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KMID : 0387320230330030363
Korean Journal of Health Policy and Administration
2023 Volume.33 No. 3 p.363 ~ p.369
Catastrophic Health Expenditure Rate and Trend in 2021 and before
Kim Soo-Young

Jeong Sung-Hoon
Park Eun-Cheol
Abstract
The term ¡°catastrophic health expenditure¡± means assessing the extent to which medical costs cause financial hardship forhouseholds. The aim of this research is to analyze the percentage of households that faced severe financial strain due to medicalexpenses from 2006 to 2021. This was achieved by utilizing data obtained from the National Survey of Tax and Benefit (NaSTaB),Korea Health Panel (KHP), and Households Income and Expenditure Survey (HIES). A trend analysis was conducted to examine thepercentage of households that experienced catastrophic healthcare expenses. The households that experienced the catastrophichealth expenditure was 2.49% in 2021 using the NaSTaB data. The trend analysis yielded a statistically significant result, indicatinga decreasing trend (annual percent change [APC], -4.79; p<0.0001) in the proportion of households facing catastrophic healthexpenditures. Also, the results of the 2019 KHP and the 2021 HIES showed 1.09% and 2.44% for the households that experiencedcatastrophic health expenditure. The trend was increased according to the KHP (APC, 0.55; p=0.0004) and the HIES (APC, 7.04;p<0.0001). As a result, this study proposes that sustained attention and further interventions are necessary to ease the economicpressure caused by catastrophic health expenses, particularly for low-income households.
KEYWORD
Catastrophic health expenditure, Trend, Health expenditure, Income
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