Factors Influencing the Elderly’s Decisions on Purchasing Private Healthcare Insurance

Shin, Serah; 강사, 서울대학교 소비자학과

doi:10.15790/cope.2020.16.2.057

Cited by 3 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This indicates that older Korean individuals with private insurance, in addition to national insurance, exhibit higher screening rates, aligning with findings from previous studies that reported higher screening rates among those with private insurance [ 51 , 52 ]. The study also found that individuals with private insurance typically have higher education levels and better financial standings [ 53 ], which suggests these individuals generally enjoy better health, fewer chronic diseases, and superior socioeconomic statuses compared with their uninsured counterparts. These findings, closely tied to socioeconomic status, demonstrate a consistent relationship with health screening rates, suggesting that improved economic conditions promote greater adherence to health screenings.…”

Section: Discussionmentioning

confidence: 99%

Investigating Factors Influencing the National Cancer Screening Program among Older Individuals in Republic of Korea—Data from the Korea National Health and Nutrition Examination Survey VIII

Kim,

Park

2024

Healthcare

View full text Add to dashboard Cite

This study aims to determine the influencing factors of the participation of older individuals aged 65 years and above in South Korea’s National Cancer Screening Program (NCSP) using data from the eighth wave (2019–2021) of the Korea National Health and Nutrition Examination Survey (KNHANES VIII), and discuss potential problems and coping strategies. Variables were selected based on Andersen’s healthcare utilization model. “Participation in the NSCP” was considered the dependent variable, with independent variables including sociodemographic characteristics (sex, marital status, residence, education level, income level, economic activity, medical coverage type, and private insurance), health conditions (subjective health status, hypertension, and diabetes), and health behaviors (physical activity, monthly alcohol consumption, and current smoking status). The analysis revealed that higher participation rates correlated with being married, having an education level beyond elementary school, being employed, subscribing to private insurance, perceiving oneself as having average or poor health, engaging in physical activity, and not smoking. Sex, residence, income, medical coverage type, hypertension, diabetes, and monthly alcohol consumption were found to be insignificantly correlated. These findings underscore the importance of tailored promotion and health education for older individuals to boost NCSP participation rates, which could ultimately elevate public health standards.

show abstract

Section: Discussionmentioning

confidence: 99%

Investigating Factors Influencing the National Cancer Screening Program among Older Individuals in Republic of Korea—Data from the Korea National Health and Nutrition Examination Survey VIII

Kim,

Park

2024

Healthcare

View full text Add to dashboard Cite

show abstract

“…Therefore, older adults in the UK think that the NHS is spending a lot of money on their medications; however, this has not led to a burden or desire to stop medications [ 38 ]. Although private insurance can supplement the NHIS, the proportion of older adults availing private insurance is lower than in other age groups, and socioeconomic factors have been found to play a role in this [ 39 ]. Among the patients in this study, the private insurance subscription rate was less than 40%.…”

Section: Discussionmentioning

confidence: 99%

A Study on the Perceptions of Korean Older Adult Patients and Caregivers about Polypharmacy and Deprescribing

Lee

Kwon

Jang

et al. 2022

IJERPH

View full text Add to dashboard Cite

Polypharmacy is continuously increasing among older adults. The resultant potentially inappropriate medications (PIMs) can be harmful to patient health. Deprescribing refers to stopping or reducing PIMs. In this study, the current status of polypharmacy and willingness of older adults to deprescribe were investigated among patients and caregivers who are not associated with one another. The survey used the Korean translated version of the revised Patients’ Attitude Towards Deprescribing (rPATD) Scale. Data were collected through an online survey of 500 participants (250 patients and caregivers each) in this study. The following results were found for patients and caregivers, respectively: 74.8% and 63.6% felt their number of medications was high, 64.4% and 55.6% desired to reduce their medications, 70.4% and 60.8% were concerned about medication discontinuation, 63.2% and 61.2% had a good understanding of their medications, 77.6% and 76.4% were willing to be well informed, and 79.6% and 72% wanted to reduce the number of medications if medically feasible. Patients and caregivers commonly agreed to the burden of the number of medications they were taking, and were willing to reduce the number of medications if the doctor said it was possible. Doctors should consider this information during the deprescribing process, and promote deprescription while involving patients and caregivers in the decision-making process.

show abstract

“…It was reported that socially vulnerable groups, including low-income families, older adults, and the disabled had a low likelihood of enrolling in PHI [ 3 ] and older adults as well as those with chronic diseases or disabilities were less likely to be enrolled in indemnity insurance [ 19 ]. Furthermore, the enrollment rate of older adults into PHI was higher among those with fewer chronic diseases and poor self-rated health [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of private health insurance on medical expenditure and health service utilization in South Korea: a quantile regression analysis

Kwon,

Chung

2023

BMC Health Serv Res

View full text Add to dashboard Cite

Background Despite universal health insurance, South Korea has seen a sharp increase in the number of people enrolled in supplemental private health insurance (PHI) during the last decade. This study examined how private health insurance enrollment affects medical expenditure and health service utilization. Methods Unbalanced panel data for adults aged 19 and older were constructed using the 2016–2018 Korea Health Panel Survey. Quantile regression for medical cost, and quantile count regression for health service utilization were utilized using propensity score-matched data. We included 17 variables representing demographic, socioeconomic, and health information, as well as medical costs and use of outpatient and inpatient care. Results We discovered that PHI enrollees’ socioeconomic and health status is more likely to be better than PHI non-enrollees’. Results showed that private health insurance had a greater effect on the lower quantiles of the conditional distribution of outpatient costs (coefficient 0.149 at the 10th quantile and 0.121 at the 25th quantile) and higher quantiles of inpaitent care utilization (coefficient 0.321 at the 90th quantile for days of hospitalization and 0.076 at the 90th quantile for number of inpatient visits). Conclusions PHI enrollment is positively correlated with outpatient costs and inpatient care utilization. Government policies should consider these heterogeneous distributional effects of private health insurance.

show abstract

Factors Influencing the Elderly’s Decisions on Purchasing Private Healthcare Insurance

Cited by 3 publications

References 0 publications

Investigating Factors Influencing the National Cancer Screening Program among Older Individuals in Republic of Korea—Data from the Korea National Health and Nutrition Examination Survey VIII

Investigating Factors Influencing the National Cancer Screening Program among Older Individuals in Republic of Korea—Data from the Korea National Health and Nutrition Examination Survey VIII

A Study on the Perceptions of Korean Older Adult Patients and Caregivers about Polypharmacy and Deprescribing

Effects of private health insurance on medical expenditure and health service utilization in South Korea: a quantile regression analysis

Contact Info

Product

Resources

About