2020년 재난적 의료비 경험률 현황 및 추이

Abstract

Catastrophic healthcare expenditure refers to out-of-pocket spending for healthcare exceeding a certain proportion of ahousehold’s income and can lead to subsequent impoverishment. The aim of this study was to investigate the proportion of SouthKorean households that experienced catastrophic healthcare expenditure between 2006 and 2020 using available data from theNational Survey of Tax and Benefit (NaSTaB), Korea Health Panel (KHP), and Households Income and Expenditure Survey (HIES). Trend test was used to analyze the proportion of household with catastrophic healthcare expenditure. In the NaSTaB 2020 data,households who experienced catastrophic health expenditure was 1.73%. Trend analysis was significant with the decreasing trend(annual percentage change [APC], -5.55; p<0.0001) in the proportion of households with the catastrophic health expenditure. Also,in the 2018 KHP and the 2016 HIES, households who experienced catastrophic health expenditure was 2.21% and 2.92% respectively. In contrast, the trend was significantly increased in the KHP (APC, 0.55; p<0.0001) and the HIES (APC, 1.43; p<0.0001). Therefore,the findings suggest the need to strengthen public health care financial support and monitor catastrophic healthcare expenditures,especially for low-income group.