Cited 16 times in
Impact of health insurance status changes on healthcare utilisation patterns: a longitudinal cohort study in South Korea
DC Field | Value | Language |
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dc.contributor.author | 박은철 | - |
dc.contributor.author | 이상규 | - |
dc.date.accessioned | 2017-02-24T11:10:04Z | - |
dc.date.available | 2017-02-24T11:10:04Z | - |
dc.date.issued | 2016 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/146669 | - |
dc.description.abstract | OBJECTIVES: 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.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.publisher | BMJ Publishing Group Ltd | - |
dc.relation.isPartOf | BMJ OPEN | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Ambulatory Care/trends* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Hospitalization/trends* | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Insurance Coverage/economics* | - |
dc.subject.MESH | Insurance, Health/economics* | - |
dc.subject.MESH | Longitudinal Studies | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Patient Acceptance of Health Care/statistics & numerical data* | - |
dc.subject.MESH | Republic of Korea | - |
dc.subject.MESH | Young Adult | - |
dc.title | Impact of health insurance status changes on healthcare utilisation patterns: a longitudinal cohort study in South Korea | - |
dc.type | Article | - |
dc.publisher.location | England | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Preventive Medicine | - |
dc.contributor.googleauthor | Jae-Hyun Kim | - |
dc.contributor.googleauthor | Sang Gyu Lee | - |
dc.contributor.googleauthor | Kwang-Soo Lee | - |
dc.contributor.googleauthor | Sung-In Jang | - |
dc.contributor.googleauthor | Kyung-Hee Cho | - |
dc.contributor.googleauthor | Eun-Cheol Park | - |
dc.identifier.doi | 10.1136/bmjopen-2015-009538 | - |
dc.contributor.localId | A01618 | - |
dc.contributor.localId | A02811 | - |
dc.contributor.localId | A03439 | - |
dc.relation.journalcode | J00380 | - |
dc.identifier.eissn | 2044-6055 | - |
dc.relation.journalsince | 2011~ | - |
dc.identifier.pmid | 27036140 | - |
dc.subject.keyword | HEALTH ECONOMICS | - |
dc.subject.keyword | HEALTH SERVICES ADMINISTRATION & MANAGEMENT | - |
dc.contributor.alternativeName | Park, Eun Chul | - |
dc.contributor.alternativeName | Lee, Sang Gyu | - |
dc.contributor.affiliatedAuthor | Park, Eun Chul | - |
dc.contributor.affiliatedAuthor | Lee, Sang Gyu | - |
dc.contributor.affiliatedAuthor | Jang, Sung In | - |
dc.citation.volume | 6 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 009538 | - |
dc.identifier.bibliographicCitation | BMJ OPEN, Vol.6(4) : 009538, 2016 | - |
dc.date.modified | 2017-02-24 | - |
dc.identifier.rimsid | 47414 | - |
dc.type.rims | ART | - |
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