Private health insurance and catastrophic health expenditures of households with cancer patients in South Korea

Munjae Lee, Kichan Yoon, Mankyu Choi

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

This study examines the effects of private health insurance (PHI) on the incidence of catastrophic health expenditures (CHE) for households with a patient with cancer. This study uses 1-year data from 2013 and households with cancer patients as the unit of research rather than individual household members. The sample thus includes 468 households with members with cancer who also used emergency, outpatient and hospitalisation services. Households with PHI had a lower incidence of CHE for all thresholds than those without did. At the 10% threshold, the incidence became significantly lower, by 0.59 and 0.60 times, respectively, if householders had higher education and income levels. Moreover, the incidence of CHE was higher by 8.71 times if the householders are female, and lower by 0.84 times if the householders did not have a spouse at the 20% threshold. From the analysis of households with cancer patients that hold PHI as the key variable, these households showed a lower incidence of CHE than the others did. PHI provides healthcare payments not secured through national health insurance (NHI) and protects households from health expenditures, thereby complementing NHI to a certain degree.

Original languageEnglish
Article numbere12867
JournalEuropean Journal of Cancer Care
Volume27
Issue number5
DOIs
Publication statusPublished - 2018 Sep 1

Fingerprint

Major Medical Insurance
Republic of Korea
Health Expenditures
Health Insurance
Neoplasms
Incidence
National Health Programs
Ambulatory Care
Spouses
Hospitalization
Emergencies

Keywords

  • cancer patients
  • catastrophic health expenditure
  • healthcare
  • Korea health panel
  • private health insurance
  • South Korea

ASJC Scopus subject areas

  • Oncology

Cite this

Private health insurance and catastrophic health expenditures of households with cancer patients in South Korea. / Lee, Munjae; Yoon, Kichan; Choi, Mankyu.

In: European Journal of Cancer Care, Vol. 27, No. 5, e12867, 01.09.2018.

Research output: Contribution to journalArticle

@article{d6fc93085f354f09b877dfe5400ad27d,
title = "Private health insurance and catastrophic health expenditures of households with cancer patients in South Korea",
abstract = "This study examines the effects of private health insurance (PHI) on the incidence of catastrophic health expenditures (CHE) for households with a patient with cancer. This study uses 1-year data from 2013 and households with cancer patients as the unit of research rather than individual household members. The sample thus includes 468 households with members with cancer who also used emergency, outpatient and hospitalisation services. Households with PHI had a lower incidence of CHE for all thresholds than those without did. At the 10{\%} threshold, the incidence became significantly lower, by 0.59 and 0.60 times, respectively, if householders had higher education and income levels. Moreover, the incidence of CHE was higher by 8.71 times if the householders are female, and lower by 0.84 times if the householders did not have a spouse at the 20{\%} threshold. From the analysis of households with cancer patients that hold PHI as the key variable, these households showed a lower incidence of CHE than the others did. PHI provides healthcare payments not secured through national health insurance (NHI) and protects households from health expenditures, thereby complementing NHI to a certain degree.",
keywords = "cancer patients, catastrophic health expenditure, healthcare, Korea health panel, private health insurance, South Korea",
author = "Munjae Lee and Kichan Yoon and Mankyu Choi",
year = "2018",
month = "9",
day = "1",
doi = "10.1111/ecc.12867",
language = "English",
volume = "27",
journal = "European Journal of Cancer Care",
issn = "0961-5423",
publisher = "Wiley-Blackwell",
number = "5",

}

TY - JOUR

T1 - Private health insurance and catastrophic health expenditures of households with cancer patients in South Korea

AU - Lee, Munjae

AU - Yoon, Kichan

AU - Choi, Mankyu

PY - 2018/9/1

Y1 - 2018/9/1

N2 - This study examines the effects of private health insurance (PHI) on the incidence of catastrophic health expenditures (CHE) for households with a patient with cancer. This study uses 1-year data from 2013 and households with cancer patients as the unit of research rather than individual household members. The sample thus includes 468 households with members with cancer who also used emergency, outpatient and hospitalisation services. Households with PHI had a lower incidence of CHE for all thresholds than those without did. At the 10% threshold, the incidence became significantly lower, by 0.59 and 0.60 times, respectively, if householders had higher education and income levels. Moreover, the incidence of CHE was higher by 8.71 times if the householders are female, and lower by 0.84 times if the householders did not have a spouse at the 20% threshold. From the analysis of households with cancer patients that hold PHI as the key variable, these households showed a lower incidence of CHE than the others did. PHI provides healthcare payments not secured through national health insurance (NHI) and protects households from health expenditures, thereby complementing NHI to a certain degree.

AB - This study examines the effects of private health insurance (PHI) on the incidence of catastrophic health expenditures (CHE) for households with a patient with cancer. This study uses 1-year data from 2013 and households with cancer patients as the unit of research rather than individual household members. The sample thus includes 468 households with members with cancer who also used emergency, outpatient and hospitalisation services. Households with PHI had a lower incidence of CHE for all thresholds than those without did. At the 10% threshold, the incidence became significantly lower, by 0.59 and 0.60 times, respectively, if householders had higher education and income levels. Moreover, the incidence of CHE was higher by 8.71 times if the householders are female, and lower by 0.84 times if the householders did not have a spouse at the 20% threshold. From the analysis of households with cancer patients that hold PHI as the key variable, these households showed a lower incidence of CHE than the others did. PHI provides healthcare payments not secured through national health insurance (NHI) and protects households from health expenditures, thereby complementing NHI to a certain degree.

KW - cancer patients

KW - catastrophic health expenditure

KW - healthcare

KW - Korea health panel

KW - private health insurance

KW - South Korea

UR - http://www.scopus.com/inward/record.url?scp=85053828300&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85053828300&partnerID=8YFLogxK

U2 - 10.1111/ecc.12867

DO - 10.1111/ecc.12867

M3 - Article

C2 - 29888826

AN - SCOPUS:85053828300

VL - 27

JO - European Journal of Cancer Care

JF - European Journal of Cancer Care

SN - 0961-5423

IS - 5

M1 - e12867

ER -