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Impact of health insurance status changes on healthcare utilisation patterns: a longitudinal cohort study in South Korea
DC Field | Value | Language |
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dc.contributor.author | Kim, JH | - |
dc.contributor.author | Lee, SG | - |
dc.contributor.author | Lee, KS | - |
dc.contributor.author | Jang, SI | - |
dc.contributor.author | Cho, KH | - |
dc.contributor.author | Park, EC | - |
dc.date.accessioned | 2018-05-04T00:25:13Z | - |
dc.date.available | 2018-05-04T00:25:13Z | - |
dc.date.issued | 2016 | - |
dc.identifier.uri | http://repository.ajou.ac.kr/handle/201003/14972 | - |
dc.description.abstract | OBJECTIVES: The study examined medical care utilisation by health insurance status changes. SETTING: The Korean Welfare Panel Study (KoWePs) was used. PARTICIPANTS: This study analysed 14,267 participants at baseline (2006). INTERVENTIONS: The individuals were categorised into four health insurance status groups: continuous health insurance, change from health insurance to Medical Aid, change from Medical Aid to health insurance, or continuous Medical Aid. PRIMARY AND SECONDARY OUTCOME MEASURES: Three dependent variables were also analysed: days spent in hospital: number of outpatient visits: and hospitalisations per year. Longitudinal data analysis was used to determine whether changes in health insurance status were associated with healthcare utilisation. RESULTS: The number of outpatient visits per year was 0.1.363 times higher (p<0.0001) in the continuous Medical Aid than in the continuous health insurance group. The number of hospitalisations per year was 1.560 times higher (p<0.001) in new Medical Aid and -0.636 times lower (p<0.001) in new health insurance than in continuous health insurance group. The number of days spent in hospital per year was -0.567 times lower (p=0.021) in the new health insurance than in the continuous health insurance group. CONCLUSIONS: Health insurance beneficiaries with a coverage level lower than Medical Aid showed lower healthcare utilisation, as measured by the number of hospitalisations and days spent in hospital per year. | - |
dc.language.iso | en | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Ambulatory Care | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Hospitalization | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Insurance Coverage | - |
dc.subject.MESH | Insurance, Health | - |
dc.subject.MESH | Longitudinal Studies | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Patient Acceptance of Health Care | - |
dc.subject.MESH | Republic of Korea | - |
dc.subject.MESH | Young Adult | - |
dc.title | Impact of health insurance status changes on healthcare utilisation patterns: a longitudinal cohort study in South Korea | - |
dc.type | Article | - |
dc.identifier.pmid | 27036140 | - |
dc.identifier.url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4823444/ | - |
dc.contributor.affiliatedAuthor | 김, 재현 | - |
dc.type.local | Journal Papers | - |
dc.identifier.doi | 10.1136/bmjopen-2015-009538 | - |
dc.citation.title | BMJ open | - |
dc.citation.volume | 6 | - |
dc.citation.number | 4 | - |
dc.citation.date | 2016 | - |
dc.citation.startPage | e009538 | - |
dc.citation.endPage | e009538 | - |
dc.identifier.bibliographicCitation | BMJ open, 6(4). : e009538-e009538, 2016 | - |
dc.identifier.eissn | 2044-6055 | - |
dc.relation.journalid | J020446055 | - |
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