Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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A Panel Study on Determinants of Catastrophic Health Expenditure of the Middle- and Old-Aged Households

중·고령 가구의 과부담 의료비 발생의 결정요인에 관한 패널연구

  • Park, Jin Yeung (Department of Health Services Management, Kyung Hee University Graduate School) ;
  • Jung, Kee Taig (Department of Health Services Management, Kyung Hee University Graduate School) ;
  • Kim, Yong Min (Department of Health Services Management, Kyung Hee University Graduate School)
  • 박진영 (경희대학교 대학원 의료경영학과) ;
  • 정기택 (경희대학교 대학원 의료경영학과) ;
  • 김용민 (경희대학교 대학원 의료경영학과)
  • Received : 2013.12.09
  • Accepted : 2014.02.25
  • Published : 2014.03.31
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Abstract

Background: Korea shows rapid population aging and increase in healthcare service use and expenditure. Also, this would be accelerated because of the baby boomers who will be 65 years old and more in 2020. Chronic disease is another reason that increases the use of healthcare service and expenditure of the middle- and old-aged households. Catastrophic health expenditure (CHE) is the index which can indicate the households' burden of health spending. Despite the importance, there are few studies on CHE of middle- and old-aged households and especially no panel study yet. This is the reason that this study is carried out. Methods: This study used 3-year data from the Korea Welfare Panel Study conducted from 2009 to 2011. We defined CHE if a household's health expenditure is equal or greater than the threshold value if income remaining after subsistence needs has been met. We used 4 different threshold values which are 10%, 20%, 30%, and 40%. In order to look at the households which experienced CHE, we conducted panel logit analysis after correspondence analysis and conditional transition probability analysis. Results: This study showed three notable results. First, there has been a difference among age groups, which implies that the older people are, the more easily they can experience CHE. Second, the households with no private insurance are shown to have a higher CHE occurrence rate. Lastly, there has been a significant difference among the kinds of chronic diseases. The households which have cancer, cerebrovascular disease, and heart disease have a higher CHE occurrence rate. However, the households with diabetes have no significant effects to CHE occurrence. Also, hypertension has a negative effect to the occurrence. Conclusion: With the results, it can be implied that elderly people with chronic disease are more needed in medical coverage and healthcare. Also, private insurance can play its role in protecting households from CHE. Therefore, it needs to conduct studies on CHE especially about different age groups, private insurance, and chronic disease.

Keywords

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