Equity in utilization of cancer inpatient services by income classes
Equity in utilization of cancer inpatient services by income classes
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DOI：
10.1016/j.healthpol.2004.03.009
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发表时间：
2005-05-01
期刊：
影响因子：
3.3
通讯作者：
Hong, SC
中科院分区：
文献类型：
--
作者：
Kim, CW;Lee, SY;Hong, SC
自1989年政府推动的国民健康保险实现全民覆盖以来，医疗服务的公平性一直是韩国政府的优先政策议程。沿着，自营职业者最终成为受益者。本研究的目的是确定医疗服务利用方面的差距，本文分析了韩国济州岛不同收入人群的医疗保险受益人资格和医疗服务利用情况本研究以2000年1月至12月台湾居民为研究对象，以10个不同收入阶层为自变量，以2000年全民健康保险费为标准，分析台湾居民癌症住院服务利用的特征。因变量是癌症住院服务利用量，即住院天数和治疗费用，10个不同收入组的癌症住院服务利用率按医疗机构的三个地理类别进行分析：（1）济州岛内;（2）济州岛外;（3）济州岛外;（4）济州岛外。（3）韩国。我们计算了这三个地理类别中癌症住院服务利用的住院天数和费用的集中指数。这两个集中指数是负的“济州岛内”的类别，积极的“济州岛外”，积极的“韩国total. These结果表明，相对贫穷的经验相当不平等的癌症住院服务的利用在济州岛，因为低收入群体有较高的发病率在大多数癌症，不可避免地有更多的需要在卫生服务。(c)2004爱思唯尔爱尔兰有限公司保留所有权利。
Equity in health care services has been prioritized on the Korean government's policy agenda since the government-driven national health insurance achieved universal coverage in 1989 along with the final inclusion of the self-employed as beneficiaries.The purpose of this study is to identify disparities in the utilization of health care services, especially cancer inpatient services among different income groups in Jeju Island of South Korea.We analyzed the national health insurance data about qualification of beneficiaries and utilization of health care services consumed by Jeju Island's residents for 1 year of period (from January to December 2000) and acquired their utilization features of cancer inpatient services.The independent variable was 10 different income levels according to the national health insurance fee imposed on each household in 2000. The dependent variable was the volume of cancer inpatient services utilized, that was measured by admission days and costs for treatment.The utilization of cancer inpatient services in the 10 different income groups was analyzed in three geographical categories of medical institutions: (1) within Jeju Island; (2) outside Jeju Island; (3) South Korea in total.We calculated the concentration-indices of cancer inpatient services utilization in admission days and cost as a pair amongst these three geographical categories each. Both of the concentration-indices were negative for the category of 'within Jeju Island', positive for that of 'outside Jeju Island', and positive for that of 'South Korea in total'.These results suggest the relatively poor experience considerable inequality in the utilization of cancer inpatient services in Jeju Island, because lower income groups have higher incidence rates in most cancers and inevitably have more needs in health services. (c) 2004 Elsevier Ireland Ltd. All rights reserved.