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Impact of continuous Medical Aid utilisation on healthcare utilisation: unique insight using the 2008-2012 Korean Welfare Panel Study (KOWEPS).

Authors
 Jae-Hyun Kim  ;  Na Rae Kim  ;  Eun-Cheol Park  ;  Kyu-Tae Han  ;  Young Choi  ;  Sang Gyu Lee 
Citation
 BMJ Open, Vol.6(4) : 008583, 2016 
Journal Title
 BMJ Open 
Issue Date
2016
MeSH
Adult ; Ambulatory Care/statistics & numerical data* ; Ambulatory Care/trends* ; Cross-Sectional Studies ; Female ; Humans ; Longitudinal Studies ; Male ; Middle Aged ; National Health Programs/statistics & numerical data ; Patient Acceptance of Health Care/statistics & numerical data* ; Regression Analysis ; Republic of Korea ; Return to Work ; Young Adult
Keywords
PREVENTIVE MEDICINE ; PUBLIC HEALTH
Abstract
OBJECTIVES: Although there has been considerable discussion about the social safety net, few studies related to effect of duration of continuous receipt of Medical Aid on healthcare utilisation have been conducted. Therefore, we investigate whether the duration of receiving Medical Aid affected medical care utilisation. SETTING: Data were collected from the Korean Welfare Panel Study conducted from 2008 to 2012. PARTICIPANTS: We included 11,783 samples. INTERVENTIONS: Estimating changes in their healthcare utilisation during specific time intervals (1, 2 and ≥3 years) after they switched from National Health Insurance to Medical Aid. PRIMARY AND SECONDARY OUTCOME MEASURES: Number of outpatient visits. RESULTS: The number of outpatient visits per year was 0.0.051-fold higher (p value: 0.434) among those who were Medical Aid beneficiaries for a continuous period of 1 year, 0.0.267-fold higher (p value: 0.000) among those who were beneficiaries for a continuous period of 2 years, and 0.0.562-fold higher (p value:<0.0001) among those who were beneficiaries for a continuous period of 3 years than it was among those who were beneficiaries of National Health Insurance. CONCLUSIONS: Our results reflect an association between the number of consecutive years of receiving Medical Aid and number of outpatient visits. Since duration of dependence is correlated with reduced exit rates, limits on length of benefits should be considered to strengthen the incentive to return to work.
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DOI
10.1136/bmjopen-2015-008583
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
Lee, Sang Gyu(이상규) ORCID logo https://orcid.org/0000-0003-4847-2421
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/146672
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