未满足的医疗保健需求和本地灭绝指数：影响韩国老年人的区域差异分析。
Unmet healthcare needs and the local extinction index: an analysis of regional disparities impacting South Korea's older adults.
机构信息
School of Health Policy and Management, College of Public Health Science, Korea University, Seoul, Republic of Korea.
Center for Medical Education, College of Medicine, Chung-Ang University, Seoul, Republic of Korea.
出版信息
Front Public Health. 2024 Aug 1;12:1423108. doi: 10.3389/fpubh.2024.1423108. eCollection 2024.
BACKGROUND
This study examines the factors affecting unmet healthcare experiences by integrating individual-and community-level extinction indices.
METHODS
Using spatial autocorrelation and multilevel modeling, the study utilizes data from the Community Health Survey and Statistics Korea for 218 local government regions from 2018 to 2019.
RESULTS
The analysis identifies significant clustering, particularly in non-metropolitan regions with a higher local extinction index. At the individual level, some factors affect unmet medical needs, and unmet healthcare needs increase as the local extinction index at the community level increases.
CONCLUSION
The findings underscore the need for strategic efforts to enhance regional healthcare accessibility, particularly for vulnerable populations and local infrastructure development.
背景
本研究通过整合个体和社区层面的灭绝指数，考察了影响未满足医疗保健体验的因素。
方法
本研究利用了 2018 年至 2019 年来自社区健康调查和韩国统计的数据，对 218 个地方政府区域进行了空间自相关和多层次建模。
结果
分析发现存在显著的聚类现象，特别是在具有较高地方灭绝指数的非大都市地区。在个体层面上，一些因素影响了未满足的医疗需求，而且随着社区层面地方灭绝指数的增加，未满足的医疗保健需求也会增加。
结论
这些发现强调了需要通过战略努力来增强区域医疗保健的可及性，特别是针对弱势群体和地方基础设施发展。
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