Private health insurance and catastrophic health expenditures of households with cancer patients in South Korea

Lee, Munjae; Yoon, Ki-Chan; Choi, Minsu

doi:10.1111/ecc.12867

Cited by 9 publications

(14 citation statements)

References 17 publications

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“…This is consistent with research findings that older patients who experienced unmet health care saw reduced HRQOL, and the more the patient shares his medical costs, the lower his HRQOL becomes. Furthermore, consistent with research findings, patients with BPH who have been continuously treated have a better HRQOL than those who have not regularly used health care [ 13 , 27 , 34 , 35 , 36 , 37 ]. Considering these findings, it is necessary to reduce the burden on the use of medical services by improving accessibility to health services for older patients with BPH.…”

Section: Discussionsupporting

confidence: 82%

Quality of Life in Older Adults with Benign Prostatic Hyperplasia

2020

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The purpose of this study is to identify factors that affect health-related quality of life (HRQOL) of older patients with Benign Prostatic Hyperplasia (BPH) and suggest ways to improve the same. Through this, we will improve the self-management practice of patients and promote the treatment of BPH in older patients. The 2015 Korea Health Panel Survey data were used in this study. A total of 422 BPH patients aged 65 or older were included. Logistic regression analysis was conducted to identify factors affecting the HRQOL of older patients with BPH. General characteristics of factors affecting older patients with BPH included income level and type of insurance. In addition, among medical-related characteristics and health behavior factors, subjective health status, unmet medical care needs, moderate physical activity, sitting time, and drinking influenced the HRQOL. Therefore, in order to improve the HRQOL of adult patients with BPH, it is necessary to improve medical accessibility by strengthening primary care. In addition, it is necessary to increase the amount of activity in daily life through healthcare medical devices.

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Section: Discussionsupporting

confidence: 82%

Quality of Life in Older Adults with Benign Prostatic Hyperplasia

2020

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“…These findings are similar to those of a previous study, which indicated that those who have private medical insurance policies tend to receive outpatient and inpatient treatments. In line with these findings, among patients with chronic diseases who require continuous health care, those with private medical insurance have a reduced burden in terms of medical expenses, leading to better health-care outcomes [44][45][46]. Considering these results, there are limitations in managing chronic diseases with national health insurance only.…”

Section: Discussionmentioning

confidence: 83%

Relationship between Morbidity and Health Behavior in Chronic Diseases

Lee

Park

Lee

2020

JCM

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This study aimed to analyze the demographic characteristics and health behaviors related to chronic diseases and to identify factors that may affect chronic diseases. Data from the Seventh Korea National Health and Nutrition Examination Survey were used, and 3795 adults aged above 40 years were included. The following demographic variables were obtained: sex, age, education, income, type of health insurance, and private insurance. The following health behavior factors were also analyzed: medical checkup, drinking, smoking, exercise, obesity, and hypercholesterolemia. Participants with lower socioeconomic status had a higher risk of developing chronic diseases. Meanwhile, those with private health insurance had a lower risk of developing chronic diseases. In addition, participants who underwent medical checkups and performed exercises had a lower risk, while those with obesity and hypercholesterolemia had a higher risk of developing chronic diseases. It is necessary to manage chronic diseases through comprehensive programs, rather than managing these diseases individually, and through community primary care institutions to improve health behaviors.

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“…Furthermore, there is a need to expand the scope of special cases in health insurance so that they are exempted from out-of-pocket payments for medical services and improve medical security for low-income groups. It is noteworthy that the incidence of catastrophic health expenditures is low among households with private health insurance [33]. In other words, private health insurance seems to be achieving its original goal of protecting households from excessive health expenditures.…”

Section: Discussionmentioning

confidence: 99%

Catastrophic Health Expenditures and Its Inequality in Households with Cancer Patients: A Panel Study

Lee

Yoon

2019

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This study aims to examine the determinants of catastrophic health expenditure in households with cancer patients by conducting a panel analysis of three-year data. Data are adopted from surveys administered by Korea Health Panel for 2012–2014. We conducted correspondence and conditional transition probability analyses to examine households that incurred catastrophic health expenditure, followed by a panel logit analysis. The analyses reveal three notable results. First, the occurrence of catastrophic health expenditure differs by age group, that is, the probability of incurring catastrophic health expenditure increases with age. Second, this probability is higher in households with National Health Insurance than those receiving medical care benefits. Finally, households without private health insurance report a higher occurrence rate. The findings suggest that elderly people with cancer have greater medical coverage and healthcare needs. Private health insurance contributes toward protecting households from catastrophic health expenditure. Therefore, future research is needed on catastrophic health expenditure with focus on varying age groups, healthcare coverage type, and private health insurance.

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Private health insurance and catastrophic health expenditures of households with cancer patients in South Korea

Cited by 9 publications

References 17 publications

Quality of Life in Older Adults with Benign Prostatic Hyperplasia

Quality of Life in Older Adults with Benign Prostatic Hyperplasia

Relationship between Morbidity and Health Behavior in Chronic Diseases

Catastrophic Health Expenditures and Its Inequality in Households with Cancer Patients: A Panel Study

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