Browse

Does Geographic Access to a Psychiatry Clinic Influence Mental Health Care Utilization?

Cited 0 time in Web of Science Cited 0 time in Scopus
Authors
홍혜영
Advisor
이철희
Major
사회과학대학 경제학부
Issue Date
2017-02
Publisher
서울대학교 대학원
Keywords
geographic accessibilitymental health care utilization지리적 접근성정신건강 의료이용
Description
학위논문 (석사)-- 서울대학교 대학원 : 경제학부, 2017. 2. 이철희.
Abstract
Although South Koreas suicide rate is highest among the OECD countries, its mental health care utilization remains low. Using the unique administrative data–the National Health Information Database, I explore the impacts of change in geographic access to psychiatry clinics on mental health care utilization. I employ the Difference-in-Differences estimation combining the event-study approach that compares Eup/Myeon/Dong-level (region-level) monthly outcomes. The region-level geographic accessibility is measured by the straight-line distance to the nearest psychiatry clinic from the population centroid of each region, and its change means that the distance becomes shorter or longer due to the opening or closing of a psychiatry clinic.
The results show that the number of outpatients visiting psychiatry clinics per 100,000 people increases by 3.1% after psychiatry clinic openings, and decreases by 8.6% after closings. In the regions where the distance increases by more than 8km, the number of outpatients sharply declines by 45.4%. Patients with dementia, alcohol use disorders, and neurotic disorders are more likely to visit a psychiatry clinic when the accessibility expands. Patients who have milder depressive symptoms are more susceptible to the expanding accessibility. Finally, evidence suggests that as distance from the nearest psychiatric clinic increases, hospital utilization increases.
Language
English
URI
https://hdl.handle.net/10371/134749
Files in This Item:
Appears in Collections:
College of Social Sciences (사회과학대학)Dept. of Economics (경제학부)Theses (Master's Degree_경제학부)
  • mendeley

Items in S-Space are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse