KMID : 1137920060310010009
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Journal of Agricultral Medicine & Community Health 2006 Volume.31 No. 1 p.9 ~ p.20
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The Ratio of Medical Aid over Health Insurance of Age Adjusted Mortality Rate of Tuberculosis and Related Factors
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Na Baeg-Ju
Kang Moon-Young Kim Eun-Young Kim Keon-Yeop Lee Moo-Sik Hong Jee-Young Yang Sang-Kyu
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Abstract
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Objectives: This study was aimed at investigating the ratio of medical aid over health insurance of age adjusted mortality rate of tuberculosis and related factors. And we want to compare the ratio of medical aid over health insurance of age adjusted mortality rate of tuberculosis and related factors among the provinces.
Methods: In order to compare, the data was referred to National health insurance center for affirming the insurance type of the dead. And age adjusted mortality rate of tuberculosis of each insurance type was analyzed by whole country and the provinces. Related factors of the provinces were gathered from public statistic books. We analysed correlation study between the ratio of medical aid over health insurance of age adjusted mortality rate of tuberculosis and related factors among the provinces.
Results: Major findings were as follows
1. The ratio of medical aid over health insurance of age adjusted mortality rate of tuberculosis was 5.6. And the ratio was relatively high at 40-60 ages.
2. The ratio of medical aid over health insurance of age adjusted mortality rate of tuberculosis by the province was varying. And the factors that were financial independence, crowdedness, percent of people on medical aid, population size served by each public health center, number of hospital by a million peoples have correlated with increment of the ratio.
Conclusions: As a consequence of tuberculosis control, the ratio was high. Thus this finding suggests that medical utilization and preventive behavior, environment of tuberculosis patient are under handicapped condition. Especially large cities like metropolitan area who have high financial independence, high population density, high percentage of medical aid peoples have high ratio of medical aid over health insurance of age adjusted mortality rate of tuberculosis. There is need for additional and systematic research on the attitude or tendency toward medical services(including preventive services) utilization of medical aid tuberculosis patients.
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KEYWORD
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Medical aid, Health insurance, Health equity, Tuberculosis, Age adjusted mortality rate
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