Health Policy Manag.  2018 Mar;28(1):95-97. 10.4332/KJHPA.2018.28.1.95.

Catastrophic Health Expenditure and Trend of South Korea in 2016

Affiliations
  • 1Department of Public Health, Yonsei University Graduate School Seoul, Korea.
  • 2Institute of Health Services Research, Yonsei University, Seoul, Korea. ecpark@yuhs.ac
  • 3Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea.

Abstract

Catastrophic health expenditure refers to when a household spends more than 40 percent of disposable income for out-of-pocketexpenses for healthcare. This study investigates the percentage of South Korean household which experienced the catastrophic health expenditure between 2006 and 2016 with the National Survey of Tax and Benefit and the Household Income and Expenditure Survey data. Percentage of households with the catastrophic health expenditure and tread tests were conducted with weight variable. The results of the National Survey of Tax and Benefit and the Household Income and Expenditure Survey showed 2.17% and 2.92% of households experienced the catastrophic health expenditure in 2016. In trend analysis, the National Survey of Tax and Benefit showed a statistically significant decreasing trend in the proportion of households with the catastrophic health expenditure (annual percentage change [APC]=−4.03, p < 0.0001). However, the Household Income and Expenditure Survey revealed a statistically significant increasing trend (APC=1.43, p < 0.0001). In conclusion, this study suggests that optimal healthcare alternatives are needed for the catastrophic health expenditure and monitoring low-income households.

Keyword

Catastrophic health expenditure; Trend; Income

MeSH Terms

Delivery of Health Care
Family Characteristics
Health Expenditures*
Korea*
Taxes
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