Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Cancer Survival and Status of National Health Insurance in a Community

A일개 군지역 암등록자료의 국민건강보험 보장유무에 따른 암 생존율 차이

  • Kweon, Sun-Seog (Jeonnam Regional Cancer Center, Chonnam National University Hwasun Hospital) ;
  • Choi, Jin-Su (Department of Preventive Medicine, Chonnam National University Medical School) ;
  • Shin, Min-Ho (Department of Preventive Medicine, Chonnam National University Medical School) ;
  • Kim, Hye-Yeon (Department of Preventive Medicine, Chonnam National University Medical School) ;
  • Choi, Seong-Woo (Department of Preventive Medicine, Chonnam National University Medical School) ;
  • Lee, Young-Hoon (Department of Preventive Medicine, Seonam University College of Medicine)
  • 권순석 (화순전남대학교병원 전남지역암센터) ;
  • 최진수 (전남대학교 의과대학 예방의학교실) ;
  • 신민호 (전남대학교 의과대학 예방의학교실) ;
  • 김혜연 (전남대학교 의과대학 예방의학교실) ;
  • 최성우 (전남대학교 의과대학 예방의학교실) ;
  • 이영훈 (서남대학교 의과대학 예방의학교실)
  • Published : 2009.06.30
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Abstract

It is known that socioeconomic status(SES) of the cancer patient is associated with survival in recent studies, performed in other countries. The purpose of this study was to determine whether the association between status of national health insurance and survival is also present in a community in Jeonnam province, South Korea. The Gwangju-Jeonnam Cancer Registry, a population-based cancer registry, provided information to identify the cancer cases of study community diagnosed from 1998 to 2007. Total of 2,046 cases were identified during the period. There were significant associations between the status of national health insurance and survival for total cancer after adjusted by age, geographic accessibility to health care, and stage at diagnosis. However, this differences were not found in the analysis using only stomach and colorectal cancer cases. Despite of some limitations, this results suggest that the policy for reducing the difference according to the SES is required in national cancer management program.

Keywords

References

  1. 김수진, 고영, 오주환, 권순만. 건강보험 암 중증질환 급여확대가 의료이용 형평성에 미친 영향, 보건행정학회지 2008;18(3):90-109 https://doi.org/10.4332/KJHPA.2008.18.3.090
  2. 김철웅, 이상이, 홍성철. 제주도주민의 소득계층에 따른 암 입원 의료이용의 차이, 보건행정 학회지 2003;13(3):104-28 https://doi.org/10.4332/KJHPA.2003.13.3.104
  3. Curado MP. Edwards B, Shin HR, Storm H, ferlay J, Heanue M, Boyle P. Cancer Incidence in Five Continents, Vol. IX, IARC Scientific Publications; 2007, NO. 160
  4. Faggiano F, Partenen T, Kogevinas M, Boffetta P. Socioeconomic differences in cancer incidence and mortality, Social inequilities and cancer: Edited by Kogevinas M. et al. IARC Scientific Publication; 1997. No. 138
  5. Kim CW, Lee SY, Moon OR. Inequalities in cancer incidence and mortality across income groups and policy implications in South Korea, Public Health 2008;122(3):229-36 https://doi.org/10.1016/j.puhe.2007.07.003
  6. Joshi S, Song YM, Kim TH, Cho SI. Socio-economic status and the risk of liver cancer mortality: a prospective study in Korean men, Public Health 2008;122(11):1144-51 https://doi.org/10.1016/j.puhe.2008.04.003
  7. Park JH, Park EC, Park JH, Kim SG, Lee SY. Job loss and re-employment of cancer patients in Korean employees: a nationwide retrospective cohort study, J Clin Oncol 2008;26(8):1302-9 https://doi.org/10.1200/JCO.2007.14.2984
  8. Song YM, Byeon JJ. mortality from avoidable and non-avoidable causes in men of low socioeconomic status: a prospective study in Korea, J Epidemiol Community Health 2000;54(3):166-72 https://doi.org/10.1136/jech.54.3.166
  9. Vainshtein J. Disparities in breast cancer incidence across racial/ethnic strata and socioeconomic status: a systematic review, J Natl Med Assoc 2008;100(7):833-9 https://doi.org/10.1016/S0027-9684(15)31378-X