Relationship between catastrophic health expenditures and household incomes and expenditure patterns in South Korea
Relationship between catastrophic health expenditures and household incomes and expenditure patterns in South Korea
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DOI：
10.1016/j.healthpol.2010.08.008
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发表时间：
2011-05-01
期刊：
影响因子：
3.3
通讯作者：
Yang, Bongmin
中科院分区：
文献类型：
--
作者：
Kim, Younhee;Yang, Bongmin
目的：在韩国家庭的卫生支出的组成进行了比较，没有灾难性的卫生支出。此外，灾难性的卫生支出和家庭收入之间的关系，这种卫生支出和支出patterns.Methods：从2006年韩国家庭收入和支出调查，一个有代表性的调查90,696户家庭的数据进行了分析。我们使用双障碍模型来评估每个收入来源和支出类别。自变量是存在灾难性的健康expenditure.Results：调整后的家庭特征，结果表明，收入，业务和财产收入显着较低，但转移和贷款收入显着高于灾难性的健康支出的家庭比那些没有这样的健康支出。所有消费类别，除了卫生支出，都显着低于那些没有灾难性的卫生支出的家庭灾难性的卫生支出。这表明，家庭灾难性的健康支出面临的挑战，在抵消潜在的过度健康支出，并可能不得不减少消费的其他items.Conclusions：扩大保险覆盖面和降低自付率在韩国的健康保险福利可能是必要的第一步，在保护家庭的健康相关的经济灾难的发生。(C)2010爱思唯尔爱尔兰有限公司版权所有。
Objectives: The compositions of health expenditures by households in South Korea with and without catastrophic health expenditures were compared. Also, relationships between catastrophic health expenditures and household incomes, and between such health expenditures and expenditure patterns were explored.Methods: Data from the 2006 South Korean Household Income & Expenditure Survey, a representative survey of 90,696 households were analyzed. We used a double-hurdle model to assess each income source and expenditure category. The independent variable was the presence of catastrophic health expenditure.Results: After adjusting for household characteristics, the results showed that earned, business, and property incomes were significantly lower, but transfer and loan incomes were significantly higher in households with catastrophic health expenditures than in those without such health expenditures. All consumption categories, other than health expenditure, were significantly lower in households with catastrophic health expenditures than in those without catastrophic health expenditures. This suggests that households with catastrophic health expenditures faced challenges in offset by the potentially excessive health expenditure and may have been obliged to reduce consumption of other items.Conclusions: The expansion of insurance coverage and lowering of out-of-pocket rates in the South Korean Health Insurance benefits could be a necessary first step in protecting households from the occurrence of health related economic catastrophes. (C) 2010 Elsevier Ireland Ltd. All rights reserved.