J Korean Biol Nurs Sci.  2016 Aug;18(3):144-152. 10.7586/jkbns.2016.18.3.144.

Health Status and Health Service Utilization: Barriers and Facilitators for Korea Medicaid Beneficiaries

Affiliations
  • 1Ewha Womans University, College of Nursing, Korea.
  • 2Inje University College of Medicine, Korea. nurceo@inje.ac.kr
  • 3Seoul National University, College of Nursing, Korea.
  • 4Gangbukgu Public health center, Korea.
  • 5Korea Centers for Disease Control & Prevention, Division of Chronic Disease Surveillance, Korea.

Abstract

PURPOSE
This study compares beneficiaries of Korean Medicaid with those under the National Health Insurance program, seeking to understand how each group utilizes their healthcare.
METHODS
Data were obtained from a Health Promotion Survey in 2005. Health status was measured by the respondents' perception of health. Health service utilization included the availability of healthcare services, the type of healthcare institution, and intent to revisit. Predisposing and enabling factors, as well as health care needs were used for this study.
RESULTS
Compared to National Health Insurance beneficiaries, Medicaid beneficiaries reported lower levels of health status and fewer enabling factors. They had more chronic diseases and disabilities. Education level, existence of chronic diseases, exercise patterns, and disabilities were associated with health status.
CONCLUSION
We found that Medicaid beneficiaries had fewer resources and higher levels of health needs. As Medicaid is reformed, policy makers and administrators should understand healthcare utilization behaviors of Medicaid beneficiaries and the factors hindering access to care.

Keyword

Healthcare utilization; Health policy; Self-rated health; Health disparity
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