to promote medical utilization of low- income population, health education for abnormal result and its management would be necessary to family member as well as person with abnormal result. And follow- up management program for person with abnormal result through health examination such as home-visit health care would be necessary.
|
|
|
KEYWORD
|
|
|
Low-income population, Health ex amination, Abnormal results, Health care utilization pattern
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
|
|