DOI QR코드

DOI QR Code

Effects of Supplemental Insurance on Health Care Utilization and Expenditures among Cancer Patients in Korea

암 보험이 암 환자의 의료이용 및 의료비에 미친 영향

  • Kang, Sung-Wook (Samsung Healthcare Management Research Institute) ;
  • Kwon, Young-Dae (The Department of Social Medicine, Sung Kyun Kwan University College of Medicine) ;
  • You, Chang-Hoon (Samsung Healthcare Management Research Institute)
  • Published : 2005.12.01

Abstract

This study examines the effects of supplemental insurance on health care utilization and expenditures among cancer patients, who were hospitalized in a general hospital in Korea 2003. We find that those who purchase the supplemental insurance in addition to the social health insurance use more health care services and pay more than those who do not, suggesting insurance effects. This paper, however, cannot distinguish the moral effects of the health insurance from the selection effects due to adverse selection.

Keywords

References

  1. 강성욱, '민간의료보험이 병원에 미칠 영향에 관한 고찰', 보건경제와 보건정책, 10(2.3-36), 2004
  2. 김성옥, '민간보험 가입에서의 선택과 의료서비스 이용', 한국노동연구원 노동패널포럼발표 자료,2005
  3. 정기택, '민간의료보험 시장의 발전추세와 주요 정책 이슈', 손해보험 2004; 2월호, 7-17
  4. 국립암센터, 1999-2001년 국가 암 발생 통계,2005
  5. 양봉민, 보건경제학, 나남출판사,2000
  6. 최병호, '건강위험 보장의 공사간 역할 분담', 삼성의료경영연구소 제1회 심포지엄 발표, 2004
  7. Akerlof, G., 'The Market for Lemons: quality, uncertainty and the market mechanism', Quarterly Journal of Economics 74 (488-500), 1970
  8. Buchmueller, T., Couffinhal, A., Grignon, M., Perronnin. M., 'Access to physician services: does supplemental insurance matter? Evidence from France', Health Economics 13(669-687), 2004 https://doi.org/10.1002/hec.879
  9. Duan, N., Manning, C., Newhouse, J., 'A comparison of alternative models for the demand for health care,' Journal of Business and Economics Statistics 1(115-126), 1983 https://doi.org/10.2307/1391852
  10. Ettner. S., 'Adverse selection and the purchase of Medigap insurance by the elderly', Journal of Health Economics 16(543-562), 1997 https://doi.org/10.1016/S0167-6296(97)00011-8
  11. Hurd, M., McGarry, K., ' Medical Insurance and the use of health care services by the elderly', Journal of Health Economics 16(129-154), 1997 https://doi.org/10.1016/S0167-6296(96)00515-2
  12. Long, S., 'Prescription drugs and the elderly: issues and options', Health Affairs 13(157-174), 1994 https://doi.org/10.1377/hlthaff.13.2.157
  13. Moon, S., 'The effects of dual eligibility on prescription drug expenditures among medicare benificiairies', unpublished manuscript, 2005
  14. Mullay, J, 'Specification and testing of some modified count data models', Journal of Econometrics, 33(341-365), 1986 https://doi.org/10.1016/0304-4076(86)90002-3
  15. Pauly. M., 'Overinsurance and public provision of insurance: the roles of moral hazard and adverse selection', Quarterly Journal of Economics 88(44-62), 1974 https://doi.org/10.2307/1881793
  16. Shea, D., Stewart, R., 'Demand for insurance by elderly persons: private purchases and employer provision', Health Economics 4(315-326), 1995 https://doi.org/10.1002/hec.4730040407
  17. Shmueli, A., 'The effect of health on acute care supplemental insurance ownership: an empirical analysis', Health Economics 10 (341-350), 2001 https://doi.org/10.1002/hec.616
  18. Short, P., Vistnes, J 'Multiple sources of Medicare supplementary insurance', Inquiry 29 (33-43), 1992
  19. Wolfe, J, Goddeeris, J., 'Adverse selection, moral hazard, and wealth effects in the Medigap insurance market', Journal of Health Economics, 10(433-459), 1991 https://doi.org/10.1016/0167-6296(91)90024-H
  20. Wooldridge, J., Introductory Econometrics $2^{nd}$, Thomson, 2003

Cited by

  1. Strengthening Causal Inference in Studies using Non-experimental Data: An Application of Propensity Score and Instrumental Variable Methods vol.40, pp.6, 2007, https://doi.org/10.3961/jpmph.2007.40.6.495
  2. The Influence of Private Health Insurance on Admission among Some Patients with Cervical or Lumbar Sprain vol.37, pp.2, 2012, https://doi.org/10.5393/JAMCH.2012.37.2.084
  3. Having Private Cancer Insurance in Korea: Gender Differences vol.16, pp.17, 2015, https://doi.org/10.7314/APJCP.2015.16.17.7981
  4. Effect of Private Health Insurance on Medical Care Utilization: Six Year Unbalanced Panel Data Model vol.11, pp.3, 2017, https://doi.org/10.12811/kshsm.2017.11.3.051
  5. The Determinants of Purchasing Private Health Insurance in Korean Cancer Patients vol.40, pp.2, 2007, https://doi.org/10.3961/jpmph.2007.40.2.150
  6. Effects of Private Health Insurance on Health Care Utilization and Expenditures in Korean Cancer Patients: Focused on 5 Major Cancers in One Cancer Center vol.40, pp.4, 2007, https://doi.org/10.3961/jpmph.2007.40.4.329
  7. The Benefits of Supplementary Private Health Insurance for Healthcare Utilization and Survival among Stomach Cancer Patients vol.217, pp.3, 2009, https://doi.org/10.1620/tjem.217.243