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KMID : 0861120150190030057
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Korean Journal of Oriental Preventive Medicine
2015 Volume.19 No. 3 p.57 ~ p.66
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The Effect of Private Health Insurance Coverage Reduction on the Korean Medicine Utilization
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Park Min-Jung
Go Sung-Gyu
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Abstract
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Objective : Private health insurance coverage in Korean medicine has been reduced since October 2009 for preventing unnecessary utilization. The aim of this study is to identify how private health insurance coverage reduction affects on the Korean medicine utilization.
Method : We analyzed the Korea Health Panel data from 2008 to 2012. Panel negative binominal regression model was used to analyze the relationship between private health insurance coverage reduction and utilization of outpatient service. Panel tobit regression analysis was used to identify the relationship between private health insurance coverage reduction and health expenditure of outpatient service.
Results : Private health insurance coverage reduction significantly dropped both utilization and health expenditure of outpatient service by 9%, 9.22% respectively. In addition, therapeutic utilization significantly decreased up to 10%.
Conclusion : Private health insurance coverage reduction seems to have an effect to reduce both utilization and the health expenditure of Korean medicine outpatient service. This effect was more noticeable in the therapeutic utilization. Thus, more elaborate policy will be needed to prevent unnecessary utilization of Korean medicine.
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KEYWORD
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Korean medicine, Private health insurance, Benefit coverage, Health care utilization, Health expenditure
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