- Effects of Private Health Insurance on Health Care Utilization and Expenditures in Korean Cancer Patients: Focused on 5 Major Cancers in One Cancer Center.
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Jin Hwa Lim, Kui Son Choi, Sung Gyeong Kim, Eun Cheol Park, Jae Hyun Park
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J Prev Med Public Health. 2007;40(4):329-335.
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DOI: https://doi.org/10.3961/jpmph.2007.40.4.329
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4,668
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 Abstract
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- OBJECTIVES
To identify the effects of supplemental private health insurance on health care utilization and expenditure under the mandatory National Health Insurance(NHI) system in Korea. METHODS: The data were collected by the National Cancer Center in Korea. Cancer patients who were newly diagnosed with stomach (ICD code, C16), lung(C33-C34), liver (C22), colorectal cancer(C18-C20) or breast(C50) cancer were included as study subjects. Data were gathered using a structured questionnaire from face-to-face interviews, the hospital Order Communication System (OCS) and medical records. Clinical, socio-demographic and private health insurance related factors were also gathered. The differences of health care utilization and expenditure were compared between those who have private health insurance and those who do not using t-test and multivariable regression analysis. RESULTS: Individuals with private health insurance spent larger inpatient costs than those without, but no differences were found in utilization in other service such as hospital admissions, hospital days and physician visits. CONCLUSIONS: We found that private health insurance exerts a significant effect on the health care expenditure in inpatient service. These study results can provide a rational basis to plan a national health policy regarding private health insurance. Further studies are needed to investigate the impacts of private health insurance on cancer patients' outcomes and survival rates.
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Summary
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Citations
Citations to this article as recorded by  - Treatment interruption during radiation therapy: Experience at a single institution in the Republic of Korea
Jung Ae Lee, Nam Kwon Lee, Won Sup Yoon, Dae Sik Yang, Chul Yong Kim, Se Ryun Lee, Hwa Jeong Seong
Asia-Pacific Journal of Clinical Oncology.2017;[Epub] CrossRef - Cancer Treatment near the End-of-Life Becomes More Aggressive: Changes in Trend during 10 Years at a Single Institute
Younak Choi, Bhumsuk Keam, Tae Min Kim, Se-Hoon Lee, Dong-Wan Kim, Dae Seog Heo
Cancer Research and Treatment.2015; 47(4): 555. CrossRef - Ubiquitous Environment with Private Health Insurance and the Relevance of Length of Stay
Dong-Ruyl Jang, Seong-Woo Choi, Bu-Yeon Park, Sung-Gil Kim
The Journal of the Korea institute of electronic communication sciences.2014; 9(2): 203. CrossRef - Analysis of factors affecting the life quality of the patients with late stomach cancer
Yan‐Mei Ma, Cai‐Feng Ba, Yu‐Bin Wang
Journal of Clinical Nursing.2014; 23(9-10): 1257. CrossRef - The Effect of Private Health Insurance on Health Care Utilization: Evidence from Korea Health Panel (2008~2010)
Chang-Hoon You, Sung-Wook Kang, Ji-Heon Choi, Eun-Hwan Oh, Young-Dae Kwon
The Korean Journal of Health Service Management.2014; 8(2): 101. CrossRef - An Association between Private Health Insurance and Use of Endoscopy, An Association between Private Health Insurance and Use of Endoscopy,
Chang-Hoon You, Young-Dae Kwon, Ji-Heon Choi, Sung-Wook Kang
The Korean Journal of Health Service Management.2014; 8(4): 25. CrossRef - The Influence of Private Health Insurance on Admission among Some Patients with Cervical or Lumbar Sprain
Dong-Ryul Jang, Myung-Geun Kang
Journal of agricultural medicine and community health.2012; 37(2): 84. CrossRef - Private health insurance in South Korea: An international comparison
Jaeun Shin
Health Policy.2012; 108(1): 76. CrossRef - Sociodemographic gradients in breast and cervical cancer screening in Korea: the Korean National Cancer Screening Survey (KNCSS) 2005-2009
Mi Jin Park, Eun-Cheol Park, Kui Son Choi, Jae Kwan Jun, Hoo-Yeon Lee
BMC Cancer.2011;[Epub] CrossRef - Comparison of hospital charge prediction models for gastric cancer patients: neural network vs. decision tree models
Jing Wang, Man Li, Yun-tao Hu, Yu Zhu
BMC Health Services Research.2009;[Epub] CrossRef
- The Determinants of Purchasing Private Health Insurance in Korean Cancer Patients.
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Jin Hwa Lim, Sung Gyeong Kim, Eun Mi Lee, Sin Young Bae, Jae Hyun Park, Kui Son Choi, Myung Il Hahm, Eun Cheol Park
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J Prev Med Public Health. 2007;40(2):150-154.
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DOI: https://doi.org/10.3961/jpmph.2007.40.2.150
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5,016
View
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55
Download
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13
Crossref
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Abstract
PDF
- OBJECTIVES
The aim of this study is to identify factors determining the purchase of private health insurance under the mandatory National Health Insurance(NHI) system in Korea. METHODS: The data were collected by the National Cancer Center in Korea. It includes cancer patients who were newly diagnosed with stomach (ICD code, C16), lung(C33-C34), liver (C22), colorectal cancer(C18-C20) or breast(C50) cancer. Data were gathered from the hospital Order Communication System (OCS), medical records, and face-to-face interviews, using a structured questionnaire. Clinical, socio-demographic and private health insurance related factors were also gathered. RESULTS: Overall, 43.9% of patients had purchased one or more private health insurance schemes related to cancer, with an average monthly premium of won 65,311 and an average benefit amount of won 19 million. Females, younger aged, high income earners, national health insurers and metropolitan citizens were more likely to purchase private health insurance than their counterparts. CONCLUSIONS: About half of Korean people have supplementary private health insurance and their benefits are sufficient to cover the out-of-pocket fees required for cancer treatment, but inequality remains in the purchase of private health insurance. Further studies are needed to investigate the impacts of private health insurance on NHI, and the relationship between cancer patients' burden and benefits.
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Summary
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Citations
Citations to this article as recorded by - Out-of-pocket costs in gastrointestinal cancer patients: Lack of a perfectly framed problem contributing to financial toxicity
Roberto Bordonaro, Dario Piazza, Concetta Sergi, Stefano Cordio, Salvatore Tomaselli, Vittorio Gebbia
Critical Reviews in Oncology/Hematology.2021; 167: 103501. CrossRef - Assessing determinants of health care prepayment in China: Economic growth or government willingness? New evidence from the continuous wavelet analysis
Ying Zhang, Rui Wang, Xinyi Yao
The International Journal of Health Planning and Management.2019;[Epub] CrossRef - Evaluating financial performance of insurance companies using rating transition matrices
Abhijit Sharma, Diara Md Jadi, Damian Ward
The Journal of Economic Asymmetries.2018; 18: e00102. CrossRef - Having Private Cancer Insurance in Korea: Gender Differences
Ki-Bong Yoo, Jin-Won Noh, Young Dae Kwon, Kyoung Hee Cho, Young Choi, Jae-Hyun Kim
Asian Pacific Journal of Cancer Prevention.2015; 16(17): 7981. CrossRef - Equity in health care: current situation in South Korea
Hong-Jun Cho
Journal of the Korean Medical Association.2013; 56(3): 184. CrossRef - Factors Associated with the Middle-aged or the Old-aged Koreans' Enrollment in Private Health Insurance
Hyo-Jin Kim, Jae-Hee Lee
The Journal of the Korea Contents Association.2012; 12(12): 683. CrossRef - Comparison of Health Promotion Behavior in Middle aged Rural Residents by Cancer Screening Participation
Myung Suk Lee
Journal of Korean Academy of Community Health Nursing.2010; 21(1): 43. CrossRef - The Effect of Catastrophic Health Expenditure on the Transition to Poverty and the Persistence of Poverty in South Korea
Eun-Cheol Song, Young-Jeon Shin
Journal of Preventive Medicine and Public Health.2010; 43(5): 423. CrossRef - The Effect of Health Care Expenditure on Income Inequality
Eun-Cheol Song, Chang-Yup Kim, Young-Jeon Shin
Korean Journal of Health Policy and Administration.2010; 20(3): 36. CrossRef - Impact of supplementary private health insurance on stomach cancer care in Korea: a cross-sectional study
Dong Wook Shin, Kee-Taig Jung, Sung Kim, Jae-Moon Bae, Young-Woo Kim, Keun Won Ryu, Jun Ho Lee, Jae-Hyung Noh, Tae-Sung Sohn, Young Ho Yun
BMC Health Services Research.2009;[Epub] CrossRef - Comparison of Cancer Survival by Age Group for 1997 and for 2002: Application of Period Analysis using the National Cancer Incidence Database
Seon-Hee Yim, Kyu-Won Jung, Young-Joo Won, Hyun-Joo Kong, Hai-Rim Shin
Journal of Preventive Medicine and Public Health.2008; 41(1): 17. CrossRef - Strengthening Causal Inference in Studies using Non-experimental Data: An Application of Propensity Score and Instrumental Variable Methods
Myoung-Hee Kim, Young Kyung Do
Journal of Preventive Medicine and Public Health.2007; 40(6): 495. CrossRef - Effects of Private Health Insurance on Health Care Utilization and Expenditures in Korean Cancer Patients: Focused on 5 Major Cancers in One Cancer Center
Jin Hwa Lim, Kui Son Choi, Sung Gyeong Kim, Eun-Cheol Park, Jae Hyun Park
Journal of Preventive Medicine and Public Health.2007; 40(4): 329. CrossRef
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