보건행정학회지 (Health Policy and Management)

  • 제17권3호
  • /
  • Pages.50-67
  • /
  • 2007
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  • 1225-4266(pISSN)
  • /
  • 2289-0149(eISSN)
한국보건행정학회 (Korean Academy of Health Policy and Management)
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가계 의료비지출의 소득탄력성과 소득수준에 따른 차이 분석

Income elasticity of household health expenditures and differences by income level

  • 허순임 (한국보건사회연구원) ;
  • 최숙자 (국민건강보험공단 건강보험연구센터) ;
  • 김창엽 (서울대학교 보건대학원)
  • Huh, Soon-Im (Korea Institute for Health and Social Affairs) ;
  • Choi, Sook-Ja (Institute of Health & Environment, School of Public Health) ;
  • Kim, Chang-Yup (School of Public Health, Seoul National University)
  • 발행 : 2007.09.30
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초록

This study investigated income elasticity of household health expenditures and differences by income level from 1998 through 2003. Data from Korean Labor and Income Panel Study was used for empirical analyses. To estimate the income effects on health expenditure, the two-part model was employed: a logistic regression for any health expenditure-first part-and a Ordinary Least Square regression for health expenditure conditional on any spending-second part. To estimate income elasticity, both health expenditure and income were log transformed in the second part. In addition, the random effects(RE) model was used for a longitudinal panel which was continuously followed from 1998 through 2003 to estimate income effects on health expenditures controlling for within and between unobservable household characteristics. Furthermore, difference in income effects on health expenditure across income level was investigated. Although income slightly increased odds of any health expenditure, there was not no table differences across income level. Income significantly increased health expenditures during study period(overall income elasticity: about 0.2) and the highest 20% income group presented higher income elasticity than the lowest 20% income group.

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참고문헌

  1. 김성환,전용석,최바울. 빈부격차 확대의 원인과 대책. 제 6회 한국노동패널 학술대회: 한국노동연구원,2005
  2. 김병운. 국민의료비 결정요인에 관한 시계열분석. 보건경제연구 2000;6(2):31-49
  3. 김정희,정종찬,이호용,최숙자,이진경. 2005년도 건강보험 환자의 본인부담 진료비 실태조사. 서울;국민건강보험공단; 2006
  4. 박재용,남시현. 도시가계의료비 지출의 추이와 예측. 예방의학회지 1995;28(2):347-363
  5. 사공진. Panel Study에 의한 국민의료비 결정요인 분석. 보건경제연구 1995;1:30-52
  6. 사공진,손장원. 국민의료비 결정요인 및 그 효과에 대한 연구. 보건경제연구 1999;5:1-23
  7. 신승호, 김창순,김한중. 지불능력에 따른 가계지출 보건의료비 차이와 소득탄력도 비교. 보건행정학회지2004;14(4):75-87
  8. 여유진. 한국에서의 소비지출 불평등에 관한 연구: 집합적 소비의 사회복지적 함의를 중심으로. 서울: 서울대학교 보건대학원;2002
  9. 여유진,김미곤,김태완,양시현,최현수. 빈곤과 불평등의 동향과 요인분해. 서울: 보건사회연구원;2005
  10. 이견직,정영호. 국민의료비 결정요인 및 영향력 분석. 보건행정학회지 2002;12(3):99-111
  11. 이수연. 도시근로자 소득수준 간 의료서비스 이용 및 치료비 부담률의 형평성. 박사학위논문. 서울: 서울대학교 보건대학원;1997
  12. 이원영. 과부담의료비 지출의 형평성. 박사학위논문. 서울: 한양대학교 대학원;2004
  13. 이현주,이주열,남찬섭,정경희,유호신 등. 저소득층 보건복지욕구조사 기초자료분석. 서울: 보건사회 연구원;1999
  14. 최바울,김성환. 경제위기와 소득 불평등: 1997년 이후를 중심으로. 제 4회 한국노동패널 학술대회. 한국노동연구원; 2003
  15. 최병호,남상호,신윤정. 국민의료비 결정요인분석. 보건행정학회지 2004;14(2):99-116
  16. Anderson, O.W., Collette, P., Feldman, J.J. Expenditure patterns for personal health services, 1953 and 1958: Nationwide survey. Health Information foundation. New York;1960
  17. Atella, V., Marini, G. Is health care expenditure really a luxury good? Re-assessment and new evidence based on OECD data. Global Health Productivity Meeting, revised paper; 2003
  18. Balkrishnan, R., Byerly, W.G., Camacho, F.T., Shrestha, A., Anderson, R. T. Effects of Prescription Benefit Changes on Medical Care Utilization in a Medicare HMO Population. American Journal of Managed Care 2001;7(11): 1093-1100
  19. Buntin, M.B., Zaslavsky, A.M. Too much ado about two-part models and transformation? Comparing methods of modeling Medicare expenditures. J. of Health Economics 2004;2,3:525-542
  20. Duan, N., Manning, W.G., Morris, C.N., Newhouse, J.P. A comparison of alternative models for the demand for medical care. J. of Business and Economic Statistics 1983;1(2):115-126 https://doi.org/10.2307/1391852
  21. Duan, N., Manning, W.G., Morris, C.N., et al. Choosing between te sample-selection model and the multipart model. J. of Business and Economic Statistics 1984;2:283-289 https://doi.org/10.2307/1391711
  22. Gerdthan, U., Sogaard, J., Anderson, F., Jonsson, B. An econometric analysis of health care expenditure: a cross-section study of the OECD countries. J. of Health Economics 1992;11(1):63-84 https://doi.org/10.1016/0167-6296(92)90025-V
  23. Getzen, T.E. Health care is an individual necessity and a national luxury: applying multilevel decision models to the analysis of health care expenditures, J. of Health Economics 2000;19:259-270 https://doi.org/10.1016/S0167-6296(99)00032-6
  24. Getzen, T. Macro forecasting of national health expenditures. In: Rossiter, L., Scheffler, R.(Eds), Advances in Health Economics 1990;11:27-48
  25. Getzen, T., Poullier, J.P. Internation health spending forecasts: concepts and evaluation. Social Science and Medicine 1992;34(9):1057-1068 https://doi.org/10.1016/0277-9536(92)90136-E
  26. King, D., Mossialos E. The Determinants of Private Medical Insurance Prevalence in England, 1997-2000. Health Services Research 2005;40(1):195-212 https://doi.org/10.1111/j.1475-6773.2005.00349.x
  27. Leu, R. The public-private mix and international health care costs. In: Culver, A., Jonsson, B.(Eds), Public Private Health Services. Blackwell, London;1986
  28. Manning, W.G., Morris, C.N., Newhouse, J.P., et al. A two-part model of the demand for medical care: preliminary results from the Health Insurance Study. In: van der Gaag, J., Perlman, M. (Eds.), Health, Economics, and Health Economics. North Holland, Amsterdam;1981. pp.103-123
  29. Manning, W.G., et al. Health insurance and the demand for medical care: evidence from a randomized experiment. American Economic Review 1987;77:251-277
  30. Maxwell, R. Health and wealth: An international study of health care spending. Lexington Books, MA 1981
  31. Newhouse, J.P., Medical care expenditure: a cross-national survey. J. of Human Resources 1977;12(1):115-125 https://doi.org/10.2307/145602
  32. Newhouse, J.P., Phelps, C.E. New estimates of price and income elasticities of medical care services. In: Rosett, R,N,(Ed.), The role of health insurance in the health services sector. NBER, New York;1976
  33. Schieber, G. Health expenditures in major industrialized countries, 1960-1987. Health Care Financing Review 1990;11(4):159-167
  34. Wagstaff, A., van Doorslaer, E., Paci, P. Equity in the finance and delivery of health care: some tentative cross-country comparisons. In: McGuire, A., Fenn, P., Mayhew, K. (Eds.), Providing health care. Oxford; 1991
  35. Wedig, G.J. Health status and the demand for health. J. of Health Economics 1988;7:151-163 https://doi.org/10.1016/0167-6296(88)90013-6
  36. Weeks, H.A. Family spending patterns and health care. Harvard Univ. Press, Cambridge;1961
  37. Wooldridge, J,M. Introductory Econometrics: A Modem Approach. 2nd Edition. 2000

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