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背景具有医疗护理的常去地(USC)是基层医疗的标志之一。本研究旨在探讨韩国成年人具有USC的现状,及其社会人口因素分析。方法选取2012年韩国健康小组调查数据。选取年龄≥18岁,并且对关于USC的问卷条目进行回答的参与者(n=11 935)开展研究。结果 21.5%具备USC,13.9%有惯常拜访的医生。无USC的原因包括:很少生病(66.1%),偏好拜访多个医疗机构(27.9%)及其他原因。私人社区诊所是USC中患者最常去的地方(57.0%)。在患者自述的由惯常拜访的医生提供的护理属性中,全面性和协调性的肯定回答分别占67.2%和34.5%。常去医疗机构类型中,对基层医疗诊所协调性的肯定回答最低(32.8%)。年龄≥65岁与18~34岁患者相比,具备惯常拜访医生的调整后优势比为3.77〔95%CI(3.75,3.79)〕;女性与男性调整后优势比为1.31〔95%CI(1.30,1.31)〕;未婚与已婚调整后优势比为0.72〔95%CI(0.72,0.73)〕;大学毕业或更高学历与小学毕业或更低学历调整后优势比为1.16〔95%CI(1.16,1.16)〕;家庭收入条目中第五五分位数与第一五分位数调整后优势比为0.64;医疗保险类型中的医疗救助与员工健康保险调整后优势比为1.53〔95%CI(1.52,1.54)〕;患有慢性疾病和未患有慢性疾病调整后优势比为4.09〔95%CI(4.08,4.10)〕。结论具有USC的韩国成年人的比例非常低,是否患有慢性疾病是最具影响力的因素。该研究结果将使得研究人员和决策者深入了解韩国公众中普及USC的潜在推动因素和障碍。
Background USC, with medical care, is one of the hallmarks of primary care. The purpose of this study was to investigate the status of Korean adults with USC and their social demographic factors. Methods Select the survey data of 2012 Korea Health Group. Participants (n = 11 935) were selected who were age 18 years or older and answered the USC questionnaire entry. Results 21.5% had the USC, and 13.9% had regular visits. Reasons for not having USC include: Few sick (66.1%), Preferred visit to multiple healthcare facilities (27.9%) and other reasons. Private community clinics are the most common place for patients in USC (57.0%). Among patient self-reported care attributes provided by the regularly visited doctors, affirmative responses to comprehensiveness and co-ordination accounted for 67.2% and 34.5%, respectively. In the types of medical institutions often visited, the affirmative answer to the coordination of primary medical clinics is the lowest (32.8%). The adjusted odds ratio (RR) was 3.77 [95% CI (3.75, 3.79)] for women aged 65 or older and 18 to 34 years old and adjusted for odds ratio 1.31 (95% CI 1.30 , 1.31)]. The adjusted odds ratio after unmarried and married adjustment was 0.72 [95% CI (0.72, 0.73)]. The adjusted odds ratio after graduating from college or higher with primary education or below was 1.16 [95% CI ( 1.16,1.16)]. The adjusted odds ratio of the fifth quintile to the first quintile of family income was 0.64. The adjusted odds ratio for medical assistance and employee health insurance in the type of health insurance was 1.53 [95% CI (1.52, 1.54)]. The adjusted odds ratio was 4.09 [95% CI (4.08, 4.10)] with and without chronic disease. Conclusion The proportion of South Korean adults with USC is very low and the presence of chronic diseases is the most influential factor. The findings will give researchers and policy makers insight into the potential drivers and barriers to universal USC adoption among the Korean public.