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Changes in Barriers That Cause Unmet Healthcare Needs in the Life Cycle of Adulthood and Their Policy Implications: A Need-Selection Model Analysis of the Korea Health Panel Survey Data

Authors
 Woojin Chung 
Citation
 HEALTHCARE, Vol.10(11) : 2243, 2022-11 
Journal Title
HEALTHCARE
Issue Date
2022-11
Keywords
Korea Health Panel survey ; South Korea ; lack of caring and support ; longitudinal study ; non-financial barriers ; panel multinomial probit model with sample selection ; time constraints ; universal health coverage ; unmet healthcare needs
Abstract
Using 68,930 observations selected from 16,535 adults in the Korea Health Panel Survey (2014-2018), this study explored healthcare barriers that prevent people from meeting their healthcare needs most severely during adulthood, and the characteristics that are highly associated with the barrier. This study derived two outcome variables: a dichotomous outcome variable on whether an individual has experienced healthcare needs, and a quadchotomous outcome variable on how an individual's healthcare needs ended. An analysis was conducted using a multivariable panel multinomial probit model with sample selection. The results showed that the main cause of unmet healthcare needs was not financial difficulties but non-financial barriers, which were time constraints up to a certain age and the lack of caring and support after that age. People with functional limitations were at a high risk of experiencing unmet healthcare needs due to a lack of caring and support. To reduce unmet healthcare needs in South Korea, the government should focus on lowering non-financial barriers to healthcare, including time constraints and lack of caring and support. It seems urgent to strengthen the foundation of "primary care", which is exceptionally scarce now, and to expand it to "community-based integrated care" and "people-centered care".
Files in This Item:
T202205660.pdf Download
DOI
10.3390/healthcare10112243
Appears in Collections:
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Chung, Woo Jin(정우진) ORCID logo https://orcid.org/0000-0003-2090-4851
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/192748
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