Association between chronic disease and catastrophic health expenditure in Korea

Jae Woo Choi, Jong Won Choi, Jae Hyun Kim, Ki Bong Yoo, Euncheol Park

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Background: The prevalence and economic burden of chronic diseases are increasing worldwide. Nevertheless, little information is available on catastrophic health expenditures (CHE) associated with chronic diseases in Korea. This study explored the burden of household out-of-pocket health expenditures among the Korean population for different chronic diseases. Methods: This study was conducted utilizing data collected from the 7,006 households that participated in the Korea Health Panel Survey (KHPS) in 2008. The effect of CHE in relation to type of chronic disease was assessed via multiple logistic regression analysis. Results: Roughly 3.5% of the participating households experienced CHE. As opposed to households headed by females and middle-aged individuals (40-59 years), those of low economic status, elderly households, and households with a member who suffered from a chronic disease were more likely to experience CHE. According to type of chronic condition, households with a member who suffered from cerebrovascular disease, diabetes, or chronic kidney disease were at a significantly higher risk of experiencing CHE. Conclusion: Although Korea has greatly expanded its health insurance coverage, financial protection against CHE remains a concern. Policy-makers need to focus on expanding benefits according to the economic burden of individual chronic conditions

Original languageEnglish
Article number26
JournalBMC Health Services Research
Volume15
Issue number1
DOIs
Publication statusPublished - 2015 Jan 22

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Korea
Health Expenditures
Chronic Disease
Economics
Cerebrovascular Disorders
Cost of Illness
Insurance Coverage
Health Insurance
Health Surveys
Administrative Personnel
Chronic Renal Insufficiency
Logistic Models
Regression Analysis
Population

All Science Journal Classification (ASJC) codes

  • Health Policy

Cite this

Choi, Jae Woo ; Choi, Jong Won ; Kim, Jae Hyun ; Yoo, Ki Bong ; Park, Euncheol. / Association between chronic disease and catastrophic health expenditure in Korea. In: BMC Health Services Research. 2015 ; Vol. 15, No. 1.
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abstract = "Background: The prevalence and economic burden of chronic diseases are increasing worldwide. Nevertheless, little information is available on catastrophic health expenditures (CHE) associated with chronic diseases in Korea. This study explored the burden of household out-of-pocket health expenditures among the Korean population for different chronic diseases. Methods: This study was conducted utilizing data collected from the 7,006 households that participated in the Korea Health Panel Survey (KHPS) in 2008. The effect of CHE in relation to type of chronic disease was assessed via multiple logistic regression analysis. Results: Roughly 3.5{\%} of the participating households experienced CHE. As opposed to households headed by females and middle-aged individuals (40-59 years), those of low economic status, elderly households, and households with a member who suffered from a chronic disease were more likely to experience CHE. According to type of chronic condition, households with a member who suffered from cerebrovascular disease, diabetes, or chronic kidney disease were at a significantly higher risk of experiencing CHE. Conclusion: Although Korea has greatly expanded its health insurance coverage, financial protection against CHE remains a concern. Policy-makers need to focus on expanding benefits according to the economic burden of individual chronic conditions",
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Association between chronic disease and catastrophic health expenditure in Korea. / Choi, Jae Woo; Choi, Jong Won; Kim, Jae Hyun; Yoo, Ki Bong; Park, Euncheol.

In: BMC Health Services Research, Vol. 15, No. 1, 26, 22.01.2015.

Research output: Contribution to journalArticle

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