Self-Rating Perceived Health: The Influence on Health Care Utilization and Death Risk.
- Author:
Sun Seog KWEON
1
;
Sang Yong KIM
;
Jeong Soo IM
;
Seok Joon SOHN
;
Jin Su CHOI
Author Information
1. Department of Preventive Medicine, Chonnam National University Medical School , Korea.
- Publication Type:Original Article
- Keywords:
Health perception;
Death risk;
Health care utilization;
Longitudinal study
- MeSH:
Delivery of Health Care*;
Follow-Up Studies;
Insurance;
Longitudinal Studies
- From:Korean Journal of Preventive Medicine
1999;32(3):355-360
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVES: This 3-year longitudinal study was conducted to evaluate the influence of self-rating health perception on health care utilization and all cause-death risk. METHODS: The hypothesis was tested using a community-based samples, among which subjects 3,414 were interviewed in 1995. Self-rating health perception was assessed by single-item question. Three components of health care utilization amount(number of visits, number of medications, yearly health care expenses) per year were measured using medical insurance data during 3-year follow-up period among subjects in district health care insurance. There were 123 deaths from all causes among 3,085 subjects interviewed. RESULTS: The results showed that those who had poor health perception revealed more increases in the amount of health care utilization than good health perception group (p<0.05). After adjusting for age and sex, the poor health perception group had higher death risk over 3 years than good health perception group(hazard ratio=1.88). but, after adjusting health care utility, supplementary, was not significant. CONCLUSION: These results suggest that self-rating health percep-tion was associated with difference in health care utilization and all cause-death risk.
