EuroQol-5 Dimension 건강가중치를 이용한 한국인의 건강수준의 형평성 측정

신호성; 김동진

EuroQol-5 Dimension 건강가중치를 이용한 한국인의 건강수준의 형평성 측정 = Health Inequality Measurement in Korea Using EuroQol-5 Dimension Valuation Weights

제목: EuroQol-5 Dimension 건강가중치를 이용한 한국인의 건강수준의 형평성 측정 = Health Inequality Measurement in Korea Using EuroQol-5 Dimension Valuation Weights

저자: 신호성 ; 김동진

키워드: Concentration Index ; EuroQol-5Dimension ; Health inequality ; Self assessed health

발행연도: 2008-05-31

발행기관: 대한예방의학회

인용정보: 예방의학회지, vol. 41, no. 3, pp. 165 - 172

초록: Objectives : Despite various government initiatives, including the expansion of national health insurance coverage, health inequality has been a key health policy issue in South Korea during the past decade. This study describes and compares the extent of the total health inequality and the income-related health inequality over time among Korean adults.
Methods : This study employs the 1998, 2001 and 2005 Korean National Health and Nutrition Examination Surveys (KNHANESs). The self-assessed health (SAH) ordinal responses, measured on a five-point scale, rescaled to cardinal values to measure the health inequalities with using interval regression. The boundaries of each threshold for the interval regression analysis were obtained from the empirical distribution of the EuroQol-5 Dimension (EQ-5D) valuation weights estimated from the 2005 KNHANES. The final model predicting the individuals2health status included age, gender, educational attainment, occupation, income, and the regional prosperity index. The concentration index was used to measure and analyze the health inequality.
Results : The KNHANES data showed an unequal distribution of the total health inequality in favor of the higher income groups, and this is getting worse over time (0.0327 in 1998, 0.0393 in 2001 and 0.0924 in 2005). The income-related health inequality in 2005 was 0.0278, indicating that 30.1% of the total health inequality can be attributed to income.
Conclusions : The findings indicate there are health inequalities across the sociodemographic and income groups despite the recent government's efforts. Further research is warranted to investigate what potential policy actions are necessary to decrease the health inequality in Korea.

Fulltext: https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART001258862

ISSN: 1975-8375

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urlhttps://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART001258862

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