An Investigation into Chronic Conditions and Diseases in Minors to Determine the Socioeconomic Status, Medical Use and Expenditure According to Data from the Korea Health Panel, 2015
Osong Public Health and Research Perspectives
; (6): 343-350, 2019.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-786512
Responsible library:
WPRO
ABSTRACT
OBJECTIVES:
This study compared the socioeconomic status, medical use and expenditures for infants (1–5 years), juveniles (6–12 years), and adolescents (13–19 years) with a chronic condition or disease to determine factors affecting health spending.METHODS:
Data from 3,677 minors (< 20 years old, without disabilities) were extracted from the Korea Health Panel (2015) database.RESULTS:
Minors with chronic conditions or diseases were older (juveniles, and adolescents; p < 0.001), and included a higher proportion of Medicaid recipients (p = 0.004), a higher use of hospital outpatient care (p < 0.001), and higher medical expenditure (p < 0.001) compared to minors without chronic conditions or diseases. Boys were more likely to have a chronic condition or disease than girls (p = 0.036). Adolescents and juveniles were more likely than infants to have a chronic condition or disease (p = 0.001). Medicaid recipients were more likely to have a chronic condition or disease than those who were not Medicaid recipients (p = 0.008). Minors who had been hospital outpatients were more likely to have a chronic condition or disease, compared with minors who had not been an outpatient (p = 0.001). Having a chronic condition or disease, was a factor increasing medical expenditure (p = 0.001). Medical expenditure was higher in infants than in juveniles and adolescents (p = 0.001). Infants had higher rates of medical use when compared with juveniles and adolescents (p = 0.001).CONCLUSION:
These findings suggest that systematic health care management for minors with chronic conditions or diseases, is needed.
Full text:
Available
Health context:
Sustainable Health Agenda for the Americas
Health problem:
Goal 4: Health financing
Database:
WPRIM (Western Pacific)
Main subject:
Outpatients
/
Social Class
/
Chronic Disease
/
Medicaid
/
Health Expenditures
/
Delivery of Health Care
/
Ambulatory Care
/
Korea
Type of study:
Health economic evaluation
Aspects:
Social determinants of health
Limits:
Adolescent
/
Female
/
Humans
/
Infant
Country/Region as subject:
Asia
Language:
English
Journal:
Osong Public Health and Research Perspectives
Year:
2019
Document type:
Article