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Impact of Osteoarthritis on Household Catastrophic Health Expenditures in Korea
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논문 기본 정보

Type
Academic journal
Author
Hyoungyoung Kim (한양의대병원) CHO Soo-Kyung (한양대학교) 김대현 (경북대학교) Kim Dal Ho (경북대학교) Sun-Young Jung (중앙대학교) Jang Eun Jin (안동대학교) SUNG Yoon-Kyoung (한양대학교)
Journal
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.33 No.21 KCI Accredited Journals
Published
2018.1
Pages
1 - 11 (11page)

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Impact of Osteoarthritis on Household Catastrophic Health Expenditures in Korea
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Background: Osteoarthritis (OA) is a disease of old age whose prevalence is increasing. This study explored the impact of OA on household catastrophic health expenditure (CHE) in Korea. Methods: We used data on 5,200 households from the Korea Health Panel Survey in 2013 and estimated annual living expenses and out-of-pocket (OOP) payments. Household CHE was defined when a household's total OOP health payments exceeded 10%, 20%, 30%, or 40% of the household's capacity to pay. To compare the OOP payments of households with OA individuals and those without OA, OA households were matched 1:1 with households containing a member with other chronic disease such as neoplasm, hypertension, heart disease, cerebrovascular disease, diabetes, or osteoporosis. The impact of OA on CHE was determined by multivariable logistic analysis. Results: A total of 1,289 households were included, and households with and without OA patients paid mean annual OOP payments of $2,789 and $2,607, respectively. The prevalence of household CHE at thresholds of 10%, 20%, 30%, and 40% were higher in households with OA patients than in those without OA patients (P < 0.001). The presence of OA patients in each household contributed significantly to CHE at thresholds of 10% (odds ratio [OR], 1.48; 95% confidence interval [CI], 1.16–1.87), 20% (OR, 1.29; 95% CI, 1.01–1.66), and 30% (OR, 1.37; 95% CI, 1.05–1.78), but not of 40% (OR, 1.17; 95% CI, 0.87–1.57). Conclusion: The presence of OA patients in Korean households is significantly related to CHE. Policy makers should try to reduce OOP payments in households with OA patients.

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References (39)

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Harper S / 2014 / Economic and social implications of aging societies / Science 346(6209):587~591 Crossref Shane Anderson A / 2010 / Why is osteoarthritis an age-related disease? / Best Pract Res Clin Rheumatol 24(1):15~26 Crossref Gupta S / 2005 / The economic burden of disabling hip and knee osteoarthritis (OA) from the perspective of individuals living with this condition / Rheumatology (Oxford) 44(12):1531~1537 Crossref Health Insurance Review & Assessment Service / National Health Insurance Statistical Year Book google schola 신동욱 / 2013 / 제5기 국민건강영양조사 자료에 기초한 50세 이상 한국 성인의 무릎 골관절염 유병 규모의 추정 / 대한의사협회지 56(5):431~436 dbpia

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