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Factors Influencing the Purchase of Indemnity Private Health Insurance among the Elderly People Aged 65-75  

You, Chang Hoon (Graduate School of Public Health, Yonsei University)
Kang, Sungwook (Department of Public Health, Daegu Haany University)
Ha, Ho-Soo (Department of Medical Care and Hospital Administration, Hallym Polytechnic University)
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
Korea Journal of Hospital Management / v.24, no.1, 2019 , pp. 48-56 More about this Journal
Abstract
Purpose: As an interest in the elderly medical expenses increases, elderly people are increasingly purchasing indemnity private health insurance. Authors tried to investigate factors of having the indemnity private health insurance among the elderly people aged 65-75 years. Methods: We conducted panel logit regression analysis on 2,465 subjects as of 2016 using Korean Health Panel from 2010 to 2016. The dependent variable was whether to enroll in the indemnity private health insurance. The explanatory variables included socio-demographic characteristics, economic factors, health status, and health behaviors. Findings: As a result of the analysis of factors of purchasing indemnity private health insurances, it was analyzed that people with larger family, educated, pensioner, high household income or no disability were more likely to have indemnity private health insurance. Practical Implications: Considering the results of this study, the factor of purchasing indemnity private health insurance among elderly people were more likely to be their economic than demographic characteristics such as sex, age, and marital status. Policy makers should make efforts to reduce the burden on the elderly medical expense and to improve equity of medical use through institutional improvement such as raising age limit and lowering premium of indemnity private health insurance and expansion of public health insurance.
Keywords
indemnity private health insurance; elderly; panel analysis;
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Times Cited By KSCI : 3  (Citation Analysis)
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1 Statistics Korea. Future Population Estimation: 2015-2065; 2016 (cited 2019.Feb.12) Available from http://kosis.kr/
2 Choi YA. Study on Measuring and Managing Longevity Risk. Korea Development Institute. 2015
3 National Health Insurance Service, Health Insurance Review and Assesment Service. 2015 National Health Insurance Statistical Yearbook. 2016
4 Yoon TH, Hwang IK, Sohn HS, Koh KW, Jeong BG. The determinants of private health insurance purchasing decisions under national health insurance system in Korea: The expanding of private health insurance market, for the better or worse. Korean Journal of Health Policy & Administration. 2005;15(4):161-175   DOI
5 Yun HS. Effects of Private Insurance on Medical Expenditure. KDI Journal of Economic Policy 2008;30(2):99-128   DOI
6 Kang SW, You CH, Oh EH, Kwon YD. The impact of having private health insurance on healthcare utilization with controlling for endogeneity. The Korean Journal of Health Economics and Policy 2010;16(1):139-159   DOI
7 Kim S, Kim M. Current state of private health insurance for severely ill patients and medical use according to enrollment: National Health and Nutrition Survey, 7th year. The Journal of the Korean Public Health Association 2018;44(1):83-92
8 You CH, Kang S, Choi JH, Kwon YD. Determinants of Purchasing Indemnity Private Health Insurance among Adolescents and Children. The Journal of the Korea Contents Association 2018;18(1):99-110
9 Financial Supervisory Service. 2017 Insurance company loss ratio. 2018.04.16. (cited 2018. Dec. 20) Available from http://www.fss.or.kr/fss/kr/promo/bodobbs_view.jsp?seqno=21275
10 Seo NK, Moon SW, Kang TU, Oh HL, Huh SI, Kim DS, et al. 2017 Korea Health Panel Report. National Health Insurance Service.The Korea Institute for Health and Social Affairs
11 Shin K. Discussions on the Empirical Study on Health Care Consumptions by Private Health Insurance Policy Holders. Health and Social Welfare Review 2015;35(4):5-34   DOI
12 Huh EJ, Kim JK. Middle-Aged and Old People's Purchase and Expenditure Decision Factors of Private Health Insurance. Journal of Consumer Studies 2009;20(4):107-127
13 Choi AL, Lee HB, Moon YP. A Study for Use of Private Health Care Insurers on Middle and Older Adults: Focused on Korea Health Panel Data. Journal of Financial Services Consumers 2016;6(1):25-47
14 You CH, Kang S, Oh EH, Kwon YD. A Comparison of Single and Multiple Private Health Insurance Purchasers among Middle-Aged and Elderly Korean Adults. Health and Social Welfare Review 2010;30(2):446-462   DOI
15 Yoo KB, Cho WH, Lee MJ, Kwon JA, Park EC. The determinants of purchasing private health insurance among middle-aged and elderly Korean adults. Korean Journal of Hospital Management 2012;17(3):23-36
16 Kim HJ, Lee JH. Factors Associated with the Middle-Aged or the Old-Aged Koreans' Enrollment in Private Health Insurance. The Journal of the Korea Contents Association 2012;12(12):683-693   DOI
17 Korea Health Panel Homepage (cited 2018. Feb. 12) Available from http://www.khp.re.kr
18 You CH, Kang S, Kwon YD, Oh EH. The effects of supplementary private health insurance on healthcare utilization and expenditures: indemnity vs fixed-benefit. Korean Social Security Studies 2011;27(1):277-292
19 Korea Credit Information Services. Credit Information Big Data Analysis. (cited 2018. Feb. 13) Available from http://www.kcredit.or.kr/content/download.do?refNo=351&fileNo=317
20 Minister of Health and Welfare (MOHW). 2017 Living Profiles of Older People Survey. (cited 2018. Feb. 22) Available from http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=344894&page=1
21 Statistics Korea. 2014 Elderly People Statistics. (cited 2018. Feb. 22) Available from http://www.index.go.kr/com/cmm/fms/FileDown.do?apnd_file_id=2709&apnd_file_seq=5
22 You CH, Kim J. A Study on the Determinants of Purchasing and Surrendering Private Health Insurance. The Journal of Risk Management 2011;22(2):189-222   DOI
23 Statistics Korea. Korean Social Trends 2018. (cited 2018. Feb. 23) Available from http://kostat.go.kr/portal/korea/kor_nw/3/index.board?bmode=read&aSeq=372025
24 National Pension Service. National Pension Statistical Yearbook 2016. 2017. National Pension Service
25 Statistics Korea KOSIS Homepage (cited 2018. Feb. 17) Available from http://kosis.kr
26 Dionne G. Handbook of Insurance. 2000. Springer
27 Rosen HS, Gayer T. Public Finance, 2009. McGraw-Hill/Irwin
28 Kim DH, Lee BJ. An Analysis on Adverse Selection in Fee-For-Service Health Insurance. Korean Insurance Journal 2013;96:25-50