Cargando…

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

(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...

Descripción completa

Detalles Bibliográficos
Autores principales: Lee, Seung-Hyun, Ryu, Jae-In, Jung, Se-Hwan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7432539/
https://www.ncbi.nlm.nih.gov/pubmed/32717950
http://dx.doi.org/10.3390/ijerph17155304
_version_ 1783571821468057600
author Lee, Seung-Hyun
Ryu, Jae-In
Jung, Se-Hwan
author_facet Lee, Seung-Hyun
Ryu, Jae-In
Jung, Se-Hwan
author_sort Lee, Seung-Hyun
collection PubMed
description (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.
format Online
Article
Text
id pubmed-7432539
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-74325392020-08-24 Differences in Utilization of Medical and Dental Services among Homeless People in South Korea Lee, Seung-Hyun Ryu, Jae-In Jung, Se-Hwan Int J Environ Res Public Health Article (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. MDPI 2020-07-23 2020-08 /pmc/articles/PMC7432539/ /pubmed/32717950 http://dx.doi.org/10.3390/ijerph17155304 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lee, Seung-Hyun
Ryu, Jae-In
Jung, Se-Hwan
Differences in Utilization of Medical and Dental Services among Homeless People in South Korea
title Differences in Utilization of Medical and Dental Services among Homeless People in South Korea
title_full Differences in Utilization of Medical and Dental Services among Homeless People in South Korea
title_fullStr Differences in Utilization of Medical and Dental Services among Homeless People in South Korea
title_full_unstemmed Differences in Utilization of Medical and Dental Services among Homeless People in South Korea
title_short Differences in Utilization of Medical and Dental Services among Homeless People in South Korea
title_sort differences in utilization of medical and dental services among homeless people in south korea
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7432539/
https://www.ncbi.nlm.nih.gov/pubmed/32717950
http://dx.doi.org/10.3390/ijerph17155304
work_keys_str_mv AT leeseunghyun differencesinutilizationofmedicalanddentalservicesamonghomelesspeopleinsouthkorea
AT ryujaein differencesinutilizationofmedicalanddentalservicesamonghomelesspeopleinsouthkorea
AT jungsehwan differencesinutilizationofmedicalanddentalservicesamonghomelesspeopleinsouthkorea