Eur J Cancer Care. 2018;e12867. wileyonlinelibrary.com/journal/ecc
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https://doi.org/10.1111/ecc.12867
© 2018 John Wiley & Sons Ltd
1 | INTRODUCTION
Cancer is a disease that poses a great burden not only on the pa-
tients and their families but also in terms of socioeconomic aspects.
As of 2013, the incidence of cancer in Korea was 445.7 per 100,000
persons, and if Koreans live to the average lifespan, they appear to
have a 36.6% chance of getting cancer. Mortality due to cancer is
150.8 per 100,000 persons as of 2015, which takes up the biggest
portion (27.9%) of the cause of death. In addition, health insurance
medical expenditure for cancer in 2015 was 4.9 trillion KRW, which
is 8.5% of total health insurance medical expenditures. The govern-
ment consistently implemented the insurance guarantee reinforce-
ment policy to protect patients with cancer financially and focused
on increasing coverage by switching nonpayment items to payment
items. However, the health insurance coverage for beneficiaries of
the special benefit system for patients with cancer is 72.6%, which
indicates that patients cover at least 1/4 of the total health expen-
ditures through out-of-pocket payments, and nonpayment out-of-
pocket fees is approximately 20% of total health expenditures.
As such, cancers result in a great burden of health expenditures
and have a significant impact on household income (Berkowitz &
Johnson, 1974). The concept of catastrophic health expenditure
(CHE) is a typical indicator that measures households’ economic
burden. CHE occurs if the household’s health expenditure compared
to its economic capacity (ability to pay) exceeds a certain threshold
(Wyszewianski, 1986; Xu et al., 2003). This concept measures the eco-
nomic burden and loss due to health expenditures, and researchers
use it to indirectly evaluate the health security system in terms of its
Received: 4 April 2017
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Revised: 4 April 2018
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Accepted: 17 April 2018
DOI: 10.1111/ecc.12867
ORIGINAL ARTICLE
Private health insurance and catastrophic health expenditures
of households with cancer patients in South Korea
Munjae Lee
1
| Kichan Yoon
2
* | Mankyu Choi
3,4
*
*These two authors contributed to this work equally.
1
Department of Medical Device
Management and Research, SAIHST,
Sungkyunkwan University, Seoul, Korea
2
Social Security Information Service, Seoul,
Korea
3
BK21Plus Program in Public Health
Science, Korea University, Seoul, Korea
4
Department of Public Health Science,
Graduate School of Korea University, Seoul,
Korea
Correspondence
Kichan Yoon, Social Security Information
Service, Seoul, Korea
Email: ykichan08@gmail.com
Abstract
This study examines the effects of private health insurance (PHI) on the incidence of
catastrophic health expenditures (CHE) for households with a patient with cancer.
This study uses 1-year data from 2013 and households with cancer patients as the
unit of research rather than individual household members. The sample thus includes
468 households with members with cancer who also used emergency, outpatient
and hospitalisation services. Households with PHI had a lower incidence of CHE for
all thresholds than those without did. At the 10% threshold, the incidence became
significantly lower, by 0.59 and 0.60 times, respectively, if householders had higher
education and income levels. Moreover, the incidence of CHE was higher by 8.71
times if the householders are female, and lower by 0.84 times if the householders did
not have a spouse at the 20% threshold. From the analysis of households with cancer
patients that hold PHI as the key variable, these households showed a lower inci-
dence of CHE than the others did. PHI provides healthcare payments not secured
through national health insurance (NHI) and protects households from health expen-
ditures, thereby complementing NHI to a certain degree.
KEYWORDS
cancer patients, catastrophic health expenditure, healthcare, Korea health panel, private
health insurance, South Korea