The relationship between catastrophic health expenditure and health-related quality of life

Seung Hyun Kang, Yeong Jun Ju, Hyo Jung Yoon, Sang Ah Lee, Woorim Kim, Eun Cheol Park

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objectives: The objective of our study was to investigate the relationship between catastrophic health expenditure (CHE) and health-related quality of life (HRQoL) in general population. Methods: We used Korean Health Panel Survey data from 2011 to 2013, which included data from 8850 baseline participants of 19 years of age or older. We defined CHE as total annual out-of-pocket health payment that was 40% greater than the household's capacity to pay. HRQoL was measured using the EuroQol-visual analogue scale (EQ-VAS). We used generalized estimating equations to perform a longitudinal regression analysis. Results: A total of 4.5% of the participants (n = 398) experienced CHE. Those with CHE tended to have a lower EQ-VAS index score compared with those without CHE (β: - 1.34, p = 0.013). A subgroup analysis revealed that individuals experiencing CHE had significant decreases as the number of chronic diseases increased (three or more, β: - 1.85, p = 0.014). Conclusions: Catastrophic health expenditure influences HRQoL, which was more pronounced in patient with chronic disease. The efforts should focus on people who suffer from excessive health expenditures and chronic diseases.

Original languageEnglish
Article number166
JournalInternational Journal for Equity in Health
Volume17
Issue number1
DOIs
Publication statusPublished - 2018 Nov 14

All Science Journal Classification (ASJC) codes

  • Health Policy
  • Public Health, Environmental and Occupational Health

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