Poverty in the midst of plenty: unmet needs and distribution of health care resources in South Korea.

<h4>Background</h4>The unmet needs for health care have been used as an alternative measurement to monitor equity in health services. We sought to examine contextual influences on unmet needs for health care whereas precedent studies have been focused on individual characteristics on the...

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Autores principales:	Jongho Heo, Juwhan Oh, Jukyung Kim, Manwoo Lee, Jin-seok Lee, Soonman Kwon, S V Subramanian, Ichiro Kawachi
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/0a07f2542ce24bb0b46bfebb97e30583
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spelling	oai:doaj.org-article:0a07f2542ce24bb0b46bfebb97e305832021-11-18T08:06:36ZPoverty in the midst of plenty: unmet needs and distribution of health care resources in South Korea.1932-620310.1371/journal.pone.0051004https://doaj.org/article/0a07f2542ce24bb0b46bfebb97e305832012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23226447/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>The unmet needs for health care have been used as an alternative measurement to monitor equity in health services. We sought to examine contextual influences on unmet needs for health care whereas precedent studies have been focused on individual characteristics on them.<h4>Methods and findings</h4>The current study conducted multilevel logistic regression analysis to assess the effects of individual- and contextual-level predictors in meeting individual health care needs in South Korea. We sampled 7,200 individuals over the age of 19 in the Fourth Korea National Health and Nutrition Examination Survey in 2009. Included in the regression model were individual predictors such as demographic variables, socio-economic status, and self-rated health; the density of beds and physicians in public and private sectors within different regions were used as contextual-level predictors. This study showed the inverse association between unmet needs and regional resources in private sectors after controlling for the effects of individual-level predictors.<h4>Conclusion</h4>Our findings suggest that increasing regional resources in private sectors might produce inefficiency in the health care system and inequity in access to health services, particularly where the competition in private health care sectors was highly stimulated under the fee-for-service reimbursement scheme. Policies for the reallocation of health care resources and for reduction of individual health care costs are needed in Korea.Jongho HeoJuwhan OhJukyung KimManwoo LeeJin-seok LeeSoonman KwonS V SubramanianIchiro KawachiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 11, p e51004 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jongho Heo Juwhan Oh Jukyung Kim Manwoo Lee Jin-seok Lee Soonman Kwon S V Subramanian Ichiro Kawachi Poverty in the midst of plenty: unmet needs and distribution of health care resources in South Korea.
description	<h4>Background</h4>The unmet needs for health care have been used as an alternative measurement to monitor equity in health services. We sought to examine contextual influences on unmet needs for health care whereas precedent studies have been focused on individual characteristics on them.<h4>Methods and findings</h4>The current study conducted multilevel logistic regression analysis to assess the effects of individual- and contextual-level predictors in meeting individual health care needs in South Korea. We sampled 7,200 individuals over the age of 19 in the Fourth Korea National Health and Nutrition Examination Survey in 2009. Included in the regression model were individual predictors such as demographic variables, socio-economic status, and self-rated health; the density of beds and physicians in public and private sectors within different regions were used as contextual-level predictors. This study showed the inverse association between unmet needs and regional resources in private sectors after controlling for the effects of individual-level predictors.<h4>Conclusion</h4>Our findings suggest that increasing regional resources in private sectors might produce inefficiency in the health care system and inequity in access to health services, particularly where the competition in private health care sectors was highly stimulated under the fee-for-service reimbursement scheme. Policies for the reallocation of health care resources and for reduction of individual health care costs are needed in Korea.
format	article
author	Jongho Heo Juwhan Oh Jukyung Kim Manwoo Lee Jin-seok Lee Soonman Kwon S V Subramanian Ichiro Kawachi
author_facet	Jongho Heo Juwhan Oh Jukyung Kim Manwoo Lee Jin-seok Lee Soonman Kwon S V Subramanian Ichiro Kawachi
author_sort	Jongho Heo
title	Poverty in the midst of plenty: unmet needs and distribution of health care resources in South Korea.
title_short	Poverty in the midst of plenty: unmet needs and distribution of health care resources in South Korea.
title_full	Poverty in the midst of plenty: unmet needs and distribution of health care resources in South Korea.
title_fullStr	Poverty in the midst of plenty: unmet needs and distribution of health care resources in South Korea.
title_full_unstemmed	Poverty in the midst of plenty: unmet needs and distribution of health care resources in South Korea.
title_sort	poverty in the midst of plenty: unmet needs and distribution of health care resources in south korea.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/0a07f2542ce24bb0b46bfebb97e30583
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Poverty in the midst of plenty: unmet needs and distribution of health care resources in South Korea.

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