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Original Article
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Korean J Med. 2006;70(1):61-68.
- 원저 : 우리나라 암 환자의 개인부담 의료비용 (Original Articles : Out-of-pocket health expenditures among adult Koreans with cancer)
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김성경, 박웅섭
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Sung Gyeong Kim, Woong Sub Park
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한림의대 한강성심병원 내과
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- Abstract
- Background : Out-of-pocket health expenditures defined as the charges for services not covered
by health insurance have received only sporadic attention. The purpose of this study was to
determine the impact of sociodemographic and health characteristics on out-of-pocket health
expenditures.
Methods
: We used data from the 2001 National Public Health and Nutrition Survey, a nationally
representative survey of community-dwelling individuals. The final sample size for this analysis was
61 individuals with age 20 and older cancer patients in Korea. Using a multiple linear regression
model to control for differences in sociodemographics, self-reported health status, hospital length of
stay, time since perception, and insurance status, the out-of-pocket health expenditures were
estimated.
Results
: Mean monthly out-of-pocket health expenditures were 399,300 won. The highest mean
out-of-pocket health expenditures were paid by those with lung cancer, 820,000 won. In the
regression analysis, insurance status, resident area, hospital length of stay, and time since perception
were statistically significant determinants. Thus, those with higher hospital days, National Health
Insurance, metropolitan, and more than 1 year of time since perception experienced higher economic
burden.
Conclusions
: Policymakers should consider out-of-pocket health expenditure difference by diverse characteristics.(Korean J Med 70:61-68, 2006)
Key Words : Health expenditures, Cancer, Medical economics
Keywords :Health expenditures, Cancer, Medical economics
