기사
공간분석을 이용한 외래의료서비스 접근성 요인분석
- 개인저자
- 신호성
- 수록페이지
- 23-43 p.
- 발행일자
- 2011.03.23
- 출판사
- 한국보건행정학회
초록
Access to health care is complicated to define. It is a multidimensional process.
In addition to the matters of quality of care, geographical accessibility and
availability of the right type of care, finance, and acceptability are all involved. The
purposes of this paper are to measure the geographic distances between patient
residency locations and health service organizations in which the patients had
visited, and to investigate the association between geographical distance measures
and variables involved in health service utilization.
The study used the first and the second wave of the 2008 Korea Health Panel
Survey. The samples of analyses were patients who had visited outpatient or used
ambulatory health services, and the total observations (visit numbers) analyzed
were 229,128. We divided the samples into a frequent-visit illness group (Group
1) and a non-frequent visit illness group (Group 2) based on over 5,000 total visit
numbers. We exploited three level analyses using xtmixed of STATA 11.1
command with/without interaction terms among age, sex, and occupation Geographical distances were measured using the Haversine method.
Group 1 was tended to older and lower equivalent income than those of Group 2,
but the geographic difference were not observed in terms of area deprivation
index and standard mortality ratios. Amongst group 1, diabetes mellitus patients
travelled far to visit health care organizations, and arthritis patients were more
deprived in terms of the personal and areal characteristics. The study revealed
that residents in rural areas traveled about 10 times more long distances than
those whom lived in larger cities after adjusting for various variables, which we
used for analyses.
This study contributed to the practical understanding of health service
utilizations using empirical analyses, and found that the types of diseases and
socioeconomic characteristics of patients tended to define the amount of travel
distance to healthcare organizations