Journal of Convergence for Information Technology (융합정보논문지)

Convergence Society for SMB (중소기업융합학회)
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Influencing Factors to Enrollment in Private Health Insurance and Medical Use by Life Cycle : Analysis of 2016-2019 Korea Welfare Panel

생애주기별 민간의료보험 가입 영향 요인 및 의료이용 행태 : 2016~2019년 한국복지패널자료를 사용하여

  • Kim, Ji-On (Dept of Health Care Management, Catholic University of Pusan)
  • 김지온 (부산가톨릭대학교 병원경영학과)
  • Received : 2021.08.02
  • Accepted : 2021.10.20
  • Published : 2021.10.28
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Abstract

This study was conducted to find out the status and factors of private health insurance subscriptions by life cycle and to identify differences in medical usage behavior by life cycle. Using the SPSS 26 program as the 12th-15th (2016-2019) data of the Korea Welfare Panel, the difference subscriptions was identified as Chi-square by demo social and health characteristics of 58,223 people, and the factors affecting subscription were analyzed by polynomial logistic analysis and average analysis was performed for medical use behavior. As a result of the analysis, the biggest factor in purchasing private health insurance was household income, private health insurance coverage is the highest in growth period, and multiple subscriptions were made depending on household income. In youth, household income, spouse, and no disability, and middle age, household income, economic activities, spouses, and health levels were largely influential factors. The rate of private health insurance coverage in old age was the lowest, and low-income households, poor health levels, and people with disabilities were lower. The increase in medical use by private health insurance subscribers also occurred during growth and youth. It is necessary to strengthen the national health insurance coverage, and the role of private health insurance to supplement it should be established in time for the life cycle to complement each other, eliminating blind spots of medical security and maximizing people's health and well-being.

본 연구는 생애주기별 민간의료보험 가입 현황 및 가입 요인을 알아보고, 민간의료보험 가입에 따라 생애주기별 의료이용 행태 차이를 파악하고자 시행하였다. 한국복지패널 12차-15차(2016-2019년) 자료를 SPSS 26 프로그램을 사용하여 58,223명의 인구사회학적 및 건강 특성에 따른 민간의료보험의 가입 현황 차이는 Chi-square, 가입 영향 요인은 다항 로지스틱 분석, 의료이용 행태는 평균분석하였다. 분석결과 민간의료보험의 가장 큰 가입요인은 가구소득이었으며, 성장기의 민간의료보험 가입이 생애주기 중 가장 높았고, 가구소득에 의해 복수 가입되었다. 청장년기는 가구소득과 유배우자, 장애가 없는 경우, 중년기는 가구소득과 경제활동, 유배우자, 건강수준이 큰 영향요인으로 나타났다. 노년기의 민간의료보험 가입률이 가장 낮았고, 저소득가구, 낮은 건강수준, 장애가 있는 경우에서 낮았다. 민간의료보험 가입자들의 의료이용 증가도 성장기와 청장년기에 나타났다. 국민건강보험의 보장성 강화와 이를 보충하기 위한 민간의료보험의 역할을 생애주기에 맞춰 정립하여 상호보완적으로 작용하게 하여 의료보장의 사각지대를 없애고, 국민의 건강과 후생을 최대화하여야 할 것이다.

Keywords

References

  1. National Health Insurance Policy Institute. (2017). Korea Health Panel In-depth Analysis Report. Wonju : National Health Insurance Service.
  2. D. H. Kim. (2018). Analysis on Accessibility to Medical Services and Reinterpreting Coverage Rate of the National Health Insurance by Income Level, Korean Journal of Insurance, 121, 85-112. DOI : 10.17342/KIJ.2018.114.4
  3. E. C. Song & Y.J. Shin. (2015). The Comprehensive Health Expenditure Ceiling System to Prevent Catastrophic Health Expenditure: Focusing on Applicability Using Cost Estimation. Health and Social Welfare Review, 35(2), 429-456. DOI : 10.15709/hswr.2015.35.2.429
  4. J. U. Yi. (2015). Medical Care Utilization in Adults and in Chronic Disease Patients : Focusing on the Influence of Private Health Insurance. Master's thesis, The Graduate School of Public Health Seoul National University. Seoul.
  5. H. B. Lee. (2020). A Study on Medical Use According to the Characteristics of Private Health Insurance Subscribers. Social Security Research, 36(4), 85-108.
  6. B. H. Choi. (2020). Policy Implications for National Health Insurance Coverage Expansion. Health and Welfare Forum, 289, 1-16.
  7. National Health Insurance Service. (2020.12.29.). As a result of the survey on medical expenses, the health insurance coverage rate in 2019 was 64.2%. (Oline). http://www.nhis.or.kr/nhis/together/wbhaea01600m01.do?mode=view&articleNo=10803692&article.offset=180&articleLimit=10
  8. C. H. You, S. W. Kang, E. H. Oh & Y. D. Kwon. (2010). A Comparison of Single and Multiple Private Health Insurance Purchasers Among Middleaged and elderly Korean Adults, Health and Social Welfare Review, 30(2), 446-462. https://doi.org/10.15709/HSWR.2010.30.2.446
  9. S. R. Shin. (2020). A Study on the Influence Factors of Elderly Consumers on Private Health Insurance, Consumer Policy Education Research, 16(2), 57-81. DOI : 10.15790/cope.2020.16.2.057
  10. S. H. You. (2005). Health Science of Yang Jaemo. Seoul : Gyechuk Publishing.
  11. Korea Institution Health and Social Affairs. (2020). 2020 Welfare Panel In-depth Report. Sejong : Korea Institute for Health and Social Affairs.
  12. S. N. Park. (2014). Population Sensors Life Cycle Analysis(II) - Life Process Conversion Factor Analysis. Daejeon : Statistics Research Institute.
  13. J. Y. Hwang. (2019). Analysis of factors affecting the suicidal ideation by life cycle. Master's thesis, The Graduate School of Uiduk University. Kyungju.
  14. M. S. Park. (2019), A Study on the Latent Health Classes and related factors among Single Households. Doctoral thesis, The Graduate School of Seoul National University. Seoul.
  15. J. O. Kim, J. K. Park & B. H. Im. (2018). A Factor of Influencing to Private Health Insurance of Baby Boomer Generation. Humanities Society, 9(1), 897-910. DOI : 10.22143/HSS21.9.1.71
  16. C. H. You & Y. D. Kwon. (2020). Gender Differences in Factors Affecting Purchase of Indemnity Private Health Insurance and Impact of Indemnity Private Health Insurance on Healthcare Use: Korea Health Panel Survey Data from 2010 to 2016. The Journal of Contents theses, 20(3), 92-105. DOI : 10.5392/JKCA.2020.20.03.092
  17. C. H. You, S. W. Kang, J. H. Choi & Y. D. Kwon. (2018), Determinants of Purchasing Indemnity Private Health Insurance among Adolescents and Children, The Journal of Contents theses, 18(10), 99-110. DOI : 10.5392/JKCA.2018.18.10.099
  18. G. H. Lee. (2021). Effects of Private Medical Insurance on the Use of Medical Services for the Elderly: Differences According to Chronic Disease. Journal of the Korean Data Analysis Society, 23(3), 1109-1124. https://doi.org/10.37727/jkdas.2021.23.3.1109
  19. J. W. Kim & C. S. Kim. (2015). Private Health Insurance Enrollment State of Married, Working Women: Effect of the Employment Status of Husband. Korea Social Policy Review, 22(2), 227-247. DOI : 10.15709/hswr.2015.35.2.100
  20. J. W. Kim & C. S. Kim. (2015). Enrollment Situation in Private Health Insurance by Type of Employment: Analysis of Middle Aged Male Employees. Health and Social Welfare Review, 35(2), 100-123. DOI : 10.37727/jkdas.2021.23.3.1109
  21. S. Y. Kim, M. S. Sohn, G. H. Kim & M. K. Choi. (2020). Impact of Chronic Elderly Patients with Private Health Insurance on Medical Use. Health and Social Welfare Review, 40(3), 152-177. DOI : 10.15709/hswr.2020.40.3.152
  22. J. W. Hur & Y. D. Kwon. (2019). Factors Affecting the Purchase of Indemnity Private Health Insurance and Related Factors of Outpatient Healthcare Utilization among Chronic Disease Patients. The Journal of Hospital Management, 24(3), 1-10.
  23. K. H. Lee. (2020). Effect of Private Health Insurance on Health Care Usage: Panel Poisson Regression Model Analysis. The Korean Journal of Health Economics and Policy, 26(2), 127-147.
  24. S. Kim & M. Kim. (2018). Current state of private health insurance for severely ill patients and medical use according to enrollment: National Health and Nutrition Survey, 7th year. The Journal of the Korean Public Health Association, 44(1), 83-92.