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KMID : 1022920200080020059
Journal of Korean Academy of Social & Managed Care Pharmacy
2020 Volume.8 No. 2 p.59 ~ p.66
Exploring Factors Related to Catastrophic Health Expenditures among Single-Living Elderly in South Korea
Kim Eun-Ji

Suh Hae-Sun
Abstract
BACKGROUND: Korea has reached an aged society, with its population aging rapidly. However, the social policy associated with population aging has limitations of social welfare. Our society has suffered from social problems such as elderly poverty and inequality in old age. Thus, policy to improve these challenges are needed.

OBJECTIVE: We aimed to provide a basis for healthcare policy decisions by exploring the factors associated with the elderly house-hold facing catastrophic health expenditure.

METHOD: We examined baseline characteristics of single-living elderly. Moreover, we performed logistic regression analysis to assess the factors associated with the elderly household facing catastrophic health expenditure using the Korea Health Panel Survey data.

RESULTS: The major factors in the elderly household facing catastrophic health expenditure were elderly poverty, economic activity, severe disease, the share of drug prices, and quality of life. According to the Chi-square results, there was a statistically significant difference between age, sex, insurance type, elderly poverty, economic activity, education level, and presence of chronic or severe disease.

CONCLUSION: The main factors associated with the elderly household facing catastrophic health expenditure related primarily to economic characteristics. Thus, practical policy decision-making is needed to improve income secu-rity for an aging population.
KEYWORD
catastrophic health expenditures, logistic regression, Korea Health Panel Survey
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