Characteristics and Health Care Spending of Persistently and Transiently High-cost Older Adults in Korea
Objectives: This study examined differences in health care spending and characteristics among older adults in Korea by high-cost status (persistently, transiently, and never high-cost).Methods: We identified 1 364 119 older adults using data from the Korean National Insurance Claims Database for 201...
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Published in | Journal of preventive medicine and public health Vol. 56; no. 5; pp. 475 - 480 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
Korean Society for Preventive Medicine
01.09.2023
대한예방의학회 |
Subjects | |
Online Access | Get full text |
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Summary: | Objectives: This study examined differences in health care spending and characteristics among older adults in Korea by high-cost status (persistently, transiently, and never high-cost).Methods: We identified 1 364 119 older adults using data from the Korean National Insurance Claims Database for 2017-2019. Outcomes included average annual total health care spending and high-cost status for 2017-2019. Linear regression was used to estimate differences in the outcomes while adjusting for individual-level characteristics.Results: Persistently and transiently high-cost older adults had higher health care spending than never high-cost older adults, but the difference in health care spending was greater among persistently high-cost older adults than among transiently high-cost older adults (US$20 437 vs. 5486). Despite demographic and socioeconomic differences between transiently high-cost and never high-cost older adults, the presence of comorbid conditions remained the most significant factor. However, there were no or small differences in the prevalence of comorbid conditions between persistently high-cost and transiently high-cost older adults. Rather, notable differences were observed in socioeconomic status, including disability and receipt of Medical Aid.Conclusions: Medical risk factors contribute to high health care spending to some extent, but social risk factors may be a source of persistent high-cost status among older adults in Korea. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 1975-8375 2233-4521 |
DOI: | 10.3961/jpmph.23.270 |