Gil Mi-Ryeong, Choi Cheon Geun
1 National Health Insurance Service, Seoul, Korea.
2 Hansung University, Seoul, Korea.
Inquiry. 2019 Jan-Dec;56:46958019833256. doi: 10.1177/0046958019833256.
The present study analyzed factors underlying outpatient service users' choice of national and public (rather than private) hospitals. Based on Andersen's Behavioral Model, we developed a framework that covered needs, enabling, and personal factors. Data of outpatient service usage were obtained from the Korean medical panel survey during 2008 to 2013. Logistic regression analyses were conducted, and results revealed that the rate of national and public hospital use was very low (5.57%), and our model adequately explained variance in service use. Specifically, several demographic factors-older age, low income, national merit and medical care, being chronically ill, and having a disability-were predictive of whether an individual is likely to choose national and public hospitals. We discuss the need to strengthen national and public hospitals' medical services in order to better manage care for low-income vulnerable groups.
本研究分析了门诊服务使用者选择国立和公立医院（而非私立医院）的潜在因素。基于安德森行为模型，我们构建了一个涵盖需求、促成因素和个人因素的框架。门诊服务使用数据来自2008年至2013年韩国医疗面板调查。进行了逻辑回归分析，结果显示国立和公立医院的使用率非常低（5.57%），且我们的模型充分解释了服务使用方面的差异。具体而言，一些人口统计学因素——年龄较大、收入较低、享受国家优惠和医疗照顾、患有慢性病以及有残疾——可预测个人是否可能选择国立和公立医院。我们讨论了加强国立和公立医院医疗服务的必要性，以便更好地管理对低收入弱势群体的护理。
