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KMID : 0926620220270010001
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Korean Journal of Hospital Management
2022 Volume.27 No. 1 p.1 ~ p.10
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Empirical Analysis of Medical Accessibility for People with Disabilities using Health Insurance Big Data
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Jeon Hui-Won
Hong Min-Jung
Jeong Jae-Yeon
Kim Ye-Soon
Lee Chang-Woo
Lee Hae-Jong
Shin Eui-Chul
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Abstract
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Background: This study aims to empirically compare and evaluate the current status of medical accessibility and health inequality between people with disabilities and without. We calculated the ACSC hospitalization rate, which is a medical accessibility index, for hypertension, a major risk factor for cardiovascular disease that accounts for more than 20% of deaths among people with disabilities using the 2016 National Health Insurance Big Data.
Methods: The subjects of the study were a total of 601,520, including 64,018 people with disabilities and 537,501 people without. Logistic regression was performed to analyze the differences in hypertension hospitalization rates adjusted for demographic and sociological characteristics and disease characteristics using SAS 9.4 program.
Results: Before adjusting for the characteristics, the hypertension hospitalization rate of people with disabilities was 1.55%, and the people without disabilities were 0.49%. After adjusting, it was found that people with disabilities were 2.11 times higher than people without disabilities, and it was statistically significant.
Conclusion: The preventable hospitalization rate of people with disabilities is higher than that of people without, suggesting that the disabled have problems with access to medical care and health inequality. Therefore, the government's policy improvement is required to close the medical gap for the disabled.
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KEYWORD
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Health Equity, Medical Accessibility, People with Disabilities, Hypertension, Ambulatory Care Sensitive Condition
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