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가구소득불평등에 민간보험수입과 의료비본인부담지출이 미친 영향

Impact of the Private Insurance Benefits and the medical Care Expenditure on Household Income Inequality

  • 이용재 (호서대학교 사회복지학과) ;
  • 김형익 (호서대학교 사회복지학과)
  • 투고 : 2017.10.19
  • 심사 : 2017.12.20
  • 발행 : 2017.12.28

초록

본 연구는 가구소득의 불평등에 민간보험수입과 의료비본인부담지출이 어떠한 영향을 미치는지를 확인하기 위하여 2015년 의료패널조사데이타에 대하여 소득계층별 집중지수와 집중곡선 분석을 실시하였다. 주요 분석결과는 다음과 같다. 첫째, 가구소득 집중지수가 0.3580으로 소득이 고소득층에 집중되어 있어서 불평등 정도가 상당히 큰 것으로 나타났다. 둘째, 민간보험수입이 고소득층에 집중하여 적지만 고소득층 가구의 소득집중현상을 강화시킨다. 셋째, 저소득층의 의료비 본인부담지출이 많은 것으로 나타났다. 끝으로 가구소득에서 전체 의료비본인부담지출을 제외한 소득에 대한 집중지수가 0.3676으로 나타나서 의료비본인부담지출 후에도 소득이 고소득층에 크게 집중되어 있었다. 따라서 민간보험수입과 의료비본인부담지출은 모두 가구소득불평등을 심화시키는 요인으로 작용하고 있어서 융 복합적 연구 및 정책방안 마련을 통한 개선이 요구된다.

키워드

양극화;의료형평성;집중지수;소득계층;융.복합

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