Catastrophic health expenditure according to employment status in South Korea: a population-based panel study
| Autor: | Sung In Jang, Woo Rim Kim, Jae Woo Choi, Eun Cheol Park, Tae Hyun Kim, Suk Yong Jang |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Low income
Adult Employment Male Longitudinal study Financing Personal media_common.quotation_subject Population based 03 medical and health sciences 0302 clinical medicine Catastrophic Health Expenditure Cost of Illness Environmental health Health care Republic of Korea Income Level Medicine Humans 030212 general & internal medicine Longitudinal Studies media_common Family Characteristics business.industry 030503 health policy & services Research Public sector Health services research General Medicine Changes in Employment Status Socioeconomic Factors Acute Disease Chronic Disease Income level Female Health Services Research Health Expenditures 0305 other medical science business Welfare Delivery of Health Care |
| Zdroj: | BMJ Open |
| ISSN: | 2044-6055 |
| Popis: | Objectives Catastrophic health expenditure (CHE) means that the medical spending of a household exceeds a certain level of capacity to pay. Previous studies of CHE have focused on benefits supported by the public sector or high medical cost incurred by treating diseases in South Korea. This study examines variance of CHE in these households according to changes in employment status. We also determine whether a relationship exists according to income level. Design A longitudinal study. Setting We used the Korean Welfare Panel Study (KOWEPS) conducted by the Korea Institute. Participants The data came from 5335 households during 2009–2012. Outcome measure CHE, defined as health expenditures that were 40% greater than the ability of the household to pay. Results Households with people who experienced changes in job status from employed to unemployed (OR 2.79, 95% CI 2.06 to 3.78) or were unemployed with no status change (OR 1.57, 95% CI 1.28 to 1.92) were more likely to incur CHE than those containing people who were consistently employed. In addition, low-income families with members who had either lost a job (OR 3.52, 95% CI 2.44 to 5.10) or were already unemployed (OR 1.67, 95% CI 1.29 to 2.16) were more likely to incur CHE than those with family members with a consistent job. Conclusions Given the insecure employment status of people with low income, they are more likely to face barriers in obtaining needed health services. Meeting their healthcare needs is an important consideration. |
| Databáze: | OpenAIRE |
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