Browse > Article

The Effect of Co-insurance Reduction Policy on the Average Length of Stay and the Cost of Hospital Admission of Patients under Age of 15  

Kim, Hyunhwa (National Health Insurance Services)
Kim, Heenyun (Health Insurance Review & Assessment)
Jeong, Hyojeong (National Health Insurance Services)
Seo, Youngjoon (Graduate Program of Health Administration, Yonsei University)
Publication Information
Korea Journal of Hospital Management / v.26, no.3, 2021 , pp. 1-12 More about this Journal
Abstract
Purpose: This study aims to examine the effect of the copayment reduction policy on the health care utilization of patients under age 15 after the policy started in 2017. (이하는 아래 methodoloty로 이동) Methodology: Data on the ALOS, the average admission cost, and the out-of-pocket expenditure for patients under 15 years of age from 2015 to 2019 were obtained from the National Health Insurance database. Policy effects were measured by analyzing three dependent variables before and after policy: the average length of stay (ALOS), the average admission cost, and the out-of-pocket expenditure for patients under 15 years of age. The collected data were analyzed using the SAS package, and the analysis methods used in this study were the mean difference test and linear regression analysis. Findings: The study results reveal that, after the copayment reduction policy in the year 2017, the ALOS and the out-of-pocket expenditure were significantly decreased, but the average admission cost was significantly increased. Practical Implications: These results imply that the policy of copayment reduction for the patients under the age of 15 has contributed to mitigating the patients' financial burden with little concern about growing medical utilization.
Keywords
Copayment Reduction Policy; Children under Age of 15; Length of stay; Cost of hospital admission;
Citations & Related Records
연도 인용수 순위
  • Reference
1 보건복지부 (2017). 보건복지부 길잡이 통계, 2017; 세종
2 김지혜. 건강보험 본인부담금 면제 정책 효과성 분석: 6세 미만 아동 입원을 중심으로. 응용경제, 2017, 19.2: 5-39.
3 Arrow, KJ. Uncertainty and the welfare economics of medical care. Uncertainty in economics, 1978, 345-375.
4 Pauly, MV. The economics of moral hazard: comment. The American Economic Review, 1968, 58.3: 531-537.
5 Kowalski, A. Censored quantile instrumental variable estimates of the price elasticity of expenditure on medical care. Journal of Business & Economic Statistics, 2016, 34.1: 107-117.   DOI
6 Scoggins, JF.; Weinberg, DA. Healthcare co-insurance elasticitcCoefficient estimation using monthly cross-sectional, time-series claims data. Health Economics, 2017, 26.6: 795-801.   DOI
7 Kill, A; Kurt, H. How does copayment for health care services affect demand, health and redistribution? A systematic review of the empirical evidence from 1990 to 2011. The European Journal of Health Economics, 2014, 15.8: 813-828.   DOI
8 김계현. 정부 건강보험 보장성 확대방안의 현황과 과제. 의료정책포럼, 2018, 16.2: 66-74.
9 서남규, et al. 한국의료패널 자료를 활용한 재난적 의료비 발생 가구 분석 연구. 보건경제와 정책연구, 2015, 21.1: 79-102.
10 김윤. 문재인 케어의 평가와 성공전략. 월간 복지동향, 2017, 228: 39-47.
11 최연희. 중증질환 보장성강화가 심.뇌혈관질환자의 의료이용에 미치는 영향 [석사학위논문]. 고려대학교, 2009.
12 Duarte, F. Price elasticity of expenditure across health care services. Journal of Health Economics, 2012, 31.6: 824-841.   DOI
13 Brot-Goldberg ZC. et al.. What does a deductible do? The impact of cost-sharing on health care prices, quantities, and spending dynamics. The Quarterly Journal of Economics, 2017, 132.3: 1261-1318.   DOI
14 김수연. 보장성 강화정책에 따른 15세 이하 입원 아동의 의료이용 분석 [석사학위논문]. 고려대학교, 2018
15 김지은. 산정특례제도에 따른 건강보험 보장성강화가 의료이용에 미치는 영향-희귀난치성질환을 중심으로 - [석사학위논문]. 고려대학교, 2014.
16 강경화. 본인부담금 변화에 따른 6세미만 입원 아동의 의료이용 변화 [석사학위논문]. 고려대학교, 2011.
17 김진환. 6세 미만 영유아 입원 진료비 감면정책 평가베이지안 구조적시계열 모형을 사용하여 [석사학위논문]. 서울대학교, 2019.
18 신영석, 강희정, 신현웅, 황도경, 김수진, 김소운 et al. 제3차 상대가치 개편방안 연구. 한국보건사회연구원, 2019
19 Currie, J. Decker, S. Lin, W. Has public health insurance for older children reduced disparities in access to care and health outcomes?. Journal of Health Economics, 2008, 27.6: 1567-1581.   DOI
20 Cassedy, A, Fairbrother, G, Paul W. The impact of insurance instability on children's access, utilization, and satisfaction with health care. Ambulatory Pediatrics, 2008, 8.5: 321-328.   DOI
21 곽숙영. "6세 미만 아동 본인부담금 면제정책" 효과평가 [박사학위논문]. 고려대학교, 2008.
22 장수목. 암 본인부담률 인하정책이 의료이용과 의료비 부담에 미친 영향-건강보험 빅데이터를 이용하여-[박사학위논문]. 연세대학교; 2018.