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65세 이상 본인부담 상한 적용 노인의 의료서비스 이용 현황과 특성

Status and Characteristics of Applying a Copayment Ceiling for the Elderly

  • 박초열 (부산가톨릭대학교 일반대학원 병원경영학전공) ;
  • 박영희 (부산가톨릭대학교 병원경영학과)
  • 투고 : 2020.02.01
  • 심사 : 2020.03.30
  • 발행 : 2020.03.31

초록

Objectives: This study is the human factors and disease factors of the copayment system for the elderly (>65 years old) and to identify does the current status and characteristics of the applied elderly and conducted to provide basic data. Methods: Sample cohort data from the National Health Insurance Corporation database, from the years 2012-2015, were analyzed of 21,772 elderly people over the copayment ceiling. Results: The ratio of those who exceeded the copayment ceiling system rose sharply from progressive rates of 3.39% in 2012, 3.69% in 2013 and 5.03% in 2014, to rates of 37.13% from 2013. Factors identified that affect the instances of being over the copayment ceiling were: age, income group, region, severity, disability, sickness distribution, inpatient days, and outpatient days. Conclusions: The reorganization of the copayment ceiling system in 2014 favored low-income families of the elderly, but in 2015, the proportion of elderly was low (only 5.78%). The government's policies needs to change to allow for the amount of the deductible upper limit for low- and middle- income groups to be further subdivided in order for the elderly to receive more deductibles.

키워드

참고문헌

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피인용 문헌

  1. Long-term exposure to fine particulate matter and incident asthma among elderly adults vol.272, 2021, https://doi.org/10.1016/j.chemosphere.2021.129619