Factors Affecting Perceived Financial Burden of Medical Expenditures

건강보험 입원환자의 주관적 의료비 부담에 영향을 미치는 요인

  • 최영순 (국민건강보험공단 건강보험정책연구원) ;
  • 이광옥 (상명대학교 간호학과) ;
  • 임은실 (대구보건대학 간호과)
  • Received : 2010.10.19
  • Accepted : 2011.06.07
  • Published : 2011.06.30

Abstract

Purpose: This study was done to investigate factors affecting perceived financial burden of medical expenditures. Method: The participants were 2,024 inpatients who were enrolled in a survey on the benefit coverage rate of the National Health Insurance in 2006. The collected data were analyzed using t-test, ANOVA-test, Mann-Whitney-test, Kruskal-Wallis-test, Chi-square test and logistic regression. Results: The crucial factors for perceived financial burden were age, job, equivalence scale, ratio of annual family income vs medical expenditure, and private health insurance. Perceived financial burden was higher for people who were older, who were unemployed, whose medical expenditures were high compared to annual family income, whose index of family equalization was low and for those who had no private health insurance. Conclusion: The results of the study indicate a demand for system reform that will enable management of no-pay hospital bills in the National Health Insurance to decrease the medical expense of people in the low-income bracket.

Keywords

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