University of Incheon, Incheon Metropolitan City, South Korea.
Asia Pac J Public Health. 2012 Nov;24(6):953-60. doi: 10.1177/1010539511409392. Epub 2011 Jun 8.
The present study examines the extent to which equity in the use of physician services for the elderly has been achieved in Incheon, Korea. It is based on the Aday and Andersen Access Framework. The results indicate that a universal health insurance system has not yielded a fully equitable distribution of services. The limitation of benefit coverage as well as high out-of-pocket payment can be a barrier to health care utilization, which results in inequity and differential medical care utilization between subgroups of older adults. Health policy reforms in South Korea must continue to concentrate on extending insurance coverage to the uninsured and establishing a financially separate insurance system for poor older adults. In addition, further research is needed to identify the nonfinancial barriers that persist for certain demographic subgroups, that is, those 80 years and older, men, those who lack a social network, and those who have no religion.
本研究考察了在韩国仁川，医生服务的使用在多大程度上实现了公平。它基于 Aday 和 Andersen 准入框架。结果表明，全民健康保险制度并没有实现服务的完全公平分配。福利覆盖范围的限制以及高额自付费用可能成为医疗保健利用的障碍，导致老年人亚组之间的不平等和差异化医疗服务利用。韩国的卫生政策改革必须继续集中精力扩大保险覆盖范围，使无保险者参保，并为贫困老年人建立一个财务独立的保险制度。此外，还需要进一步研究确定仍然存在于某些人口亚组的非财务障碍，即 80 岁及以上的老年人、男性、缺乏社交网络的人和没有宗教信仰的人。
