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KMID : 0387320110210030397
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Korean Journal of Health Policy and Administration
2011 Volume.21 No. 3 p.397 ~ p.413
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Relationship between Income and Healthcare Utilization in Cancer Patients
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Kim Jin-Hee
Kim Kyung-Joo
Park Jong-Hyock
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Abstract
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Purpose: The purpose of this study is to examine the relationship between the income level and the healthcare utilization by health insurance type in all cancer patients in year 2005.
Methods: The target population was cancer patients with health insurance who used healthcare as a diagnosis code (C00-C97) from January 1 to December 31 of 2005. The Korea Central Cancer Registry Center’s Cancer Patient
Registry Data, the list of cancer patients of the National Health Insurance Corporation, and the claim data of the Health Insurance Review & Assessment Service were used. The Ⅰwas the wealthiest, followed by Ⅱ, Ⅲ, Ⅳ. The Ⅴ was the poorest in this study. For the analysis, the χ2-test, ANOVA (and Kruskal-Wallis test), and regression were used.
Results: Outpatient and hospitalization medical expenses, and outpatient visit days of cancer patients with self-employed health insurance were highest in Ⅰ(p<.001, respectively), and the hospitalization days were the highest in Ⅱ
(p<.001, respectively). Outpatient and hospitalization medical expenses, and outpatient visit and hospitalization days of cancer patients with occupational health insurance were the highest in Ⅰ(p<.001, respectively). Outpatient and hospitalization medical expenses, and outpatient visit and hospitalization days in cancer patients were higher in I compared to Ⅴ, and higher in Ⅱ and Ⅲ, Ⅳ compared to V (p<.001, respectively).
Conclusion: Supporting plan for cancer patients’ outpatient healthcare utilization are necessary. Moreover, we should make specialized strategy for low income cancer patients with self-employed health insurance when we develop quality improvement policy for inpatient service.
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KEYWORD
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Cancer, Income, Healthcare Disparities
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