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Changes in economic status of households associated with catastrophic health expenditures for cancer in South Korea.

Authors
 Jae-Woo Choi  ;  Kyoung-Hee Cho  ;  Young Choi  ;  Kyu-Tae Han  ;  Jeoung-A Kwon  ;  Eun-Cheol Park 
Citation
 ASIAN PACIFIC JOURNAL OF CANCER PREVENTION, Vol.15(6) : 2713-2717, 2014 
Journal Title
 ASIAN PACIFIC JOURNAL OF CANCER PREVENTION 
ISSN
 1513-7368 
Issue Date
2014
MeSH
Aged ; Catastrophic Illness/economics* ; Catastrophic Illness/epidemiology ; Cost of Illness ; Delivery of Health Care/economics ; Delivery of Health Care/utilization ; Family Characteristics* ; Female ; Financing, Personal/economics* ; Follow-Up Studies ; Health Expenditures/statistics & numerical data* ; Hospitalization/economics* ; Humans ; Male ; Middle Aged ; Neoplasms/diagnosis ; Neoplasms/economics* ; Socioeconomic Factors
Keywords
Job status ; cancer ; household ; catastrophic health expenditure ; Korea
Abstract
BACKGROUND: Cancer imposes significant economic challenges for individuals, families, and society. Households of cancer patients often experience income loss due to change in job status and/or excessive medical expenses. Thus, we examined whether changes in economic status for such households is affected by catastrophic health expenditures. MATERIALS AND METHODS: We used the Korea Health Panel Survey (KHPS) Panel 1st-4th (2008- 2011 subjects) data and extracted records from 211 out of 5,332 households in the database for this study. To identify factors associated with catastrophic health expenditures and, in particular, to examine the relationship between change in economic status and catastrophic health expenditures, we conducted a generalized linear model analysis. RESULTS: Among 211 households with cancer patients, 84 (39.8%) experienced catastrophic health expenditures, while 127 (40.2%) did not show evidence of catastrophic medical costs. If a change in economic status results from a change in job status for head of household (job loss), these households are more likely to incur catastrophic health expenditure than households who have not experienced a change in job status (odds ratios (ORs)=2.17, 2.63, respectively). A comparison between households with a newly-diagnosed patient versus households with patients having lived with cancer for one or two years, showed the longer patients had cancer, the more likely their households incurred catastrophic medical costs (OR=1.78, 1.36, respectively). CONCLUSIONS: Change in economic status of households in which the cancer patient was the head of household was associated with a greater likelihood that the household would incur catastrophic health costs. It is imperative that the Korean government connect health and labor policies in order to develop economic programs to assist households with cancer patients.
Files in This Item:
T201401095.pdf Download
DOI
10.7314/APJCP.2014.15.6.2713
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/98592
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