Objectives: This study is the human factors and disease factors of the copayment system for the elderly (>65 years old) and to identify does the current status and characteristics of the applied elderly and conducted to provide basic data. Methods: Sample cohort data from the National Health Insurance Corporation database, from the years 2012-2015, were analyzed of 21,772 elderly people over the copayment ceiling. Results: The ratio of those who exceeded the copayment ceiling system rose sharply from progressive rates of 3.39% in 2012, 3.69% in 2013 and 5.03% in 2014, to rates of 37.13% from 2013. Factors identified that affect the instances of being over the copayment ceiling were: age, income group, region, severity, disability, sickness distribution, inpatient days, and outpatient days. Conclusions: The reorganization of the copayment ceiling system in 2014 favored low-income families of the elderly, but in 2015, the proportion of elderly was low (only 5.78%). The government's policies needs to change to allow for the amount of the deductible upper limit for low- and middle- income groups to be further subdivided in order for the elderly to receive more deductibles.
목차
Ⅰ. 서론 Ⅱ. 연구방법 1. 연구대상 및 자료 2. 분석방법 3. 연구도구 Ⅲ. 연구결과 1. 일반적 특성 2. 본인부담상한액 초과자의 비율 3. 본인부담상한액 초과에 영향을 미치는 요인 Ⅳ. 고찰 Ⅴ. 결론 REFERENCES
키워드
Copayment Ceiling SystemRetireesElderlyNational HealthInsurance Corporation Big data
저자
박초열 [ Cho-Yeal Park | 부산가톨릭대학교 일반대학원 병원경영학전공 ]
박영희 [ Young-Hee Park | 부산가톨릭대학교 병원경영학과 ]
Corresponding Author