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Impact of health insurance status changes on healthcare utilisation patterns: a longitudinal cohort study in South Korea

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dc.contributor.authorKim, JH-
dc.contributor.authorLee, SG-
dc.contributor.authorLee, KS-
dc.contributor.authorJang, SI-
dc.contributor.authorCho, KH-
dc.contributor.authorPark, EC-
dc.date.accessioned2018-05-04T00:25:13Z-
dc.date.available2018-05-04T00:25:13Z-
dc.date.issued2016-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/14972-
dc.description.abstractOBJECTIVES: 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.isoen-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAmbulatory Care-
dc.subject.MESHFemale-
dc.subject.MESHHospitalization-
dc.subject.MESHHumans-
dc.subject.MESHInsurance Coverage-
dc.subject.MESHInsurance, Health-
dc.subject.MESHLongitudinal Studies-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPatient Acceptance of Health Care-
dc.subject.MESHRepublic of Korea-
dc.subject.MESHYoung Adult-
dc.titleImpact of health insurance status changes on healthcare utilisation patterns: a longitudinal cohort study in South Korea-
dc.typeArticle-
dc.identifier.pmid27036140-
dc.identifier.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4823444/-
dc.contributor.affiliatedAuthor김, 재현-
dc.type.localJournal Papers-
dc.identifier.doi10.1136/bmjopen-2015-009538-
dc.citation.titleBMJ open-
dc.citation.volume6-
dc.citation.number4-
dc.citation.date2016-
dc.citation.startPagee009538-
dc.citation.endPagee009538-
dc.identifier.bibliographicCitationBMJ open, 6(4). : e009538-e009538, 2016-
dc.identifier.eissn2044-6055-
dc.relation.journalidJ020446055-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Preventive Medicine & Public Health
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