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KMID : 0387320160260040390
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Korean Journal of Health Policy and Administration
2016 Volume.26 No. 4 p.390 ~ p.398
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The Impact of Health Care Coverage on Changes in Self-Rated Health: Comparison between the Near Poor and the Upper Middle Class
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Kim Jin-Hyun
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Abstract
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Background: This study aims to analyze the impact of levels of health care coverage on the trajectory of self-rated health, comparing the near-poor which tends to be excluded in traditional health care systems with the upper middle class.
Methods: The study participants were 3,687 people who sincerely responded questions regarding health care expenditures, unmet medical needs, and self-rated health in the Korea Health Panel data in 2009-2012.
Results: The higher health care expenditures and the presence of unmet medical needs were significantly associated with the lower level of self-rated health. However, both factors did not significantly predict the steeper decline in the self-rated health. The results from multiple group analyses showed that health care expenditures and unmet medical needs had greater impact on the near-poor compared to their higher income counterparts.
Conclusion: Public health care coverages need to be enhanced as well as reducing health care expenditures and unmet medical needs.
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KEYWORD
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Health care coverage, Health care expenditures, Unmet medical needs, Self-rated health
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