ArticleBMJ open2016
Impact of health insurance status changes on healthcare utilisation patterns: a longitudinal cohort study in South Korea.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 23 citations in OpenAlex.
- The Impact of National Health Insurance Expansion on Suspected Obstructive Sleep Apnea: A Nine-Year Single-Center Study.Journal of Korean medical science · 2026Article
- Article
- Impact of socioeconomic status on biologics utilization in rheumatoid arthritis: revealing inequalities and healthcare efficiency.The Korean journal of internal medicine · 2024Observational
- Does Maintained Medical Aid Coverage Affect Healthy Lifestyle Factors, Metabolic Syndrome-Related Health Status, and Individuals' Use of Healthcare Services?Healthcare (Basel, Switzerland) · 2023Article
- Factors influencing use of conventional and traditional Korean medicine-based health services: a nationwide cross-sectional study.BMC complementary medicine and therapies · 2022Article
- Actual compliance rate of Enhanced Recovery After Surgery protocol in laparoscopic distal gastrectomy.Journal of minimally invasive surgery · 2021Article
- The effect of shifting medical coverage from National Health Insurance to Medical Aid type I and type II on health care utilization and out-of-pocket spending in South Korea.BMC health services research · 2020Article
- What Are the Determinants of the Decision to Purchase Private Health Insurance in China?International journal of environmental research and public health · 2020Article
- Unmet Dental Care Needs among Korean National Health Insurance Beneficiaries Based on Income Inequalities: Results from Five Waves of a Population-Based Panel Study.Healthcare (Basel, Switzerland) · 2020Article
- How to Reduce Excessive Use of the Health Care Service in Medical Aid Beneficiaries: Effectiveness of Community-Based Case Management.International journal of environmental research and public health · 2020Article
- Health care inequality under different medical insurance schemes in a socioeconomically underdeveloped region of China: a propensity score matching analysis.BMC public health · 2019Article
- Gaps in universal health coverage in South Korea: Association with depression onset in a community cohort.PloS one · 2018Article
- Insurance status, inhospital mortality and length of stay in hospitalised patients in Shanxi, China: a cross-sectional study.BMJ open · 2017Article
- Analysing the Influence of Health Insurance Status on Peoples' Health Seeking Behaviour in Rural Ghana.Journal of tropical medicine · 2017Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe study examined medical care utilisation by health insurance status changes.
settingThe Korean Welfare Panel Study (KoWePs) was used.
participantsThis study analysed 14,267 participants at baseline (2006).
interventionsThe individuals were categorised into four health insurance status groups: continuous health insurance, change from health insurance to Medical Aid, change from Medical Aid to health insurance, or continuous Medical Aid. PRIMARY AND SECONDARY OUTCOME MEASURES: Three dependent variables were also analysed: days spent in hospital; number of outpatient visits; and hospitalisations per year. Longitudinal data analysis was used to determine whether changes in health insurance status were associated with healthcare utilisation.
resultsThe number of outpatient visits per year was 0.1.363 times higher (p<0.0001) in the continuous Medical Aid than in the continuous health insurance group. The number of hospitalisations per year was 1.560 times higher (p<0.001) in new Medical Aid and -0.636 times lower (p<0.001) in new health insurance than in continuous health insurance group. The number of days spent in hospital per year was -0.567 times lower (p=0.021) in the new health insurance than in the continuous health insurance group.
conclusionsHealth insurance beneficiaries with a coverage level lower than Medical Aid showed lower healthcare utilisation, as measured by the number of hospitalisations and days spent in hospital per year.
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