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KMID : 1035420190070020111
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Journal of The Korean Society of Integrative Medicine
2019 Volume.7 No. 2 p.111 ~ p.119
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An Investigation of Socio-Demographic Characteristics, Medical Use in Juvenile and Adolescents : Using Korea Health Panel Data (2015)
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Moon Jong-Hoon
Park Kyoung-Young
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Abstract
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Purpose: The aim of this study was to investigate patterns of medical use among juveniles and adolescents, including for chronic disease, in Korea. The study sought to do the following: (a) investigate the extent to which chronic diseases account for medical expenditures, (b) investigate and the socio-demographic characteristics associated with medical use, and (c) identify the differences in medical use between juveniles and adolescents.
Methods: We used data from the 2015 Korean Health Panel and selected 12 variables. The socio-demographic characteristics investigated included, growth period (juvenile, adolescents), gender, family income, national basic livelihood act status, disability registration, and degree of disability. There were five medical factors that were considered: emergency room use, hospitalization use, hospital outpatient use, chronic disease, and medical expenditure. Data were analyzed using stepwise multiple and logistic regression.
Results: The prevalence of chronic disability in juveniles and adolescents was 31.1% and 1%, respectively. The factors affecting medical expenditures included hospitalization use, hospital outpatient use, family income, disability, gender, chronic disease, and emergency room use (R2=.160,p< .05). For national basic livelihood act recipients, the probability of having chronic disease was about 1.6 times higher (OR = 1.597, 95% CI = 1.092-2.335, p= .016), compared with non-national basic livelihood act recipients. People with disabilities were 6.6 times more likely than those without disabilities to suffer from chronic disease (OR = 6.571, 95% CI = 2.776-15.556, p < .001). Hospital outpatient user was 2.3 times higher than non-user (OR = 2.260, 95% CI =1.702-3.001, p< .001). Juveniles had a 1.7 times and 6.2 times higher likelihood of emergency rooms user (OR=1.654, 95% CI = 1.270-2.155, p< .001), and hospital outpatient user than adolescents (OR = 6.208, 95% CI = 4.443-8.676, p< .001.
Conclusion: The findings of this study suggest that health care services for juveniles is needed to manage chronic diseases that have an effect on medical expenditures.
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KEYWORD
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medical use, juvenile, adolescents, chronic disease, Korea Health Panel
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