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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 20...

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Autores principales: Park, Sungchul, Bae, Giryeon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society for Preventive Medicine 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579633/
https://www.ncbi.nlm.nih.gov/pubmed/37735830
http://dx.doi.org/10.3961/jpmph.23.270
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author Park, Sungchul
Bae, Giryeon
author_facet Park, Sungchul
Bae, Giryeon
author_sort Park, Sungchul
collection PubMed
description 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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spelling pubmed-105796332023-10-18 Characteristics and Health Care Spending of Persistently and Transiently High-cost Older Adults in Korea Park, Sungchul Bae, Giryeon J Prev Med Public Health Brief Report 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. Korean Society for Preventive Medicine 2023-09 2023-09-04 /pmc/articles/PMC10579633/ /pubmed/37735830 http://dx.doi.org/10.3961/jpmph.23.270 Text en Copyright © 2023 The Korean Society for Preventive Medicine https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Brief Report
Park, Sungchul
Bae, Giryeon
Characteristics and Health Care Spending of Persistently and Transiently High-cost Older Adults in Korea
title Characteristics and Health Care Spending of Persistently and Transiently High-cost Older Adults in Korea
title_full Characteristics and Health Care Spending of Persistently and Transiently High-cost Older Adults in Korea
title_fullStr Characteristics and Health Care Spending of Persistently and Transiently High-cost Older Adults in Korea
title_full_unstemmed Characteristics and Health Care Spending of Persistently and Transiently High-cost Older Adults in Korea
title_short Characteristics and Health Care Spending of Persistently and Transiently High-cost Older Adults in Korea
title_sort characteristics and health care spending of persistently and transiently high-cost older adults in korea
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579633/
https://www.ncbi.nlm.nih.gov/pubmed/37735830
http://dx.doi.org/10.3961/jpmph.23.270
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