지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Objectives: To relieve the financial burden faced by households, the Korean National Health Insurance (NHI) system introduced a “copayment ceiling,” which evolved into a differential ceiling in 2009, with the copayment ceiling depending on patients’ income. This study aimed to examine the effect of the differential copayment ceiling on financial protection and healthcare utilization, particularly focusing on whether its effects varied across different income groups.
Methods: This study obtained data from the Korea Health Panel. The number of households included in the analysis was 6555 in 2008, 5859 in 2009, 5539 in 2010, and 5372 in 2011. To assess the effects of the differential copayment ceiling on utilization, out-of-pocket (OOP) payments, and catastrophic payments, various random-effects models were applied. Utilization was measured as treatment days, while catastrophic payments were defined as OOP payments exceeding 10% of household income. Among the right-hand side variables were the interaction terms of the new policy with income levels, as well as a set of household characteristics.
Results: The differential copayment ceiling contributed to increased utilization regardless of income levels both in all patients and in cancer patients. However, the new policy did not seem to reduce significantly the incidence of catastrophic payments among cancer patients, and even increased the incidence among all patients.
Conclusions: The limited effect of the differential ceiling can be attributed to a high proportion of direct payments for services not covered by the NHI, as well as the relatively small number of households benefiting from the differential ceilings; these considerations warrant a better policy design.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Evans DB / 2010 / Health systems financing and the path to universal coverage / Bull World Health Organ 88 (6) : 402 ~
Galarraga O / 2010 / Health insurance for the poor: impact on catastrophic and out-of-pocket health expenditures in Mexico / Eur J Health Econ 11 (5) : 437 ~ 447
James CD / 2006 / To retain or remove user fees?: reflections on the current debate in low- and middle-income countries / Appl Health Econ Health Policy 5 (3) : 137 ~ 153
Jang SM / 2008 / Development of indicators for assessing anti-hypertensive drugs : 25 ~ 26
Kwon S / 2009 / Thirty years of national health insurance in South Korea: lessons for achieving universal health care coverage / Health Policy Plan 24 (1) : 63 ~ 71
Galarraga O / 2010 / Health insurance for the poor: impact on catastrophic and out-of-pocket health expenditures in Mexico / Eur J Health Econ 11 (5) : 437 ~ 447
James CD / 2006 / To retain or remove user fees?: reflections on the current debate in low- and middle-income countries / Appl Health Econ Health Policy 5 (3) : 137 ~ 153
Jang SM / 2008 / Development of indicators for assessing anti-hypertensive drugs : 25 ~ 26
Kwon S / 2009 / Thirty years of national health insurance in South Korea: lessons for achieving universal health care coverage / Health Policy Plan 24 (1) : 63 ~ 71
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