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Association between chronic disease and catastrophic health expenditure in Korea

 Jae-Woo Choi  ;  Jong-Won Choi  ;  Jae-Hyun Kim  ;  Ki-Bong Yoo  ;  Eun-Cheol Park 
 BMC HEALTH SERVICES RESEARCH, Vol.15 : 26-26, 2015 
Journal Title
Issue Date
Adult ; Aged ; Catastrophic Illness/economics* ; Chronic Disease*/economics ; Family Characteristics ; Female ; Health Expenditures/statistics & numerical data ; Humans ; Male ; Middle Aged ; Republic of Korea ; Risk ; Socioeconomic Factors ; Surveys and Questionnaires ; Young Adult
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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1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
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