Navigation Links
Poor and Chronically Ill in Korea Pay More for Healthcare

Those who most need medical care in Korea but can afford it least spend a greater percentage of their income on health services, according to a Yale School of Medicine study published in the American Journal of Public Health.

Low-income individuals with multiple chronic conditions are particularly vulnerable to cost sharing and coverage restrictions because they need and use more services, said Jennifer Prah Ruger, assistant professor in the Department of Epidemiology and Public Health.

Ruger and Hak-Ju Kim, assistant professor, Gycongsang National University in Korea, conducted the study to examine aspects of equity in health financing in Korea. It was published in a special issue of the journal on Health Inequalities Locally, Nationally and Globally.

We were especially interested in looking beyond out-of-pocket expenditures to the out-of-pocket spending burden ratio, Ruger said. This is a measure of spending relative to a households size and structure, which provides a more precise look at a households ability to cope with financial burdens imposed by health care expenditures.

The researchers said that in 1989, Korea achieved universal health insurance coverage at a low cost to the government by offering limited benefits, charging high copayments and coinsurance rates, imposing low fees on providers, and restricting fee growth to the level of general inflation. Koreas National Health Institute (NHI) excludes some services, including expensive diagnostic tests such as ultrasonography and magnetic resonance imaging.

The researchers used a nationally representative survey of 39,060 individuals and examined out-of-pocket expenditures, out-of-pocket spending burden ratio, and health care use by socioeconomic status, insurance type, health care facility type, and chronic condition. They found the lowest income health care users spent 12.5 percent of their total income out-of-pocket on medical expen ditures, which was six times that of the highest income individuals. Among those with three or more chronic conditions, low-income Koreans had the highest out-of-pocket spending burden ratio, which was five times the spending burden among high income Koreans.

Recommendations for making the burden more equitable included: setting caps for low income individuals financial burden; determining premiums and copayments on the basis of income levels; expanding benefits; removing informal treatment charges; changing NHIs cost-sharing structure, and making upward adjustments in fee schedules and premiums for system sustainability.

These findings offer lessons learned for policy makers worldwide, particularly in the United States and middle income and low income countries pursuing health financing and insurance reform, Ruger said.


'"/>




Related medicine news :

1. Qigong Help Chronically Ill People to Cope With Anxiety and Discrimination
2. Chronically Ill Prisoners Face Great Healthcare Problems
3. Significant Rise in Proportion of Chronically Ill Children Dying in Intensive Care
4. Korea: No Discrimination against Those with AIDS/HIV in the Workplace
5. Second Android Developed By Koreans
6. Gene Responsible For Metastasis Found By Korean Scientists
7. Warning against Consuming Raw Korean Oysters
8. North Korea Under the Threat of Scarlet Fever
9. A New H3N1 Virus Identified In Pigs In South Korea
10. New Bird Flu Cases Suspected In South Korea
11. Japan Stops Import of Poultry from S. Korea
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:10/12/2017)... ... October 12, 2017 , ... Planet Fitness, one of the largest and ... plans to open a flagship location in Covington, LA at 401 N. U.S. Highway ... store next to Office Depot in the Holiday Square shopping center. Its location allows ...
(Date:10/12/2017)... ... 2017 , ... IsoComforter, Inc. ( https://isocomforter.com ), one of the ... new design of the shoulder pad. The shoulder pad provides optimal support and ... pain while using cold therapy. By utilizing ice and water that is circulated from ...
(Date:10/12/2017)... ... October 12, 2017 , ... Asante, ... post-acute health care, have expanded their existing home health joint venture through an ... has been operating a joint venture home health company with Asante, delivering clinically ...
(Date:10/12/2017)... ... October 12, 2017 , ... ... has recently contributed a medical article to the newly revamped Cosmetic Town ... article spotlights the hair transplant procedure known as Follicular Unit Extraction ...
(Date:10/12/2017)... Washington, D.C. (PRWEB) , ... October 12, 2017 , ... ... of their peers in Washington, D.C., for the 49th Congress of the International ... Ph.D ., Vice President of the Center for Cancer and Blood Disorders ...
Breaking Medicine News(10 mins):
(Date:9/28/2017)... , Sept. 28, 2017 Hill-Rom Holdings, ... 2017 earnings conference call and webcast on Friday, November ... a.m. (EDT) and ending at approximately 8:30 a.m. (CDT) ... discussing the company,s 2017 financial performance and guidance for ... opportunities, initiatives to enhance operational performance, and long-range financial ...
(Date:9/25/2017)... , Sept. 25, 2017   Montrium ... Master File solutions, today—from the IQPC Trial Master ... , NL)—announced that EastHORN Clinical Services has ... clinical programs and TMF management. EastHORN, a leading ... eTMF platform to increase transparency to enable greater ...
(Date:9/22/2017)... SAN DIEGO , Sept. 22, 2017 ... ll medical device is now successfully helping those with ... Union. Fibromyalgia diagnosed Amanda in ... getting dressed and washing my hair, experiencing no sleep ... body in painful spasm… I cannot recommend [the AVACEN ...
Breaking Medicine Technology: