DOI QR코드

DOI QR Code

The comparison of household health care expenditure and income elasticity by ability to pay levels.

지불능력에 따른 가계지출 보건의료비의 차이와 소득탄력도 비교

  • Shin Seung Ho (Department of Public Health, College of Medicine, Pochon Cha University) ;
  • Kim Chang Soon (Department of Public Health, The Graduate School, Yonsei University) ;
  • Kim Han Joong (Department of Preventive Medicine, College of Medicine, Yonsei University)
  • 신승호 (포천중문의과대학교 보건학부) ;
  • 김창순 (연세대학교 대학원 보건학과) ;
  • 김한중 (연세대학교 의과대학 예방의학교실)
  • Published : 2004.12.01

Abstract

The purpose of this paper is to compare the amount of household health expenditures (HHE) and the proportion of health care expenditure to the household expenditure by ability to pay(ATP) levels. This study has focused on the influence of household ATP on HHE, estimating elasticity of health care expenditures for different ATP groups. For the empirical analysis, the Urban Households Survey Data of 2002 have been used. Our principal findings show that HHE are sensitive to changes in household ATP levels and that the group which is most responsive to changes in A TP level is the lower ATP group. These suggest that as households have less ATP, households with lower ATP reduce expenditures on health care in a proportional manner than those with higher ATP.

References

  1. Baker L. The effect of HMOs on fee-for-service health care expenditures: evidence from Medicare. Journal of Health Economics 1997; 16: 453-481 https://doi.org/10.1016/S0167-6296(96)00535-8
  2. Blomqvist A, Carter A. Is health care really a luxury? Journal of Health Economics 1997; 16(2): 207-230
  3. Buhmann B, Rainwater L, Schmaus G, Smeeding T. Equivalence Scales, Well-being, Inequality and Poverty. Review of Income and Wealth 1988; 34(1): 115-42 https://doi.org/10.1111/j.1475-4991.1988.tb00564.x
  4. Di Matteo L, Di Matteo R. Evidence on the determinants of Canadian provincial government health expenditures 1965-1991. Journal of Health Economics 1998; 17: 211-228 https://doi.org/10.1016/S0167-6296(97)00020-9
  5. Gerdtham U, Sogaard, J, Andersson F, Jonsson, B. An econometric analysis of health care expenditure a cross-section study of the OECD countries. Journal of Health Economics 1992; 11(1): 63-84 https://doi.org/10.1016/0167-6296(92)90025-V
  6. Getzen T. Health care is an individual necessity and a national luxury. Journal of Health Economics 2000; 19: 259-270 https://doi.org/10.1016/S0167-6296(99)00032-6
  7. Levit K. Personal health expenditures by state, selected years 1966-1978. Health Care Financing Review 1982; 4(2) ; 1-16
  8. McLauglin C. HMO growth and hospital expenses and use. Health Services Research 1987; 22(2): 183-202
  9. Montgomery M, Gragnolati M, Burke K, Paredes A. Measuring living standards with proxy variables. Demography 2000; 37(2): 155-74 https://doi.org/10.2307/2648118
  10. Newhouse JP. Medical care expenditure a cross-national survey. Journal of Human Resources 1977;. 12(1) : 115-125
  11. Parkin D, McGuire A, Yule B. Aggregate health care expenditures and national income. Journal of Health Economics 1987; 6; 109-127
  12. Phillip PJ. Mullner R, Andes S. Toward a better understanding of hospital occupancy rates. Health Care Financing Review 1984; 5(4): 53-61
  13. Scanlon W. A theory of the nursing home market. Inquiry 1980; 17( 1): 25-41
  14. Wedig G. Health status and the demand for health. Journal of Health Economics 1988; 7: 151-163 https://doi.org/10.1016/0167-6296(88)90013-6
  15. 박재용, 남시현. 도시 가계의료비 지출추이 및 예측. 예방의학회지 1995; 28(2): 347-363
  16. 장영식, 고경환, 도세록. 2001년 국민의료비 추계. 서울: 한국보건사회연구원; 2003
  17. 통계청 2004년도 도시근로자가구 3, 4분기 가계수지 동향. 서울: 통계청; 2004