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KMID : 1170320150210030055
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Korean Journal of Health Economics and Policy
2015 Volume.21 No. 3 p.55 ~ p.79
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Impact of unmet medical need and payment for uncovered services on household catastrophic health expenditure
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Lee Hye-Jae
Lee Tae-Jin
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Abstract
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Health expenditure is considered as catastrophic when a household incurs out-of-pocket health payment exceeding pre-defined thresholds of its capacity to pay. This study explored the determinants of catastrophic health expenditure using two undiscovered variables so far: unmet medical need and payment for uncovered services. Korea Health Panel was used to estimate the incidence and determinants of catastrophic health expenditure. The results showed that the incidence of catastrophic health expenditure has been increased during last five years. Contrary to hypothesis, unmet medical need was associated with increased probability of catastrophic health expenditure, and payment for uncovered services showed higher impact on catastrophic health expenditure in medical aid group than national health insurance group. Although many studies have explored catastrophic health expenditure, variables used in previous studies were limited. This study tried to investigate the impact of two new variables on catastrophic health expenditure. The results can guide future studies and regarding policies.
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KEYWORD
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catastrophic health expenditure, unmet medical need, uncovered medical services, burden of health expenditure
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