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Impact of health insurance status changes on healthcare utilisation patterns: a longitudinal cohort study in South Korea

DC Field Value Language
dc.contributor.author박은철-
dc.contributor.author이상규-
dc.date.accessioned2017-02-24T11:10:04Z-
dc.date.available2017-02-24T11:10:04Z-
dc.date.issued2016-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/146669-
dc.description.abstractOBJECTIVES: The study examined medical care utilisation by health insurance status changes. SETTING: The Korean Welfare Panel Study (KoWePs) was used. PARTICIPANTS: This study analysed 14,267 participants at baseline (2006). INTERVENTIONS: The individuals were categorised into four health insurance status groups: continuous health insurance, change from health insurance to Medical Aid, change from Medical Aid to health insurance, or continuous Medical Aid. PRIMARY AND SECONDARY OUTCOME MEASURES: Three dependent variables were also analysed: days spent in hospital; number of outpatient visits; and hospitalisations per year. Longitudinal data analysis was used to determine whether changes in health insurance status were associated with healthcare utilisation. RESULTS: The number of outpatient visits per year was 0.1.363 times higher (p<0.0001) in the continuous Medical Aid than in the continuous health insurance group. The number of hospitalisations per year was 1.560 times higher (p<0.001) in new Medical Aid and -0.636 times lower (p<0.001) in new health insurance than in continuous health insurance group. The number of days spent in hospital per year was -0.567 times lower (p=0.021) in the new health insurance than in the continuous health insurance group. CONCLUSIONS: Health insurance beneficiaries with a coverage level lower than Medical Aid showed lower healthcare utilisation, as measured by the number of hospitalisations and days spent in hospital per year.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.publisherBMJ Publishing Group Ltd-
dc.relation.isPartOfBMJ OPEN-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAmbulatory Care/trends*-
dc.subject.MESHFemale-
dc.subject.MESHHospitalization/trends*-
dc.subject.MESHHumans-
dc.subject.MESHInsurance Coverage/economics*-
dc.subject.MESHInsurance, Health/economics*-
dc.subject.MESHLongitudinal Studies-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPatient Acceptance of Health Care/statistics & numerical data*-
dc.subject.MESHRepublic of Korea-
dc.subject.MESHYoung Adult-
dc.titleImpact of health insurance status changes on healthcare utilisation patterns: a longitudinal cohort study in South Korea-
dc.typeArticle-
dc.publisher.locationEngland-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Preventive Medicine-
dc.contributor.googleauthorJae-Hyun Kim-
dc.contributor.googleauthorSang Gyu Lee-
dc.contributor.googleauthorKwang-Soo Lee-
dc.contributor.googleauthorSung-In Jang-
dc.contributor.googleauthorKyung-Hee Cho-
dc.contributor.googleauthorEun-Cheol Park-
dc.identifier.doi10.1136/bmjopen-2015-009538-
dc.contributor.localIdA01618-
dc.contributor.localIdA02811-
dc.contributor.localIdA03439-
dc.relation.journalcodeJ00380-
dc.identifier.eissn2044-6055-
dc.relation.journalsince2011~-
dc.identifier.pmid27036140-
dc.subject.keywordHEALTH ECONOMICS-
dc.subject.keywordHEALTH SERVICES ADMINISTRATION & MANAGEMENT-
dc.contributor.alternativeNamePark, Eun Chul-
dc.contributor.alternativeNameLee, Sang Gyu-
dc.contributor.affiliatedAuthorPark, Eun Chul-
dc.contributor.affiliatedAuthorLee, Sang Gyu-
dc.contributor.affiliatedAuthorJang, Sung In-
dc.citation.volume6-
dc.citation.number4-
dc.citation.startPage009538-
dc.identifier.bibliographicCitationBMJ OPEN, Vol.6(4) : 009538, 2016-
dc.date.modified2017-02-24-
dc.identifier.rimsid47414-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers

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