ArticleInternational journal of environmental research and public health2021
Do Patients Residing in Provincial Areas Transport and Spend More on Cancer Treatment in Korea?
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- What drives patients' preferences for cancer care in South Korea's capital area? A study on preferences concerning cancer care facilities.BMC health services research · 2026Article
- Medical travel patterns for hepatocellular carcinoma treatment in South Korea: National Health Insurance data from 2013 to 2021.World journal of gastrointestinal oncology · 2025Article
- Impact of fragmented care on cancer outcomes among korean women with breast and cervical cancer: a focus on regional and economic disparities.International journal for equity in health · 2025Article
- Inter-regional patient outmigration to Seoul in South Korea: the role of regional healthcare quality perceptions.BMC health services research · 2025Article
- The delayed cancer treatment and economic inequality in Korea: results of common cancers by the time-to-surgery.Epidemiology and health · 2025Article
- Article
- What is the relationship between the local population change and cancer incidence in patients with dyslipidemia: Evidence of the impact of local extinction in Korea.Cancer medicine · 2024Article
- Article
- Cancer care patterns in South Korea: Types of hospital where patients receive care and outcomes using national health insurance claims data.Cancer medicine · 2023Article
- Difference in medical service use among Korean gastric cancer survivors according to regional healthcare vulnerabilities: a cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- No evidence of delay in colorectal cancer diagnosis during the COVID-19 pandemic in Gwangju and Jeonnam, KoreaEpidemiology and health · 2022Article
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundWith the increasing burden of cancer worldwide, a need exists to investigate patterns of healthcare utilization and costs. This study aimed to investigate whether the area of residence is associated with the likelihood of a patient receiving treatment at an institution located outside their residing region. This study also analyzed whether medical travel was related to levels of healthcare utilization and costs.
methodsThis study used the 2007 to 2015 National Health Insurance (NHI) claims data. The residing area was categorized into capital area, metropolitan cities, and provincial area. Healthcare utilization was measured based on days of care and costs based on direct, covered medical costs. Chi-square test and analysis of variance (ANOVA) was conducted to investigate the general characteristics of the study population. The relationship between the dependent and independent variables were analyzed using the generalized estimating equation (GEE) model.
resultsOf the 64,505 participants included in this study, 19,975 (31.0%) visited medical institutions located outside their residing area. Compared to individuals residing in the capital area, those living in provincial regions (OR 2.202, 95% CI 2.068-2.344) were more likely to visit medical institutions outside their residing area. Healthcare costs were higher in individuals receiving treatment at hospitals located elsewhere (RR 1.054, 95% CI 1.017-1.093).
conclusionCancer patients residing in provincial areas were likely to visit institutions located outside their residing area for treatment. Medical travel was associated with higher levels of spent healthcare costs. Policies should focus on preventing possible related regional cancer disparity and promoting optimal configuration of cancer services.
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