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KMID : 1124020110270010185
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Korean Social Security Studies
2011 Volume.27 No. 1 p.185 ~ p.215
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A Study on the Difference in the Level of Health Care Utilization of Low Income Households: A Comparison between Before and After the Exit from the Public Assistance Program
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You Tae-Kyun
Lee Sun-Jung
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Abstract
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In this study, the researchers investigated if there are differences in the level of health care service utilization of low income households before and after the exit from the Public Assistance program. Using the Korea Welfare Panel Survey Data, the researchers classified the survey households into three types: Continuing Public Assistance Recipient Households(CPARH); Former Public Assistance Recipient Households (FPARH) and Continuing Non-Poor Households(CNPH). For each household type, the level of health care service utilization in ‘05 and ‘08 was measured while the change in the Public Assistance Recipient status of CPARH took place in year ‘06 or ‘07. Four variables including the number of outpatient visits, the number of hospitalized days, the ratio of health care expenditures to total household expenditures, and the number of physician visits given up due to financial difficulties were measured. The differences in each variables between in ‘05 and ‘08 were calculated for each household type, compared among the three household types by using the Difference-in-Difference analysis technique and used as dependent variables for multinomial logistic regression analyses. The effect of household type on the dependent variable was analyzed while controlling for a set of demographic, socio-economic and health-related factors. The regression analysis results showed that the number of hospitalized days for FPARH had decreased most between the two time points compared to CPARH and CNPH. The number of outpatient visits for FPARH was also found to have decreased more compared to the other two household types, yet the result was not statistically significant. Based on the findings, some policy suggestions were made for reducing or eliminating blind spots in the health security system.
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KEYWORD
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Public Assistance Recipient Households, Health Care Utilization of Low Income Households, Blind Spots in Health Security System
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