Journal of Preventive Medicine and Public Health

Original Article

The Impact of Public Transfer Income on Catastrophic Health Expenditures for Households With Disabilities in Korea: Eun Jee Chang, Sanggu Kang, Yeri Jeong, Sungchan Kang, Su Jin Kang; J Prev Med Public Health. 2023;56(1):67-76. Published online January 16, 2023; DOI: https://doi.org/10.3961/jpmph.22.183

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Objectives
Previous studies have reported that people with disabilities are more likely to be impoverished and affected by excessive medical costs than people without disabilities. Public transfer income (PTI) reduces financial strain in low-income households. This study examined the impact of PTI on catastrophic health expenditures (CHE), focusing on low-income households and households with Medical Aid beneficiaries that contained people with disabilities.
Methods
We constructed a panel dataset by extracting data on registered households with disabilities from the Korea Welfare Panel Study 2012-2019. We then used a generalized estimating equation model to estimate the impacts of PTI on CHE. A subgroup analysis was carried out to assess the moderating effects of family income levels and health insurance types.
Results
As PTI increased, the odds ratio (OR) of CHE in households that contained people with disabilities decreased significantly (OR, 0.92; 95% confidence interval [CI], 0.89 to 0.94; p<0.001). In particular, PTI effectively reduced the likelihood of CHE for low-income households (OR, 0.85; 95% CI, 0.81 to 0.89; p<0.001) and those who received medical benefits (OR, 0.78; 95% CI, 0.68 to 0.89; p<0.001).
Conclusions
This study highlights the positive effect of PTI on decreasing CHE. Household income and the health insurance type were significant effect modifiers, but economic barriers seemed to persist among low-income households with non-Medical Aid beneficiaries. Federal policies or programs should consider increasing the total amount of PTI targeting low-income households with disabilities that are not covered by the Medical Aid program.

Summary

Korean summary
장애인은 비장애인에 비해 소득수준이 낮고 빈곤율이 높으며, 저소득 장애인 가구일수록 소득원천 비중에서 공적이전소득 의존성이 높다. 본 연구는 공적이전소득이 장애인 가구의 재난적 의료비 발생 확률(Odds ratio)을 효과적으로 낮춘다는 점을 밝혔으며, 특히 저소득층 및 의료급여 수급 가구에서 의료비 부담 완화 효과가 큰 것을 확인하였다. 향후 의료급여 적용대상에서 제외되어 건강보험에 가입해 있는 저소득 장애인 가구를 대상으로 추가적인 맞춤형 지원 정책이 필요하다.

Citations

Citations to this article as recorded by

Prevalence and Determinants of Catastrophic Healthcare Expenditures in Iran From 2013 to 2019
Abdoreza mousavi, Farhad lotfi, Samira Alipour, Aliakbar Fazaeli, Mohsen Bayati
Journal of Preventive Medicine and Public Health.2024; 57(1): 65. CrossRef

COVID-19: Brief Report

The Evolving Policy Debate on Border Closure in Korea: Su JIn Kang, Jihyun Moon, Heewon Kang, Heekyoung Nam, Sangwoo Tak, Sung-Il Cho; J Prev Med Public Health. 2020;53(5):302-306. Published online September 11, 2020; DOI: https://doi.org/10.3961/jpmph.20.213

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Abstract PDF Supplementary Material

Objectives
In this paper, we aimed to investigate the evolving debate over border closure in Korea during the coronavirus disease 2019 (COVID-19) pandemic, to address the main themes associated with border closure, and to discuss the factors that need to be considered when making such decisions.
Methods
We collated and reviewed previously conducted review studies on border closures during infectious disease outbreaks to derive relevant themes and factors.
Results
According to our systematic review on border closures and travel restrictions, the effects of such containment efforts are limited. We suggest considering the following factors when determining whether to impose border closure measures: (1) disease characteristics, (2) timeliness of implementation, (3) transmission delay and the basic reproduction number, (4) globalization and pandemics, and (5) social and economic costs.
Conclusions
Our assessment indicates that the effects of border closures are at best temporary and limited. Alternative measures must be contemplated and implemented to suppress the spread of COVID-19 in particular and infectious diseases more broadly.

Summary

Citations

Citations to this article as recorded by

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Olalekan A. Uthman, Olatunji O. Adetokunboh, Charles Shey Wiysonge, Sameh Al-Awlaqi, Johanna Hanefeld, Charbel El Bcheraoui
Frontiers in Public Health.2022;[Epub] CrossRef
A measure to estimate the risk of imported COVID-19 cases and its application for evaluating travel-related control measures
Heewon Kang, Kyung-Duk Min, Seonghee Jeon, Ju-Yeun Lee, Sung-il Cho
Scientific Reports.2022;[Epub] CrossRef
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International Journal of Drug Policy.2021; 93: 103236. CrossRef

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