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A Study on the Categorization of Unmet Healthcare Needs Influencing Factors for Older Adults with Disabilities Living in the Community
ÇÑ»óÀ±, ³²¼®ÀÎ,
¼Ò¼Ó »ó¼¼Á¤º¸
ÇÑ»óÀ± ( Han Sang-Yoon )
Yonsei University
³²¼®ÀÎ ( Nam Seok-In )
Yonsei University
Abstract
º» ¿¬±¸´Â Áö¿ª»çȸ¿¡ °ÅÁÖÇÏ°í ÀÖ´Â °í·É Àå¾ÖÀÎÀÇ °Ç°±Ç ¹× »ýÁ¸±Ç º¸Àå°ú ÁõÁøÀ»À§ÇÏ¿© ¹ÌÃæÁ· ÀÇ·á ¿µÇâ¿äÀÎÀ» Æ÷°ýÀûÀ¸·Î »ìÆ캽À¸·Î½á ¹ÌÃæÁ· ÀÇ·á ÇØ°á¿¡ ÇÊ¿äÇѱ¸Ã¼ÀûÀÎ ³íÀǸ¦ Á¦½ÃÇÏ°í, ³ª¾Æ°¡ Ä¿¹Â´ÏƼÄɾîÀÇ ±â¹Ý ±¸Ãà¿¡ ½Ã»çÁ¡À» Á¦°øÇÏ°íÀÚÇÏ¿´´Ù. À̸¦ À§ÇÏ¿© Çѱ¹º¸°Ç»çȸ¿¬±¸¿øÀÇ 2020³âµµ ³ëÀνÇÅÂÁ¶»ç ÀڷḦ È°¿ëÇÏ¿´°í, ºÐ¼®¿¡´Â Áö¿ª»çȸ¿¡ °ÅÁÖÇÏ´Â ¸¸ 65¼¼ ÀÌ»ó Àå¾ÖÆÇÁ¤À» ¹ÞÀº °í·É Àå¾ÖÀÎ ÃÑ 418 ¸íÀÇ ÀÚ·á°¡ È°¿ëµÇ¾ú´Ù. ¹ÌÃæÁ· ÀÇ·á¿¡ ¿µÇâÀ» ¹ÌÄ¡´Â ¿äÀεéÀº Gelberg-AndersenÀÇÃë¾à°èÃþ Çൿ¸ðµ¨À» ±â¹ÝÀ¸·Î ¼±Á¤ÇÏ¿´À¸¸ç, ÀáÀç°èÃþºÐ¼®À» ÅëÇØ µµ½Ã°Ç°Çü, µµ½ÃÃë¾àÇü, µµ³ó°Ç°Çü ¹× ³óÃÌÃë¾àÇüÀÇ 4°³ À¯ÇüÀÌ µµÃâµÇ¾ú´Ù. À¯Çüº° Â÷ÀÌ ¹× ·ÎÁö½ºÆ½È¸±ÍºÐ¼®À» ½Ç½ÃÇÏ¿© 4°³ À¯ÇüÀÌ ¹ÌÃæÁ· ÀÇ·á¿¡ ¹ÌÄ¡´Â ¿µÇâÀ» °ËÁõÇÑ °á°ú, ³óÃÌÃë¾àÇü¿¡ ºñÇÏ¿© µµ½Ã°Ç°Çü, µµ³ó°Ç°Çü, µµ½ÃÃë¾àÇü ¼øÀ¸·Î ¹ÌÃæÁ· ÀÇ·á ¹ß»ý °¡´É¼ºÀÌÇöÀúÈ÷ ³·Àº °ÍÀ¸·Î È®ÀεǾú´Ù. º» ¿¬±¸´Â ´Ù¾çÇÑ ¿µÇâ¿äÀεéÀ» °í·ÁÇÔÀ¸·Î½á ¹ÌÃæÁ·ÀÇ·áÀÇ ¹ß»ýÀÌ ³ëÈ¿Í Àå¾ÖÀÇ ÀÌÁßÀû À§Çè¿¡ µû¸¥ ºÒ°¡ÇÇÇÑ °á°ú°¡ ¾Æ´Ñ, ȯ°æ°ú »çȸÀû°áÁ¤¿äÀο¡ ÀÇÇÑ ÃæºÐÄ¡ ¸øÇÑ ÀǷẸÀåÀÇ °á°úÀÓÀ» È®ÀÎÇÏ¿´´Ù´Â Á¡¿¡¼ ÀÇÀÇ°¡ ÀÖÀ¸¸ç, ÇâÈÄ °í·É Àå¾ÖÀÎÀ» ´ë»óÀ¸·Î Áý´Ü ³» ÀÌÁú¼ºÀ» °í·ÁÇÑ ÈÄ¼Ó ¿¬±¸°¡ ¿ä±¸µÈ´Ù.
The purpose of this study was to examine the factors that influence unmet healthcare needs to promote the right to health and survival of older adults with disabilities living in the local community. Furthermore, it provides implications for building a foundation for community care. This study used data from the 2020 National Survey on Older Koreans conducted by the Korea Institute for Health And Social Affairs (KIHASA). A total of 418 older adults with disabilities (aged 65+) living in the community were analyzed. Factors influencing unmet healthcare needs were selected based on Gelberg-Andersen¡¯s behavioral model for vulnerable populations, and the differences were considered by categorizing them using a latent class analysis. In addition, as a result of verifying the effect of the four classes derived through logistic regression on unmet healthcare needs, it was found that there were significant differences by class. The significance of this study is that the occurrence of unmet healthcare needs is not an inevitable result of the double risk of aging and disability, but the result of insufficient healthcare coverage due to environmental and social determinants. A follow-up study considering heterogeneity in the older adults with disabilities is required.
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°í·É Àå¾ÖÀÎ; ¹ÌÃæÁ· ÀÇ·á; Ãë¾à°èÃþ Çൿ¸ðµ¨; ÀáÀç°èÃþºÐ¼®
Older Adults with Disabilities; Unmet Healthcare Needs; The Behavioral Model for Vulnerable Populations; Latent Class Analysis
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