Self-Rated Health Status Based on the Type of Health Insurance: A Socioeconomic Perspective

To investigate the effects of public and private health insurance on self-rated health (SRH) status within the National Health Insurance (NHI) system based on socioeconomic status in South Korea. The data were obtained from 10 867 respondents of the Korea Health Panel (2008-2011). We used hierarchic...

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Autores principales: Sohn, Minsung, Jung, Minsoo, Choi, Mankyu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8261851/
https://www.ncbi.nlm.nih.gov/pubmed/34218705
http://dx.doi.org/10.1177/00469580211028171
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author Sohn, Minsung
Jung, Minsoo
Choi, Mankyu
author_facet Sohn, Minsung
Jung, Minsoo
Choi, Mankyu
author_sort Sohn, Minsung
collection PubMed
description To investigate the effects of public and private health insurance on self-rated health (SRH) status within the National Health Insurance (NHI) system based on socioeconomic status in South Korea. The data were obtained from 10 867 respondents of the Korea Health Panel (2008-2011). We used hierarchical panel logistic regression models to assess the SRH status. We also added the interaction terms of socioeconomic status and type of health insurance as moderators. Medical aid (MA) recipients were 2.10 times more likely to have a low SRH status than those who were covered only by the NHI, even though the healthcare utilization was higher. When the interaction terms were included, those not covered by the NHI and had completed elementary school or less were 16.59 times more likely to have a low SRH status than those covered by the NHI and had earned a college degree or higher. Expanding healthcare coverage to reduce the burden of non-payment and unmet use to improve the health status of MA beneficiaries should be considered. Particularly, the vulnerability of less-educated groups should be focused on.
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spelling pubmed-82618512021-07-19 Self-Rated Health Status Based on the Type of Health Insurance: A Socioeconomic Perspective Sohn, Minsung Jung, Minsoo Choi, Mankyu Inquiry Original Research To investigate the effects of public and private health insurance on self-rated health (SRH) status within the National Health Insurance (NHI) system based on socioeconomic status in South Korea. The data were obtained from 10 867 respondents of the Korea Health Panel (2008-2011). We used hierarchical panel logistic regression models to assess the SRH status. We also added the interaction terms of socioeconomic status and type of health insurance as moderators. Medical aid (MA) recipients were 2.10 times more likely to have a low SRH status than those who were covered only by the NHI, even though the healthcare utilization was higher. When the interaction terms were included, those not covered by the NHI and had completed elementary school or less were 16.59 times more likely to have a low SRH status than those covered by the NHI and had earned a college degree or higher. Expanding healthcare coverage to reduce the burden of non-payment and unmet use to improve the health status of MA beneficiaries should be considered. Particularly, the vulnerability of less-educated groups should be focused on. SAGE Publications 2021-07-05 /pmc/articles/PMC8261851/ /pubmed/34218705 http://dx.doi.org/10.1177/00469580211028171 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research
Sohn, Minsung
Jung, Minsoo
Choi, Mankyu
Self-Rated Health Status Based on the Type of Health Insurance: A Socioeconomic Perspective
title Self-Rated Health Status Based on the Type of Health Insurance: A Socioeconomic Perspective
title_full Self-Rated Health Status Based on the Type of Health Insurance: A Socioeconomic Perspective
title_fullStr Self-Rated Health Status Based on the Type of Health Insurance: A Socioeconomic Perspective
title_full_unstemmed Self-Rated Health Status Based on the Type of Health Insurance: A Socioeconomic Perspective
title_short Self-Rated Health Status Based on the Type of Health Insurance: A Socioeconomic Perspective
title_sort self-rated health status based on the type of health insurance: a socioeconomic perspective
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8261851/
https://www.ncbi.nlm.nih.gov/pubmed/34218705
http://dx.doi.org/10.1177/00469580211028171
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