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Medical security and catastrophic health expenditures among households containing persons with disabilities in Korea: a longitudinal population-based study

Authors
 Jae Woo Choi  ;  Jae-Yong Shin  ;  Kyung-Hee Cho  ;  Jin-Young Nam  ;  Ju-Young Kim  ;  Sang Gyu Lee 
Citation
 INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH, Vol.15 : 119, 2016 
Journal Title
 INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH 
Issue Date
2016
MeSH
Adult ; Aged ; Disabled Persons/statistics & numerical data* ; Female ; Health Expenditures/standards* ; Health Expenditures/statistics & numerical data ; Health Expenditures/trends ; Healthcare Disparities/economics* ; Healthcare Disparities/statistics & numerical data ; Healthcare Disparities/trends ; Humans ; Longitudinal Studies ; Male ; Middle Aged ; Multivariate Analysis ; Republic of Korea ; Surveys and Questionnaires
Keywords
Blind spot ; Catastrophic health expenditure ; Medical-Aid ; Persons with disability
Abstract
BACKGROUND: Although persons with disabilities need access to comprehensive and consistent healthcare services, a significant number of the poor with disabilities do not receive Medical-Aid due to the conditions of eligibility. We aimed to compare the financial burden of healthcare services between two groups of poor persons with disabilities: those not enrolled in Medical-Aid and Medical-Aid enrollees. METHODS: This study used the 1st-8th data (2008-2014 year) of Panel Survey of Employment for the Disabled (PSED) conducted by the Korea Employment Agency for the Disabled. We classified adults who did not exceed 100 % of the poverty level into two groups (N?=?3,010). The first group consisted of enrollees in Medical-Aid (n?=?1,259) and the second group comprised those not enrolled in Medical-Aid (n?=?1,325). We applied generalized estimating equations (GEEs) to assess the independent effect of enrollment in Medical-Aid on catastrophic health expenditures (CHE). RESULTS: We found that about 4.2 % of the poor not enrolled in the Medical-Aid experienced CHE and the poor not enrolled in Medical-Aid were 2.1 times more likely to experience CHE than Medical-Aid enrollees after applying multivariate models adjusted for several covariates. CONCLUSIONS: Given the additional expenses for treatment and rehabilitation caused by disability-related health problems, persons with disabilities are more likely to face barriers to needed medical services. Thus, policy makers need to expand the number of people receiving Medical-Aid by loosening the strict criteria for those with disabilities.
DOI
10.1186/s12939-016-0406-9
Appears in Collections:
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Nam, Jin Young(남진영)
Shin, Jae Yong(신재용)
Lee, Sang Gyu(이상규) ORCID logo https://orcid.org/0000-0003-4847-2421
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/151688
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