Changes in Economic Status of Households Associated with Catastrophic Health Expenditures for Cancer in South Korea

Choi, Jae Woo; Cho, Kyoung Hee; Choi, Young Shik; Han, Kyu Tae; Kwon, Jong Kyou; Park, Sohee

doi:10.7314/apjcp.2014.15.6.2713

Cited by 49 publications

(64 citation statements)

References 26 publications

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“…As a result, the incidence of catastrophic expenditures may be more concentrated in low-income individuals, which indicates that health insurance plans with standard cost-sharing rate may not provide adequate protection for low-income patients against financial burden (Ke Xu et al, 2007). In addition, studies examining the changes in economic status of households suggested that job loss and decreased wages, resulting from reduced work hours due to cancer treatment, led to a decline in household income (K. S. Choi et al, 2007;J. Park et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

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Impact of the policy of expanding benefit coverage for cancer patients on catastrophic health expenditure across different income groups in South Korea

Kim

Kwon

2015

Social Science & Medicine

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Section: Discussionmentioning

confidence: 99%

“…Park et al, 2008). Especially, in case that the head of household got cancer, the household was more likely to face catastrophic payments (J.-W. Choi et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

Impact of the policy of expanding benefit coverage for cancer patients on catastrophic health expenditure across different income groups in South Korea

Kim

Kwon

2015

Social Science & Medicine

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“…However, out-ofpocket (OOP) payments can influence the equality of access to and utilization of health services and decelerate the movement toward UHC (2). Facing with CHE can influence the health of all household members and may push the households into poverty health cycle (3).…”

Section: Introductionmentioning

confidence: 99%

The Prevalence and Determinants of Catastrophic Health Expenditures in Iran: A Systematic Review and Meta-Analysis

et al. 2017

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Objective: In this systematic review, we aimed at estimating the pooled prevalence of catastrophic health expenditures (CHE) in Iran and identifying and summarizing the determinants of CHE among Iranian households. Methods:We comprehensively searched the literature on November 2016 in PubMed, Scopus, Web of Science, the Cochrane Library, and 3 Persian databases. We also obtained the literature through colleague communications. Two review authors independently selected studies, extracted data, and evaluated them. We performed meta-analysis of prevalence of CHE and subgroup meta-analyses to assess the influence of data source and scope of research. Moreover, we categorized the determinants of CHE in Ian.Results: In this review, 16 studies met the inclusion criteria, and of them, 2 presented the results of multiple surveys. Results of 27 cross-sectional studies were used to estimate the pooled prevalence of CHE in Iran during 1995 and 2015, which was found to be 3.91% (95% confidence interval, CI: -3.26-11.07). Subgroup meta-analyses based on data source revealed that the highest prevalence estimate of facing CHE was associated with author-made questionnaires, and the lowest to the statistical Centre of Iran (SCI) questionnaire. Also, meta-regression showed that the difference in sample size and year of study did not have any significant effect on the prevalence of CHE. Some of the variables such as use of inpatient, outpatient, and dentistry services, education, place of residence, and household income, which were considered as determinants of CHE in Iran, increased the possibility of facing CHE. Conclusions:Decrease in CHE to less than 1%, which was the objective of the 2 of Iran's five-year development plans in 2007 and 2015, was not met. This percentage may need to be reconsidered according to the pooled estimate of CHE. Also, the factors revealed to be the determinants of an increase in the probability of facing CHE could indicate the need for health care services and socioeconomic variables that lower one's capacity to pay for health services.

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“…Another requisite affecting CHE is excessive OOP payment. In South Korea, medical expenses of households consist of 35.2% (2011) in total expenditure, a far…”

Section: Introductionmentioning

confidence: 99%

Catastrophic health expenditure according to employment status in South Korea: a population-based panel study

et al. 2016

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ObjectivesCatastrophic health expenditure (CHE) means that the medical spending of a household exceeds a certain level of capacity to pay. Previous studies of CHE have focused on benefits supported by the public sector or high medical cost incurred by treating diseases in South Korea. This study examines variance of CHE in these households according to changes in employment status. We also determine whether a relationship exists according to income level.DesignA longitudinal study.SettingWe used the Korean Welfare Panel Study (KOWEPS) conducted by the Korea Institute.ParticipantsThe data came from 5335 households during 2009–2012.Outcome measureCHE, defined as health expenditures that were 40% greater than the ability of the household to pay.ResultsHouseholds with people who experienced changes in job status from employed to unemployed (OR 2.79, 95% CI 2.06 to 3.78) or were unemployed with no status change (OR 1.57, 95% CI 1.28 to 1.92) were more likely to incur CHE than those containing people who were consistently employed. In addition, low-income families with members who had either lost a job (OR 3.52, 95% CI 2.44 to 5.10) or were already unemployed (OR 1.67, 95% CI 1.29 to 2.16) were more likely to incur CHE than those with family members with a consistent job.ConclusionsGiven the insecure employment status of people with low income, they are more likely to face barriers in obtaining needed health services. Meeting their healthcare needs is an important consideration.

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Changes in Economic Status of Households Associated with Catastrophic Health Expenditures for Cancer in South Korea

Cited by 49 publications

References 26 publications

Impact of the policy of expanding benefit coverage for cancer patients on catastrophic health expenditure across different income groups in South Korea

Impact of the policy of expanding benefit coverage for cancer patients on catastrophic health expenditure across different income groups in South Korea

The Prevalence and Determinants of Catastrophic Health Expenditures in Iran: A Systematic Review and Meta-Analysis

Catastrophic health expenditure according to employment status in South Korea: a population-based panel study

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