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KMID : 0861120200240020031
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Korean Journal of Oriental Preventive Medicine
2020 Volume.24 No. 2 p.31 ~ p.41
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Annual trends of Outpatients’ Out-of-pocket Spending in Using of Korean Medicine
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Yi Eun-Hee
Sung Soo-Hyun
Kim Ha-Nul
Kim Dong-Su
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Abstract
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Background : The introduction of policies expanding the coverage of uninsured Korean Medicine (KM) services have requires an understanding of the following components of the service : current financial expenses, degree of financial burden on the patient, and financial effect of the coverage expansion. Objectives : This study aims to determine the annual trend of outpatients’ characteristics and the category of out-of-pocket spending in KM.
Methods : This study uses data from the Korea Health Panel to analyze use of KM in the Korean population. Using the user characteristics and behavior drawn from the Korea Health Panel data, out-of-pocket spending trends of KM were analyzed by year. The diagnosis and prescription of out-of-pocket spending were also analyzed.
Results : The proportion of patients receiving uninsured medical treatment and the number of uninsured medical treatment in outpatient clinics have increased. However, the average out-of-pocket spending per person and out-of-pocket spending per visit are consistent or have decreased. Meaningful trends are the increase of R00-R99 (unclassified symptoms) and the decrease of K00-K93 (digestive system disease) and J00-J99 (respiratory system disease).
Conclusions : Expansion of KM medical service and insurance is influenced by uninsured medical treatment of KM. Hence, research to increase medical treatment categories for out-of-pocket spending or explore diseases where KM diagnosis has been proven effective should be further developed.
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KEYWORD
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Health insurance, Out of pocket, Uninsured service, Expense trend, Korea health panel
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