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

Jae Woo Choi, Tae Hyun Kim, Sung In Jang, Suk Yong Jang, Woo Rim Kim, Eun Cheol Park

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Catastrophic 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. Design: A longitudinal study. Setting: We used the Korean Welfare Panel Study (KOWEPS) conducted by the Korea Institute. Participants: The data came from 5335 households during 2009-2012. Outcome measure: CHE, defined as health expenditures that were 40% greater than the ability of the household to pay. Results: Households 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. Conclusions: Given 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.

Original languageEnglish
Article numbere011747
JournalBMJ open
Volume6
Issue number7
DOIs
Publication statusPublished - 2016 Jul 1

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Republic of Korea
Health Expenditures
Population
Aptitude
Public Sector
Korea
Health Services
Longitudinal Studies
Outcome Assessment (Health Care)
Delivery of Health Care
Costs and Cost Analysis

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Choi, Jae Woo ; Kim, Tae Hyun ; Jang, Sung In ; Jang, Suk Yong ; Kim, Woo Rim ; Park, Eun Cheol. / Catastrophic health expenditure according to employment status in South Korea : A population-based panel study. In: BMJ open. 2016 ; Vol. 6, No. 7.
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abstract = "Catastrophic 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. Design: A longitudinal study. Setting: We used the Korean Welfare Panel Study (KOWEPS) conducted by the Korea Institute. Participants: The data came from 5335 households during 2009-2012. Outcome measure: CHE, defined as health expenditures that were 40{\%} greater than the ability of the household to pay. Results: Households 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. Conclusions: Given 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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Catastrophic health expenditure according to employment status in South Korea : A population-based panel study. / Choi, Jae Woo; Kim, Tae Hyun; Jang, Sung In; Jang, Suk Yong; Kim, Woo Rim; Park, Eun Cheol.

In: BMJ open, Vol. 6, No. 7, e011747, 01.07.2016.

Research output: Contribution to journalArticle

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AB - Catastrophic 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. Design: A longitudinal study. Setting: We used the Korean Welfare Panel Study (KOWEPS) conducted by the Korea Institute. Participants: The data came from 5335 households during 2009-2012. Outcome measure: CHE, defined as health expenditures that were 40% greater than the ability of the household to pay. Results: Households 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. Conclusions: Given 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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