Research in Community and Public Health Nursing

Original Articles

[English] The Relationship between Unmet Healthcare Needs Due to Financial Reasons and the Experience of Catastrophic Health Expenditures: Jeong Hee Kang, Chul-Woung Kim; J Korean Acad Community Health Nurs. 2021;32(1):95-106. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.95

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Purpose
The purpose of this study is to investigate the association between unmet healthcare needs due to financial reasons and catastrophic health expenditures. Methods: This study used secondary data from the 2014~2015 Korean Health Panel survey. The subjects of this study were 21,495 people aged 20 or older, and of them, there were 16,227 people aged 20 to 64 and 5,268 people aged 65 or older, which were surveyed between 2014 and 2015. The association between unmet healthcare needs due to financial reasons and catastrophic health expenditures was analyzed through logistic regression. Results: In 2015, 1.7% of people aged 20~64 years and 7.9% of those aged 65 or older experienced unmet healthcare needs due to financial reasons. In the 20~64 age group, people who repeatedly experienced catastrophic health expenditures (=10%,=20%) were less likely to experience unmet healthcare needs due to financial reasons than those who did not experience catastrophic health expenditures for two years (OR=0.50, OR=0.41). However, in the 65-or-older group, people who repeatedly experienced catastrophic health expenditures (=20%) were more likely to experience unmet healthcare needs due to financial reasons than those who did not experience catastrophic health expenditures for two years (OR=1.68). Conclusion: A greater percentage of the elderly repeatedly faced both catastrophic health expenditures and unmet healthcare needs due to financial reasons compared to the non-elderly.

Citations

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Satisfaction with local healthcare services and medical need among hypertensive patients: a nationwide study
Woorim Kim, Yeong Jun Ju, Soon Young Lee
BMC Public Health.2024;[Epub] CrossRef

[English] The Comparison of Health Behaviors, Use of Health Services, and Health Expenditures among Diabetic Patients according to the Practice of Exercise: Ji Eun Cha, Soon Nyung Yun; J Korean Acad Community Health Nurs. 2015;26(1):31-41. Published online March 31, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.1.31

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Abstract PDF

PURPOSE
The purpose of this study was to compare the use of health services and health expenditures between non-exercise and exercise groups of diabetic patients and among three groups divided according to exercise intensity.
METHODS
Data were obtained from the Korean Health Panel Survey of 2011. The participants of this study were 864 diabetic patients who did exercise (walk, moderate exercise, or vigorous exercise) or not. Data were subsequently analyzed using the SPSS 21 Program.
RESULTS
The exercise group showed higher percentages of medication compliance, non-smokers, and regular diet than the non-exercise group. The hospitalization percentage, the number of outpatient hospital visits, and health expenditures were higher in the non-exercise group than in the exercise group. There was no difference among the three groups divided according to exercise intensity in the use of health services and health expenditures.
CONCLUSION
These results show that exercise is a way to reduce diabetic patients' use of health services and their health expenditures.

Citations

Citations to this article as recorded by

Implications for household health expenditure in China’s ageing population: based on Red Herring hypothesis
Xuyang Du, Hualin Wei, Xianbo Zhang
BMC Public Health.2024;[Epub] CrossRef
Association Between Cardiorespiratory Fitness and Healthcare Costs in Adults Using the Criterion Referenced Fitness Thresholds: The Korea Institute of Sport Science Fitness Standards Study
Seunghee Lee, Hyojin Lee, In-Hwan Oh, Hyeon-Kyoung Cheong, Mihyun Lee, Saejong Park
Exercise Science.2021; 30(4): 501. CrossRef
Effects of adults’ health behaviors and combinations thereof on health outcomes: an analysis using National Health Insurance Service of Korea cohort data
Hyun-Jung Park, Eun-Jung Kim
Epidemiology and Health.2019; 41: e2019042. CrossRef
Mediating Effects of Social Support on Depression and Suicidal Ideation in Older Korean Adults With Hypertension Who Live Alone
Eun Jeong NAM, Jong-Eun LEE
Journal of Nursing Research.2019; 27(3): e20. CrossRef

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