abstract: 'This study examined relationships between socioeconomic disadvantage and

  unmet health care needs among older adults in Korea adjusting for

  predisposing and health need factors. We examined how older adults''

  low-income status and working status affect unmet needs for healthcare

  over time, and how the association varies by reason for unmet needs

  (i.e. financial or non-financial).

  We used three waves of data (2009, 2011, 2012) from the Korea Health

  Panel (KHP) survey and a multinomial logistic mixed model to analyze how

  low socioeconomic disadvantages affects changes in unmet healthcare

  needs independently and in combination.

  Results showed that near-poor elders were more likely to experience

  increased risk of unmet need due to non-financial constraints over time.

  When working, near-poor elders risk of unmet healthcare needs due to

  financial and non-financial factors increases substantially over time.

  Across societies, different subgroups of older adults may be at risk of

  unmet healthcare needs, contingent on healthcare policies. Our finding

  suggests that in Korea, near-poor working elders are the vulnerable

  subgroup at highest risk of unmet healthcare needs. This finding

  provides much-needed evidence of heterogeneity of vulnerability in unmet

  healthcare needs and can be used to design more affordable and

  accessible programs and services for this group. (C) 2016 Elsevier

  Ireland Ltd. All rights reserved.'
affiliation: 'Park, S (Corresponding Author), Washington Univ St Louis, George Warren
  Brown Sch Social Work, One Brookings Dr, St Louis, MO 63105 USA.

  Park, Sojung, Washington Univ St Louis, One Brookings Dr, St Louis, MO 63105 USA.

  Kim, BoRin, Univ New Hampshire, 55 Coll Rd, Durham, NH 03824 USA.

  Kim, Soojung, Univ Michigan, 1415 Washington Hts, Ann Arbor, MI 48109 USA.'
author: Park, Sojung and Kim, BoRin and Kim, Soojung
author-email: 'spark30@wustl.edu

  borin.kim@unh.edu

  ksoojung@umich.edu'
author_list:
- family: Park
  given: Sojung
- family: Kim
  given: BoRin
- family: Kim
  given: Soojung
da: '2023-09-28'
doi: 10.1016/j.healthpol.2016.03.004
eissn: 1872-6054
files: []
issn: 0168-8510
journal: HEALTH POLICY
keywords: Unmet health care needs; Old age; Working; Poverty
language: English
month: JUN
number: '6'
number-of-cited-references: '36'
pages: 638-645
papis_id: 9598bdcd6661370e7ac0a960e1c56a7c
ref: Park2016povertyworking
times-cited: '19'
title: Poverty and working status in changes of unmet health care need in old age
type: Article
unique-id: WOS:000379631700009
usage-count-last-180-days: '2'
usage-count-since-2013: '23'
volume: '120'
web-of-science-categories: Health Care Sciences \& Services; Health Policy \& Services
year: '2016'