재난적 의료비 발생 추이 및 결정요인에 관한 연구: 4대 중증질환을 중심으로
A Study on the Trends and Determinants of Catastrophic Health Expenditure : in terms of four severe diseases
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In order to improve the health and social security of the people, Korea’s national health insurance prevents excessive burdens on households due to health expenditures and allows them to receive necessary medical services. Nevertheless, calls for stronger health insurance coverage have been continuously raised. In response, in order to improve the coverages of severe diseases and ease the burden of households, the government has implemented several policies since 2005. Policy evaluations should be analyzed as policies have long been implemented to reduce high medical costs for cancer, heart disease, cerebrovascular disease, and rare incurable diseases, which are the four major serious diseases that weigh heavily on the household economy. One of the indicators for looking at the level of national health care and the health burden of households is the "catastrophic health expenditure". This is considered to have resulted in catastrophic health expenditure as it was judged to impose an economic burden on households if they exceeded a certain level by calculating the proportion of medical expenses to their income. However, due to the increase in medical use and health expenditure, a number of catastrophic medical expenses-related studies have been conducted so far, but the research centered on the four major serious diseases where the actual policy was implemented is insufficient. Therefore, this study aims to utilize the three-year data of the Korea Welfare Panel to examine the trend of catastrophic health expenditures of households and to identify the factors that affect the generation of catastrophic health expenditures of households based on the four major diseases through panel analysis.
Abstract
In order to improve the health and social security of the people, Korea’s national health insurance prevents excessive burdens on households due to health expenditures and allows them to receive necessary medical services. Nevertheless, calls for stronger health insurance coverage have been continuously raised. In response, in order to improve the coverages of severe diseases and ease the burden of households, the government has implemented several policies since 2005. Policy evaluations should be analyzed as policies have long been implemented to reduce high medical costs for cancer, heart disease, cerebrovascular disease, and rare incurable diseases, which are the four major serious diseases that weigh heavily on the household economy. One of the indicators for looking at the level of national health care and the health burden of households is the "catastrophic health expenditure". This is considered to have resulted in catastrophic health expenditure as it was judged to impose an economic burden on households if they exceeded a certain level by calculating the proportion of medical expenses to their income. However, due to the increase in medical use and health expenditure, a number of catastrophic medical expenses-related studies have been conducted so far, but the research centered on the four major serious diseases where the actual policy was implemented is insufficient. Therefore, this study aims to utilize the three-year data of the Korea Welfare Panel to examine the trend of catastrophic health expenditures of households and to identify the factors that affect the generation of catastrophic health expenditures of households based on the four major diseases through panel analysis.
참고문헌 (31)
- 김교성, "의료보장 유형에 따른 의료 접근성 연구: 과부담 의료비 지출과 미충족 의료 경험을 중심으로", 사회복지정책, 39(4), pp.255~279 (2012), 한국사회복지정책학회[DOI]
- 김민정, "우리나라 가구의 가계소득분위에 따른 의료비지출 분포의 불평등 실태와 과부담 의료비 관련요인", 보건정보통계학회지, 42(3), pp.232~240 (2017), 한국보건정보통계학회[DOI]
- 김윤, "4대 중증질환 보장성 강화정책의 평가", 대한의사협회지, 57(3), pp.198~203 (2014), 대한의사협회[DOI]
- 김윤희, "경제수준에 따른 우리나라 과부담 의료비 지출 추이 분석", 보건경제와 정책연구, 15(1), pp.59~77 (2009), 한국보건경제정책학회
- 김지수, "4 대 중증질환 보장성 강화정책 이후 의료이용 형평성 및 과부담의료비 발생률 변화", Doctoral, pp.2019
- 김태일, "소득 계층별 의료비 부담의 추이와 정책 과제", 보건행정학회지, 18(4), pp.23~48 (2008), 한국보건행정학회
- 김한상, "보장성 강화 효과 분석-4 대 중증질환 중심으로 일반화", 건강보험심사평가원, ~ (2018)
- 노승현, "중고령 장애인 가구와 비장애인 가구의 재난적 의료비 결정요인에 대한 종단연구", 사회과학연구, 35(3), pp.107~130 (2019), 사회과학연구소[DOI]
- STATA 패널데이터 분석, "민인식", 한국STATA학회, ~ (2009)
- "보건복지부 업무계획"[URL]
- 서남규, "한국의료패널 자료를 활용한 재난적 의료비 발생 가구 분석 연구", 보건경제와 정책연구, 21(1), pp.79~102 (2015), 한국보건경제정책학회
- 서남규, "국제 비교를 통해 본 건강보험 보장률의 의미", 보건복지포럼, 2020(11), pp.65~80 (2020)
- 손수인, "저소득층의 과부담의료비 발생에 영향을 미치는 요인", 보건사회연구, 30(1), pp.92~110 (2010), 한국보건사회연구원[DOI]
- 김관옥, "4대 중증질환 보장성 강화 정책이 의료비에 미친 영향: 본인부담금을 중심으로", 보건사회연구, 37(2), pp.452~476 (2017), 한국보건사회연구원[DOI]
- 의료비 과부담이 빈곤에 미치는 영향, "신현웅", 한국보건사회연구원, ~ (2010)
- 양동욱, "암환자 가구에서 과부담의료비 발생의 양상과 결정요인", 보건경제와 정책연구, 23(1), pp.53~70 (2017), 한국보건경제정책학회
- 이원영, "도시가계 의료비 지출의 형평성", 보건행정학회지, 15(1), pp.30~56 (2005), 한국보건행정학회
- 이원영, "도시가계의 소득계층별 과부담의료비 실태", 사회보장연구, 21(2), pp.105~132 (2005), 한국사회보장학회
- 이태진, "보건의료 비용 지출의 형평성", 보건경제연구, 9(2), pp.25~34 (2003)
- 이태진, "과부담 의료비 연구 동향", 건강정책포럼, 2009
- 이태진, "한국의료패널 1차년도 자료를 이용한 과부담의료비 분석", 보건경제와 정책연구, 18(1), pp.91~107 (2012), 한국보건경제정책학회
- "재난적 의료비 지원사업, 집행률 저조" (2020)[URL]
- 이혜재, "우리나라 가구 과부담의료비의 발생 및 재발과 관련된 요인", 사회보장연구, 28(3), pp.39~62 (2012), 한국사회보장학회
- 정채림, "서울시 가구의 과부담의료비 지출 발생 및 반복적 발생의 영향요인", 보건행정학회지, 22(2), pp.275~296 (2012), 한국보건행정학회[DOI]
- Cabrera-Alonso, J., "Marital status and health care expenditures among the elderly in a managed care organization", The health care manager, 22(3), pp.249~255 (2003)
- "OECD Health Statistics 2020"[URL]
- Wagstaff, A., "Catastrophe and impoverishment in paying for health care : with applications to Vietnam 1993–1998", Health economics, 12(11), pp.921~933 (2003)
- WHO, "Distribution of Health Payments and Catastrophic Expenditure Methology", WHO, ~ (2005)
- Xu, K., "Household catastrophic health expenditure : a multicountry analysis", The lancet, 362(9378), pp.111~117 (2003)
- Xu, K., "Equity and financial risk protection of National Health Insurance in Republic of Korea : 1995-2007", World Health Organization, ~ (2010)
- Ye Li, "Factors affecting catastrophic health expenditure and impoverishment from medical expenses in China: policy implications of universal health insurance", Bull World Health Organ, 90, pp.664~671 (2012)