Association between chronic disease and catastrophic health expenditure in Korea.
Association between chronic disease and catastrophic health expenditure in Korea.
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DOI：
10.1186/s12913-014-0675-1
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发表时间：
2015-01-22
影响因子：
2.8
通讯作者：
Park EC
中科院分区：
文献类型：
--
作者：
Choi JW;Choi JW;Kim JH;Yoo KB;Park EC
慢性病的患病率和经济负担在全世界范围内都在增加。然而，关于韩国与慢性病相关的灾难性医疗支出(CHE)的信息很少。这项研究探讨了韩国人对不同慢性病的家庭自付医疗费用负担。这项研究是利用2008年参与韩国健康调查(KHPS)的7,006户家庭收集的数据进行的。用多因素Logistic回归分析评价CHE与慢性病类型的关系。大约3.5%的参与家庭经历了车祸。与女性和中年个人(40-59岁)为户主的家庭相比，低经济地位的家庭、老年家庭和有一名成员患有慢性病的家庭更有可能发生CHE。根据慢性疾病的类型，家庭成员患有脑血管疾病、糖尿病或慢性肾脏疾病的家庭患CHE的风险显著更高。尽管韩国已大幅扩大其医疗保险覆盖范围，但针对CHE的财务保护仍是一个令人担忧的问题。政策制定者需要根据个人慢性病的经济负担，专注于扩大福利。
The prevalence and economic burden of chronic diseases are increasing worldwide. Nevertheless, little information is available on catastrophic health expenditures (CHE) associated with chronic diseases in Korea. This study explored the burden of household out-of-pocket health expenditures among the Korean population for different chronic diseases. This study was conducted utilizing data collected from the 7,006 households that participated in the Korea Health Panel Survey (KHPS) in 2008. The effect of CHE in relation to type of chronic disease was assessed via multiple logistic regression analysis. Roughly 3.5% of the participating households experienced CHE. As opposed to households headed by females and middle-aged individuals (40–59 years), those of low economic status, elderly households, and households with a member who suffered from a chronic disease were more likely to experience CHE. According to type of chronic condition, households with a member who suffered from cerebrovascular disease, diabetes, or chronic kidney disease were at a significantly higher risk of experiencing CHE. Although Korea has greatly expanded its health insurance coverage, financial protection against CHE remains a concern. Policy-makers need to focus on expanding benefits according to the economic burden of individual chronic conditions.
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影响因子：
3.3
作者：
Kim, Younhee;Yang, Bongmin
通讯作者：
Yang, Bongmin
影响因子：
4.5
作者：
Jiang C;Ma J;Zhang X;Luo W
通讯作者：
Luo W
影响因子：
3.2
作者：
Kavosi, Zahra;Rashidian, Arash;Arab, Mohammad
通讯作者：
Arab, Mohammad
中国灾难性医疗支出与农村家庭贫困：新型合作医疗保险计划发挥什么作用？
影响因子：
3.7
作者：
Li Y;Wu Q;Liu C;Kang Z;Xie X;Yin H;Jiao M;Liu G;Hao Y;Ning N
通讯作者：
Ning N
DOI：
10.3961/jpmph.2010.43.5.423
发表时间：
2010-09-01
期刊：
Journal of preventive medicine and public health = Yebang Uihakhoe chi
影响因子：
--
作者：
Song, Eun Cheol;Shin, Young Jeon
通讯作者：
Shin, Young Jeon