저소득층의 과부담의료비 발생에 영향을 미치는 요인 = Factors Influencing Household Catastrophic Health Expenditure Of The Poor

다국어 초록 (Multilingual Abstract)

This study examines the scale of occurrence of Catastrophic Health Expenditure (CHE), and identifies the factors influencing CHE among low-income households.
Korea Welfare Panel (KOWEP) (2006) were used in the study. CHE is defined by when the households` medical spending out of ability to pay exceeds 10%, 20%, 30%, and 40%. The study examined the frequency of CHE with 6,992 households, Moreover, among 3,233 low-income households whose income amounts to less than 60% of the median income, logistic regression was conducted.
The occurrence of CHE in the entire household appeared to be 19.1%, 9.7%, 5.8%, and 3.7% with the threshold at 10%, 20%, 30%, and 40%. For the low-income households, it accounted for 32.2%, 19.5%, 12.0%, and 7.8%, which showed a significant increase compare to the average households. The following cases showed high chances of incurring CHE: When the householder is female, older than 65, unemployed, less educated, has no spouse, has poor perceived health status, has a low income, has chronic sufferers in the family, has no child under five years old, and has a small number of family members. It also showed that those with national health insurance as a form of medical security rated higher than those with medical aid.
The higher incidence of CHE among low-income households implies that South Korea offers a low level of medical security, which can drive its people to poverty.

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