Disability and Emergency Department Visits: A Path Analysis of the Mediating Effects of Unmet Healthcare Needs and Chronic Diseases

被引：1
|
作者：
Park, Seungeun [1 ]
Park, Jae-Hyun [1 ,2 ]
机构：
[1] Sungkyunkwan Univ, Suwon, Gyeonggi Do, South Korea
[2] Sungkyunkwan Univ, Sch Med, Dept Social & Prevent Med, Nat Sci Campus 2066 Seobu Ro, Suwon 16419, Gyeonggi Do, South Korea
来源：
INQUIRY-THE JOURNAL OF HEALTH CARE ORGANIZATION PROVISION AND FINANCING | 2023年 / 60卷
关键词：
people with disabilities; disabled persons; emergency care; emergency department; unmet healthcare needs; chronic diseases; health services accessibility; PEOPLE;
D O I：
10.1177/00469580231182863
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Previous studies identified disabilities and unmet healthcare needs, especially those related to primary healthcare, as predictors of ED use. This study examined the relationship between disability, unmet healthcare needs, chronic diseases, and ED visits in South Korea. This study was a cross-sectional study using the Korean Health Panel Survey collected in 2018. A path analysis was used. Our research found a significant association between disability and ED visits mediated by unmet healthcare needs and chronic diseases. Disability had a significant direct effect on unmet healthcare needs (beta = .04, P <= .001) and chronic diseases (beta = .10, P <= .001). However, there was no mediating effect of unmet healthcare needs between disability and ED visits. While barriers to access to care among people with disabilities are widely acknowledged, this study suggests that interventions or programs to reduce ED visits should consider the unique healthcare needs of people with disabilities.
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