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Association between reduction in copayment and gastric cancer patient concentration to the capital area in South Korea: NHI cohort 2003-2013.

Authors
 Kyu-Tae Han  ;  Jeeyun Kim  ;  Chung Mo Nam  ;  Ki Tae Moon  ;  Sang Gyu Lee  ;  Seung Ju Kim  ;  Yeong Jun Ju  ;  Jeoung A Kwon  ;  Sun Jung Kim  ;  Woorim Kim  ;  Eun-Cheol Park 
Citation
 Health Policy, Vol.120(6) : 580-589, 2016 
Journal Title
 Health Policy 
ISSN
 0168-8510 
Issue Date
2016
MeSH
Adult ; Aged ; Costs and Cost Analysis/economics* ; Female ; Health Expenditures ; Health Policy/economics* ; Hospitalization/economics ; Humans ; Insurance, Health/economics* ; Male ; Middle Aged ; National Health Programs/economics ; Patient Acceptance of Health Care* ; Republic of Korea ; Social Class ; Stomach Neoplasms/economics*
Keywords
Copayment ; Insurance coverage ; Patient moving ; Stomach cancer
Abstract
Since 2004, the South Korean government has introduced a policy that decreases copayment for cancer patients by strengthening public coverage in the National Health Insurance (NHI) system (first phase=copayment for outpatient care from 30% to 20%; second phase=copayment for total medical expenditures from 20% to 10%; third phase=copayment for total medical expenditures from 10% to 5%). We aimed to investigate the relationship between the policy introduction and patient visits to hospitals in the capital area. We used data from the NHI Cohort 2003-2013, which included all medical claims (7193 cases) filed for 2124 patients who visited the hospital due to stomach cancer, and performed a segmented Poisson regression analysis. Of all hospital visits, 40.6% of patients were from the capital area. After the introduction of the second phase of the policy, there was an increase in patient concentration in the capital area, although there were no significant effects on patient concentration during the first and third phases of the policy. In conclusion, our findings suggest that the introduction of a policy that reduces copayment for cancer patients had a substantial impact on patient concentration in the capital area. Therefore, health policymakers should consider effective alternatives including efficient allocation of medical resources or support for the more vulnerable population as flexible benefit plans to aid healthcare utilization by cancer patients.
Full Text
http://www.sciencedirect.com/science/article/pii/S0168851016301208
DOI
10.1016/j.healthpol.2016.05.006
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
Nam, Jung Mo(남정모) ORCID logo https://orcid.org/0000-0003-0985-0928
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/22282913/147003
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