Healthcare utilization among foreign beneficiaries of the National Health Insurance program in Korea.
Humans
Republic of Korea
Female
Male
National Health Programs
/ statistics & numerical data
Middle Aged
Adult
Patient Acceptance of Health Care
/ statistics & numerical data
Aged
Adolescent
Child, Preschool
Young Adult
Child
Infant
Emigrants and Immigrants
/ statistics & numerical data
Infant, Newborn
Ambulatory care
Foreigners
Health care utilization
Hospitalization
National health insurance
Journal
BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677
Informations de publication
Date de publication:
30 Oct 2024
30 Oct 2024
Historique:
received:
08
07
2024
accepted:
03
10
2024
medline:
31
10
2024
pubmed:
31
10
2024
entrez:
31
10
2024
Statut:
epublish
Résumé
To explore the factors related to healthcare utilization (both inpatient and outpatient services) among foreign beneficiaries of the National Health Insurance (NHI) in Korea. The total foreign beneficiaries of the NHI in Korea 2022 were included (n = 1,386,329). For the dependent variables, utilization and either hospital stays or count of visits were used. And the independent variables were selected guided by Andersen's behavioral framework: predisposing characteristics (e.g., sex, age, nationality), enabling characteristics (e.g., insurance premium ranking, residency status, residency period, place of residency, beneficiary type), and need characteristics (e.g., disability, CCI, chronic diseases). We conducted a two-part model analysis employing Andersen's behavioral framework, using health insurance claims data from 2022. The results indicated that individual need characteristics, such as disability, CCI, and chronic diseases, had the most significant impact on total healthcare utilization and its associated costs. The next significant characteristic was the residence period; the longer the period, the higher the likelihood of healthcare utilization, but the lower the associated costs. Among the predisposing characteristics, individuals aged 65 years and older had the most significant impact on healthcare costs. Additionally, among the enabling characteristics, residency period, residency status, and beneficiary type were most significant. Foreigners residing in Korea are eligible to use the Korean healthcare system by enrolling in NHI. As the foreign population is projected to grow even faster due to Korea's aging society and low birth rate, this study can assist public health administrators in formulating evidence-based policies.
Sections du résumé
BACKGROUND
BACKGROUND
To explore the factors related to healthcare utilization (both inpatient and outpatient services) among foreign beneficiaries of the National Health Insurance (NHI) in Korea.
PARTICIPANTS
METHODS
The total foreign beneficiaries of the NHI in Korea 2022 were included (n = 1,386,329).
VARIABLES
METHODS
For the dependent variables, utilization and either hospital stays or count of visits were used. And the independent variables were selected guided by Andersen's behavioral framework: predisposing characteristics (e.g., sex, age, nationality), enabling characteristics (e.g., insurance premium ranking, residency status, residency period, place of residency, beneficiary type), and need characteristics (e.g., disability, CCI, chronic diseases).
STATISTICAL MODELS
UNASSIGNED
We conducted a two-part model analysis employing Andersen's behavioral framework, using health insurance claims data from 2022.
RESULTS
RESULTS
The results indicated that individual need characteristics, such as disability, CCI, and chronic diseases, had the most significant impact on total healthcare utilization and its associated costs. The next significant characteristic was the residence period; the longer the period, the higher the likelihood of healthcare utilization, but the lower the associated costs. Among the predisposing characteristics, individuals aged 65 years and older had the most significant impact on healthcare costs. Additionally, among the enabling characteristics, residency period, residency status, and beneficiary type were most significant.
CONCLUSION
CONCLUSIONS
Foreigners residing in Korea are eligible to use the Korean healthcare system by enrolling in NHI. As the foreign population is projected to grow even faster due to Korea's aging society and low birth rate, this study can assist public health administrators in formulating evidence-based policies.
Identifiants
pubmed: 39478541
doi: 10.1186/s12913-024-11698-2
pii: 10.1186/s12913-024-11698-2
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1312Informations de copyright
© 2024. The Author(s).
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