ArticleJournal of preventive medicine and public health = Yebang Uihakhoe chi2016
The Association Among Individual and Contextual Factors and Unmet Healthcare Needs in South Korea: A Multilevel Study Using National Data.
Article in Journal of preventive medicine and public health = Yebang Uihakhoe chi, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed.
- Association between diabetic patients' satisfaction with local medical services and experiences of unmet healthcare needs.BMC health services research · 2026Article
- Factors associated with unmet healthcare needs in patients using Primary Care Access Points for unattached patients in Quebec (Canada).PloS one · 2026Article
- Socio-economic and health-related determinants of unmet health needs: a national cross-sectional study on the adult population.Croatian medical journal · 2025Article
- Social capital and regional influences: key predictors of unmet dental care needs among older adults in Korea.Epidemiology and health · 2025Article
- Risk of all-cause mortality is associated with multiple health-related lifestyle behaviors and does not differ between urban and rural areas in Korea.Nutrition research and practice · 2024Article
- Satisfaction with local healthcare services and medical need among hypertensive patients: a nationwide study.BMC public health · 2024Article
- Association between area deprivation index and concerns to COVID-19: A multi-level analysis of individual and area factors.SSM - population health · 2024Article
- Factors affecting unmet healthcare needs in female baby boomers: Andersen model application in Korea.PloS one · 2023Article
- Impact of Long Working Hours and Shift Work on Unmet Health Care Need Among Korean Workers.Safety and health at work · 2022Article
- Effect of socioeconomic disparities on the risk of COVID-19 in 8 metropolitan cities in the Korea: a community-based study.Epidemiology and health · 2022Article
- Factors Influencing Unmet Healthcare Needs among Older Korean Women.International journal of environmental research and public health · 2021Article
- Effect of socioeconomic deprivation on outcomes of diabetes complications in patients with type 2 diabetes mellitus: a nationwide population-based cohort study of South Korea.BMJ open diabetes research & care · 2020Article
- Cost-related unmet need for healthcare services in Kenya.BMC health services research · 2020Article
- Neighborhood Deprivation and Unmet Health Care Needs: A Multilevel Analysis of Older Individuals in South Korea.Osong public health and research perspectives · 2019Article
- Regional Disparity and Factors Influencing Unmet Medical Needs: A Study Based on the Sixth Korea National Health and Nutrition Examination Survey (2015).Osong public health and research perspectives · 2017Article
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4 authors.
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Abstract
objectivesThe objective of this study is to investigate associations between contextual characteristics and unmet healthcare needs in South Korea after accounting for individual factors.
methodsThe present study used data from the 2012 Korean Community Health Survey (KCHS) of 228 902 adults residing within 253 municipal districts in South Korea. A multilevel analysis was conducted to investigate how contextual characteristics, defined by variables that describe the regional deprivation, degree of urbanity, and healthcare supply, are associated with unmet needs after controlling for individual-level variables.
resultsOf the surveyed Korean adults, 12.1% reported experiencing unmet healthcare needs in the past. This figure varied with the 253 districts surveyed, ranging from 2.6% to 26.2%. A multilevel analysis found that the association between contextual characteristics and unmet needs varied according to the factors that caused the unmet needs. The degree of urbanity was associated with unmet need due to "financial burden" (odds ratio [OR], 0.53; 95% confidence interval [CI], 0.42 to 0.66 for rural vs. metropolitan), but not unmet need due to "service not available when needed." There were no significant associations between these unmet need measures and regional deprivation. Among individual-level variables, income level showed the highest association with unmet need due to "financial burden" (OR, 5.63; 95% CI, 4.76 to 6.66), while employment status showed a strong association with unmet need due to "service not available when needed."
conclusionsOur finding suggests that different policy interventions should be considered for each at-risk population group to address the root cause of unmet healthcare needs.
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