- Economic Burden of Cancer in South Korea for the Year 2005.
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Jinhee Kim, Myung Il Hahm, Eun Cheol Park, Jae Hyun Park, Jong Hyock Park, Sung Eun Kim, Sung Gyeong Kim
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J Prev Med Public Health. 2009;42(3):190-198.
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DOI: https://doi.org/10.3961/jpmph.2009.42.3.190
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- OBJECTIVES
The objective of this study is to estimate the economic costs of cancer on society. METHODS: We estimated the economic burden of people with cancer in South Korea. To perform the analysis, we reviewed the records of people who were cancer patients and those who were newly diagnosed with cancer. The data was compiled from the National Health Insurance Corporation, which included the insurance claims database, a list of cancer patients, a database that records the cancer rates, the Korea Central Cancer Registry Center's cancer patient registry database and the Korea National Statistical Office's causes of death database. We classified the costs as related to cancer into direct costs and indirect costs, and we estimated each cost. Direct costs included both medical and non-medical care expenses and the indirect costs consisted of morbidity, mortality and the caregiver's time costs. RESULTS: The total economic costs of cancer in South Korea stood at 14.1 trillion won in 2005. The largest amount of the cost 7.4 trillion won, was the mortality costs. Following this were the morbidity costs (3.2 trillion won), the medical care costs (2.2 trillion won), the non-medical care costs (1.1 trillion won) and the costs related to the caregiver's time (100 billion won). As a result, the economic cost of cancer to South Korea is estimated to be between 11.6 trillion won to 14.1 trillion won for the year 2005. CONCLUSIONS: We need to reduce the cancer burden through encouraging people to undergo early screening for cancer and curing it in the early stage of cancer, as well as implementing policies to actively prevent cancer.
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- Factors Influencing the Intention to have Stomach Cancer Screening.
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Myung Il Hahm, Kui Son Choi, Su Yeon Kye, Min Son Kwak, Eun Cheol Park
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J Prev Med Public Health. 2007;40(3):205-212.
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DOI: https://doi.org/10.3961/jpmph.2007.40.3.205
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4,856
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57
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8
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- OBJECTIVES
The purpose of this study was to identify the factors influencing the intention to have stomach cancer screening using the theory of planned behavior (TPB) in Korea. METHODS: For this population-based study, 1,535 adult respondents (aged 40 to 70 years) were recruited using multi-stratified random sampling and a face-to-face administered questionnaire. This study was based on Ajzen's theory of planned behavior. Intentions were divided into three scenarios for fee payment in the next two years: (1) free of charge, (2) co-payment, and (3) full charge. Multiple linear regression was used to identify the factors influencing the intention to have stomach cancer screening. RESULTS: Perceived behavioral control and attitude toward stomach cancer screening were significant predictors of the intention to have stomach cancer screening. However, subjective norm only influenced the intention to have stomach cancer screening with full charge in the next two years. CONCLUSIONS: The results suggest that attitude and perceived behavioral control are likely to contribute toward increasing the intention to have stomach cancer screening. Especially, perceived behavioral control is a good predictor. Because the study subjects were nation wide residents, the study results can be generalized.
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Summary
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Citations
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Hyung-Kook Yang, Dong-Wook Shin, Seung-Sik Hwang, Juwhan Oh, Be-Long Cho
Journal of Korean Medical Science.2013; 28(3): 348. CrossRef - Factors Associated with Cancer Screening Intention in Eligible Persons for National Cancer Screening Program
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- 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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4,913
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Abstract
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- 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
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Roberto Bordonaro, Dario Piazza, Concetta Sergi, Stefano Cordio, Salvatore Tomaselli, Vittorio Gebbia
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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
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Hyo-Jin Kim, Jae-Hee Lee
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Myung Suk Lee
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Eun-Cheol Song, Young-Jeon Shin
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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
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Seon-Hee Yim, Kyu-Won Jung, Young-Joo Won, Hyun-Joo Kong, Hai-Rim Shin
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Myoung-Hee Kim, Young Kyung Do
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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
- Customer's Intention to Use Hospital-based Health Promotion Services.
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Myung Il Hahm, Myung Geun Kang, Choon Sun Park, Woo Hyun Cho
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Korean J Prev Med. 2003;36(2):108-116.
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Abstract
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To determine the relationships between customer's attitude, the subjective norm and the intention to use hospital-based health promotion services. METHODS: This study was based on the theory of reasoned action, suggested by Fishbein and Ajzen. The subjects of this study were 501 residents of Seoul, Bun-dang, Il-san and Pyung-chon city, under 65 years, who were stratified by sex and age. A covariance structural analysis was used to identify the structural relationships between attitude towards health promotion programs or services, their subjective norm and their intention to use the aforementioned services. RESULTS: The subjective norm for using the health promotion programs or services provided by hospitals was a significant predictor of the intention to use, but the attitude towards the services was not significant. CONCLUSIONS: Our results suggest that a customer's reference group affects their use of the hospital-based health promotion services. Because the subjects of this study were restricted to specific urban areas, there are limitations to generalizing the study results. Despite the limitations of these results, they can serve as baseline information for the understanding of consumer's behavior toward hospital-based health promotion services.
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Summary
- Current Status of Hospital-based Health Promotion Programs in Korea and the Factors Influencing Their Introduction.
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Sang Gyu Lee, Choon Seon Park, Myung Guen Kang, Myung Il Hahm, Soon Young Lee, Woo Hyun Cho
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Korean J Prev Med. 2001;34(4):399-407.
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To investigate the current status of hospital-based health promotion programs in Korea and to elucidate the factors which affect to the process of implementation. METHODS: We conducted a mail survey of all 875 hospitals in Korea from March to May 2001. In reference to 12 specific kinds of health promotion programs, hospital CEOs were asked whether their hospital have such programs, whether they are fully staffed and whether the program is paid for by the patients. Contextual factors(location, hospital type, number of beds, length of operation, public/private status, economic level of the community, the level of competition) and organizational factors (the extent of market, compatibility with vision, formalization), strategic types of the CEOs (defender/analyser/prospector) were also surveyed. The relationships between each variable and the implementation of health promotion services, activation of services, and the target groups(patient/community resident) were analyzed by univariate analysis and the independent effects of these variables were examined with multiple logistic regression. RESULTS: 106 of 125 hospitals responding (84.8%) had more than one health promotion program. However, they showed fluctuations in the adoption rate of each programs, meaning that comprehensive health promotion services were not provided. Many programs were not fully staffed and few hospitals had paid programs. In factors affecting health promotion service implementation, private hospitals showed a higher rate in implementation than public hospitals. In contrast, when the competition among nearby hospitals was intense, the level of implementation of service lowered. In the strategic type of the CEOs, the prospectors were shown to have instituted more health promotion programs in their hospitals and the analysers had a greater tendency to have programs for community residents than the defenders. CONCLUSION: Considering the above results, contextual factors may contribute greatly to the introduction of health promotion services in Korean hospital, although the CEO's personal preference and organizational factors play a larger role in the activation of services. Additionally, the CEO's personal preference may be the major influencing factor in the introduction of programs for community residents.
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