민간의료보험 가입의 영향요인 - 신규가입과 추가가입을 중심으로 -
Factors Associated with enrollment in new private health insurance and additional private health insurance
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Inequality in health care utilization caused by unequal access to health insurance, specially increased purchase of private health insurance (PHI). In order to overcome such limitations, this study analyzed whether the person with PHI, new PHI purchase and additional PHI purchase have or have been selected by insurance companies’ customer selections bias. Used data comes from Korea Health Panel Survey (KHPS) from 2008 to 2011. As a result, the second, the third, and the highest quartile group in household income have 1.73 times, 2.96 times, and 3.73 times more PHI, respectively, than the lowest quartile group. It means that there was inequality in PHI purchase according to income. And less chronic disease patients purchased more new PHI, additional PHI than more chronic disease patients. It indicate that there are limitations in PHI purchase due to chronic diseases. By analyzing the influence factors of new PHI and additional PHI, which were not studied previously, the study was able to prove the existence of customer selection process in PHI purchases. Inequality in PHI purchase by chronic disease patients may have inequality in health care utilization. So it need to be political approach to purchase PHI with equality. Also, It need to recognize that fixed-benefit plans and indemnity plans should be approached in a different manner.
Abstract
Inequality in health care utilization caused by unequal access to health insurance, specially increased purchase of private health insurance (PHI). In order to overcome such limitations, this study analyzed whether the person with PHI, new PHI purchase and additional PHI purchase have or have been selected by insurance companies’ customer selections bias. Used data comes from Korea Health Panel Survey (KHPS) from 2008 to 2011. As a result, the second, the third, and the highest quartile group in household income have 1.73 times, 2.96 times, and 3.73 times more PHI, respectively, than the lowest quartile group. It means that there was inequality in PHI purchase according to income. And less chronic disease patients purchased more new PHI, additional PHI than more chronic disease patients. It indicate that there are limitations in PHI purchase due to chronic diseases. By analyzing the influence factors of new PHI and additional PHI, which were not studied previously, the study was able to prove the existence of customer selection process in PHI purchases. Inequality in PHI purchase by chronic disease patients may have inequality in health care utilization. So it need to be political approach to purchase PHI with equality. Also, It need to recognize that fixed-benefit plans and indemnity plans should be approached in a different manner.
참고문헌 (23)
- 2010년 한국의료패널 기초분석보고서 (II), "국민건강보험공단", ~ (2012)
- 2011년도 건강보험환자 진료비 실태 조사, "국민건강보험공단", ~ (2013)
- 권현정, "패널 자료를 이용한 경제적 변화가 민간의료보험 가입 이행에 미치는 영향", 사회복지정책, 38(3), pp.131~158 (2011), 한국사회복지정책학회
- 김창엽, "건강보장의 이론" (2009), 한울아카데미
- 박영희, "민간의료보험 가입 요인 및 소비자 만족도 조사 연구 : 부산지역을 중심으로", 대한보건연구, 32(2), pp.120~129 (2006), 사단법인 대한보건협회
- 백인립, "민간의료보험의 가입요인과 의료이용행태", 한국콘텐츠학회 논문지, 12(7), pp.295~305 (2012), 한국콘텐츠학회[DOI]
- 유승흠, "의료보장론" (2009), 신광출판사
- 유창훈, "누가 민간의료보험에 가입하는가: 가입 건수를 중심으로", 보건경제와 정책연구, 16(3), pp.1~16 (2010), 한국보건경제정책학회
- 유창훈, "정액형과 실손형 민간의료보험의 비교: 의료이용량과 본인부담금을 중심으로", 사회보장연구, 27(1), pp.277~292 (2011), 한국사회보장학회
- 윤희숙, "민간의료보험 가입이 의료이용에 미치는 영향", 한국개발연구, 30(2), pp.99~128 (2008), 한국개발연구원
- 윤태호, "민간의료보험의 선택에 영향을 미치는 요인 : 민간의료보험 활성화에 대한 함의", 보건행정학회지, 15(4), pp.161~175 (2005), 한국보건행정학회
- 이현복, "민간의료보험 가입자 특성과 가입요인에 관한 연구", 사회보장연구, 27(1), pp.217~240 (2011), 한국사회보장학회
- 2008년 한국의료패널 기초분석보고서(Ⅱ), "정영호", 한국보건사회연구원, 국민건강보험공단, ~ (2010)
- 허순임, "민간의료보험을 통한 재원조달과 정책과제", 한국사회보장학회 춘계정기학술대회, pp.151~161 (2011)
- 허은정, "중․고령자의 민간의료보험 가입 및 지출액 결정요인", 소비자학연구, 20(4), pp.107~127 (2009), 한국소비자학회
- Bernard DM, "Wealth, income, and the affordability of health insurance", Health Affairs(Millwood), 28(3), pp.887~896 (2009)
- Buchmueller TC, "Access to physician services : does supplemental insurance matter? evidence from France", Health Economics, 13(7), pp.669~687 (2004)
- Doiron D, "Healthy, wealthy and insured? The role of self-assessed health in the demand for private health insurance", Health Economics, 17(3), pp.317~334 (2008)
- Ettner, S., "Adverse selection and the purchase of Medigap insurance by the elderly", Journal of Health Economics, 16, pp.543~562 (1997)
- Fang K, "Health insurance coverage, medical expenditure and coping strategy: evidence from Taiwan", BMC Health Service Research, 12, pp.442~ (2012)
- Jerant A, "Health insurance is associated with preventive care but not personal health behaviors", Journal of the American Board of Family Medicine, 26(6), pp.759~767 (2013)
- King D, "The determinants of private medical insurance prevalence in England, 1997-2000", Health Service Research, 40(1), pp.195~212 (2005)
- ven den Bert B, "Preferences and choices for care and health insurance", Social Science & Medicine, 66(12), pp.2448~2459 (2008)