与韩国未满足的医疗保健需求相关的当地医疗保健资源:空间分析

IF 1 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES
Geospatial Health Pub Date : 2025-01-23 Epub Date: 2025-03-11 DOI:10.4081/gh.2025.1295
Sang Min Lee, Dong Woo Huh, Young Gyu Kwon
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引用次数: 0

摘要

尽管韩国采取了提高保健可及性的国家举措,但未满足的保健需求仍然很高,特别是在特定地区。本研究采用空间回归模型分析医疗资源与未满足需求之间的空间交互作用,探讨未满足医疗需求地域差异的影响因素。利用2020年韩国社区卫生调查和统计局对216个地方政府实体(不包括偏远地区以确保数据一致性)的数据,我们确定了未满足医疗保健需求的重要空间集群。这些集群主要位于交通障碍和医疗基础设施有限的非大都市地区。空间回归分析显示,综合医院和诊所与减少未满足的医疗保健需求显著相关,强调了它们在缓解地区差异方面的关键作用。相比之下,医院(床位≥30张)和康复医院没有表现出显著的影响,可能是因为它们侧重于专门的住院和长期护理服务,而不是直接解决门诊病人的即时需求。这些发现促进了对医疗资源分配如何影响韩国地区未满足需求的理解,并强调了战略性地分配综合医院和诊所以促进卫生公平的必要性。基于这些结果,我们建议以证据为基础的政策干预措施,优化现有的医疗资源,并在服务不足的地区战略性地部署新的设施。这些见解为决策者提供了宝贵的指导,以减少地理上的卫生差距并提高总体公共卫生成果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Local healthcare resources associated with unmet healthcare needs in South Korea: a spatial analysis.

Despite national initiatives to enhance healthcare accessibility, unmet healthcare needs in South Korea remain notably high, particularly in specific regions. This study investigated the factors contributing to geographical disparities in unmet healthcare needs by employing spatial regression models to examine the spatial interactions between healthcare resources and unmet needs. Utilizing data from the 2020 Community Health Survey and Statistics Korea for 216 local government entities, excluding remote areas to ensure data consistency, we identified significant spatial clusters of unmet healthcare needs. These clusters are primarily located in non-metropolitan regions facing transportation barriers and limited healthcare infrastructure. Spatial regression analysis revealed that general hospitals and clinics are significantly associated with reduced unmet healthcare needs underscoring their critical role in mitigating regional disparities. In contrast, hospitals (≥30 beds) and convalescent hospitals did not exhibit significant effects, likely owing to their focus on specialised inpatient and long-term care services, which do not directly address immediate outpatient needs. These findings advance the understanding of how healthcare resource distribution impacts unmet needs at a regional level in South Korea and highlight the necessity for allocating general hospitals and clinics strategically to promote health equity. Based on these results, we recommend evidence- based policy interventions that optimise existing healthcare resources and strategically deploy new facilities in underserved regions. These insights provide valuable guidance for policymakers to reduce geographical health disparities and enhance overall public health outcomes.

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来源期刊
Geospatial Health
Geospatial Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.40
自引率
11.80%
发文量
48
审稿时长
12 months
期刊介绍: The focus of the journal is on all aspects of the application of geographical information systems, remote sensing, global positioning systems, spatial statistics and other geospatial tools in human and veterinary health. The journal publishes two issues per year.
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