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:10/13/2017)... ... October 13, 2017 , ... Yisrayl Hawkins, Pastor and Overseer ... one of the most popular and least understood books in the Holy Scriptures, Revelation. ... descriptions that have baffled scholars for centuries. Many have tossed it off as mere ...
(Date:10/13/2017)... , ... October 13, 2017 , ... “The Journey: From ... every danger possible to save lost souls in the Philippines. “The Journey: From the ... is a dedicated teacher of the Bible. She has taught all ages and currently ...
(Date:10/12/2017)... (PRWEB) , ... October 12, 2017 , ... ... are now treating sleep apnea using cutting-edge Oventus O2Vent technology. As ... serious sleep disorder characterized by frequent cessation in breathing. Oral appliances can offer ...
(Date:10/12/2017)... ... October 12, 2017 , ... IsoComforter, Inc. ( ... today the introduction of an innovative new design of the shoulder pad. The ... get maximum comfort while controlling your pain while using cold therapy. By utilizing ice ...
(Date:10/12/2017)... (PRWEB) , ... October 12, 2017 , ... ... drug delivery system that we intend to develop to enable prevention of a ... lead to severe hearing loss, especially in pediatric patients. For cisplatin, hearing loss ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... , Oct. 2, 2017 Halo Labs announces the European ... system called the HORIZON at MIBio 2017 in Cambridge, ... and visible particulate matter in biopharmaceutical samples with unprecedented speed and ... the novel technique Backgrounded Membrane Imaging. ... The HORIZON subvisible particle analysis system ...
(Date:9/28/2017)... Cohen Veterans Bioscience and Early Signal Foundation ... and home sensors for real-time monitoring of patients with ... nonprofit organization focused on disruptive health solutions for rare ... system to record and integrate behavioral, cognitive, physiological and ... ...
(Date:9/25/2017)... Sept. 25, 2017   Montrium , an ... solutions, today—from the IQPC Trial Master Files & ... NL)—announced that EastHORN Clinical Services has selected ... and TMF management. EastHORN, a leading European contract ... to increase transparency to enable greater collaboration with ...
Breaking Medicine Technology: