페루 내 미충족의료의 영향요인: 코로나19 전·후 비교를 중심으로 ; Factors Associated with Unmet Health Care Needs in Peru Before and After the COVID-19 Outbreak: A Comparison

학위논문(석사) -- 서울대학교대학원 : 보건대학원 보건학과(보건정책관리학전공), 2023. 2. 김선영. ; Background: Since 2020, the rapid spread of the COVID-19 pandemic has negatively affected access and use of health care services around the world (Blanchet et al., 2020; Pujolar, Oliver-Anglès, Vargas, & Vázquez, 2022). In low- and middle-income countries which already suffer from large disease burdens and scarce resources, COVID-19 has exacerbated these strains on their health care systems. The impact of COVID-19 is not equal across populations of different socioeconomic status, race, and ethnicity, exacerbating existing inequity in access to health care services (Núñez et al., 2021; Orekeke et al., 2021; Roy et al., 2021). Despite continuing efforts to achieve universal health coverage in Peru, the prevalence of the Peruvian populations unmet needs in health care remained high and increased from approximately 53% before the pandemic to 65% after. However, only a handful of research has addressed unmet health care needs in Peru. It is imperative to identify individual characteristics associated with a high risk of experiencing unmet health care needs, specifically during the pandemic in order to minimize limited access to essential health care services and negative health outcomes. Objective: The aim of this study is to identify factors associated with a high risk of experiencing unmet health care needs among the Peruvian population, changes in these factors, and their effect before and after the pandemic. By doing so, this study intends to seek measures to meet health care needs of individuals, who are at high risk of experiencing unmet health care needs, and to improve equity in health care access. Methods: In order to identify changes in factors associated with unmet health care needs in Peru before and after the pandemic, this study used the 2019 and 2021 National Household Survey (Encuesta Nacional de Hogares, ENAHO) conducted by the National Institute of Statistics and Information (Instituto Nacional de Estadística e Informática, INEI) of ...