扩大癌症患者福利覆盖面对韩国不同收入群体医疗保健利用的影响。

Sujin Kim, Soonman Kwon
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引用次数: 34

摘要

为了给癌症患者提供经济保障,韩国政府于2005年扩大了国民健康保险(NHI)的覆盖范围。本文考察了该政策是否改善了医疗保健利用中与收入相关的平等。本研究基于三差估计分析了政策在门诊次数、住院天数以及住院和门诊护理支出方面改善收入相关平等的程度。利用2002年至2004年和2006年至2010年NHI的全国索赔数据,我们将癌症患者作为治疗组,肝脏疾病作为对照组,低收入组与最高收入组进行了比较。结果表明,国家健康保险福利覆盖范围的扩大导致所有收入群体的门诊服务利用率增加,但低收入群体的癌症患者的门诊服务利用率增加更大。此外,该政策导致低收入群体的住院服务利用率下降较少,而所有收入群体的住院服务利用率都有所下降。我们的研究结果表明,国民健康保险福利覆盖范围的扩大改善了医疗保健利用中与收入相关的平等。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The effect of extension of benefit coverage for cancer patients on health care utilization across different income groups in South Korea.

To provide financial protection against catastrophic illness, the Korean government expanded the National Health Insurance (NHI) benefit coverage for cancer patients in 2005. This paper examined whether the policy improved the income-related equality in health care utilization. This study analyzed the extent to which the policy improved income-related equality in outpatient visits, inpatient days, and inpatient and outpatient care expenditure based on triple difference estimator. Using nationwide claims data of the NHI from 2002 to 2004 and from 2006 to 2010, we compared cancer patients as a treatment group with liver disease as a control group and low-income group with the highest-income group. The results showed that the extension of NHI benefits coverage led to an increase in the utilization of outpatient services across all income groups, but with a greater increase for the low-income groups, among cancer patients. Moreover, the policy led to a less decrease in the utilization of inpatient services for the low-income group while it decreased across all income groups. Our finding suggests that the extension of NHI benefits coverage improved the income-related equality in health care utilization.

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