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

Author:

Park Seungeun1ORCID,Park Jae-Hyun1

Affiliation:

1. Sungkyunkwan University, Suwon, Gyeonggi-do, Korea

Abstract

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 (β = .04, P ≤ .001) and chronic diseases (β = .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.

Funder

Korea Health Industry Development Institute

Publisher

SAGE Publications

Subject

Health Policy

Reference41 articles.

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2. Seo E. Issues and improvement tasks for emergency healthcare for severe emergency patients. National Assembly Research Service; 2020:1-4. Accessed February 14, 2022. www.nars.go.kr

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4. Emergency department utilization among people with disabilities in Korea

5. Healthcare Access and Utilization for Young Adults With Disability: U.S., 2014–2018

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