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http://dx.doi.org/10.12811/kshsm.2017.11.3.051

Effect of Private Health Insurance on Medical Care Utilization: Six Year Unbalanced Panel Data Model  

You, Chang-Hoon (The Graduate School of Healthcare Management and Policy, The Catholic University of Korea)
Kang, Sung-Wook (Department of Public Health, Daegu Haany University)
Choi, Ji-Heon (International Institute of Health)
Kwon, Young-Dae (Department of Humanities and Social Medicine, College of Medicine and Catholic Institute for Healthcare Management, The Catholic University of Korea)
Publication Information
The Korean Journal of Health Service Management / v.11, no.3, 2017 , pp. 51-64 More about this Journal
Abstract
Objectives : This study examined the effect of private health insurance on medical care utilization by subscription type. Methods : The data used were the six waves of the Korea Health Panel (2009-2014), and 16,187 persons were the subjects of the analysis. We performed a panel regression with a fixed effects model. Results : Indemnity private health insurance was positively related to the number of physician visits, number of admissions, and total length of stays. However, fixed-benefit private health insurance was not related to medical care utilization. Conclusions : The result of this study, which shows the difference by subscription type in the effect of private health insurance on medical care utilization, suggests that continuous monitoring of indemnity private health insurance is needed in the future.
Keywords
Private Health Insurance; Indemnity; Fixed Benefit; Medical Care Utilization; Panel Regression;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 http://www.khp.re.kr:444/ver_2/04_study/study01.jsp
2 G. Dionne(2000), Handbook of Insurance, Kluwer Academic Publishers, pp.155-183.
3 C.H. You, S.W. Kang, Y.D. Kwon, E.H. Oh(2011), The effects of supplementary private health insurance on healthcare utilization and expenditures: indemnity vs. fixed-benefit, Korean Social Security Studies, Vol.27(1);277-292.
4 Korea Life Insurance Association(2016), 2016 Life Insurance Fact Book, Korea Life Insurance Association, pp.58-70.
5 http://repository.kihasa.re.kr:8080/handle/201002/15392
6 S.L. Ettner(1997), Adverse selection and the purchase of Medigap insurance by the elderly, Journal of Health Economics, Vol.16(5);543-562.   DOI
7 T.C. Buchmueller, A. Couffinhal, M. Grignon. M. Perronnin(2004), Access to physician services: does supplemental insurance matter? evidence from France, Health Economics, Vol.13(7);669-687.   DOI
8 A.M. Vera-Hernandez(2004), Duplicate coverage and demand for health care: the case of Catalonia, Health Economics, Vol.8(7);579-598.   DOI
9 W.H. Tian, J.J. Tien, C.S. Chen, T.C. Liu(2012), Private Health Insurance and Inpatient Service Utilisation among Adults and Elderly People under Taiwan's National Insurance Programme, The Geneva Papers on Risk and Insurance - Issues and Practice, Vol.37(4);655-677.   DOI
10 S.W. Kang, Y.D. Kwon, C.H. You(2005), Effects of supplemental insurance on health care utilization and expenditures among cancer patients in Korea, The Korean Journal of Health Policy and Administration, Vol.15(4);65-80.   DOI
11 K.T. Jung, E.K. Shin, C.H. Kwak(2006), An empirical study on the relationship between private health insurance and moral hazard, Korean Insurance Journal, Vol.75;1-25.
12 H.S. Yoon, H.J. Kwon(2008), Private health insurance and health utilization, KDI Policy Forum, Vol.30(2);1-13.
13 S.W. Kang, C.H. You, Y.D. Kwon, E.H. Oh(2009), Effects of supplementary private health insurance on physician visits in Korea, Journal of the Formosan Medical Association, Vol.108(12);912-920.   DOI
14 S.W. Kang, C.H. You, E.W. Oh, Y.D. Kwon(2010), The impact of having private health insurance on healthcare utilization with controlling for endogeneity, The Korean Journal of Health Economics and Policy, Vol.16(1);65-80.
15 S.B. Park, K.H. Jung(2011), The determinants of private health insurance and its effects on medical utilization in Korea, Korean Insurance Journal, Vol.88;23-49.
16 B. Jeon, S. Kwon(2013), Effect of private health insurance on health care utilization in a universal public insurance system: a case of South Korea, Health Policy, Vol.113(1);69-76.   DOI
17 H.B. Lee, S.W. Nam(2013), An empirical study of private health insurance and healthcare utilization, Korean Insurance Journal, Vol.95;1-24.
18 D.H. Kim(2014), Effects of fee-for-service health insurance on medical consumption, Korean Insurance Journal, Vol.98;61-90.
19 C.H. You, S.W. Kang, J.H. Choi, E.H. Oh, Y.D. Kwon(2014), The effect of private health insurance on health care utilization: evidence from Korea Health Panel (2008-2010), The Korean Journal of Health Service Management, Vol.8(2);101-113.   DOI
20 S.M. Kim, Y.D. Kwon(2011), Private health insurance and the use of health care services: a review of empirical research in Korea, The Korean Journal of Health Service Management, Vol.5(4);177-192.   DOI
21 A.C. Cameron, P.K. Trivedi(2005), Microeconometrics: Methods and Applications, Cambridge University Press, pp.697-742.
22 S.E. Choi(2016), The role of private health insurance and health service utilization, Korea Review of Applied Economics, Vol.18(4);79-97.
23 M. Rodríguez, A. Stoyanova(2004), The effect of private insurance access on the choice of GP/specialist and public/private provider in Spain, Health Economics, Vol.13(7);689-703.   DOI
24 A. Kiil(2012), Does employment-based private health insurance increase the use of covered health care services? A matching estimator approach, International Journal of Health Care Finance and Economics, Vol.12(1);1-38.   DOI