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KMID : 0387320220320030282
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Korean Journal of Health Policy and Administration
2022 Volume.32 No. 3 p.282 ~ p.292
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Association between Changes in Multiple Chronic Conditions and Health Expenditures among Elderly in South Korea: Korean Longitudinal Study of Aging 2014?2018
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Park Soo-Jin
Nam Jin-Young
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Abstract
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Background: Aging societies face social problems of increased medical expenses for older adults due to increased geriatric diseases.
This study aims to analyze the relationship between the state change of multiple chronic conditions (MCC) and out-of-pocket medicalexpenses in the elderly aged 60 or older.
Methods: The 2014?2018 Korean Longitudinal Study of Aging data were used for 2,202 elderly people. Four status change groupswere established according to the change in the number of chronic diseases. The association between the change of MCC and theout-of-pocket medical cost was analyzed using the generalized estimating equation model analysis.
Results: The average out-of-pocket total medical costs were 1,384,900 won for participants with MCC and 542,700 won for thosewithout MCC, which was a statistically significant difference (p<0.0001). Compared to the reference group (simple chronic disease,SCD→SCD), the change in multiple chronic conditions significantly increased the total out-of-pocket medical expenses in MCC→MCCand SCD→MCC groups (MCC→MCC: β=0.8260, p<0.0001; SCD→MCC: β=0.6607, p<0.0001).
Conclusion: In this study, it was confirmed that the prevalence of MCC increased with age, and the out-of-pocket medical costincreased in the case of MCC. Continuity of treatment can be achieved for patients with MCC, and the system and management oftreatment for MCC are required to receive appropriate treatment.
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KEYWORD
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Multiple chronic conditions, Health expenditures, Health care costs, Aged
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