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KMID : 1002520180120040031
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Korean Journal of Health Service Management
2018 Volume.12 No. 4 p.31 ~ p.41
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The Effect of Employment Status on the Unmet Needs of Medical Utilization in Workers
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Choi Jae-Woo
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Abstract
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Objectives: This study was designed to evaluate whether employment status is associated with the experience of unmet care needs.
Methods: This study utilized the Korea Health Panel data from 2012 to 2016. A total of 4,083 workers were selected as baseline subjects in 2012 and were followed for four years. This study used the GLIMMIX procedure under the marginal model while adjusting for covariates.
Results: A total of 12.4% of 4,083 people said they had failed at least once to have a treatment or checkup despite the needs. Those more likely to experience unmet care needs were women and people of lower income level, with worse health conditions and chronic disease. Precarious workers, the self-employed, and the unemployed were more likely to experience unmet care needs caused by economic burden than permanent workers (Odds Ratio: 2.14, 2.07, 2.74, respectively).
Conclusions: This disparity means that precarious workers and the unemployed are more likely to face barriers in obtaining needed health services. Given their insecure employment status, meeting their needs for health care is an important consideration.
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KEYWORD
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Employment Status, Unmet Care Needs, Longitudinal Study
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