Characteristics Associated With Financial or Non-financial Barriers to Healthcare in a Universal Health Insurance System: A Longitudinal Analysis of Korea Health Panel Survey Data

Chung, Woojin

doi:10.3389/fpubh.2022.828318

Cited by 7 publications

(19 citation statements)

References 77 publications

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“…In this paper, a series of factors that determine the urban health care environment are also selected as control variables, including economic development (lnrgdp), total population (lnpop), foreign investment (lnfdi), government intervention (gov), financial development (fin), industry structure (is) and education level (edu) (4)(5)(6)(7)(8). The definitions and descriptive statistics of each variable are shown in detail in Tables 1, 2.…”

Section: Variablesmentioning

confidence: 99%

“…Population size and structure are also thought to significantly impact the health care environment (3). In addition, some scholars proposed that foreign investment, government intervention and financial development are all essential for the improvement of health care environment (4)(5)(6)(7)(8). However, the marginal benefits of these factors are diminishing and there is an urgent need to find new driving factors to further enhance the health care environment.…”

Section: Introductionmentioning

confidence: 99%

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Can information infrastructure development improve the health care environment? Evidence from China

Zang

Tan

et al. 2022

Front. Public Health

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Existing studies ignore the importance of information infrastructure development in improving regional health care environment. This paper adopts a spatial difference-in-difference (DID) model to assess the impact of information infrastructure development on urban health care environment based on a quasi-natural experiment of the “Broadband China” city pilots (BCCP). A balanced panel of 259 cities from 2010 to 2019 is selected for empirical analysis in this paper. Our findings show that the implementation of BCCP resulted in a 4.1 and 2.9% improvement in local medical workforce and medical infrastructure. In addition, there is significant spatial spillover effects of the implementation of BCCP, with 7.2 and 12.5% improvement in medical workforce and medical infrastructure in the surrounding areas. Our findings also suggest that information infrastructure development enhances the health care environment by driving industrial upgrading and education levels. Further analysis shows that BCCP has the strongest improvement on medical workforce in the eastern region and non-ordinary prefecture-level cities. For medical infrastructure, BCCP has stronger improvement in central region, western region, and non-ordinary prefecture-level cities. Finally, the paper conducts a series of robustness tests to ensure the reliability of the analysis results, including parallel trend tests, placebo tests, and re-estimation with different methods. Policies to improve the health care environment through information infrastructure development are proposed.

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Section: Variablesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Can information infrastructure development improve the health care environment? Evidence from China

Zang

Tan

et al. 2022

Front. Public Health

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show abstract

“…Unmet healthcare needs have been defined as occurring when individuals think that they need healthcare for particular health conditions but do not actually receive it. In many previous studies, the information has been derived from survey respondents’ answers to whether they have felt that they needed healthcare but did not receive it, and the reason they did not, in the past 12 months [ 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, recent studies suggest that academics and governments should pay attention to non-financial barriers to healthcare [ 4 , 5 , 7 , 9 , 18 , 19 ]. These studies argue that access to healthcare is not achieved if non-financial barriers are prevalent, even in countries with universal health insurance systems where everyone can receive free healthcare.…”

Section: Introductionmentioning

confidence: 99%

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Changes in Barriers That Cause Unmet Healthcare Needs in the Life Cycle of Adulthood and Their Policy Implications: A Need-Selection Model Analysis of the Korea Health Panel Survey Data

Chung

2022

Healthcare

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Using 68,930 observations selected from 16,535 adults in the Korea Health Panel Survey (2014–2018), this study explored healthcare barriers that prevent people from meeting their healthcare needs most severely during adulthood, and the characteristics that are highly associated with the barrier. This study derived two outcome variables: a dichotomous outcome variable on whether an individual has experienced healthcare needs, and a quadchotomous outcome variable on how an individual’s healthcare needs ended. An analysis was conducted using a multivariable panel multinomial probit model with sample selection. The results showed that the main cause of unmet healthcare needs was not financial difficulties but non-financial barriers, which were time constraints up to a certain age and the lack of caring and support after that age. People with functional limitations were at a high risk of experiencing unmet healthcare needs due to a lack of caring and support. To reduce unmet healthcare needs in South Korea, the government should focus on lowering non-financial barriers to healthcare, including time constraints and lack of caring and support. It seems urgent to strengthen the foundation of “primary care”, which is exceptionally scarce now, and to expand it to “community-based integrated care” and “people-centered care”.

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Social determinants of the non-use of the explicit health guarantees plan (the GES plan)

Alvear-Vega,

Vargas-Garrido

2023

BMC Health Serv Res

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Introduction The public policy called Explicit health guarantees (GES) could serve as a basis for the future implementation of universal health coverage in Chile. An improvement in the quality of health of the Chilean population has been observed since the launching of the GES, which has a high adherence (84% of the beneficiary population uses this health program). This work seeks the social determinants related to a portion of the remaining 16% of people who do not use the GES. Methods This secondary analysis study used a sample of GES recipients (n = 164,786) from the National Socioeconomic Characterization Survey (CASEN) 2020. The GES recipients included in the study responded that they had been under medical treatment for 20 of the 85 pathologies included in the GES, and they had not had access to such policy due to “trust in physician/facility,“ “decided not to wait,“ or “lack of information.” The CASEN survey chose the 20 pathologies. The Average Marginal Effects of social determinants of the non-use of the GES health plan were predicted using multivariable and panel multinomial probit regression analyses, where the outcome variable assumed three possible values (the three reasons for not accessing) while taking those variables reported in previous studies as independent variables. Results A higher probability of non-access due to distrust in the physician/facility among adults with higher economic income was found. Among those who prefer not to wait are vulnerable groups of people: women, people with a lower-middle income, those who belong to groups with longer waiting times, and ethnic groups. The people who least access the GES due to lack of information correspond to part of the migrant population and those belonging to the lowest income group. Conclusions The GES policy must necessarily improve the timeliness and quality of the services to make them attractive to groups that currently do not have access to them, managing waiting times rather than referrals and using patient-centered evaluations, especially in those most vulnerable groups that do not access GES because they choose not to wait or lack the necessary information, thereby improving their health literacy.

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Characteristics Associated With Financial or Non-financial Barriers to Healthcare in a Universal Health Insurance System: A Longitudinal Analysis of Korea Health Panel Survey Data

Cited by 7 publications

References 77 publications

Can information infrastructure development improve the health care environment? Evidence from China

Can information infrastructure development improve the health care environment? Evidence from China

Changes in Barriers That Cause Unmet Healthcare Needs in the Life Cycle of Adulthood and Their Policy Implications: A Need-Selection Model Analysis of the Korea Health Panel Survey Data

Social determinants of the non-use of the explicit health guarantees plan (the GES plan)

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