|
KMID : 0387320230330010040
|
|
Korean Journal of Health Policy and Administration
2023 Volume.33 No. 1 p.40 ~ p.54
|
|
|
A Study on the Determinants of Convalescent Rehabilitation Medical Service Needs at Regional Level
|
|
Kim Jung-Hoon
Kim Hee-Nyun
Choi Yong-Seok
Jeong Hyoung-Sun
|
|
|
Abstract
|
|
|
Background: Based on the increase in the needs for convalescent rehabilitation medical services in Korea, this study aims to calculatethe needs for rehabilitation services and examine its determinants for 229 regions.
Methods: Claim data from the Health Insurance Review and Assessment Service were used to estimate patients who need to receiverehabilitation services, and data from various sources were also used for analysis. The number of cases and incidence rates ofhospitalization related to convalescent rehabilitation were calculated to estimate the needs for services by region, and the resultswere visualized via a map. Multivariate regression and fixed effects regression using panel data were performed to identify thedeterminants of regional variation of the incidence rate.
Results: First, the incidence rate of rural areas such as Jeolla-do, Gyeongsang-do, and Chungcheong-do was higher than urban areas(metropolitan cities). Second, the population, proportion of the elder, medical aid recipients, financial independence, traffic deaths,smoking, diabetes rate, and medical infrastructure correlated significantly with the incidence rate. Third, ‘rho’ values which mean thefraction of variance due to individual terms in panel data regression models were 0.965 and 0.976, respectively.
Conclusion: The incidence rate of hospitalizations was correlated with most independent variables in this study and there is a gapbetween urban and rural areas. These regional disparities are fixed in our society. An improved regional convalescent rehabilitationsystem is suggested to cover the entire area including rural areas with a high rate of aging.
|
|
|
KEYWORD
|
|
|
Convalescent rehabilitation, Incidence rates of hospitalization, Regional disparities, Rehabilitation system
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
 
|
|