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KMID : 0387320220320020205
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Korean Journal of Health Policy and Administration
2022 Volume.32 No. 2 p.205 ~ p.215
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Factors Influencing Medical Care Utilization according to Decline of Region: Urban Decline Index and Medical Vulnerability Index as Indicators
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Jeong Ji-Yun
Jeong Jae-Yeon
Yoon In-Hye
Choi Hwa-Young
Lee Hae-Jong
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Abstract
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Background: The purpose of this study is to identify the factors infecting the medical care utilization from a new perspective bynewly classifying the categories of administrative districts using the urban decline index and medical vulnerability index as indicators.
Methods: This study targeted 150,940 people who used medical services using the 2015 cohort database (DB), 2010-2015 urbanregeneration analysis index DB, and 2014-2015 public health and medical statistics DB. The decline of the region was classified usingthe urban decline index typed using k-means clustering and the medical vulnerability index typed using the quantile score calculation.
Regression analysis was performed 3 times with medical expenditure, length of stay, and the number of outpatient visits as dependentvariables.
Results: There were 37 stable region (47.4%), 29 health vulnerable region (37.2%), and 12 decline region (15.4%). The healthvulnerable region had lower medical expenditure, fewer outpatient visits, and a higher length of stay than the stable region. Thedecline region was all higher than the stable region but had no significant effect.
Conclusion: The factors that cause the health disparity between regions are not only factors related to individual health behavior butalso environmental factors of the local community. Therefore, there is a need for a systematic alternative that properly considers theresources within the community and reflects the characteristics of the population.
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KEYWORD
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Healthcare disparities, Health services accessibility, Vulnerable area, Urban decline, Medical care utilization
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