Changes in economic status of households associated with catastrophic health expenditures for cancer in South Korea

Jae Woo Choi, Kyoung Hee Cho, Young Choi, Kyu Tae Han, Jeoung A. Kwon, Euncheol Park

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Background: Cancer imposes significant economic challenges for individuals, families, and society. Households of cancer patients often experience income loss due to change in job status and/or excessive medical expenses. Thus, we examined whether changes in economic status for such households is affected by catastrophic health expenditures. Materials and Methods: We used the Korea Health Panel Survey (KHPS) Panel 1st-4th (2008- 2011 subjects) data and extracted records from 211 out of 5,332 households in the database for this study. To identify factors associated with catastrophic health expenditures and, in particular, to examine the relationship between change in economic status and catastrophic health expenditures, we conducted a generalized linear model analysis. Results: Among 211 households with cancer patients, 84 (39.8%) experienced catastrophic health expenditures, while 127 (40.2%) did not show evidence of catastrophic medical costs. If a change in economic status results from a change in job status for head of household (job loss), these households are more likely to incur catastrophic health expenditure than households who have not experienced a change in job status (odds ratios (ORs)=2.17, 2.63, respectively). A comparison between households with a newly-diagnosed patient versus households with patients having lived with cancer for one or two years, showed the longer patients had cancer, the more likely their households incurred catastrophic medical costs (OR=1.78, 1.36, respectively). Conclusions: Change in economic status of households in which the cancer patient was the head of household was associated with a greater likelihood that the household would incur catastrophic health costs. It is imperative that the Korean government connect health and labor policies in order to develop economic programs to assist households with cancer patients.

Original languageEnglish
Pages (from-to)2713-2717
Number of pages5
JournalAsian Pacific Journal of Cancer Prevention
Volume15
Issue number6
DOIs
Publication statusPublished - 2014 Jan 1

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Republic of Korea
Health Expenditures
Economics
Neoplasms
Odds Ratio
Costs and Cost Analysis
Korea
Health Policy
Health Surveys
Health Care Costs

All Science Journal Classification (ASJC) codes

  • Epidemiology
  • Oncology
  • Public Health, Environmental and Occupational Health
  • Cancer Research

Cite this

Choi, Jae Woo ; Cho, Kyoung Hee ; Choi, Young ; Han, Kyu Tae ; Kwon, Jeoung A. ; Park, Euncheol. / Changes in economic status of households associated with catastrophic health expenditures for cancer in South Korea. In: Asian Pacific Journal of Cancer Prevention. 2014 ; Vol. 15, No. 6. pp. 2713-2717.
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abstract = "Background: Cancer imposes significant economic challenges for individuals, families, and society. Households of cancer patients often experience income loss due to change in job status and/or excessive medical expenses. Thus, we examined whether changes in economic status for such households is affected by catastrophic health expenditures. Materials and Methods: We used the Korea Health Panel Survey (KHPS) Panel 1st-4th (2008- 2011 subjects) data and extracted records from 211 out of 5,332 households in the database for this study. To identify factors associated with catastrophic health expenditures and, in particular, to examine the relationship between change in economic status and catastrophic health expenditures, we conducted a generalized linear model analysis. Results: Among 211 households with cancer patients, 84 (39.8{\%}) experienced catastrophic health expenditures, while 127 (40.2{\%}) did not show evidence of catastrophic medical costs. If a change in economic status results from a change in job status for head of household (job loss), these households are more likely to incur catastrophic health expenditure than households who have not experienced a change in job status (odds ratios (ORs)=2.17, 2.63, respectively). A comparison between households with a newly-diagnosed patient versus households with patients having lived with cancer for one or two years, showed the longer patients had cancer, the more likely their households incurred catastrophic medical costs (OR=1.78, 1.36, respectively). Conclusions: Change in economic status of households in which the cancer patient was the head of household was associated with a greater likelihood that the household would incur catastrophic health costs. It is imperative that the Korean government connect health and labor policies in order to develop economic programs to assist households with cancer patients.",
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Changes in economic status of households associated with catastrophic health expenditures for cancer in South Korea. / Choi, Jae Woo; Cho, Kyoung Hee; Choi, Young; Han, Kyu Tae; Kwon, Jeoung A.; Park, Euncheol.

In: Asian Pacific Journal of Cancer Prevention, Vol. 15, No. 6, 01.01.2014, p. 2713-2717.

Research output: Contribution to journalArticle

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AU - Cho, Kyoung Hee

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