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노인 1인가구의 미충족 의료 경험 영향 요인 : 2023년 노인실태조사 분석 KCI 등재후보

Factors Influencing Unmet Healthcare Needs Among Older Single-Person Households: An Analysis of the 2023 Korean Elderly Survey

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  • URLhttps://db.koreascholar.com/Article/Detail/446042
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한국방문건강관리학회지 (Journal of Korean Academy of Customized Visiting Health Care)
한국방문건강관리학회 (The Korean Society for Customized Visiting Health Care)
초록

Purpose: As society rapidly ages, the number of older single-person households continues to grow. These individuals often face barriers to healthcare access due to limited social and family support, which increases their risk of experiencing unmet medical needs. This study aims to investigate the prevalence of unmet medical care among single-person elderly households and to examine the influence of demographic, health-related, and community environmental factors, thereby providing evidence to inform policies aimed at improving healthcare accessibility. Methods: This study analyzed data from the 2023 Korean Elderly Survey, including 3,423 individuals aged 65 years or older from older single-person households. Unmet medical care was defined as a self-perceived need for treatment that was not fulfilled. A complex sample logistic regression analysis was conducted to identify associated factors. Results: Significant risk factors for unmet medical care included low educational attainment, unemployment, low income, weak social networks, and poor relationships with children. In addition, frailty, negative self-rated health, multiple chronic conditions, depression, cognitive decline, inadequate nutrition, and insufficient physical activity were associated with higher risks. Environmental factors such as difficulty going out and long distances to healthcare facilities further increased the likelihood of unmet medical needs. Conclusion: Older single-person households face multiple vulnerabilities — including economic hardship, poor health, limited social support, and environmental barriers — that contribute to unmet medical needs. Addressing this issue requires comprehensive policy interventions that enhance community-based care, improve healthcare accessibility, and strengthen social connections.

목차
Abstract
서 론
연구방법
    1. 연구대상
    2. 연구도구
    3. 자료분석
    4. 윤리적 고려
연구 결과
    1. 대상자의 일반적 특성
    2. 미충족 의료의 경험율과 원인
    3. 미충족 의료 경험에 영향을 미치는 요인
논 의
결 론
참고문헌
저자
  • 정지연(한국방송통신대학교 간호학과 조교수) | Jung Jiyeon (Assistant Professor, Department of Nursing Science, Korea National Open University)
  • 한수정(서울대학교 보건대학원 보건학과, 객원교수) | Han Sujeong (Visiting Professor, Department of Public Health Science, Graduate School of Public Health, Seoul National University) Corresponding author