ArticleBMC health services research2024
A comparison of factors associated with unmet healthcare needs in people with disabilities before and after COVID-19: a nationally representative population-based study.
Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 4 citations in OpenAlex.
- Practical Digital Competence and Psychosocial Well-Being Among Adults with Severe Disabilities: Cross-Sectional Indirect Associations Through Perceived Self-Determination in Daily Life.Healthcare (Basel, Switzerland) · 2026Article
- Determinants of Self-Reported Unmet Healthcare Needs by Disability Status: A Secondary Cross-Sectional Analysis of Linked National Survey and Administrative Data from Korea.Healthcare (Basel, Switzerland) · 2026Article
- Factors Associated with Unmet Healthcare Needs in Serbia Before and During the COVID-19 Pandemic: Analysis Based on EU-SILC Data.Healthcare (Basel, Switzerland) · 2026Article
- Factors influencing intentional non-utilization of healthcare: a study using the Andersen model.Frontiers in public health · 2025Article
- Impact of the COVID-19 pandemic on number of deaths in Ghana: an application of ARIMA with intervention analysis.Frontiers in public health · 2025Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundPeople with disabilities, who require numerous healthcare services, are vulnerable to unmet healthcare needs. This study aimed to investigate and identify the factors that influence unmet healthcare needs among people with disabilities and to compare these factors before and after the COVID-19 pandemic in South Korea.
methodsA propensity score matching analysis was conducted using two datasets from the National Survey of Disabled Persons collected in 2017 and 2020. The participants were matched based on variables known to influence healthcare utilization. Based on the Andersen model, logistic regression was performed to analyze the key characteristics of the factors associated with unmet healthcare needs, including predisposing, enabling, and need factors.
resultsPropensity score matching resulted in the inclusion of 1,884 participants in each group: an experimental group and control group. Before COVID-19, factors associated with unmet healthcare needs included sex, age, marital status, and education level (predisposing factors), instrumental activities of daily living dependency, satisfaction with medical staff's understanding of disability, satisfaction with medical institutional facilities and equipment (enabling factors), subjective health status, and depressive symptoms (need factors). After COVID-19, factors included physical disability, instrumental activities of daily living dependency, and discrimination (enabling factors), and subjective health status, chronic diseases, depressive symptoms, and regular medical care (need factors). No significant predisposing factors affecting unmet healthcare needs were identified after COVID-19.
conclusionsThis study compared the factors affecting unmet healthcare needs among people with disabilities before and after COVID-19. Recognizing the different factors associated with unmet healthcare needs before and after COVID-19, (e.g., sex, type of disability, satisfaction with medical staff's understanding of disabilities, medical institutional facilities and equipment considering the disabled, discrimination, chronic diseases, and regular medical care) may help governments and policymakers establish strategies to reduce and prevent unmet healthcare needs during and a future crisis.
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