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KMID : 1154920230180010010
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Korean Journal of Insurance Medicine
2023 Volume.18 No. 1 p.10 ~ p.31
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Kim Suk-Il
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Abstract
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As the population ages and the number of people with chronic disease increases, so does the health expenditure. Korea has been implementing policies to strengthen health insurance coverage since the early 2000s to guarantee national medical expenses, but it has been pointed out that the coverage rate is low compared to the average coverage rate of major advanced countries. The purpose of this study was to find out what effect the policy of reinforcing national health insurance coverage, which was implemented from July 1, 2018, to reimbursement for superior wards (two and three-person rooms) was by income level. For this purpose, the final 1,079 subjects were selected using data from the Korea Medical Panel (13th∼14th) in 2018. Before the policy, 8.3% of double or triple room users accounted for 10.1% of users after the policy. In the low-income group, it increased by 0.6% after the policy period, in the middle-income group, by 0.5%, and in the high-income group, it increased by 6.7%. On the other hand, the number of 4∼6 person room users decreased by 0.1% in the low-income group, increased by 2.1% in the middle-income group, and decreased by 6.2% in the high-income group. When comparing before and after policies according to income level, contradictory results were shown.
However, due to the lack of the number of samples, it was not possible to confirm whether the income level before and after the policy became a major factor in determining a double or triple room. Based on this study, it is necessary
to check whether income level acts as a major factor in the use of double or triple rooms through a sufficient sample.
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KEYWORD
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strengthening health insurance coverage, reimbursement to senior wards, Korean medical panel, income level
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