Skip Navigation
Skip to contents

JPMPH : Journal of Preventive Medicine and Public Health


Author index

Page Path
HOME > Browse Articles > Author index
Soo Young Choo 1 Article
Educational Differences in Health Care Utilization in the Last Year of Life among South Korean Cancer Patients.
Soo Young Choo, Sang Yi Lee, Chul Woung Kim, Su Young Kim, Tae Ho Yoon, Hai Rim Shin, Ok Ryun Moon
J Prev Med Public Health. 2007;40(1):36-44.
  • 4,780 View
  • 42 Download
  • 10 Crossref
AbstractAbstract PDF
There have been few studies examining the differences in health care utilization across social classes during the last year of life. Therefore, in this study we analyzed the quantitative and qualitative differences in health care utilization among cancer patients across educational classes in their last year of life, and derived from it implications for policy. METHODS: To evaluate health care utilization by cancer patients in the last year of life, Death certificate data from 2004 were merged with National Health Insurance data (n=60,088). In order to use educational level as a social class index, we selected the individuals aged 40 and over as study subjects (n=57,484). We analyzed the differences in the medical expenditures, admission days, and rates of admission experience across educational classes descriptively. Multiple regression analysis was conducted to evaluate the association between medical expenditures and independent variables such as sex, age, education class, site of death and type of cancer. RESULTS: The upper educational class spent much more on medical expenditures in the last one year of life, particularly during the last month of life, than the lower educational class did. The ratio of monthly medical expenditures per capita between the college class and no education class was 2.5 in the last 6-12 months of life, but the ratio was 1.6 in the last 1 month. Also, the lower the educational class, the higher the proportion of medical expenditures during the last one month of life, compared to total medical expenditures in the last one year of life. The college educational class had a much higher rate of admission experiences in tertiary hospitals within Seoul than the other education classes did. CONCLUSIONS: This study shows that the lower educational classes had qualitative and quantitative disadvantages in utilizing health care services for cancer in the last year of life.


Citations to this article as recorded by  
  • Cross-national differences in wealth inequality in health services and caregiving used near the end of life
    Jennifer A. Ailshire, Cristian A. Herrera, Eunyoung Choi, Margarita Osuna, Elina Suzuki
    eClinicalMedicine.2023; 58: 101911.     CrossRef
  • Socioeconomic differences in the perception of inequalities in healthcare utilization and health in South Korea
    Nayeon Kim, Hye-won Yun, Juwon Park, Fatima Nari, Hee Jin Wang, Jae Kwan Jun, Kui Son Choi, Mina Suh
    Preventive Medicine Reports.2023; 36: 102445.     CrossRef
  • Cross-National Differences in Wealth Inequality in Health Services and Caregiving Used Near the End of Life
    Jennifer A. Ailshire, Cristian A. Herrera, Eunyoung Choi, Margarita Osuna, Elina M. Suzuki
    SSRN Electronic Journal .2022;[Epub]     CrossRef
  • Socioeconomic position and use of healthcare in the last year of life: A systematic review and meta-analysis
    Joanna M. Davies, Katherine E. Sleeman, Javiera Leniz, Rebecca Wilson, Irene J. Higginson, Julia Verne, Matthew Maddocks, Fliss E. M. Murtagh, Holly Gwen Prigerson
    PLOS Medicine.2019; 16(4): e1002782.     CrossRef
  • Joint Symposium of Korean Cancer Association & UICC-ARO—Cross-boundary cancer studies: cancer and Universal Health Coverage (UHC) in Asia
    Eun-Cheol Park, Norie Kawahara, Shinjiro Nozaki, Hasbullah Thabrany, Shunya Yoshimi, Sohee Park, Duk Hyoung Lee, Hideyuki Akaza, Jae Kyung Roh
    Japanese Journal of Clinical Oncology.2017; 47(9): 889.     CrossRef
  • Medical Costs and Healthcare Utilization among Cancer Decedents in the Last Year of Life in 2009
    Inuk Hwang, Dong Wook Shin, Kyoung Hee Kang, Hyung Kook Yang, So Young Kim, Jong-Hyock Park
    Cancer Research and Treatment.2016; 48(1): 365.     CrossRef
  • Barriers to Cancer Care, Perceived Social Support, and Patient Navigation Services for Korean Breast Cancer Patients
    Jung-won Lim
    Social Work in Health Care.2015; 54(1): 47.     CrossRef
  • Equity in health care: current situation in South Korea
    Hong-Jun Cho
    Journal of the Korean Medical Association.2013; 56(3): 184.     CrossRef
  • Inequalities in Medical Care Utilization by South Korean Cancer Patients According to Income: A Retrospective Cohort Study
    Tae Ho Yoon, Sang-Yi Lee, Chul-Woung Kim, Su Young Kim, Baek-Geun Jeong, Hyeung-Keun Park
    International Journal of Health Services.2011; 41(1): 51.     CrossRef
  • Factors Influencing Utilization of Medical Care Among Osteoarthritis Patients in Korea: Using 2005 Korean National Health and Nutrition Survey Data
    Min Young Kim, Jong Ku Park, Sang Baek Koh, Chun-Bae Kim
    Journal of Preventive Medicine and Public Health.2010; 43(6): 513.     CrossRef

JPMPH : Journal of Preventive Medicine and Public Health