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Original Article

Factors Affecting Perceived Financial Burden of Medical Expenditures

Young Soon Choi1, Kwang Ok Lee2, Eun Shil Yim3
Journal of Korean Academy of Nursing Administration 2011;17(2):147-157.
Published online: June 30, 2011

1Senior Researcher, Health Insurance Research Center, National Health Insurance Corporation, Korea.

2Full-time Lecturer, Department of Nursing, Sangmyung University, Korea.

3Full-time Lecturer, Department of Nursing, Daegu Health College, Korea.

Correspondence: Yim, Eun Shil. Department of Nursing, Daegu Health College, San 7, Taejeon1-Dong, Buk-Gu, Daegu 702-722, Korea. Tel: 82-53-320-1467, yim7604@hanmail.net
• Received: October 19, 2010   • Revised: April 29, 2011   • Accepted: June 7, 2011

Copyright © 2011 Korean Academy of Nursing Administration

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  • Purpose
    This study was done to investigate factors affecting perceived financial burden of medical expenditures.
  • Method
    The participants were 2,024 inpatients who were enrolled in a survey on the benefit coverage rate of the National Health Insurance in 2006. The collected data were analyzed using t-test, ANOVA-test, Mann-Whitney-test, Kruskal-Wallis-test, Chi-square test and logistic regression.
  • Results
    The crucial factors for perceived financial burden were age, job, equivalence scale, ratio of annual family income vs medical expenditure, and private health insurance. Perceived financial burden was higher for people who were older, who were unemployed, whose medical expenditures were high compared to annual family income, whose index of family equalization was low and for those who had no private health insurance.
  • Conclusion
    The results of the study indicate a demand for system reform that will enable management of no-pay hospital bills in the National Health Insurance to decrease the medical expense of people in the low-income bracket.
  • Key Words: Burden; Medical Expenditures
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Table 1
Medical expenditures by demographic and social characteristics n=2,024
jkana-17-147-i001.jpg

∥: ANOVA Scheffe test

Table 2
Perceived financial burden for medical expenditures n=2,024
jkana-17-147-i002.jpg
Table 3
Differences in perceived financial burden n=2,024
jkana-17-147-i003.jpg
Table 4
Factors affecting on perceived financial burden by logistic regression n=2,024
jkana-17-147-i004.jpg

*p< 0.05, **p<0.001

†Multiple logistic regression : independent variable-age, education, job, equivalence scale, ratio annual family income vs medical expenditure, private health insurance

Table 5
Addition: Ratio Annual Family Income vs Medical Expenditures by Equivalence Scale n=2,024
jkana-17-147-i005.jpg

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • Time Trend of Out-of-pocket Expenditure among Cancer Inpatients: Evidence from Korean Tertiary Hospitals
      Chang Hoon You, Sungwook Kang, Young Dae Kwon, Ji Heon Choi
      Asian Pacific Journal of Cancer Prevention.2013; 14(11): 6985.     CrossRef

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    Factors Affecting Perceived Financial Burden of Medical Expenditures
    J Korean Acad Nurs Adm. 2011;17(2):147-157.   Published online June 30, 2011
    DOI: https://doi.org/10.11111/jkana.2011.17.2.147
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    Factors Affecting Perceived Financial Burden of Medical Expenditures
    J Korean Acad Nurs Adm. 2011;17(2):147-157.   Published online June 30, 2011
    DOI: https://doi.org/10.11111/jkana.2011.17.2.147
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    Factors Affecting Perceived Financial Burden of Medical Expenditures
    Factors Affecting Perceived Financial Burden of Medical Expenditures

    Medical expenditures by demographic and social characteristics n=2,024

    ∥: ANOVA Scheffe test

    Perceived financial burden for medical expenditures n=2,024

    Differences in perceived financial burden n=2,024

    Factors affecting on perceived financial burden by logistic regression n=2,024

    *p< 0.05, **p<0.001

    †Multiple logistic regression : independent variable-age, education, job, equivalence scale, ratio annual family income vs medical expenditure, private health insurance

    Addition: Ratio Annual Family Income vs Medical Expenditures by Equivalence Scale n=2,024
    Table 1 Medical expenditures by demographic and social characteristics n=2,024

    ∥: ANOVA Scheffe test

    Table 2 Perceived financial burden for medical expenditures n=2,024

    Table 3 Differences in perceived financial burden n=2,024

    Table 4 Factors affecting on perceived financial burden by logistic regression n=2,024

    *p< 0.05, **p<0.001

    †Multiple logistic regression : independent variable-age, education, job, equivalence scale, ratio annual family income vs medical expenditure, private health insurance

    Table 5 Addition: Ratio Annual Family Income vs Medical Expenditures by Equivalence Scale n=2,024

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

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