Differences in Utilization of Medical and Dental Services among Homeless People in South Korea

被引:2
作者
Lee, Seung-Hyun [1 ]
Ryu, Jae-In [2 ]
Jung, Se-Hwan [1 ]
机构
[1] Gangneung Wonju Natl Univ, Coll Dent, Dept Prevent & Publ Hlth Dent, Gangneung Si 25457, South Korea
[2] Kyung Hee Univ, Coll Dent, Dept Prevent & Social Dent, Seoul 02447, South Korea
关键词
utilization of health service; medicaid program; outreach program; homeless; QUALITY-OF-LIFE; HIGH-INCOME COUNTRIES; ORAL-HEALTH IMPACTS; BEHAVIORAL-MODEL; MENTAL-HEALTH; VULNERABLE POPULATIONS; STREET CHILDREN; CARE NEEDS; ADULTS; ACCESS;
D O I
10.3390/ijerph17155304
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
(1) Background: Homelessness contributes to both needs for care and barriers to access. This study aimed to explore the utilization of medical or dental services using Andersen's model for a vulnerable population of homeless in South Korea. (2) Methods: The data were applied from the first national survey for homeless people in South Korea, 2016. Totally 2032 persons participated in the interview survey. This study team requested the raw data through the public portal and analyzed them. (3) Results: The participants who were homeless for more than ten years, staying in small rooming house or shelter, non-employed, earning less than 500,000 won per month, and having a medical condition showed a significantly higher chance of using Medicaid. The use of outreach programs had a significant relationship with gender, duration of homelessness, and monthly income. Among dental patients, the homeless who did not consume alcohol, stayed in a shelter, and were employed had higher chances of using dental service. (4) Conclusions: Medicaid service was strongly related to enabling factors but outreach programs with predisposing factors. Dental service showed strong relationships with the enabling domain, but the pattern was opposite: the jobless had less chance to avail it. The policymakers need to consider these domains of service utilization to provide equitable access to healthcare services.
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页码:1 / 14
页数:14
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