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KMID : 1170320190250040029
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Korean Journal of Health Economics and Policy
2019 Volume.25 No. 4 p.29 ~ p.56
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Catastrophic medical expenditure, Is it only a matter of medical expenses? - Focusing on mediating effects of reduced Earned income due to mid-to-long-term hospitalization -
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Jung Hyun-Woo
Yang Jung-Yeon
Che Xianhua
Lee Jun-Hyup
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Abstract
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The main focus of this study is to show that Catastrophic Health Expenditure (CHE) is not caused only by high copayments, but also the income reduced by the deterioration of health. This study examined the impact of mid-to-long-term hospitalization (MLTH) on the incidence of catastrophic medical expenses through the mediating effect on the reduction of earnings. The results of the analysis were as follows: First, the MLTH itself had a positive impact on the occurrence of CHE. Second, MLTH had a negative effect on earned income. Third, earned income was mediated by the effects of MLTH on CHE outbreaks. Although CHE is an indicator defined as the ratio between household income and health care costs, the critical minds of previous studies have focused on health care costs only. It is also important to note that the characteristics of CHE have serious health consequences, which can affect household incomes. As a policy, the view of expanding medical security should be extended to that of income security.
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KEYWORD
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Catastrophic health expenditure, Hospitalization, Earned income
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