Regional Difference in Preventable Hospitalizations in South Korea

AUTHOR(S):

Jungwon Park, Sangsoo Kim, Keon-Hyung Lee

TITLE

Regional Difference in Preventable Hospitalizations in South Korea

ABSTRACT

Governments are responsible for guaranteeing the right to health and for providing equitable use of health care services to the people under their jurisdiction. The numbers of preventable hospitalizations are used to indicate the adequacy of primary care. This study used inpatient discharge data and hospital data from 2012 to examine regional variation in preventable hospitalizations among the populations who were under 226 local governments in South Korea. Regional variables related to this variation were also explored. The social determinants of a health framework—local healthcare resources, socioeconomic factors, and political factors—were used to estimate the number of hospital admissions for ambulatory care sensitive conditions. The results of a multiple regression analysis show that the availability of healthcare resources and economic wealth have a strong association with the number of preventable hospitalizations; however, no statistically significant difference was found with regard to the left- and right-wing political party affiliations of the governmental heads. The implications of the findings are also discussed.

KEYWORDS

preventable hospitalizations, equity in health care, publicness, South Korea

REFERENCES

[1] Culyer A J, Wagstaff A. Equity and equality in health and health care. Journal of Health Economics, 1993, 12 (4), 431-457. [1] Culyer A J, Wagstaff A. Equity and equality in health and health care. Journal of Health Economics, 1993, 12 (4), 431-457.

[2] Andersen R M. Revisiting the behavioral model and access to medical care: does it matter? Journal of health and social behavior, 1995, 1-10.

[3] Myoung J Y, Moon O R. Equity in the Delivery of Health Care in the Republic of Korea. Korean J Health Policy Adm, 1995, 5 (2), 155-172.

[4] Lim J H. Analysis of unmet medical need status based on the Korean Health Panel. Health and Social Science, 2013, 34, 237-256.

[5] Kim D J, Youn H M, Lee J A, Chae H R. Measurement of Inequalities in Health Care Utilization in Korea Using Korea Health Panel. Health and Social Welfare Review, 2014, 34 (3), 33- 58.

[6] Lee Y J. The Relation between the kind of Medical institution and Utilization in National Health Insurance. Journal of Korean Social Welfare Administration, 2007, 9 (2), 1-28.

[7] Lee Y J. Regional Analysis of the Equity in Utilization of the National Health Insurance. Korean Social Policy Review, 2008, 15 (1), 5-38.

[8] Oh Y. A GIS-based Study of the Distribution of Major Health Manpower in Korea. Health and Welfare Policy Forum, 2008, 59-72.

[9] Jeon B Y, Choi S M, Kim C-y. Socioeconomic Equity in Regional Distribution of Health Care Resources in Korea. Korean J Health Policy Adm, 2012, 22 (1), 85-108.

[10] Shin H. Equity in Health: Regional Difference of Health Service Utilization. Health and Welfare Policy Forum, 2011, 6, 22-31.

[11] Kim J. Regional Differences in the Equity of Health Care Utilization in Korea. Korean Social Security Studies, 2012, 28 (2), 153-180.

[12] Kim J W, Ahn Y-J. Empirical Study on the Disparity between Capital Region and Non-Capital Region in terms of Quality in Cancer Treatment. The Geographical Journal of Korea, 2014, 48 (1), 149-159.

[13] Institute of Medicine. Access to health care in America. Washington, DC: National Academic Press, 1993.

[14] Aday L A, Andersen R. A framework for the study of access to medical care. Health services research, 1974, 9 (3), 208.

[15] Agency for Healthcare Research and Quality. Access to Care Measures: National Healthcare Disparities Report. Rockville, MD: Agency for Healthcare Research and Quality, 2005.

[16] Park K D. A Study of Regional Imbalance in Medical Utilization. Korean Policy Studies Review, 2012, 21 (3), 388-415.

[17] Kim S J, Huh S I. Financial Burden of Health Care Expenditures and Unmet Needs by Socioeconomic Status. Korean Health Economic Review, 2011, 17 (1), 47-70.

[18] KIm K S, Lee H O L. Household Catastrophic Health Expenditure and Unmet Needs depending on the Types of Health Care System. Social Welfare Policy, 2012, 39 (4), 255-279.

[19] Shin H. The evolution of health and utilization inequalities over time. Health and Welfare Policy Forum, 2009, 26-35.

[20] Lee Y J. A Equity in Health Care Utilization by Health Statuss. Korean Social Policy Review, 2010, 17 (1), 267-290.

[21] Solar O, Irwin A. A conceptual framework for action on the social determinants of health. World Health Organization, 2010.

[22] Kim K-k. Educational Gap in Korea and Determinant Factors. Korean Journal of Sociology of Education, 2005, 15 (3), 1-27.

[23] KIm J-H. The Analysis of Local Economic Capacity through the Estimation of GRDP. The Korea Local Administration Review, 2010, 24 (1), 207-235.

[24] Lee D-P, Park S-H, Kim T-Y, Seong J-I, Shin E-J, Kim J-H, Kim C-H. The Analysis of the Reasons for Income and Development Gap between Urban and Rural Regions. Seoul, Korea: Korea Rural Economic Institute, 2004.

[25] Jung S-W, Cho Y-T. Neighborhood Characteristics and Individual Health under Korean Context. Journal of Preventive Medicine and Public Health, 2005, 38 (3), 259-266.

[26] Key V O. Southern Politics in State and Nation. Knoxville, TN: University of Tennessee Press, 1949.

[27] Key V O. American State Politics: An introduction. New York, NY: Alfred A. Knopf, 1956.

[28] Lockard D. The Politics of State and Local Government. New York, NY: Macmillan, 1963.

[29] Kim B K, Yi K S, Cho D H. The impact of Local political factors on welfare spending. Korean Public Administration Quarterly, 2009, 21 (1), 129- 147.

[30] Navarro V, Shi L. The political context of social inequalities and health. Social science & medicine, 2001, 52 (3), 481-491.

[31] Navarro V, Muntaner C, Borrell C, Benach J, Quiroga Á, Rodríguez-Sanz M, Vergés N, Pasarín M I. Politics and health outcomes. The Lancet, 2006, 368 (9540), 1033-1037.

[32] Billings J, Zeitel L, Lukomnik J, Carey T S, Blank A E, Newman L S. Impact of Socioeconomic Status on Hospital Use in New York City. Health Affairs, 1993, 12 (1), 162-173. http://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi ?dbfrom=pubmed&id=8509018&retmode=ref&cmd =prlinks

Cite this paper

Jungwon Park, Sangsoo Kim, Keon-Hyung Lee. (2018) Regional Difference in Preventable Hospitalizations in South Korea. International Journal of Economics and Management Systems, 3, 65-77