- Factors Determining Children’s Private Health Insurance Enrolment and Healthcare Utilization Patterns: Evidence From the 2008 to 2011 Health Panel Data
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Jawoon Shin, Tae-Jin Lee, Sung-il Cho, Seung Ah Choe
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J Prev Med Public Health. 2015;48(6):319-329. Published online November 16, 2015
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DOI: https://doi.org/10.3961/jpmph.15.057
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 Abstract
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- Objectives
Parental socioeconomic status (SES) exerts a substantial influence on children’s health. The purpose of this study was to examine factors determining children’s private health insurance (PHI) enrolment and children’s healthcare utilization according to PHI coverage.
Methods
Korea Health Panel data from 2011 (n=3085) was used to explore the factors determining PHI enrolment in children younger than 15 years of age. A logit model contained health status and SES variables for both children and parents. A fixed effects model identified factors influencing healthcare utilization in children aged 10 years or younger, using 2008 to 2011 panel data (n=9084).
Results
The factors determining children’s PHI enrolment included children’s age and sex and parents’ educational status, employment status, and household income quintile. PHI exerted a significant effect on outpatient cost, inpatient cost, and number of admissions. Number of outpatient visits and total length of stay were not affected by PHI status. The interaction between PHI and age group increased outpatient cost significantly.
Conclusions
Children’s PHI enrolment was influenced by parents’ SES, while healthcare utilization was affected by health and disability status. Therefore, the results of this study suggest disparities in healthcare utilization according to PHI enrollment.
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Summary
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Citations
Citations to this article as recorded by  - Uptake and determinants of private health insurance enrollment in a country with heavily subsidised public healthcare: A cross-sectional survey in East Coast Malaysia
Mohd Adli Abd Khalim, Surianti Sukeri, Gopal Ashish Sharma
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Felician Andrew Kitole, Robert Michael Lihawa, Eliaza Mkuna
International Journal for Equity in Health.2023;[Epub] CrossRef - Does health insurance solve health care utilization puzzle in Tanzania?
Felician Andrew Kitole, Robert Michael Lihawa, Thobias Edward Nsindagi, Felister Y. Tibamanya
Public Health.2023; 219: 91. CrossRef - Enrollment in Private Medical Insurance and Utilization of Medical Services Among Children and Adolescents: Data From the 2009-2012 Korea Health Panel Surveys
Dong Hee Ryu, Sin Kam, Young-Taek Doo
Journal of Preventive Medicine and Public Health.2016; 49(2): 118. CrossRef
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