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Seung Ah Choe 2 Articles
Factors Determining Children’s Private Health Insurance Enrolment and Healthcare Utilization Patterns: Evidence From the 2008 to 2011 Health Panel Data
Jawoon Shin, Tae-Jin Lee, Sung-il Cho, Seung Ah Choe
J Prev Med Public Health. 2015;48(6):319-329.   Published online November 16, 2015
DOI: https://doi.org/10.3961/jpmph.15.057
  • 9,676 View
  • 104 Download
  • 4 Crossref
AbstractAbstract PDF
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.
Summary

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
    PLOS ONE.2023; 18(1): e0278404.     CrossRef
  • Equity in the public social healthcare protection in Tanzania: does it matter on household healthcare financing?
    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
Causes of Child Mortality (1 to 4 Years of Age) From 1983 to 2012 in the Republic of Korea: National Vital Data
Seung Ah Choe, Sung-Il Cho
J Prev Med Public Health. 2014;47(6):336-342.   Published online November 7, 2014
DOI: https://doi.org/10.3961/jpmph.14.024
  • 10,267 View
  • 97 Download
  • 1 Crossref
AbstractAbstract PDF
Objectives
Child mortality remains a critical problem even in developed countries due to low fertility. To plan effective interventions, investigation into the trends and causes of child mortality is necessary. Therefore, we analyzed these trends and causes of child deaths over the last 30 years in Korea.
Methods
Causes of death data were obtained from a nationwide vital registration managed by the Korean Statistical Information Service. The mortality rate among all children aged between one and four years and the causes of deaths were reviewed. Data from 1983-2012 and 1993-2012 were analyzed separately because the proportion of unspecified causes of death during 1983-1992 varied substantially from that during 1993-2012.
Results
The child (1-4 years) mortality rates substantially decreased during the past three decades. The trend analysis revealed that all the five major causes of death (infectious, neoplastic, neurologic, congenital, and external origins) have decreased significantly. However, the sex ratio of child mortality (boys to girls) slightly increased during the last 30 years. External causes of death remain the most frequent origin of child mortality, and the proportion of mortality due to child assault has significantly increased (from 1.02 in 1983 to 1.38 in 2012).
Conclusions
In Korea, the major causes and rate of child mortality have changed and the sex ratio of child mortality has slightly increased since the early 1980s. Child mortality, especially due to preventable causes, requires public health intervention.
Summary

Citations

Citations to this article as recorded by  
  • Child mortality of twins and singletons among late preterm and term birth: a study of national linked birth and under-five mortality data of Korea
    Young Shin Kim, Minku Kang, Young June Choe, Joohon Sung, Ji Yeon Lee, Seung-Ah Choe
    European Journal of Pediatrics.2022; 181(5): 2109.     CrossRef

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