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

Kim, Sujin; Kwon, Soonman

doi:10.1016/j.socscimed.2015.06.012

Cited by 78 publications

(62 citation statements)

References 28 publications

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“…A systematic approach is needed in order to assess the effect of coverage decisions on different strata of the population [42]. Such a systematic process to work through the many trade-offs of efficiency with equity, financial protection, burden of disease, etc.…”

Section: Resultsmentioning

confidence: 99%

The role of national health insurance for achieving UHC in the Philippines: a mixed methods analysis

Obermann

Jowett

Kwon

2018

Global Health Action

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Background: Achieving Universal Health Coverage (UHC) has by now become a key health policy goal in many countries and some form of National Health Insurance (NHI) is often used for this. The Philippines has had more than 50 years’ experience with social health insurance and in 1995 established PhilHealth, the country’s national health insurer. Objectives: Analyzing the role of the Philippine NHI scheme in moving towards UHC, identifying potential avenues for improvement as well as indicating challenges and areas for further development. Methods: This paper is based on a mixed methods approach including extensive literature search, data from PhilHealth and other sources, and key informant interviews with staff at PhilHealth, health care providers, and policy experts at national and international level. Results: Major achievements were the expansion of population coverage using an earmarked revenue source (‘Sin Tax’), the introduction of the no-balance-billing to prevent co-payments, and the Health Facilities Enhancement Program to improve quality. The share of PhilHealth in total health expenditures is still only 14%, managing quality and cost of providers remains insufficient, the benefit coverage does not reflect the country’s burden of disease, and financial protection for PhilHealth members is low. The UHC bill would provide a massive jump forward as all Filipinos would then be automatically enrolled in and thus entitled to the benefits of PhilHealth. Conclusions: For expanding a contribution-based NHI beyond formal employment there needs to be a large increase in budget transfers to cover for citizens unable to contribute. The Philippine UHC bill shifts from the idea of contribution leading to entitlement to the idea of citizenship leading to entitlement and can thus be seen as a paradigmatic change in thinking about NHI. There are three areas that we believe are of key importance in developing further NHI: (i) governance, (ii) financial impact, and (iii) strategic purchasing.

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Section: Resultsmentioning

confidence: 99%

The role of national health insurance for achieving UHC in the Philippines: a mixed methods analysis

Obermann

Jowett

Kwon

2018

Global Health Action

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“…In the study conducted in the rural area in Shandong Province, the incidence was about 31.43%, lower than the incidence we estimated in our study. The research led by Sujin also indicated that people living in less developed regions were more likely to suffer CHE compared with those in developed regions 23. Therefore, expanding health and welfare policy is necessary, which will enable poor people receive more financial supports, so that low‐income households with cancer patients can get protections against CHE.…”

Section: Discussionmentioning

confidence: 99%

How great is current curative expenditure and catastrophic health expenditure among patients with cancer in China? A research based on “System of Health Account 2011”

et al. 2018

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In recent years, the incidence and mortality of cancer have witnessed a dramatic increase. Cancer has already caused severe economic burdens on society, especially in developing countries and has become a major public health concern. This study evaluates the medical economic burden, including total current curative expenditure (CCE) and catastrophic health expenditure (CHE) on cancer in Liaoning Province, China. A total of 252 medical institutions were investigated with multistage stratified cluster random sampling. We established a standardized database of 3 532 517 samples. “System of Health Account 2011”, a new internationally recognized accounting system, was established to analyze the CCE on six most common cancers. CHE were estimated from the extracted 1344 patients with cancer, which performed a cross‐sectional study. The association of individual and contextual factors with CHE was evaluated using logistic regression models. CCE for all the patients with the six types of cancer was 2801.38 million CNY in Liaoning Province, the highest of which was lung cancer. The incidence of CHE was 42.78%, while the threshold was 40%. The average and relative distance were 10.41% and 24.32%, respectively. Influencing factors were length of stay, type of health insurance, location of household, etc. Our findings highlight the need to address medical economic burden in the cancer population. Households with the cancer are more likely to incur CHE. Financial intervention to prevent it should target on poor households. We provide suggestions in aspects of health insurance and health service management to reduce CHE.

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“…32,33 Similar partial success was achieved in Mongolia with social health insurance coverage, 26 in South Korea with National Health Insurance (NHI) benefit coverage for cancer patients, 26 in Nigeria with NHIS. 14 Similar observations were done by other researchers.…”

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confidence: 75%

Catastrophic Expense & Financial Protection Mechanisms to Achieve Universal Health Coverage: A Review

Aggarwal¹

2017

MOJPH

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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

Cited by 78 publications

References 28 publications

The role of national health insurance for achieving UHC in the Philippines: a mixed methods analysis

The role of national health insurance for achieving UHC in the Philippines: a mixed methods analysis

How great is current curative expenditure and catastrophic health expenditure among patients with cancer in China? A research based on “System of Health Account 2011”

Catastrophic Expense & Financial Protection Mechanisms to Achieve Universal Health Coverage: A Review

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