DOI QR코드

DOI QR Code

An Analysis on the Health and the Medical Demand in Korea: Using the Grossman Model

우리나라의 건강수요 및 의료수요에 대한 분석: Grossman Model을 중심으로

  • Received : 2019.08.02
  • Accepted : 2019.08.28
  • Published : 2019.09.30

Abstract

Background: This study analyzes the effects of the individual's health behavior on the health and the medical demand for the management of health and medical expenses. Methods: This study uses the Korea Health Panel Survey data from 2010 to 2015. We utilize the panel ordered logit model and the panel Tobit model with the subjective health status and the medical expenses as the dependent variables. Results: Chronic diseases would cause the deterioration of his or her health and the increase in medical expenses. Smoking and drinking alcohol would deteriorate one's health. The total amount of cigarettes increases medical expenses. Exercises could make people healthier, whereas excessive exercise might increase medical expenses. Private health insurance would increase medical expenses. Conclusion: Since health could reduce the medical expenses, people should promote one's health by changing one's behavior for health.

Keywords

References

  1. Organization for Economic Cooperation and Development. Health statistics 2019 [Internet]. Paris: Organization for Economic Cooperation and Development; 2019 [cited 2019 Jul 2]. Available from: https://www.oecd.org/health/health-data.htm.
  2. Health Insurance Review and Assessment Service. Medical expense major statistics [Internet]. Wonju: Health Insurance Review and Assessment Service; 2019 [cited 2019 Jul 24]. Available from: http://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020045030000&brdScnBltNo=4&brdBltNo=2393&pageIndex=1.
  3. Ministry of Health and Welfare. OECD health statistics 2018 [Internet]. Sejong: Ministry of Health and Welfare, Korea Institute for Health and Social Affairs; 2018 [cited 2018 Sep 4] Available from: http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID= 03&MENU_ID=032903&CONT_SEQ=345950&page=1.
  4. Lee EK, Choi ES. Unhealthy behavior, its interactions, and health care expenditure. Sejong: Korea Institute of Public Finance; 2015.
  5. Lalonde M. A new perspective on the health of Canadians: a working document. Ottawa (ON): Health Canada; 1974.
  6. Bae SS. Health-related behaviors: theoretical models and research findings. J Prev Med Public Health 1993;26(4):508-533.
  7. Grossman M. On the concept of health capital and the demand for health. J Polit Econ 1972;80(2):223-255. DOI: https://doi.org/10.1086/259880.
  8. Grossman M. The human capital model. In: Culyer AJ, Newhouse JP, editors. Handbook of health economics. Amsterdam: Elsevier; 2000. pp. 347-408. DOI: https://doi.org/10.1016/S1574-0064(00)80166-3.
  9. Wagstaff A. The demand for health: some new empirical evidence. J Health Econ 1986;5(3):195-233. DOI: https://doi.org/10.1016/0167-6296(86)90015-9.
  10. Nocera S, Zweifel P. The demand for health: an empirical test of the Grossman model using panel data. Dev Health Econ Public Policy 1998;6:35-49. DOI: https://doi.org/10.1007/978-1-4615-5681-7_2.
  11. Gerdtham UG, Johannesson M, Lundberg L, Isacson D. The demand for health: results from new measures of health capital. Eur J Polit Econ 1999;15(3):501-521. DOI: https://doi.org/10.1016/s0176-2680(99)00026-9.
  12. Humphreys BR, McLeod L, Ruseski JE. Physical activity and health outcomes: evidence from Canada. Health Econ 2014;23(1):33-54. DOI: https://doi.org/10.1002/hec.2900.
  13. Andersen R. A behavioral model of families' use of health service. Chicago (IL): Center for Health Administration Studies, University of Chicago; 1986.
  14. Shin MS, Lee WJ. Health behavior associated with outpatient utilization. J Korea Contents Assoc 2013;13(5):342-353. DOI: https://doi.org/10.5392/jkca.2013.13.05.342.
  15. Choi SE. Health expenditure of smokers and the effect of smoking. Korean J Public Financ 2016;9(2):1-21.
  16. Kim DJ. Health expenditure model using Grossman Model. Korean J Health Econ Policy 2015;21(2):71-92.
  17. Yoo CH, Kang S, Choi JH, Kwon YD. The impacts of private health insurance on medical institution selection: evidence from outpatient service utilization among arthritis patients. Korean J Hosp Manag 2017;22(2):58-69.
  18. Willits FK, Crider DM. Health rating and life satisfaction in the later middle years. J Gerontol 1988;43(5):S172-S176.
  19. Choi YH. Is subjective health reliable as a proxy variable for true health?: a comparison of self-rated health and self-assessed change in health among middle-aged and older South Koreans. Health Soc Welf Rev 2016;36(4):431-459. DOI: https://doi.org/10.15709/hswr.2016.36.4.431.
  20. Winship C, Mare RD. Regression models with ordinal variables. Am Sociol Rev 1984;49(4):512-525. DOI: https://doi.org/10.2307/2095465.
  21. Dickerson A, Hole AR, Munford L. A review of estimators for the fixed effects ordered logit model. Proceedings of the United Kingdom Stata Users Group Meetings; 2011 Sep 15-16; London, UK. College Station (TX): Stata Users Group; 2011.
  22. Kim S, Nah EH, Cho HI. Association between smoking, metabolic syndrome, and arteriosclerosis in Korean men. J Health Info Stat 2016;41(1):18-26. DOI: https://doi.org/10.21032/jhis.2016.41.1.18.
  23. Jung CH , Park JS , Lee WY , Kim SW. Effects of smoking, alcohol, exercise, level of education, and family history on the metabolic syndrome in Korean adults. Korean J Med 2002;63(6):649-659.
  24. Lee SW, Lee SH, Kweon YR, Lee HJ. Factors relating to bone mineral density of adult man in Korea. J Korean Acad Fam Med 2003;24(2):158-165.
  25. Jeong SR, Doo YT, Lee WK. Effect on ambulatory dental visitation frequency according to pack-years of smoking. J Korean Data Inf Sci Soc 2016;27(2):419-427. DOI: https://doi.org/10.7465/jkdi.2016.27.2.419.
  26. Han EJ. Health behavior analysis based on Korea Health Panel data. Health Welf Policy Forum 2011;(182):32-42.
  27. Go SJ, Jung YH, Kim EJ, Oh HI. The effects of price policy on smoking and drinking. Sejong: Korea Institute for Health and Social Affairs; 2013.
  28. Jeong AS. Changes in policy on alcoholic beverages and drinking in Korea: tasks ahead. Health Welf Policy Forum 2015;(221):57-66.
  29. Kim Y, Sharp S, Hwang S, Jee SH. Exercise and incidence of myocardial infarction, stroke, hypertension, type 2 diabetes and site-specific cancers: prospective cohort study of 257 854 adults in South Korea. BMJ Open 2019;9(3):e025590. DOI: https://doi.org/10.1136/bmjopen-2018-025590.
  30. Kang HJ. Policy direction for decreasing the concentration of patients to extra-large hospitals. Health Welf Policy Forum 2014;(210):65-76.