Equitable Access to Health Care for the Elderly in South Korea

Kim, Dong-Jin; Shin, Hosung; Kim, Chang-Yup

doi:10.1177/0164027511423538

Cited by 15 publications

(7 citation statements)

References 43 publications

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“…However, the older adults with lower income are limited by transportation costs, information costs, service costs, etc., and their perceived vulnerability has also increased. They are more willing to use healthcare services nearby, choose some less expensive healthcare services, and reduce using frequency [34]. Seriously, low-income families are more willing to give up the expense on healthcare services [35], thereby reducing the willingness to use healthcare services.…”

Section: Hypothesis 1 (H1)mentioning

confidence: 99%

Differences in the Potential Accessibility of Home-Based Healthcare Services among Different Groups of Older Adults: A Case from Shaanxi Province, China

Wang

Liu

et al. 2020

Healthcare

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With the increase of the aging population and the lack of family care, home-based healthcare services have gradually become the main model to cope with aging, so local governments have invested heavily in the construction of home-based healthcare services. However, healthcare services still have problems such as low resource utilization and imbalanced development. The reason is that the supply and demand of healthcare services are not matched and the potential accessibility is low. Therefore, based on the supply and demand of healthcare services, this article pulls out the spatial and social factors that affect the potential accessibility, and tests the influence of individual factors on the potential accessibility among different groups of older adults. It is found that the perceived vulnerability of the older adults will reduce the potential accessibility of healthcare services. The psychosocial status, income and education level with the willingness to use healthcare services of the older adults are directly proportional, while residence has a negative impact on the potential accessibility. Finally, based on this finding, this article puts forward feasible suggestions from the perspective of policy content, publicity, and implementation.

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Section: Hypothesis 1 (H1)mentioning

confidence: 99%

Differences in the Potential Accessibility of Home-Based Healthcare Services among Different Groups of Older Adults: A Case from Shaanxi Province, China

Wang

Liu

et al. 2020

Healthcare

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“…Findings of the reviewed articles showed that with the increase of age, the need to use health services increases [3,15,25,33,37,39,40,43,50,53,54,56,59], but in some studies, with increasing age and exceeding 85 years, the use of health services decreased [55,58,61]. Gender was associated with access to health services such that women were significantly more likely to seek health services [5,9,15,17,25,30,39,43,45,49,50,52,53,54,58,59,61,64]. Married people used more health services than divorced, single, and never married people [25,30,43,52,57,60].…”

Section: Resultsmentioning

confidence: 99%

“…Shorter duration or distance in access to health care centers increased the likelihood of using health services in the elderly [3,46]. Having chronic diseases [1, 5, 9, 12, 16, 17, 25, 40, 42, 43, 47, 49, 52-55, 57, 59], low mental health, depression [38,46,49,50,57,61], cognitive impairment [61], physical disability [25], low self-assessed health status [3,5,9,12,15,31,50,52,53,59], correct perception of the problem [46], need for health care services [15,58], comorbid diseases [55], feeling pain [25,46] and unhealthy lifestyle (smoking and alcohol consumption) [25] were associated with using more outpatient health services (Table 1).…”

Section: Number Of Related Studies Factorsmentioning

confidence: 99%

Barriers and Facilitators of the Outpatient Health Service Use by the Elderly

et al. 2020

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Objectives: Increasing care needs for the elderly are an important concern for different countries, especially those with an aging population. It is important for health policy making to have knowledge of the factors affecting the use of health services in the elderly to identify the potential problems and develop appropriate interventions for improving utilization and increasing access to health services. This study aims to investigate the barriers and facilitators of the outpatient health service use in the elderly Methods & Materials: In this systematic review, studies in English published from 1996 to 2019 were searched in Web of Science, PubMed and Scopus databases using PRISMA guidelines and related keywords. After eliminating duplicate and irrelevant articles, the quality of remaining articles was evaluated by two evaluators independently, based on STROBE checklist. Narrative synthesis method was used to combine the data Results: Forty-four eligible studies were included for the review. The determinants of the health service use were divided into three categories of predisposing factors (e.g. age, gender, marital status, ethnicity), enabling factors (e.g. income, insurance coverage, education level, employment status, social network, social support), and need factors (e.g. having chronic disease, self-assessed health status, severity of disease, number of diseases, comorbid diseases, physical disability, unhealthy lifestyle). Findings showed that age >80 years, ethnic minority, being unemployed and retired, low educational level, small and limited social network, and physical disability were the barriers to using outpatient health services, while being female, married, having insurance, social support, having a companion during a disease, having children, high income level, and shorter distance to the health care centers were the facilitators of using outpatient health services in the elderly Conclusion: A group of factors are associated with the outpatient health service use by the elderly. These factors include predisposing, enabling, and need-related factors according to Andersen’s behavioral model of health service use. Interventions to increase the use of health services by the elderly should be based on these factors, and should be taken into account by the policymakers to reduce the burden of health services caused by diseases.

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“…From high school economics relating to health care accessibility (Moscelli et al, 2018;Nishide et al, 2017), health care utilization (Kim et al, 2011;Vásquez et al, 2013), and health status (Shahidi et al, 2018;Wildman, 2003).…”

Section: Financial Educationmentioning

confidence: 99%

“…As socioeconomic inequality has widened in many social domains including health, employment, education and even social networks, researchers and policymakers have become increasingly interested in accurately representing indicators of inequality. For example, studies on healthcare utilization or health outcomes have found that overall progress in health‐related resources might not be advantageous for all members of a group (Kim et al, 2011; Mangalore et al, 2007; Sortso et al, 2017; Vahedi et al, 2018). This finding implies that compared to better‐off individuals, worse‐off individuals do not have easy access to healthcare or resources due to financial barriers.…”

Section: Literature Review and Conceptual Backgroundmentioning

confidence: 99%

The silent diversion of knowledge: Examining inequality of financial knowledge

Lee,

Nam

2023

Int J Consumer Studies

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Scholars and policymakers have long been concerned about the lack of financial knowledge and the socioeconomic disparities in financial knowledge in the United States. The objectives of this study are (1) to assess the extent of income‐related inequality in financial knowledge and how it changed between 2012 and 2018 and (2) to determine what factors explain the income‐related inequality in financial knowledge and the change over time. Using National Financial Capability Study datasets, our study revealed that from 2012 to 2018 there was income‐related inequality in financial knowledge. Financial experience, education, and numeracy were major contributing factors to inequality in financial knowledge, according to decomposition analysis. Income‐related inequality in financial knowledge in the United States decreased between 2012 and 2018, mainly due to an overall change in financial experience. This study provides meaningful insights to policymakers and educators interested in improving financial knowledge in the United States.

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Equitable Access to Health Care for the Elderly in South Korea

Cited by 15 publications

References 43 publications

Differences in the Potential Accessibility of Home-Based Healthcare Services among Different Groups of Older Adults: A Case from Shaanxi Province, China

Differences in the Potential Accessibility of Home-Based Healthcare Services among Different Groups of Older Adults: A Case from Shaanxi Province, China

Barriers and Facilitators of the Outpatient Health Service Use by the Elderly

The silent diversion of knowledge: Examining inequality of financial knowledge

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