Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
권호 표지

The Determinants of Purchasing Private Health Insurance in Korean Cancer Patients

암 환자의 민간의료보험 가입 실태와 관련 요인

  • Lim, Jin-Hwa (Division of Cancer Policy and Management, National Cancer Control Research Institute, National Cancer Center) ;
  • Kim, Sung-Gyeong (Division of Cancer Policy and Management, National Cancer Control Research Institute, National Cancer Center) ;
  • Lee, Eun-Mi (Division of Cancer Policy and Management, National Cancer Control Research Institute, National Cancer Center) ;
  • Bae, Sin-Young (Division of Cancer Policy and Management, National Cancer Control Research Institute, National Cancer Center) ;
  • Park, Jae-Hyun (Division of Cancer Policy and Management, National Cancer Control Research Institute, National Cancer Center) ;
  • Choi, Kui-Son (Division of Cancer Policy and Management, National Cancer Control Research Institute, National Cancer Center) ;
  • Hahm, Myung-Il (Division of Cancer Policy and Management, National Cancer Control Research Institute, National Cancer Center) ;
  • Park, Eun-Cheol (Division of Cancer Policy and Management, National Cancer Control Research Institute, National Cancer Center)
  • 임진화 (국립암센터 국가암관리사업지원평가연구단 암관리정책연구부) ;
  • 김성경 (국립암센터 국가암관리사업지원평가연구단 암관리정책연구부) ;
  • 이은미 (국립암센터 국가암관리사업지원평가연구단 암관리정책연구부) ;
  • 배신영 (국립암센터 국가암관리사업지원평가연구단 암관리정책연구부) ;
  • 박재현 (국립암센터 국가암관리사업지원평가연구단 암관리정책연구부) ;
  • 최귀선 (국립암센터 국가암관리사업지원평가연구단 암관리정책연구부) ;
  • 함명일 (국립암센터 국가암관리사업지원평가연구단 암관리정책연구부) ;
  • 박은철 (국립암센터 국가암관리사업지원평가연구단 암관리정책연구부)
  • Published : 2007.03.31
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Abstract

Objectives : The aim of this study is to identify factors determining the purchase of private health insurance under the mandatory National Health Insurance(NHI) system in Korea. Methods : The data were collected by the National Cancer Center in Korea. It includes cancer patients who were newly diagnosed with stomach (ICD code, C16), lung(C33-C34), liver (C22), colorectal cancer(C18-C20) or breast(C50) cancer. Data were gathered from the hospital Order Communication System (OCS), medical records, and face-to-face interviews, using a structured questionnaire. Clinical, socio-demographic and private health insurance related factors were also gathered. Results : Overall, 43.9% of patients had purchased one or more private health insurance schemes related to cancer, with an average monthly premium of \65,311 and an average benefit amount of \19million. Females, younger aged, high income earners, national health insurers and metropolitan citizens were more likely to purchase private health insurance than their counterparts. Conclusions : About half of Korean people have supple-mentary private health insurance and their benefits are sufficient to cover the out-of-pocket fees required for cancer treatment, but inequality remains in the purchase of private health insurance. Further studies are needed to investigate the impacts of private health insurance on NHI, and the relationship between cancer patients' burden and benefits.

Keywords

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