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KMID : 0386819960060020039
Journal of the Institute of Health Environmental Sciences
1996 Volume.6 No. 2 p.39 ~ p.50
A Study on the Differentials in Level of Health Status and Health Care Utilization by by Income Class


Abstract
This study is based on the Social Statistical Survey data conducted by National Statistical Office in 1986 (35,433 cases), 1989 (62,429 cases), 1992 (24,432 cases) and 1995 (42,612 cases). This study looked into the differentials of prevalence
rate,
number of sickness days, number of days in bed confinement, self-perceived health status, rate of physician visits, and number of health care utilizations by income class. The above data were examined by X©÷-test and ANOVA test. Gini coefficient
for
each index was also used to see if level of health status and health care utilization of each income class showed same pattern or not.
@ES The major findings are as follows:
@EN 1. There were significant differences in the prevalence rate and number of sickness days by income class. Higher prevalence rate and more sickness days were observed in lower income class in four respective years, and they were higher in
recent
years.
2. Difference in number of days in bed confinement also existed by income class. There were more days in bed confinement in lower income class.
3. A significant difference in self-perceived health status was noted by income class. Lower income class tended to regard themselves as more unhealthy.
4. There was a significant difference in rate of physician visits by income class in 1986 and 1989 but not in 1992 and 1995. In 1992 and 1995, all the classes tended to visit physicians equally, regardless of their income differences.
Since the economic barrier to entry is removed to some degree owing to the existence of the national Health Insurance, the differentials of health care utilization by income class has been greatly reduced.
KEYWORD
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