The Korean Journal of Health Service Management (보건의료산업학회지)

Korea Society of Health Service Management (보건의료산업학회)
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Factors Affecting the Burden of Medical Costs for Inpatients

입원환자 의료비 부담에 영향을 미치는 요인

  • Kwon, Lee-Seung (Department of Health and Environment, Hoseo Graduate School of Venture) ;
  • An, Byeung-Ki (National Emergency Medical Center)
  • 권이승 (호서대학교 벤처전문대학원 보건환경학과) ;
  • 안병기 (국립중앙의료원 중앙응급의료센터)
  • Received : 2012.06.28
  • Accepted : 2012.12.18
  • Published : 2012.12.30
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Abstract

This study analyzes Korea health panel data (2008) (beta version 1.2) of Korea Institute for Health and Social Affairs, and National Health Insurance Corporation to figure out determinants of healthcare expenditure. In result of Multiple Logistic Analysis, in-patents felt burden on the medical expenditure were 70.0%. As to the patients' payment of medical expenditure, patients over 65 years old had 4.765 times higher than those under 14 years, disabled patients 2.778 than non-disabled patients, chronic patients 1.632 times than non-chronic patients, patients belonging to 12 million won ~ 46 million won and under 12 million won in family income had 1.680 times and 2.168 times respectively than patients with over 46 million won, patients in professional recuperation facility 1.546 times than patients in hospital, patients in private medical institutions 1.700 times than patients in national and public medical institutions, patients using upper grade rooms 1.701 times than patients in non-upper grade rooms. As a health care safety net mechanism to protect people from medical expenditure burden, there is the patients' payment ceiling in the National Health Insurance System. Thus, in order to facilitate the patient's payment ceiling, it is required that the level of ceiling is to be specified according to the income level, and self-payment items is to be included.

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