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Sung Gyeong Kim 6 Articles
Analysis of the Factors Related to the Needs of Patients with Cancer.
Jung A Lee, Sun Hee Lee, Jong Hyock Park, Jae Hyun Park, Sung Gyeong Kim, Ju Hyun Seo
J Prev Med Public Health. 2010;43(3):222-234.
DOI: https://doi.org/10.3961/jpmph.2010.43.3.222
  • 5,523 View
  • 99 Download
  • 9 Crossref
AbstractAbstract PDF
OBJECTIVES
Limited research has investigated the specific needs of patients with cancer. This study was performed to explore patients needs and the related factors. METHODS: The data were collected by 1 National Cancer Center and 9 regional cancer centers in Korea. An interview survey was performed with using a structured questionnaire for the subjects(2661 patients who gave written informed consent to particiate) survey 4 months after diagnosis and review of medical records. Data were analyzed using t-test, ANOVA and multiple regression analysis. RESULTS: When comparing the relating factors related with patient needs to the sociodemographic characteristics, the female group showed a higher level of recognition for physical symptoms, social support needs. The younger group showed a significantly higher level of recognition for health care staff, psychological problems, information and education, social support, hospital services needs. In addition, the higher educated group showed a higher level of recognition for health care staff, physical symptoms, social support needs. The higher income and office workers group showed a higher level of recognition for hospital services needs. When comparing the relating factors related with patient needs to the cancer, the breast cancer group showed a higher level of recognition for all needs excluding physical symptoms, accessibility and financial support needs. The combined radiotherapy with surgery and chemotherapy group showed a higher level of recognition for psychological problems, information and education, social support needs. CONCLUSIONS: This study showed that needs on patient with cancer was significantly influenced by female, higher educagion, lower income, having religion, office worker, liver cancer, breast cancer, colon cancer, chemotherapy, and combined therapy.
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  • The Effect of Group Education Reflecting Unmet Needs on Knowledge of Chemotherapy for Patients and Their Families Undergoing Chemotherapy: A One Group Pre-Post Design
    Seyoung Lee, Hoyoung Kim, Nayeon Kim, Misun Yi, Ayoung Lee, Seonmi Cho, Minsun Nam, Juhee Cho
    Asian Oncology Nursing.2024; 24(1): 42.     CrossRef
  • A bibliometric analysis of publication of funded studies in nursing research from Web of Science, 2008–2018
    Ruifang Zhu, Mengyue Liu, Yanbing Su, Xin Meng, Shifan Han, Zhiguang Duan
    Journal of Advanced Nursing.2021; 77(1): 176.     CrossRef
  • Unmet Needs and Sexual Distress of Gynecological Cancer Patients according to the Period after Initial Treatment
    Yeon Hee Bae, Jeong Sook Park
    Asian Oncology Nursing.2021; 21(4): 221.     CrossRef
  • Factors influencing supportive care needs of multiple myeloma patients treated with chemotherapy
    Yoo-Rin Cho, Yang-Sook Yoo
    Supportive Care in Cancer.2020; 28(4): 1783.     CrossRef
  • Effectiveness of comprehensive traditional Korean Medicine treatment on quality of life, anorexia and cachexia of cancer patients: Retrospective chart review
    Wonju Han, Eunji Lee, Gajin Han, Sang-hoon Yoon, Gajin Han, Jungtae Leem
    Journal of Korean Medicine.2019; 40(2): 119.     CrossRef
  • The Effects of a Standardized Preoperative Education Program on Stomach Cancer Patients undergoing Gastrectomy
    Min Ah Yun, So Sun Kim, SangHee Kim, Sung Hoon Noh
    Asian Oncology Nursing.2016; 16(2): 85.     CrossRef
  • Factors that Influence Korean Breast Cancer Patients to Undergo Cancer Rehabilitation Therapy
    Hui-jeong Park, Kyunghee Kim, Ji-su Kim
    Asian Oncology Nursing.2015; 15(2): 106.     CrossRef
  • The Association Between Perceived Social Support and Continued Smoking in Cancer Survivors
    H.-K. Yang, D.-W. Shin, J.-H. Park, S.-Y. Kim, C.-S. Eom, S. Kam, J.-H. Choi, B.-L. Cho, H.-G. Seo
    Japanese Journal of Clinical Oncology.2013; 43(1): 45.     CrossRef
  • Psychosocial needs of cancer patients and related factors: a multi‐center, cross‐sectional study in Korea
    Kyung‐Hyun Choi, Jae‐Hyun Park, Jong‐Hyock Park, Joo‐Sung Park
    Psycho-Oncology.2013; 22(5): 1073.     CrossRef
Costs of Initial Cancer Care and its Affecting Factors.
So Young Kim, Sung Gyeong Kim, Jong Hyock Park, Eun Cheol Park
J Prev Med Public Health. 2009;42(4):243-250.
DOI: https://doi.org/10.3961/jpmph.2009.42.4.243
  • 5,654 View
  • 100 Download
  • 10 Crossref
AbstractAbstract PDF
OBJECTIVES
The purposes of this study is to estimate the cost of cancer care after its diagnosis and to identify factors that can influence the cost of cancer care. METHODS: The study subjects were patients with an initial diagnosis one of four selected tumors and had their first two-years of cancer care at a national cancer center. The data were obtained from medical records and patient surveys. We classified cancer care costs into medical and nonmedical costs, and each cost was analyzed for burden type, medical service, and cancer stage according to cancer types. Factors affecting cancer care costs for the initial phase included demographic variables, socioeconomic status and clinical variables. RESULTS: Cancer care costs for the initial year following diagnosis were higher than the costs for the following successive year after diagnosis. Lung cancer (25,648,000 won) had higher costs than the other three cancer types. Of the total costs, patent burden was more than 50% and medical costs accounted for more than 60%. Inpatient costs accounted for more than 60% of the medical costs for stomach and liver cancer in the initial phase. Care for late-stage cancer was more expensive than care for early-stage cancer. Nonmedical costs were estimated to be between 4,500,000 to 6,000,000 won with expenses for the caregiver being the highest. The factors affecting cancer care costs were treatment type and cancer stage. CONCLUSIONS: The cancer care costs after diagnosis are substantial and vary by cancer site, cancer stage and treatment type. It is useful for policy makers and researchers to identify tumor-specific medical and nonmedical costs. The effort to reduce cancer costs and early detection for cancer can reduce the burden to society and improve quality of life for the cancer patients.
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  • Projecting Lifetime Health Outcomes and Costs Associated with the Ambient Fine Particulate Matter Exposure among Adult Women in Korea
    Gyeyoung Choi, Yujeong Kim, Gyeongseon Shin, SeungJin Bae
    International Journal of Environmental Research and Public Health.2022; 19(5): 2494.     CrossRef
  • Expenditure and Financial Burden for Stomach Cancer Diagnosis and Treatment in China: A Multicenter Study
    Kai Zhang, Jian Yin, Huiyao Huang, Le Wang, Lanwei Guo, Jufang Shi, Min Dai
    Frontiers in Public Health.2020;[Epub]     CrossRef
  • Early Detection is Important to Reduce the Economic Burden of Gastric Cancer
    Jie-Hyun Kim, Sung Soo Kim, Jeong Hoon Lee, Da Hyun Jung, Dae Young Cheung, Woo-Chul Chung, Soo-Heon Park
    Journal of Gastric Cancer.2018; 18(1): 82.     CrossRef
  • Supporting Low-income Cancer Patients: Recommendations for the Public Financial Aid Program in the Republic of Korea
    Hye Sook Min, Hyung Kook Yang, Keeho Park
    Cancer Research and Treatment.2018; 50(4): 1074.     CrossRef
  • Modeling lifetime costs and health outcomes attributable to secondhand smoke exposure at home among Korean adult women
    Jiyae Lee, Ah Ram Han, Dalwoong Choi, Kyung-Min Lim, SeungJin Bae
    BMJ Open.2017; 7(5): e013292.     CrossRef
  • The Relief Effect of Copayment Decreasing Policy on Unmet Needs in Targeted Diseases
    Jae-Woo Choi, Jae-Hyun Kim, Eun-Cheol Park
    Health Policy and Management.2014; 24(1): 24.     CrossRef
  • Changes in Economic Status of Households Associated with Catastrophic Health Expenditures for Cancer in South Korea
    Jae-Woo Choi, Kyoung-Hee Cho, Young Choi, Kyu-Tae Han, Jeoung-A Kwon, Eun-Cheol Park
    Asian Pacific Journal of Cancer Prevention.2014; 15(6): 2713.     CrossRef
  • Medicaid inpatient costs and nested structural analysis using a hierarchical linear modeling (HLM) approach
    Keon-Hyung Lee, Sang-Chul Park, Jungwon Park, Seunghoo Lim
    Health Services and Outcomes Research Methodology.2013; 13(2-4): 157.     CrossRef
  • Costs During the First Five Years Following Cancer Diagnosis in Korea
    Ji-Yeon Shin, So Young Kim, Kun-Sei Lee, Sang-Il Lee, Young Ko, Young-Soon Choi, Hong Gwan Seo, Joo-Hyuk Lee, Jong-Hyock Park
    Asian Pacific Journal of Cancer Prevention.2012; 13(8): 3767.     CrossRef
  • Cost‐effectiveness of bevacizumab‐based therapy versus cisplatin plus pemetrexed for the first‐line treatment of advanced non‐squamous NSCLC in Korea and Taiwan
    Myung‐Ju AHN, Chun‐Ming TSAI, Te‐Chun HSIA, Elaine WRIGHT, John Wen‐Cheng CHANG, Heung Tae KIM, Joo‐Hang KIM, Jin Hyoung KANG, Sang‐We KIM, Eun‐Jin BAE, Mijeong KANG, Johanna LISTER, Stefan WALZER
    Asia-Pacific Journal of Clinical Oncology.2011; 7(s2): 22.     CrossRef
Economic Burden of Cancer in South Korea for the Year 2005.
Jinhee Kim, Myung Il Hahm, Eun Cheol Park, Jae Hyun Park, Jong Hyock Park, Sung Eun Kim, Sung Gyeong Kim
J Prev Med Public Health. 2009;42(3):190-198.
DOI: https://doi.org/10.3961/jpmph.2009.42.3.190
  • 6,813 View
  • 144 Download
  • 44 Crossref
AbstractAbstract PDF
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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    Hee-Jung Jun, SeungYeoup Kang
    Journal of Korea Planning Association.2023; 58(2): 38.     CrossRef
  • Prevalence and socioeconomic burden of diabetes mellitus in South Korean adults: a population-based study using administrative data
    Sung-Hee Oh, Hyemin Ku, Kang Seo Park
    BMC Public Health.2021;[Epub]     CrossRef
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    Byeong-Chan Oh, Jeong-Yeon Cho, Sun-Hong Kwon, Eui-Kyung Lee, Hye-Lin Kim
    Korean Journal of Clinical Pharmacy.2021; 31(2): 153.     CrossRef
  • Sex Difference in the Socioeconomic Burden of Osteoporosis among South Koreans
    Eun-Whan Lee, Jin Young Nam
    Healthcare.2021; 9(10): 1304.     CrossRef
  • Socioeconomic Burden of Disease Due to Asthma in South Korea
    Eun-Whan Lee, Hee-Sun Kim, Wook Kim, Jin-Young Nam, Jae-Hyun Park
    Asia Pacific Journal of Public Health.2020; 32(4): 188.     CrossRef
  • The Economic Burden of Brain Disability in Korea, 2008-2011
    Hyun-Jin Kim, Seung Hee Ho, Sol Lee, In-Hwan Oh, Ju Hee Kim, Eun Joo Kim, Seong Jae Lee
    INQUIRY: The Journal of Health Care Organization, Provision, and Financing.2020; 57: 004695802093639.     CrossRef
  • Socioeconomic Burden of Cancer in Korea from 2011 to 2015
    Young Ae Kim, Ye-Rin Lee, Jeongjoo Park, In-Hwan Oh, Hoseob Kim, Seok-Jun Yoon, Keeho Park
    Cancer Research and Treatment.2020; 52(3): 896.     CrossRef
  • Measuring the Economic Burden of Disease and Injury in Korea, 2015
    Ye-Rin Lee, Bogeum Cho, Min-Woo Jo, Minsu Ock, Donghoon Lee, Doungkyu Lee, Moon Jung Kim, In-Hwan Oh
    Journal of Korean Medical Science.2019;[Epub]     CrossRef
  • The economic burden of cancer attributable to obesity in Korea: A population‐based cohort study
    Joo Eun Lee, Chung Mo Nam, Sang Gyu Lee, Sohee Park, Tae Hyun Kim, Eun‐Cheol Park
    European Journal of Cancer Care.2019;[Epub]     CrossRef
  • Association of Bedtime with both Suicidal Ideation and Suicide Planning among Korean Adolescents
    Wonjeong Jeong, Yun Kyung Kim, Hyeon Ji Lee, Jieun Jang, Selin Kim, Eun-Cheol Park, Sung-In Jang
    International Journal of Environmental Research and Public Health.2019; 16(20): 3817.     CrossRef
  • Cancer Survivorship in Primary Care
    Jihun Kang, Eun Ju Park, Jungkwon Lee
    Korean Journal of Family Medicine.2019; 40(6): 353.     CrossRef
  • The economic burden of kidney disorders in Korea
    Ju Hee Kim, Seung Hee Ho, Hyun-Jin Kim, Sol Lee
    Journal of Medical Economics.2018; 21(3): 262.     CrossRef
  • How great is current curative expenditure and catastrophic health expenditure among patients with cancer in China? A research based on “System of Health Account 2011”
    Ang Zheng, Wenjuan Duan, Lin Zhang, Xintong Bao, Xiaoyun Mao, Zhuojun Luo, Feng Jin
    Cancer Medicine.2018; 7(8): 4036.     CrossRef
  • The Burden of Cancer in Korea during 2012: Findings from a Prevalence-Based Approach
    Young-hoon Gong, Seok-Jun Yoon, Min-Woo Jo, Arim Kim, Young Ae Kim, Jihyun Yoon, Hyeyoung Seo, Dongwoo Kim
    Journal of Korean Medical Science.2016; 31(Suppl 2): S168.     CrossRef
  • Factors Influencing the of Middle-Aged Men the NCSP(National Cancer Screening Program)
    Geum-Ja Park, Kyoung-Min Lim, Sook-Nam Kim
    The Korean Journal of Health Service Management.2016; 10(3): 51.     CrossRef
  • Total costs and clinical outcome of hematopoietic stem cell transplantation in adults with leukemia: comparison between reduced‐intensity and myeloablative conditioning
    Koung Jin Suh, Inho Kim, Jin Lim, Hyerim Ha, Seongyeol Park, Youngil Koh, Sung‐Soo Yoon, Seonyang Park
    Clinical Transplantation.2015; 29(2): 124.     CrossRef
  • The Epidemiology and Economic Burden ofClostridium difficileInfection in Korea
    Hyung-Yun Choi, So-Youn Park, Young-Ae Kim, Tai-Young Yoon, Joong-Myung Choi, Bong-Keun Choe, So-Hee Ahn, Seok-Jun Yoon, Ye-Rin Lee, In-Hwan Oh
    BioMed Research International.2015; 2015: 1.     CrossRef
  • The Economic Burden of Cancer in Korea in 2009
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    Asian Pacific Journal of Cancer Prevention.2015; 16(3): 1295.     CrossRef
  • The Economic Burden of Cancers Attributable to Metabolic Syndrome in Korea
    Dongwoo Kim, Seok-Jun Yoon, Young-Hoon Gong, Young Ae Kim, Hye-Young Seo, Jihyun Yoon, A-Rim Kim
    Journal of Preventive Medicine and Public Health.2015; 48(4): 180.     CrossRef
  • The Economic Burden of Breast Cancer in Korea from 2007-2010
    Young Ae Kim, In-Hwan Oh, Seok-Jun Yoon, Hyun-Jin Kim, Hye-Young Seo, Eun-Jung Kim, Yo Han Lee, Jae Hun Jung
    Cancer Research and Treatment.2015; 47(4): 583.     CrossRef
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    Kyung-Ock Jeon, Sun-Young Son, Myung-Il Hahm, Soon-Il Kim
    Korean Journal of Transplantation.2015; 29(4): 200.     CrossRef
  • Economic Burden of Colorectal Cancer in Korea
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    Journal of Preventive Medicine and Public Health.2014; 47(2): 84.     CrossRef
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    BMC Cancer.2014;[Epub]     CrossRef
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    Cancer Research and Treatment.2014; 47(2): 149.     CrossRef
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    Kyohyun Kim, Baek-Geun Jeong, Moran Ki, Mira Park, Jin Kyung Park, Bo Youl Choi, Weon-Seob Yoo
    Epidemiology and Health.2014; 36: e2014011.     CrossRef
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    Journal of Pharmacopuncture.2013; 16(1): 12.     CrossRef
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    Dong Wook Shin, BeLong Cho, So Young Kim, Je Hyuck Jung, Jong Hyock Park
    Journal of Korean Medical Science.2013; 28(5): 651.     CrossRef
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    Kyu Sik Choi, Jae Hyun Park, Kwang Sig Lee
    Journal of Korean Medical Science.2013; 28(6): 808.     CrossRef
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    Sung-In Jang, Kwang-Sig Lee, Eun-Cheol Park
    Journal of Preventive Medicine and Public Health.2013; 46(6): 329.     CrossRef
  • Union for International Cancer Control International Session: Healthcare Economics: The significance of the UN summit non‐communicable diseases political declaration in Asia
    Hideyuki Akaza, Norie Kawahara, Tohru Masui, Kunihiko Takeyama, Masafumi Nogimori, Jae Kyung Roh
    Cancer Science.2013; 104(6): 773.     CrossRef
  • A Single Measure of Cancer Burden in Korea from 1999 to 2010
    Kyoung-Hee Cho, Sohee Park, Kwang-Sig Lee, Sung-In Jang, Ki-Bong Yoo, Jae-Hyun Kim, Eun-Cheol Park
    Asian Pacific Journal of Cancer Prevention.2013; 14(9): 5249.     CrossRef
  • The Socioeconomic Burden of Coronary Heart Disease in Korea
    Hoo-Sun Chang, Han-Joong Kim, Chung-Mo Nam, Seung-Ji Lim, Young-Hwa Jang, Sera Kim, Hye-Young Kang
    Journal of Preventive Medicine and Public Health.2012; 45(5): 291.     CrossRef
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    Do‐Youn OH, Bruce CRAWFORD, Sung‐Bae KIM, Hyun‐Cheol CHUNG, Jeffrey MCDONALD, Sang Yoon LEE, Su‐Kyoung KO, Jungsil RO
    Asia-Pacific Journal of Clinical Oncology.2012; 8(3): 282.     CrossRef
  • The economic burden of stroke in 2010 in Korea
    Hyun-Jin Kim, Young-Ae Kim, Hye-Young Seo, Eun-Jung Kim, Seok-Jun Yoon, In-Hwan Oh
    Journal of the Korean Medical Association.2012; 55(12): 1226.     CrossRef
  • The Economic Burden of Inflammatory Heart Disease in Korea
    Seul-Ki Ko, Seok-Jun Yoon, In-Hwan Oh, Hye-Young Seo, Eun-Jung Kim
    Korean Circulation Journal.2011; 41(12): 712.     CrossRef
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    Ju-Hyung Lee, Jung-Im Park, Ji-Hoon Kang, Jung-Ho Youm, Dai-Ha Koh, Keun-Sang Kwon
    Journal of agricultural medicine and community health.2011; 36(4): 238.     CrossRef
  • Socioeconomic costs of liver disease in Korea
    Sunmi Lee, Woojin Chung, Kyung-Rae Hyun
    The Korean Journal of Hepatology.2011; 17(4): 274.     CrossRef
  • How Much Amount of Socioeconomic Loss Is Caused by Digestive Diseases?
    Kyung Sik Park
    The Korean Journal of Gastroenterology.2011; 58(6): 297.     CrossRef
  • Comprehensive needs assessment tool in cancer (CNAT): the development and validation
    Eun-Jung Shim, kyung-Sook Lee, Jong-Hyock Park, Jae-Hyun Park
    Supportive Care in Cancer.2011; 19(12): 1957.     CrossRef
  • Factors Affecting Beneficiary Satisfaction on Financial Aid Program for Cancer Patients in Korea
    Ju-Ho Sim, Jong-Hyock Park, Jung-A Lee, So-Young Kim, Bo-Ram Park, Eun-Cheol Park
    Korean Journal of Health Policy and Administration.2011; 21(1): 61.     CrossRef
  • A Renal Transplantation and Hemodialysis Cost-Utility Analysis in Patients with End-Stage Renal Disease
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    Korean Journal of Transplantation.2010; 24(3): 173.     CrossRef
  • Cancer patients' need for financial assistance and its related factors
    Youn-Gu Kim, Jae-Hyun Park, Jong-Hyock Park
    Korean Journal of Health Policy and Administration.2010; 20(4): 58.     CrossRef
  • Estimating Medical Expenditure Associated with Osteoporotic Hip Fracture in Elderly Korean Women Based on the National Health Insurance Claims Database 2002–2004
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    Value in Health.2009; 12: S93.     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
J Prev Med Public Health. 2007;40(4):329-335.
DOI: https://doi.org/10.3961/jpmph.2007.40.4.329
  • 4,820 View
  • 55 Download
  • 10 Crossref
AbstractAbstract PDF
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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    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
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    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.
Jin Hwa Lim, Sung Gyeong Kim, Eun Mi Lee, Sin Young Bae, Jae Hyun Park, Kui Son Choi, Myung Il Hahm, Eun Cheol Park
J Prev Med Public Health. 2007;40(2):150-154.
DOI: https://doi.org/10.3961/jpmph.2007.40.2.150
  • 5,159 View
  • 57 Download
  • 13 Crossref
AbstractAbstract 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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Out-of-pocket Health Expenditures by Non-elderly and Elderly Persons in Korea.
Sung Gyeong Kim, Seung Hum Yu, Woong Sub Park, Woo Jin Chung
J Prev Med Public Health. 2005;38(4):408-414.
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AbstractAbstract PDF
OBJECTIVES
The purpose of this study was to determine the impact of the sociodemographic and health characteristics on the out-of-pocket health spending of the individuals aged 20 and older in Korea. METHODS: We used the data from the 2001 National Public Health and Nutrition Survey. The final sample size was 26, 154 persons. Multiple linear regression models were used according to the age groups, that is, one model was used for those people under the age of sixty-five and the other was used for those people aged sixty-five and older. In these analyses, the expenditures were transformed to a logarithmic scale to reduce the skewness of the results. RESULTS: Out-of-pocket health expenditures for those people under the age of 65 averaged 14, 800 won per month, whereas expenditures for those people aged 65 and older averaged 27, 200 won per month. In the regression analysis, the insurance type, resident area, self-reported health status, acute or chronic condition and bed-disability days were the statistically significant determinants for both age groups. Gender and age were statistically significant determinants only for the non-elderly. CONCLUSIONS: The findings from this study show that the mean out-of-pocket health expenditures varied according to the age groups and also several diverse characteristics. Thus, policymakers should consider the out-of-pocket health expenditure differential between the elderly and nonelderly persons. Improvement of the insurance coverage for the economically vulnerable subgroups that were identified in this study should be carefully considered. In addition, it is necessary to assess the impact of out-of-pocket spending on the peoples' health care utilization.
Summary

JPMPH : Journal of Preventive Medicine and Public Health
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