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The impact of out-of-pocket payments on health care inequity : The case of national health insurance in South Korea

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  • The impact of out-of-pocket payments on health care inequity
  • Lee, Weon-Young; Shaw, Ian
  • MDPI


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Title The impact of out-of-pocket payments on health care inequity
Similar Titles
Sub Title

The case of national health insurance in South Korea

Material Type Articles
Author(English)

Lee, Weon-Young; Shaw, Ian

Publisher

[Basel, Switzerland]:MDPI

Date 2014-07
Journal Title; Vol./Issue International Journal of Environmental Research and Public Health:vol. 11(no. 7)
Pages 15
Subject Country South Korea(Asia and Pacific)
Language English
File Type Link
Subject Economy < Economic Administration
Social Development < Health
Holding MDPI

Abstract

Abstract: The global financial crisis of 2008 has led to the reinforcement of patient cost sharing in health care policy. This study aimed to explore the impact of direct out-of pocket payments (OOPs) on health care utilization and the resulting financial burden across income groups under the South Korean National Health Insurance (NHI) program with universal population coverage. We used the fourth Korean National Health and Nutrition Examination Survey (KNHNES-IV) and the Korean Household Income and Expenditure Survey (KHIES) of 2007, 2008 and 2009. The Horizontal Inequity Index (HIwv) and the average unit OOPs were used to measure income-related inequity in the quantitative and qualitative aspects of health care utilization, respectively. For financial burden, the incidence rates of catastrophic health expenditure (CHE) were compared across income groups. For outpatient and hospital visits, there was neither pro-poor or pro-rich inequality. (The rest omitted)