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KMID : 1032220230180020080
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Journal of Korean Academy of Rural Health Nursing
2023 Volume.18 No. 2 p.80 ~ p.91
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Experiences of Unmet Healthcare Service Utilization in Rural Populations Using Primary Health Care Posts during the COVID-19: A Mixed Method Study Based on Andersen’s Behavior Model
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Ha Yeong-Mi
Kim Young-Nam
Choi Hyun-Kyoung
Yang Seung-Kyoung
Ko Young-Suk
Jeong Mi-Ra
Yi Jee-Seon
Choi Young-Mi
Shin Eun-Ji
Kim Youn-Kyoung
Lee Ko-Woon
Jung Ae-Ri
Jang Ji-Hui
Kim Da-Eun
Kim Kyung-Hee
Shin So-Young
Park Song-Ran
Yim Eun-Shil
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Abstract
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Purpose: The purpose of the study quantitatively investigates the experience of unmet healthcare service utilization by rural populations in vulnerable areas during the COVID-19 pandemic based on Andersen’s behavior model. At the same time, this study attempts to describe the experiences of unmet healthcare service utilization among participants in vulnerable rural areas by analyzing qualitative contents through open-ended question.
Methods: Data were collected from October to November 2022 using Qualtrix, a web-based survey platform. A total of 863 participants completed an online survey. Quantitative data were analyzed using chi-square test and logistic regression analysis. Qualitative data were analyzed using content analysis.
Results: The factors affecting participants’ unmet healthcare service utilization were type of residential area and underlying disease. The qualitative analysis identified; four categories and nine sub-categories.
Conclusion: Based on these findings, it is necessary to develop a disaster nursing response model according to the type of residential areas and the number of people.
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KEYWORD
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Rural health services, COVID-19, Primary health care
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