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The association of health care access and utilization with self-perceived health in South Korea: the significance of age

Published online by Cambridge University Press:  21 May 2019

Sang-Mi Park  and
Seok-Pyo Hong
Sang-Mi Park*
Affiliation:
Department of Health Administration, Hanyang Women’s University, Seoul, Republic of Korea
Seok-Pyo Hong
Affiliation:
Korean Social Policy Institute, Seoul, Republic of Korea
*
*Corresponding author: Email: phealth0212@gmail.com
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Abstract

Even though South Korea’s universal health care system was established in 1989, many South Koreans continue to encounter obstacles in their attempts to access health care. Previous studies have not investigated the relationship between health care access and utilization and perceived health in the context of a universal health care system that implements a mandatory social health insurance policy. The objective of this study was to evaluate the influence of health care access and use of preventive health care services on self-rated health among young and middle-aged adults in Korea. The sample consisted of 1242 young adults aged 20–39 years and 2389 middle-aged adults aged 40–64 years who had participated in the cross-sectional 2015 Korea National Health and Nutrition Examination Survey. Using multiple logistic regression analysis, the association between health care access and use of preventive health care services and perceived poor health among young adults and middle-aged adults was assessed. The main finding was that a history of unmet health care requirements during the past 12 months was strongly associated with fair and poor self-rated health, especially among young adults. Additionally, middle-aged adults who had attended medical check-ups during the preceding 2 years reported poorer self-rated health. This study’s findings suggest that, despite South Korea’s universal public insurance system, there remains the need to improve access to health care services, especially among young adults. As a health improvement strategy, it is imperative that measures be taken to promote the availability of health care services when they are required and to solve any of the various individual accessibility problems, such as cost, particularly with young adults in mind.

Keywords

Self-perceived healthHealth care accessUnmet health care needs
Type
Research Article
Information
Journal of Biosocial Science , Volume 52 , Issue 1 , January 2020 , pp. 1 - 13
Copyright
© Cambridge University Press 2019 

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References

Alavinia, SM and Burdof, A (2008) Unemployment and retirement and ill-health: a cross-sectional analysis across European countries. International Archives of Occupational and Environmental Health 82, 39–45.CrossRefGoogle ScholarPubMed
Arnett, JJ (2004) Emerging Adulthood: The Winding Road from Late Teens through Twenties. Oxford University Press, New York.Google Scholar
Bartley, M, Sacker, A and Clarke, P (2004) Employment status, employment conditions, and limiting illness: prospective evidence from the British household panel survey 1991–2001. Journal of Epidemiology and Community Health 58, 501–506.CrossRefGoogle ScholarPubMed
Brim, OG, Ryff, CD and Kessler, R (2004) How Healthy Are We? A National Study of Well-Being in Midlife. Chicago University Press, Chicago.Google Scholar
Cai, L and Kalb, G (2006) Health status and labor force participation: evidence from Australia. Health Economics 15, 241–261.CrossRefGoogle ScholarPubMed
Carpenter, CJ (2010) A meta-analysis of the effectiveness of health belief model variables in predicting behavior. Health Communication 25, 661–669.CrossRefGoogle ScholarPubMed
Chen, J and Hou, F (2002) Unmet needs for health care. Health Reports 13(2), 23–34.Google ScholarPubMed
Cornwell, EY and Waite, LJ (2009) Social disconnectedness, perceived isolation, and health among older adults. Journal of Health and Social Behavior 50(1), 31–48.CrossRefGoogle ScholarPubMed
Cott, CA, Gignac, MAM and Badley, EM (1999) Determinants of self-rated health for Canadians with chronic disease and disability. Journal of Epidemiology and Community Health 53, 731–736.CrossRefGoogle ScholarPubMed
Culica, D, Rohren, J, Ward, M, Hilsenrath, P and Pomrehn, P (2002) Medical checkups: who does not get them? American Journal of Public Health 92(1), 88–91.CrossRefGoogle ScholarPubMed
Donelan, K, Blendon, RJ, Schoen, C, Davis, K and Binns, K (1999) The cost of health system change: public discontent in five nations. Health Affairs 18, 206–216.CrossRefGoogle ScholarPubMed
Faulkner, LA and Schauffler, HH (1997) The effect of health insurance coverage on the appropriate use of recommended clinical preventive services. American Journal of Preventive Medicine 13(6), 453–458.CrossRefGoogle ScholarPubMed
Fontana, SA, Baumann, LC, Helberg, C and Love, RR (1997) The delivery of preventive services in primary care practices according to chronic disease status. American Journal of Public Health 87, 1190–1196.CrossRefGoogle ScholarPubMed
Health Insurance Corporation (2015) National Health Insurance Statistical Yearbook. Health Insurance Corporation, Wonju.Google Scholar
Henshaw, EJ and Freedman-Doan, CR (2009) Conceptualizing mental health care utilization using the health belief model. Clinical Psychology Science and Practice 16(4), 420–439.CrossRefGoogle Scholar
Idler, E and Benyamini, Y (1997) Self-rated health and mortality: a review of twenty-seven community studies. Journal of Health and Social Behavior 38, 21–37.CrossRefGoogle ScholarPubMed
Jeon, BY and Kwon, SM (2013) Effect of private health insurance on health care utilization in a universal public insurance system: a case of South Korea. Health Policy 113, 69–76.CrossRefGoogle Scholar
Jeong, HS (2011) Korea’s National Health Insurance-lessons from the past three decades. Health Affairs 30(1), 136–144.CrossRefGoogle ScholarPubMed
Jonnalagadda, SS and Diwan, S (2005) Health behaviors, chronic disease prevalence and self-rated health of older Asian Indian immigrants in the U.S. Journal of Immigrant Health 7(2), 75–83.CrossRefGoogle ScholarPubMed
Karpansalo, M, Manninen, P, Kauhanen, J, Lakka, TA and Salonen, JT (2004) Perceived health as a predictor of early retirement. Scandinavian Journal of Work, Environment & Health 30, 287–292.CrossRefGoogle ScholarPubMed
Kwon, SM (2009) Thirty years of national health insurance in South Korea: lessons for achieving universal health care coverage. Health Policy and Planning 24, 63–71.CrossRefGoogle ScholarPubMed
Kweon, SH, Kim, YN, Jang, MJ, Kim, YJ and Kim, KR (2014) Data resource profile: the Korea National Health and Nutrition Examination Survey (KNHANES). International Journal of Epidemiology 43, 69–77.CrossRefGoogle Scholar
Labeit, A, Peinemann, F and Baker, R (2013) Utilisation of preventative health check-ups in the UK: findings from individual-level repeated cross-sectional data from 1992 to 2008. British Medical Journal Open 3, e003387. doi: 10.1136/bmjopen-2013-003387.Google ScholarPubMed
Lachman, ME (2004) Development in midlife. Annual Review of Psychology 55, 305–331.CrossRefGoogle ScholarPubMed
Lasser, KE, Himmelstein, DU and Woolhandler, S (2006) Access to care, health status, and health disparities in the United States and Canada: results of a crossnational population-based survey. American Journal of Public Health 96, 1300–1307.CrossRefGoogle Scholar
Latham, K and Peek, CW (2013) Self-rated health and morbidity onset among late midlife U. S. adults. Journal of Gerontology: Series B 68(1), 107–116.CrossRefGoogle ScholarPubMed
Levy, BR and Myers, LM (2004) Preventive health behaviors influenced by self-perceptions of aging. Preventive Medicine 39, 625–629.CrossRefGoogle ScholarPubMed
McDaid, O, Hanly, MJ, Richardson, K, Kee, F, Kenny, RA and Savva, GM (2013) The effect of multiple chronic conditions on self-rate health, disability and quality of life among the older populations of Northern Ireland and the Republic of Ireland: a comparison of two nationally representative cross-sectional surveys. British Medical Journal Open 3, e002571. doi: 10.1136/bmjopen-2013-002571.Google Scholar
Manderbacka, K, Lahelma, E and Martikainen, P (1998) Examining the continuity of self-rated health. International Journal of Epidemiology 27, 208–213.CrossRefGoogle ScholarPubMed
Mansson, N and Rastam, L (2001) Self-rated health as a predictor of disability pension and death: a prospective study of middle-aged men. Scandinavian Journal of Public Health 29, 151–158.CrossRefGoogle ScholarPubMed
Marshall, EG (2011) Do young adults have unmet healthcare needs? Journal of Adolescent Health 49, 490–197.CrossRefGoogle Scholar
Ministry of Health and Welfare of Korea (2016) 2015 Korea Health Statistics. Ministry of Health and Welfare of Korea, Sejong.Google Scholar
Molanius, A and Janson, S (2002) Self-rated health, chronic diseases, and symptoms among middle-aged and elderly men and women. Journal of Clinical Epidemiology 55(4), 364–370.CrossRefGoogle Scholar
Nelson, CH and Park, J (2006) The nature and correlates of unmet health care needs in Ontario, Canada. Social Science & Medicine 62, 2291–2300.CrossRefGoogle ScholarPubMed
Newacheck, PW, Hughes, DC, Hung, YY, Wong, S and Stoddard, J (2000) Health needs and consumer services: the unmet health needs of America’s children. Pediatrics 105(4), 989–997.Google Scholar
Pinquart, M (2001) Correlates of subjective health in older adults: a metaanalysis. Psychology and Aging 16, 414–426.CrossRefGoogle Scholar
Prus, SG (2011) Comparing social determinants of self-rated health across the United States and Canada. Social Science & Medicine 73, 50–59.CrossRefGoogle ScholarPubMed
Quail, JM, Addona, V, Wolfson, C, Podoba, JE, Lévesque, LY and Dupuis, J (2007) Association of unmet need with self-rated health in a community dwelling cohort of disabled seniors 75 years of age and over. European Journal of Ageing 4, 45–55.CrossRefGoogle Scholar
Reinhardt, UE, Hussey, PS and Anderson, GF (2002) Cross-national comparisons of health systems using OECD data. Health Affairs 21(3), 169–181.CrossRefGoogle ScholarPubMed
Rosenstock, IM (1966) Why people use health services. Milbank Memorial Fund Quarterly 44, 94–127.CrossRefGoogle ScholarPubMed
Ryan, SA, Millstein, SG, Greene, B and Irwin, CE (1996) Utilization of ambulatory health services by urban adolescents. Journal of Adolescent Health 18, 192–202.CrossRefGoogle ScholarPubMed
Sanmartin, C, Gendron, F, Berthelot, JM and Murphy, K (2004) Access to Health Care Services in Canada, 2003. Statistics Canada, Ottawa.Google Scholar
Sanmartin, C, Houle, C, Tremblay, S and Berthelot, JJ (2002) Changes in unmet health care needs. Health Reports 13(3), 15–21.Google ScholarPubMed
Saver, BG and Peterfreund, N (1993) Insurance, income, and access to ambulatory care in King County, Washington. American Journal of Public Health 83, 1583–1588.CrossRefGoogle ScholarPubMed
Saxena, S, Eliahoo, J and Majeed, A (2002) Socioeconomic and ethnic group differences in self reported health status and use of health services by children and young people in England: cross sectional study. British Medical Journal 325, 1–6.CrossRefGoogle Scholar
Shadbolt, B, Barresi, J and Craft, P (2002) Self-rated health as a predictor of survival among patients with advanced cancer. Journal of Clinical Oncology 20, 2514–2519.CrossRefGoogle ScholarPubMed
Shanahan, M (2000) Pathways to adulthood in changing societies: variability and mechanisms in life course perspective. Annual Review of Sociology 26, 667–692.CrossRefGoogle Scholar
Sibley, LM and Glazier, RH (2009) Reasons for self-reported unmet healthcare needs in Canada: a population-based provincial comparison. Healthcare Policy 5(1), 88–101.Google ScholarPubMed
Song, YJ (2009) The South Korea health care system. Japan Medical Association Journal 52(3), 206–209.Google Scholar
Vingilis, E, Wade, T and Seeley, J (2007) Predictors of adolescent health care utilization. Journal of Adolescence 30, 773–800.Google ScholarPubMed
Walker, JD, Maxwell, CJ, Hogan, DB and Ebly, EM (2004) Does self-rated health predict survival in older persons with cognitive impairment? Journal of the American Geriatrics Society 52, 1895–1900.CrossRefGoogle ScholarPubMed
Weiss, RS (2005) Retirement, marriage, and social isolation. Illness, Crisis & Loss 13, 75–84.CrossRefGoogle Scholar
World Health Organization (1996) Health Interview Surveys: Towards International Harmonization of Methods and Instruments. WHO Office for Europe, Copenhagen.Google Scholar
Yu, SM, Bellamy, HA, Schwalberg, RH and Drum, MA (2001) Factors associated with use of preventive dental and health services among US adolescents. Journal of Adolescent Health 29(6), 395–405.CrossRefGoogle Scholar