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KMID : 0613620100300010092
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Health Social Welfare Review
2010 Volume.30 No. 1 p.92 ~ p.110
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Factors Influencing Household Catastrophic Health Expenditure Of The Poor
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Sohn Su-In
Shin Young-Jeon
Kim Chang-Yup
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Abstract
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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%, .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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KEYWORD
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Catastrophic Health Expenditure, Health Expenditure, Health Spending, Poor
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