[The effect of catastrophic health expenditure on the transition to poverty and the persistence of poverty in South Korea].
[The effect of catastrophic health expenditure on the transition to poverty and the persistence of poverty in South Korea].
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DOI：
10.3961/jpmph.2010.43.5.423
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发表时间：
2010-09-01
期刊：
影响因子：
--
通讯作者：
Shin, Young Jeon
中科院分区：
文献类型：
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作者：
Song, Eun Cheol;Shin, Young Jeon
目的：韩国医疗保障体系的低福利覆盖率不断被指出。低福利覆盖率不可避免地造成灾难性的保健支出，这可能是向贫穷过渡和持续贫穷的原因。本研究旨在确定灾难性卫生支出对韩国向贫困过渡和持续贫困的影响。方法：为了确定社会流动性的程度，本研究在2006年和2008年参加韩国福利小组研究的6311个家庭中进行。通过多元logistic回归分析评估了灾难性卫生支出对韩国向贫困过渡和贫困持续的影响。结果：2006年韩国的贫困率为21.6%，2008年为20.0%。25.1 - 7.3%的家庭面临灾难性的卫生支出。研究发现，即使在对家庭和户主的特征进行调整后，在28%或更高的阈值下，灾难性卫生支出也会影响向贫困的过渡。结论：本研究发现25.1%的家庭目前面临灾难性卫生支出，确定灾难性卫生支出是转型贫困的一个原因。这一结果表明，韩国的健康保障体系并不是一个有效的社会安全网。因此，为了防止灾难性的卫生支出和向贫困过渡，需要加强韩国卫生保障体系的福利覆盖面。
OBJECTIVES: The low benefit coverage rate of South Korea's health security system has been continually pointed out. A low benefit coverage rate inevitably causes catastrophic health expenditure, which can be the cause of the transition to poverty and the persistence of poverty. This study was conducted to ascertain the effect of catastrophic health expenditure on the transition to poverty and the persistence of poverty in South Korea.METHODS: To determine the degree of social mobility, this study was conducted among the 6311 households that participated in the South Korea Welfare Panel Study in both 2006 and 2008. The effect of catastrophic health expenditure on the transition to poverty and the persistence of poverty in South Korea was assessed via multiple logistic regression analysis.RESULTS: The poverty rate in South Korea was 21.6% in 2006 and 20.0% in 2008. 25.1 - 7.3% of the households are facing catastrophic health expenditure. Catastrophic health expenditure was found to affect the transition to poverty even after adjusting for the characteristics of the household and the head of the household, at the threshold of 28% or above.CONCLUSIONS: 25.1% of the households in this study were found to be currently facing catastrophic health expenditure, and it was determined that catastrophic health expenditure is a cause of transition to poverty. This result shows that South Korea's health security system is not an effective social safety net. As such, to prevent catastrophic health expenditure and transition to poverty, the benefit coverage of South Korea's health security system needs to the strengthened.