Has Income-related Inequity in Health Care Utilization and Expenditures Been Improved? Evidence From the Korean National Health and Nutrition Examination Survey of 2005 and 2010
Identifieur interne : 000668 ( Main/Exploration ); précédent : 000667; suivant : 000669Has Income-related Inequity in Health Care Utilization and Expenditures Been Improved? Evidence From the Korean National Health and Nutrition Examination Survey of 2005 and 2010
Auteurs : Eunkyoung Kim [Corée du Sud] ; Soonman Kwon [Corée du Sud] ; Ke Xu [Philippines]Source :
- Journal of Preventive Medicine and Public Health [ 1975-8375 ] ; 2013.
Abstract
The purpose of this study is to examine and explain the extent of income-related inequity in health care utilization and expenditures to compare the extent in 2005 and 2010 in Korea.
We employed the concentration indices and the horizontal inequity index proposed by Wagstaff and van Doorslaer based on one- and two-part models. This study was conducted using data from the 2005 and 2010 Korean National Health and Nutrition Examination Survey. We examined health care utilization and expenditures for different types of health care providers, including health centers, physician clinics, hospitals, general hospitals, dental care, and licensed traditional medical practitioners.
The results show the equitable distribution of overall health care utilization with pro-poor tendencies and modest pro-rich inequity in the amount of medical expenditures in 2010. For the decomposition analysis, non-need variables such as income, education, private insurance, and occupational status have contributed considerably to pro-rich inequality in health care over the period between 2005 and 2010.
We found that health care utilization in Korea in 2010 was fairly equitable, but the poor still have some barriers to accessing primary care and continuing to receive medical care.
Url:
DOI: 10.3961/jpmph.2013.46.5.237
PubMed: 24137526
PubMed Central: 3796649
Affiliations:
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Evidence From the Korean National Health and Nutrition Examination Survey of 2005 and 2010</title><author><name sortKey="Kim, Eunkyoung" sort="Kim, Eunkyoung" uniqKey="Kim E" first="Eunkyoung" last="Kim">Eunkyoung Kim</name><affiliation wicri:level="4"><nlm:aff id="A1">Department of Health Policy and Management, School of Public Health, Seoul National University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Health Policy and Management, School of Public Health, Seoul National University, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName><orgName type="university">Université nationale de Séoul</orgName></affiliation></author><author><name sortKey="Kwon, Soonman" sort="Kwon, Soonman" uniqKey="Kwon S" first="Soonman" last="Kwon">Soonman Kwon</name><affiliation wicri:level="4"><nlm:aff id="A1">Department of Health Policy and Management, School of Public Health, Seoul National University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Health Policy and Management, School of Public Health, Seoul National University, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName><orgName type="university">Université nationale de Séoul</orgName></affiliation></author><author><name sortKey="Xu, Ke" sort="Xu, Ke" uniqKey="Xu K" first="Ke" last="Xu">Ke Xu</name><affiliation wicri:level="1"><nlm:aff id="A2">Western Pacific Regional Office, World Health Organization, Manila, Philippines.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Philippines</country><wicri:regionArea>Western Pacific Regional Office, World Health Organization, Manila</wicri:regionArea><wicri:noRegion>Manila</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Preventive Medicine and Public Health</title><idno type="ISSN">1975-8375</idno><idno type="eISSN">2233-4521</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objectives</title><p>The purpose of this study is to examine and explain the extent of income-related inequity in health care utilization and expenditures to compare the extent in 2005 and 2010 in Korea.</p></sec><sec><title>Methods</title><p>We employed the concentration indices and the horizontal inequity index proposed by Wagstaff and van Doorslaer based on one- and two-part models. This study was conducted using data from the 2005 and 2010 Korean National Health and Nutrition Examination Survey. We examined health care utilization and expenditures for different types of health care providers, including health centers, physician clinics, hospitals, general hospitals, dental care, and licensed traditional medical practitioners.</p></sec><sec><title>Results</title><p>The results show the equitable distribution of overall health care utilization with pro-poor tendencies and modest pro-rich inequity in the amount of medical expenditures in 2010. For the decomposition analysis, non-need variables such as income, education, private insurance, and occupational status have contributed considerably to pro-rich inequality in health care over the period between 2005 and 2010.</p></sec><sec><title>Conclusions</title><p>We found that health care utilization in Korea in 2010 was fairly equitable, but the poor still have some barriers to accessing primary care and continuing to receive medical care.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Jones, Rs" uniqKey="Jones R">RS Jones</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kwon, S" uniqKey="Kwon S">S Kwon</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Van Doorslaer, E" uniqKey="Van Doorslaer E">E Van Doorslaer</name></author><author><name sortKey="Masseria, C" uniqKey="Masseria C">C Masseria</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wagstaff, A" uniqKey="Wagstaff A">A Wagstaff</name></author><author><name sortKey="Van Doorslaer, E" uniqKey="Van Doorslaer E">E van Doorslaer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Leu, Re" uniqKey="Leu R">RE Leu</name></author><author><name sortKey="Schellhorn, M" uniqKey="Schellhorn M">M Schellhorn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lu, Jf" uniqKey="Lu J">JF Lu</name></author><author><name sortKey="Leung, Gm" uniqKey="Leung G">GM Leung</name></author><author><name sortKey="Kwon, S" uniqKey="Kwon S">S Kwon</name></author><author><name sortKey="Tin, Ky" uniqKey="Tin K">KY Tin</name></author><author><name sortKey="Van Doorslaer, E" uniqKey="Van Doorslaer E">E Van Doorslaer</name></author><author><name sortKey="O Donnell, O" uniqKey="O Donnell O">O O'Donnell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Macinko, J" uniqKey="Macinko J">J Macinko</name></author><author><name sortKey="Lima Costa, Mf" uniqKey="Lima Costa M">MF Lima-Costa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Doorslaer, E" uniqKey="Van Doorslaer E">E Van Doorslaer</name></author><author><name sortKey="Jones, Am" uniqKey="Jones A">AM Jones</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Doorslaer, E" uniqKey="Van Doorslaer E">E Van Doorslaer</name></author><author><name sortKey="Koolman, X" uniqKey="Koolman X">X Koolman</name></author><author><name sortKey="Puffer, F" uniqKey="Puffer F">F Puffer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Doorslaer, E" uniqKey="Van Doorslaer E">E Van Doorslaer</name></author><author><name sortKey="Koolman, X" uniqKey="Koolman X">X Koolman</name></author><author><name 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sortKey="Christiansen, T" uniqKey="Christiansen T">T Christiansen</name></author><author><name sortKey="Gerfin, M" uniqKey="Gerfin M">M Gerfin</name></author><author><name sortKey="Gottschalk, P" uniqKey="Gottschalk P">P Gottschalk</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kakwani, N" uniqKey="Kakwani N">N Kakwani</name></author><author><name sortKey="Wagstaff, A" uniqKey="Wagstaff A">A Wagstaff</name></author><author><name sortKey="Van Doorslaer, E" uniqKey="Van Doorslaer E">E van Doorslaer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wagstaff, A" uniqKey="Wagstaff A">A Wagstaff</name></author><author><name sortKey="Van Doorslaer, E" uniqKey="Van Doorslaer E">E van Doorslaer</name></author><author><name sortKey="Watanabe, N" uniqKey="Watanabe N">N Watanabe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Allin, S" uniqKey="Allin S">S Allin</name></author><author><name sortKey="Masseria, C" uniqKey="Masseria C">C Masseria</name></author><author><name sortKey="Mossialos, E" uniqKey="Mossialos E">E Mossialos</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li><li>Philippines</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement><orgName><li>Université nationale de Séoul</li></orgName></list><tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Kim, Eunkyoung" sort="Kim, Eunkyoung" uniqKey="Kim E" first="Eunkyoung" last="Kim">Eunkyoung Kim</name></region><name sortKey="Kwon, Soonman" sort="Kwon, Soonman" uniqKey="Kwon S" first="Soonman" last="Kwon">Soonman Kwon</name></country><country name="Philippines"><noRegion><name sortKey="Xu, Ke" sort="Xu, Ke" uniqKey="Xu K" first="Ke" last="Xu">Ke Xu</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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