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KMID : 1170320160220020029
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Korean Journal of Health Economics and Policy
2016 Volume.22 No. 2 p.29 ~ p.49
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Healthcare utilization and out-of-pocket spending of Medical Aids recipients in South Korea: a propensity score matching with National Health Insurance participants
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Lee Hye-Jae
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Abstract
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Recipients of Medical Aids are in the bad socio-economic and health status, so their needs for healthcare service are high. This study used 2013 Korea Health Panel survey data and analyzed 749 Medical Aid recipients’healthcare utilization and out-of-pocket(OOP) spending. To compare them with National Health Insurance (NHI) participants, propensity score matching was used. A person with Medical Aids spent less OOP spending, while used more services. Besides the OOP payment for the hospitalization, outpatients visit and uncovered services was less, the length of days of hospitalization was longer in Medical Aids recipients than in NHI participants. This imply that people with Medical Aids receive the services with low quality of care, resulting longer therapeutic duration. This was supported with the results that Medical Aids recipients’experienced more unmet medical needs. Medical Aids has lightened the burden of healthcare cost among low-income people in South Korea, but the problem of their unmet medical need and the quality of care should be revisited. This study raises the issue of access and quality of healthcare among Medical Aids recipients, using undiscovered variables of uncovered healthcare cost and unmet medical need.
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KEYWORD
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propensity score matching, medical aids, uncovered healthcare cost, unmet medical needs, Korea Health Panel
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