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KMID : 0387320210310040491
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Korean Journal of Health Policy and Administration
2021 Volume.31 No. 4 p.491 ~ p.507
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A Study on Regional Differences in Healthcare in Korea: Using Position Value for Relative Comparison Index
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Youn Hin-Moi
Yun Cho-A
Kang Soo-Hyun
Kwon Jun-Hyun
Lee Hyeon-Ji
Park Eun-Cheol
Jang Sung-In
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Abstract
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Background: This study aims to measure regional healthcare differences in Korea, and define relatively underserved areas.
Methods: We employed position value for relative comparison index (PARC) to measure the healthcare status of 250 areas using 137indicators in five following domains: healthcare demand, supply, accessibility, service utilization, and outcome. We performed asensitivity analysis using t-SNE (t-distributed stochastic neighboring embedding).
Results: Based on PARC values, 83 areas were defined as relatively underserved areas, 49 of which were categorized as moderate and34 as severe. The provincial regions with the most underserved areas were Gyeongbuk (16 areas), Gangwon (13), Jeonnam (13), andGyeongnam (12).
Conclusion: This study suggests a relative comparison approach to define relatively underserved areas in healthcare. Further studiesincorporating various perspectives and methods are required for policy implications.
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KEYWORD
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Relatively underserved areas, Healthcare differences, Regional differences, Regional disparities, Position value for relative comparison index, t-distributed stochastic neighboring embedding
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