The Effect of the Local Medical Resources of the Elderly Living in Seoul on their Needs for Community Medical Environment

Ji A Ryu
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Abstract

Focusing on the elderly living in Seoul, this study aims to analyze empirically the effects of the local medical resources on the needs for community medical environment based on the number of medical institutions, total number of doctors, total number of beds in the district as a representative of local medical resources. Multi-level logistic regression model was used. 2018 Seoul Elderly Survey was used for the data of the level one and Seoul Statistics 2018 were used for the data of the level 2. As a result, as the total number of doctors and beds increase, the elderly's needs for community medical environment significantly decreased. It exhibits that the total number of doctors and beds are critical rather than the total number of medical institutions in the district. Based on the above results, it is hospitals that affect the needs for community medical environment of the elderly. The results of this study suggest in order to provide the pro-aging social ecological system it is necessary to examine the elderly's needs for community medical environment for the higher medical institutions in preparation for the super aging society
首尔地区老年人当地医疗资源对社区医疗环境需求的影响
本研究以居住在首尔的老年人为对象,以医疗机构数量、医生总数、床位总数为代表,实证分析当地医疗资源对社区医疗环境需求的影响。采用多层次逻辑回归模型。2018年首尔老年人调查用于一级数据,2018年首尔统计数据用于二级数据。因此,随着医生和床位总数的增加,老年人对社区医疗环境的需求显著下降。它表明,医生和床位的总数至关重要,而不是该地区医疗机构的总数。基于以上结果,影响老年人社区医疗环境需求的是医院。研究结果表明,为了提供有利于老龄化的社会生态系统,有必要考察老年人对高等医疗机构社区医疗环境的需求,为进入超级老龄化社会做准备
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