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Original Articles
- The Association Between the Basic Old-Age Pension and Depression of the Older Adults in Korea
- Jaewon Kim, Tae-Jin Lee, Cheong-Seok Kim
- J Prev Med Public Health. 2020;53(5):332-341. Published online July 13, 2020
- DOI: https://doi.org/10.3961/jpmph.20.024
- 7,719 View
- 217 Download
- 2 Crossref
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Abstract
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Supplementary Material - Objectives
The purpose of this study was to investigate the association between the Basic Old-Age Pension (BOP), which is a noncontributory pension, and depression in BOP beneficiaries in Korea.
Methods
We used the second and third waves (2007-2008) of the Korea Welfare Panel Study to identify the effect of the BOP on mental health in the year of its introduction. The Center for Epidemiological Studies-Depression Scale, applied in a Korean context, was used to evaluate mental health. To analyze the effect of the BOP, a difference-in-difference approach was used in analyses of all subjects and subgroups.
Results
For this study population of 760 adults, the BOP did not have a statistically significant relationship with depression in its beneficiaries. After controlling for type of household, the BOP was still not associated with lower reporting of depression, either in singlebeneficiary or double-beneficiary households, in the year of the benefit.
Conclusions
The BOP policy had no significant relationship with the level of depression among recipients. However, this should not be interpreted as implying that income subsidy programs for older adults, such as the BOP, do not affect mental health, considering the importance of economic hardship in this population and the program’s socioeconomic effects. -
Summary
Citations
Citations to this article as recorded by
- Factors Associated with Aging in Place among Community-Dwelling Older Adults in Korea: Findings from a National Survey
Myong Sun Cho, Mi Young Kwon
International Journal of Environmental Research and Public Health.2023; 20(3): 2740. CrossRef - Comparing the mental health effects of different social assistance programmes in Hong Kong
Chenhong Peng, Paul S. F. Yip
Journal of Asian Public Policy.2022; : 1. CrossRef
- Has the Copayment Ceiling Improved Financial Protection in the Korean National Health Insurance System? Evidence From the 2009 Policy Change
- Tae-Jin Lee, Chelim Cheong
- J Prev Med Public Health. 2017;50(6):393-400. Published online November 9, 2017
- DOI: https://doi.org/10.3961/jpmph.17.151
- 8,558 View
- 165 Download
- 5 Crossref
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Abstract
PDF
- Objectives
To relieve the financial burden faced by households, the Korean National Health Insurance (NHI) system introduced a “copayment ceiling,” which evolved into a differential ceiling in 2009, with the copayment ceiling depending on patients’ income. This study aimed to examine the effect of the differential copayment ceiling on financial protection and healthcare utilization, particularly focusing on whether its effects varied across different income groups.
Methods
This study obtained data from the Korea Health Panel. The number of households included in the analysis was 6555 in 2008, 5859 in 2009, 5539 in 2010, and 5372 in 2011. To assess the effects of the differential copayment ceiling on utilization, out-of-pocket (OOP) payments, and catastrophic payments, various random-effects models were applied. Utilization was measured as treatment days, while catastrophic payments were defined as OOP payments exceeding 10% of household income. Among the right-hand side variables were the interaction terms of the new policy with income levels, as well as a set of household characteristics.
Results
The differential copayment ceiling contributed to increased utilization regardless of income levels both in all patients and in cancer patients. However, the new policy did not seem to reduce significantly the incidence of catastrophic payments among cancer patients, and even increased the incidence among all patients.
Conclusions
The limited effect of the differential ceiling can be attributed to a high proportion of direct payments for services not covered by the NHI, as well as the relatively small number of households benefiting from the differential ceilings; these considerations warrant a better policy design. -
Summary
Citations
Citations to this article as recorded by- Network analysis of stroke systems of care in Korea
Jihoon Kang, Hyunjoo Song, Seong Eun Kim, Jun Yup Kim, Hong-Kyun Park, Yong-Jin Cho, Kyung Bok Lee, Juneyoung Lee, Ji Sung Lee, Ah Rum Choi, Mi Yeon Kang, Philip B Gorelick, Hee-Joon Bae
BMJ Neurology Open.2024; 6(1): e000578. CrossRef - Has South Korea achieved the goals of national health insurance? Trends in financial protection of households between 2011 and 2018
Sujin Kim, Soonman Kwon
Social Science & Medicine.2023; 326: 115929. CrossRef - Cancer care patterns in South Korea: Types of hospital where patients receive care and outcomes using national health insurance claims data
Dong‐Woo Choi, Sun Jung Kim, Seungju Kim, Dong Wook Kim, Wonjeong Jeong, Kyu‐Tae Han
Cancer Medicine.2023; 12(13): 14707. CrossRef - Changes in health care utilization and financial protection after integration of the rural and urban social health insurance schemes in Beijing, China
Zhenyu Shi, Ping He, Dawei Zhu, Feng Lu, Qingyue Meng
BMC Health Services Research.2022;[Epub] CrossRef - News media’s framing of health policy and its implications for government communication: A text mining analysis of news coverage on a policy to expand health insurance coverage in South Korea
Wonkwang Jo, Myoungsoon You
Health Policy.2019; 123(11): 1116. CrossRef
- 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
- 9,167 View
- 104 Download
- 4 Crossref
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Abstract
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
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