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.
机构:
UCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
UCL, Farr Inst Hlth Informat Res, London NW1 2DA, EnglandUCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
Aldridge, Robert W.
;
Story, Alistair
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
UCL, Farr Inst Hlth Informat Res, London NW1 2DA, England
Univ Coll London NHS Fdn Trust, London, EnglandUCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
Story, Alistair
;
Hwang, Stephen W.
论文数: 0引用数: 0
h-index: 0
机构:
St Michaels Hosp, Ctr Urban Hlth Solut, Li Ka Shing Knowledge Inst, Toronto, ON, CanadaUCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
Hwang, Stephen W.
;
Nordentoft, Merete
论文数: 0引用数: 0
h-index: 0
机构:
Univ Copenhagen, Mental Hlth Ctr Copenhagen, Fac Hlth & Med Sci, Copenhagen, Denmark
Univ Copenhagen, Inst Clin Med, Fac Hlth & Med Sci, Copenhagen, DenmarkUCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
Nordentoft, Merete
;
Luchenski, Serena A.
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
UCL, Farr Inst Hlth Informat Res, London NW1 2DA, EnglandUCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
Luchenski, Serena A.
;
Hartwell, Greg
论文数: 0引用数: 0
h-index: 0
机构:
London Sch Hyg & Trop Med, Dept Social & Environm Hlth Res, London, EnglandUCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
Hartwell, Greg
;
Tweed, Emily J.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Glasgow, MRC, Scottish Govt Chief Scientist Off, Social & Publ Hlth Sci Unit, Glasgow, Lanark, ScotlandUCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
Tweed, Emily J.
;
Lewer, Dan
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
UCL, Farr Inst Hlth Informat Res, London NW1 2DA, EnglandUCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
Lewer, Dan
;
Katikireddi, Srinivasa Vittal
论文数: 0引用数: 0
h-index: 0
机构:
Univ Glasgow, MRC, Scottish Govt Chief Scientist Off, Social & Publ Hlth Sci Unit, Glasgow, Lanark, ScotlandUCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
Katikireddi, Srinivasa Vittal
;
Hayward, Andrew C.
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
UCL, Farr Inst Hlth Informat Res, London NW1 2DA, England
UCL, Inst Epidemiol & Hlth Care, London, EnglandUCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
机构:
Astrid Lindgren Childrens Hosp, Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden
Karolinska Inst, Dept Publ Hlth Sci, Div Social Med, Stockholm, SwedenUniv Oxford, Warneford Hosp, Dept Psychiat, Oxford OX3 7JX, England
机构:
Manchester Metropolitan Univ, Res Inst Hlth & Social Change, Manchester M15 6BH, Lancs, EnglandManchester Metropolitan Univ, Res Inst Hlth & Social Change, Manchester M15 6BH, Lancs, England
Caton, S.
;
Greenhalgh, F.
论文数: 0引用数: 0
h-index: 0
机构:
NHS R&D NW, Revive Dent Care, Manchester, Lancs, EnglandManchester Metropolitan Univ, Res Inst Hlth & Social Change, Manchester M15 6BH, Lancs, England
Greenhalgh, F.
;
Goodacre, L.
论文数: 0引用数: 0
h-index: 0
机构:
NHS R&D NW, Manchester, Lancs, EnglandManchester Metropolitan Univ, Res Inst Hlth & Social Change, Manchester M15 6BH, Lancs, England
机构:
UCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
UCL, Farr Inst Hlth Informat Res, London NW1 2DA, EnglandUCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
Aldridge, Robert W.
;
Story, Alistair
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
UCL, Farr Inst Hlth Informat Res, London NW1 2DA, England
Univ Coll London NHS Fdn Trust, London, EnglandUCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
Story, Alistair
;
Hwang, Stephen W.
论文数: 0引用数: 0
h-index: 0
机构:
St Michaels Hosp, Ctr Urban Hlth Solut, Li Ka Shing Knowledge Inst, Toronto, ON, CanadaUCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
Hwang, Stephen W.
;
Nordentoft, Merete
论文数: 0引用数: 0
h-index: 0
机构:
Univ Copenhagen, Mental Hlth Ctr Copenhagen, Fac Hlth & Med Sci, Copenhagen, Denmark
Univ Copenhagen, Inst Clin Med, Fac Hlth & Med Sci, Copenhagen, DenmarkUCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
Nordentoft, Merete
;
Luchenski, Serena A.
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
UCL, Farr Inst Hlth Informat Res, London NW1 2DA, EnglandUCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
Luchenski, Serena A.
;
Hartwell, Greg
论文数: 0引用数: 0
h-index: 0
机构:
London Sch Hyg & Trop Med, Dept Social & Environm Hlth Res, London, EnglandUCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
Hartwell, Greg
;
Tweed, Emily J.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Glasgow, MRC, Scottish Govt Chief Scientist Off, Social & Publ Hlth Sci Unit, Glasgow, Lanark, ScotlandUCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
Tweed, Emily J.
;
Lewer, Dan
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
UCL, Farr Inst Hlth Informat Res, London NW1 2DA, EnglandUCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
Lewer, Dan
;
Katikireddi, Srinivasa Vittal
论文数: 0引用数: 0
h-index: 0
机构:
Univ Glasgow, MRC, Scottish Govt Chief Scientist Off, Social & Publ Hlth Sci Unit, Glasgow, Lanark, ScotlandUCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
Katikireddi, Srinivasa Vittal
;
Hayward, Andrew C.
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
UCL, Farr Inst Hlth Informat Res, London NW1 2DA, England
UCL, Inst Epidemiol & Hlth Care, London, EnglandUCL, Ctr Publ Hlth Data Sci, Inst Hlth Informat, London, England
机构:
Astrid Lindgren Childrens Hosp, Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden
Karolinska Inst, Dept Publ Hlth Sci, Div Social Med, Stockholm, SwedenUniv Oxford, Warneford Hosp, Dept Psychiat, Oxford OX3 7JX, England
机构:
Manchester Metropolitan Univ, Res Inst Hlth & Social Change, Manchester M15 6BH, Lancs, EnglandManchester Metropolitan Univ, Res Inst Hlth & Social Change, Manchester M15 6BH, Lancs, England
Caton, S.
;
Greenhalgh, F.
论文数: 0引用数: 0
h-index: 0
机构:
NHS R&D NW, Revive Dent Care, Manchester, Lancs, EnglandManchester Metropolitan Univ, Res Inst Hlth & Social Change, Manchester M15 6BH, Lancs, England
Greenhalgh, F.
;
Goodacre, L.
论文数: 0引用数: 0
h-index: 0
机构:
NHS R&D NW, Manchester, Lancs, EnglandManchester Metropolitan Univ, Res Inst Hlth & Social Change, Manchester M15 6BH, Lancs, England