Relationship between catastrophic health expenditures and household incomes and expenditure patterns in South Korea

Kim, Younhee; Yang, Bong-Min

doi:10.1016/j.healthpol.2010.08.008

Cited by 60 publications

(55 citation statements)

References 28 publications

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“…Households facing excessive health expenditures may be forced to reduce spending on other subsistence costs [9–10]. Under these adverse health conditions, low income households with a high risk of catastrophic health expenditures are more likely to spend their household income on health services [11].…”

Section: Introductionmentioning

confidence: 99%

Relationship Between Catastrophic Health Expenditures and Income Quintile Decline

Kang¹,

Kim²

2018

Osong Public Health Res Perspect

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ObjectivesThe aims of this study were to investigate the proportion of households facing catastrophic health expenditures based on household income quintiles, and to analyze the relationship between expenditures and household income quintile decline.MethodsStudy data were obtained from an annually conducted survey of the 2012–2013 Korean health panel. There were 12,909 subjects aged 20–64 years from economically active households, whose income quintile remained unchanged or declined by more than one quintile from 2012 to 2013. Logistic regression analysis was performed to determine whether catastrophic health expenditures in 2012 were related to more than one quintile income decline in 2013.ResultsHouseholds facing catastrophic health expenditures of ≥ 40%, ≥ 30%, and ≥ 10% of a household’s capacity to pay, were 1.58 times (p < 0.003), 1.75 times (p < 0.000), and 1.23 times (p < 0.001) more likely to face a decline in income quintile, respectively.ConclusionOver a 1 year period, the proportion of households facing more than one quintile income decline was 16.4%, while 2.1% to 2.5% of households in Korea faced catastrophic health expenditures. Catastrophic health expenditure experienced in 2012 was significantly associated with income quintile decline 1 year later. Therefore, lowering the proportion of households with catastrophic health expenditure may reduce the proportion of households with income quintiles decline.

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Section: Introductionmentioning

confidence: 99%

Relationship Between Catastrophic Health Expenditures and Income Quintile Decline

Kang¹,

Kim²

2018

Osong Public Health Res Perspect

View full text Add to dashboard Cite

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“…Often, poorer households are forced to borrow, sell assets, reduce consumption, or resort to their savings in order to pay for health care cost, leading to penury (3,8,9). Impact of catastrophic OOP payments for health services is a major challenge to households, especially in the low and mid- dle income countries as well as OECD countries (6).…”

Section: Introductionmentioning

confidence: 99%

Measuring Financial Protection in Hospitalized Patients after the Health Sector Evolution Plan in Iran

et al. 2017

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Background: Protecting people from catastrophic health payments is widely recognized as an integral component of health systems and universal health coverage. Objectives: This study aimed to measure the financial protection against catastrophic health expenditure among hospitalized patients in Kermanshah, western Iran, after the implementation of the health sector evolution plan of Iran. Methods: This was a cross-sectional study. A total of 544 patients were selected using the proportional allocation to population size technique. A translated version of the world health survey questionnaire was used to collect data. Catastrophic health expenditure was calculated using WHO recommended methodology. Data were analyzed using STATA v.13. The statistical test performed included descriptive statistics and logistic regression. Results: About 4.8% of households with hospitalized patients were faced with catastrophic health expenditures. The total mean outof-pocket (OOP) medical expenditures of being hospitalized was 819,220 Rials per patient. Mean OOP in patients with catastrophic payment was 2,220,500 Rial. Major determinants of catastrophic payment were associated with surgical cost (OR: 8.09 P Value = 0.000), chronic disease (OR: 2.78 P Value = 0.025), household size (> 6) (OR: 6.70 P Value < 0.036), and economic status of households (Quintile 5; OR: 0.005 P Value = 0.000). Conclusions:The Health Sector Evolution Plan should target and extend aids especially for chronically ill patients, those who need surgery, and those at poorest quintile due to the fact that they are more vulnerable to catastrophic health expenditure. These groups should be the priorities in the health sector evolution plan revision to achieve a more desired outcome.

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“…There is some evidence that out-of-pocket payment for dental services was associated with CHE. In Korea, CHE was more common among households that used dental services (24.6%) than among those that did not use those services (7.8%), although no adjusted results were reported [13]. In Iran, households that used dental services in the last four weeks were four times more likely to incur CHE than those not using those services, after controlling for household’s socioeconomic status and composition, health insurance and use of inpatient and outpatient services [16].…”

Section: Introductionmentioning

confidence: 99%

Determinants of Catastrophic Dental Health Expenditure in China

et al. 2016

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This study explored catastrophic health expenditure in China, due to out-of-pocket payments for dental care, and its associated individual- and contextual-level factors. We pooled data from 31,566 adults who participated in the third National Oral Health Survey with province-level data from different sources. We defined catastrophic dental health expenditure (CDHE) as payments for dental services and/or medication for dental problems during the last year that exceeded the 10% and 20% of the household income. The association of individual and contextual factors with catastrophic dental health expenditure was evaluated using two-level logistic regression models with individuals nested within provinces. Socioeconomic position (education and household income), household size and dental status (pain in teeth or mouth and number of teeth) were the individual-level factors associated with CDHE among the full sample of participants; and, also, among those who used dental services in the past year. Greater gross domestic product per capita was the only contextual factor associated with CDHE, and only at the lower income threshold. This study shows that out-of-pocket expenses for dental services may put a considerable, and unnecessary, burden on households’ finances. Our findings also help characterise those households more likely to face catastrophic expenditure on health if they have to pay for dental services.

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Relationship between catastrophic health expenditures and household incomes and expenditure patterns in South Korea

Cited by 60 publications

References 28 publications

Relationship Between Catastrophic Health Expenditures and Income Quintile Decline

Relationship Between Catastrophic Health Expenditures and Income Quintile Decline

Measuring Financial Protection in Hospitalized Patients after the Health Sector Evolution Plan in Iran

Determinants of Catastrophic Dental Health Expenditure in China

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