국민건강보험 적용 노인의 의료이용에 관한 연구 : Andersen의 의료이용모형을 중심으로

다국어 초록 (Multilingual Abstract)

This study of the elderly by increasing medical use of a 2005 National Health and Nutrition Part 3, based on survey data and national health insurance to 16 cities in the nation's more than 65 years old by 3355 elderly people for the medical use of these elderly were analyzed using analysis of the health of the elderly through the use of medical services to the general characteristics and public health insurance applies to the elderly and use of health services utilization patterns, factors affecting the use of the analysis aged 65 years or older, according to the use of medical services to improve the rationality of the approach and purpose of the plan was presented. Accordingly, the target for the use of medical model of Andersen's use affects the health of the elderly soinseong factors of age, gender, spouse presence, as people saw the possibility of health insurance coverage of types of income, private health insurance status, residential area, and need a job seen as the existence of factors such as subjective health status of the elderly for health care services through the use of medical factors that affect the elderly by analyzing the use of reasonable health care services to improve the efficiency of government of basic data was needed to want to.
Factors affecting the health of the elderly to use the results as follows.
First, the age period of hospitalization of the elderly, the lower the hospitalization period nopahjime that can affect the subjective health status was more a positive period of hospitalization were lower.
Second, the number of hospitalization of the elderly does not affect all the factors were.
Third, the old man comes to the number of outpatient visits, more outpatient visits than in men, the number of women to join private medical insurance nopahjyeotgo have to know the wave was the number of outpatient visits. In addition, outside of urban areas more than cities in the number of outpatient visits were less positive health natahjim to know more was the number of outpatient visits.
Fourth, the number of visits to a pharmacy, visit the pharmacy, the lower the age to decrease the number of women than men tend to have appeared to swell the number of visits could see pharmacies. In addition, subjective health status of the lower number of visits to pharmacies were more positive.
In the fifth the number of days to two weeks treatment, more women than men is the number of days to two weeks treatment nopahjyeotgo local medical insurance business subscribers more than two weeks of treatment showed increased number of cities outside the urban areas, more than two weeks the number of treatment the said. Also, do not have a job has increased the number of days to two weeks treatment. Subjective health status more positively natahjim two weeks to know the number of treatment can be based on the use of the elderly access to health services and ways to improve the rationality of the improved accessibility of medical institutions and health status of the elderly and for the sustainable management of National Health Insurance applies to the protection of the elderly and the elderly, including long-term care protection system ganghwarul of health promotion for the elderly should be established to settle.

목차 (Table of Contents)

• Ⅰ. 서 론 1
• 1. 문제제기 1
• 2. 연구의 목적과 내용 3
• 3. 연구의 한계점 4
• Ⅱ. 이론적 배경 5
• 1. 노인의 의료서비스 이용 욕구와 의료보장제도 5
• 2. 노인의 의료이용과 의료비의 현황 8
• 3. 의료서비스 이용에 관한 이론적 모형 10
• 4. 선행연구 동향 15
• Ⅲ. 연구방법 22
• 1. 조사 대상 22
• 2. 조사 도구 22
• 3. 분석 자료 23
• 4. 분석 방법 24
• 5. 변수의 정의 25
• Ⅳ. 분석결과 29
• 1. 조사 대상자의 일반적 특성 29
• 2. 노인의 의료이용 변수간의 상관관계 분석 30
• 3. 의료서비스 이용에 영향을 미치는 요인에 관한 분석 36
• Ⅴ. 고 찰 42
• Ⅵ. 결 론 47
• 참고문헌 50
• (Abstract) 53