ArticleJournal of preventive medicine and public health = Yebang Uihakhoe chi2023
Characteristics and Health Care Spending of Persistently and Transiently High-cost Older Adults in Korea.
Article in Journal of preventive medicine and public health = Yebang Uihakhoe chi, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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The trial behind it
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Who cites it
4 citing papers in PubMed.
- Post-discharge healthcare utilization and costs in musculoskeletal surgery patients: A cohort study in Korea.PloS one · 2026Article
- Factors Associated with Health Care Spending Among Adults in South Korea.Journal of general internal medicine · 2025Article
- Health Care Spending Increases and Value in South Korea.JAMA health forum · 2025Article
- Assessing differences among persistent, episodic, and non- high-need high-cost hospitalized children in China after categorization by an unsupervised learning algorithm.Archives of public health = Archives belges de sante publique · 2024Article
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Authors and funding
2 authors.
Funding
Abstract
objectivesThis study examined differences in health care spending and characteristics among older adults in Korea by high-cost status (persistently, transiently, and never high-cost).
methodsWe 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.
resultsPersistently 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.
conclusionsMedical 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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