Comparison of out-of-pocket expenditure and catastrophic health expenditure for severe disease by the health security system: based on end-stage renal disease in South Korea
| Autor: | Hee Woo Lee, Sun Mi Shin |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Catastrophic health expenditure medicine.medical_specialty Healthcare utilization National Health Programs Medical aid 030232 urology & nephrology Disease End stage renal disease 03 medical and health sciences 0302 clinical medicine Environmental health Outpatients Republic of Korea Health care Humans Medicine Outpatient clinic 030212 general & internal medicine National Health Insurance Health policy Aged Social policy Aged 80 and over Insurance Health Medical Assistance business.industry Research Health Policy Public health lcsh:Public aspects of medicine Public Health Environmental and Occupational Health Health services research lcsh:RA1-1270 Health Services Middle Aged Patient Acceptance of Health Care Out-of-pocket expenditure Government Programs Kidney Failure Chronic Female Health Expenditures business |
| Zdroj: | International Journal for Equity in Health, Vol 20, Iss 1, Pp 1-11 (2021) International Journal for Equity in Health |
| ISSN: | 1475-9276 |
| Popis: | Background Korea’s health security system named the National Health Insurance and Medical Aid has revolutionized the nation’s mandatory health insurance and continues to reduce excessive copayments. However, few studies have examined healthcare utilization and expenditure by the health security system for severe diseases. This study looked at reverse discrimination regarding end-stage renal disease by the National Health Insurance and Medical Aid. Methods A total of 305 subjects were diagnosed with end-stage renal disease in the Korea Health Panel from 2008 to 2013. Chi-square, t-test, and ANCOVA were conducted to identify the healthcare utilization rate, out-of-pocket expenditure, and the prevalence of catastrophic expenditure. Mixed effect panel analysis was used to evaluate total out-of-pocket expenditure by the National Health Insurance and Medical Aid over a 6-year period. Results There were no significant differences in the healthcare utilization rate for emergency room visits, admissions, or outpatient department visits between the National Health Insurance and Medical Aid because these healthcare services were essential for individuals with serious diseases, such as end-stage renal disease. Meanwhile, each out-of-pocket expenditure for an admission and the outpatient department by the National Health Insurance was 2.6 and 3.1 times higher than that of Medical Aid (P P P P Conclusion Individuals with serious diseases, such as end-stage renal disease, can be faced with reverse discrimination depending on the type of insurance that is provided by the health security system. It is necessary to consider individuals who have National Health Insurance but are still poor. |
| Databáze: | OpenAIRE |
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