Poverty and working status in changes of unmet health care need in old age

Park, Sojung; Kim, BoRin; Kim, Soojung

doi:10.1016/j.healthpol.2016.03.004

Cited by 26 publications

(20 citation statements)

References 14 publications

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“…In this study, older patients with BPE had a lower probability of experiencing unmet medical care; this is different from existing studies [18][19][20]. BPE mainly occurs during senescence; the demand for medical care services is increasing due to the increasing elderly population caused by population aging.…”

Section: Discussioncontrasting

confidence: 81%

Unmet Medical Needs of Patients with Benign Prostate Enlargement

Lee

Park

Choi

et al. 2020

JCM

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This study aimed to analyze the factors affecting the unmet medical needs of patients with benign prostate enlargement (BPE) based on Andersen’s behavioral model. The data were taken from the 2009–2016 Korea Health Panel Study and 3003 participants were used for analysis. “Unmet medical needs” was used as a dependent variable. Independent variables were predisposing variables: age, educational attainment, and marital status; enabling factors: income, job type, and insurance type; and need factors: lying in a sickbed, activity limitation, subjective health status, and having chronic diseases. Results showed that younger patients experienced a higher probability of unmet medical needs. Those with higher educational attainment had a lower chance of experiencing unmet medical needs. Patients with national health insurance were less likely to experience unmet medical needs. In addition, patients who experienced lying in a sickbed had a higher probability of experiencing unmet medical needs. Therefore, in order to reduce the unmet medical needs of patients with BPE, it is necessary to allow patients to be treated early and give them accurate information about the disease. In addition, access to medical care should be strengthened through continuous care focused on primary care.

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Section: Discussioncontrasting

confidence: 81%

Unmet Medical Needs of Patients with Benign Prostate Enlargement

Lee

Park

Choi

et al. 2020

JCM

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“…Like past results, we revealed that economic hardship (accessibility) was a key reason for unmet healthcare needs [ 24 , 25 ]; however, in past studies of young adults, ‘waiting time is too long (availability of services)’ [ 3 ] and being ‘too busy (acceptability of available services)’ [ 2 ] were deemed more vital reasons than economic hardship (accessibility). Perhaps, economic hardship is the primary concern among the elderly because of a low income due to retirement; therefore, money is spent on maintaining livelihood rather than medical expenses.…”

Section: Discussionsupporting

confidence: 73%

Unmet healthcare needs of elderly people in Korea

et al. 2018

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BackgroundElderly people often have more complicated healthcare needs than younger adults due to additional functional decline, physical illness, and psychosocial needs. Unmet healthcare needs increase illness severity, complications, and mortality. Despite this, research on the unmet healthcare needs of elderly people is limited in Korea. This study analysed the effect of functional deterioration related to aging on unmet healthcare needs based on the Korea Health Panel Study.MethodsThis cross-sectional study used data from the 2011–2013 survey of 8666 baseline participants aged 65 years and older. Unmet healthcare needs were calculated using a complex weighted sample design. Group differences in categorical variables were analysed using the Rao-Scott Chi-square test. Using logistic regression analysis, the association between unmet healthcare needs and aging factors was analysed.ResultsThe prevalence of unmet healthcare needs in Korean elderly was 17.4%. Among them, the leading reason was economic hardship (9.2%). Adjusting for sex, age, socioeconomic characteristics, and health-related characteristics, the group with depression syndrome was 1.45 times more likely to have unmet healthcare needs than that without depression syndrome (95% CI = 1.13–1.88). The group with visual impairment was 1.48 times more likely to have unmet healthcare needs than that without it (95% CI = 1.22–1.79). The group with hearing impairment was 1.40 times more likely to have unmet healthcare needs than that without it (95% CI = 1.15–1.72). The group with memory impairment was 1.74 times more likely to have unmet healthcare needs than that without it (95% CI = 1.28–2.36).ConclusionsThe unmet medical needs of the elderly are more diverse than those of younger adults. This is because not only socioeconomic and health-related factors but also aging factors that are important to the health of the elderly are included. All factors were linked organically; therefore, integrated care is needed to improve healthcare among the elderly. To resolve these unmet healthcare needs, it is necessary to reorganize the healthcare system in Korea to include preventive and rehabilitative services that address chronic diseases in an aged society and promote life-long health promotion.

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“…We speculate that older individuals may be retired and, thus, have less available income, and may also have several comorbid conditions meaning they are less likely to prioritize purchase of eyeglasses. 50,51 The sex disparity may be due to complex behavioral, social, and economic decision making differences between men and women regarding health-related necessities. 52 Future studies are needed to better understand the reasons behind these observed association.…”

Section: Discussionmentioning

confidence: 99%

Rates and Determinants of Eyecare Utilization and Eyeglass Affordability Among Individuals With Visual Impairment in a Multi-Ethnic Population-Based Study in Singapore

Gupta

Majithia

Fenwick

et al. 2020

Trans. Vis. Sci. Tech.

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Rates and determinants of eyecare utilization and eyeglass affordability among individuals with visual impairment in a multi-ethnic population-based study in Singapore. Trans Vis Sci Tech. 2020;9(5):11, https://doi.org/10.1167/tvst.9.5.11Purpose: The purpose of this study was to determine the rates of, and factors associated with, eyecare utilization and spectacle affordability among Singaporeans with vision impairment (VI). Methods:We included adults with VI from their second visit of the Singapore Epidemiology of Eye Disease Study. Data on eyecare utilization and spectacle affordability were collected. Low eyecare utilization was defined as no eye check ever or eye checks not even once per year in reference to at least once per year. Difficulty affording glasses was defined as glasses being rated as expensive in reference to not expensive.Results: There were 985 adults (14.5%; 415 Malays, 260 Indian, and 310 Chinese; mean age [SD]: 69.5 [10.2] years; 55.4% women) with VI who answered the above questions, were included. Of these, 624 (63.4%) wore glasses. The rates of low eyecare utilization and difficulty affording eyeglasses were 31% and 63%, respectively. Compared to Chinese (23.8%) and Indians (18.8%), Malays (57.4%) had the highest rates of low eyecare utilization (P < 0.001), and most difficulty affording eyeglasses (47.2% vs. 26.1% and 26.6% in Chinese and Indians, respectively; P < 0.001). Younger age, low socioeconomic status, absence of diabetes, absence of self-reported eye conditions, and poor vision were independently associated with low eyecare utilization, whereas older age and female sex was associated with difficulty affording glasses. Conclusions:In this multi-ethnic population with VI, almost one-third had low eyecare utilization and nearly two-thirds reported difficulty affording eyeglasses.Translational Relevance: This will inform strategies, such as tailored eyecare utilization awareness campaigns and awareness of available subsidy schemes for at-risk Singaporeans, such as Malays.

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Poverty and working status in changes of unmet health care need in old age

Cited by 26 publications

References 14 publications

Unmet Medical Needs of Patients with Benign Prostate Enlargement

Unmet Medical Needs of Patients with Benign Prostate Enlargement

Unmet healthcare needs of elderly people in Korea

Rates and Determinants of Eyecare Utilization and Eyeglass Affordability Among Individuals With Visual Impairment in a Multi-Ethnic Population-Based Study in Singapore

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