You Chang Hoon, Kang Sungwook, Kwon Young Dae, Choi Ji Heon
Yonsei Business Research Institute and School of Business, Yonsei University, Korea E-mail :
Asian Pac J Cancer Prev. 2013;14(11):6985-9. doi: 10.7314/apjcp.2013.14.11.6985.
This study aimed to examine out-of-pocket expenditure for cancer treatments of hospitalized patients and to analyze changing patterns over time.
This study examined data of all cancer patients receiving inpatient care from two tertiary hospitals from January 2003 to December 2010. Medical expenditures per admission were calculated and classified into those covered and uncovered by the Korean National Health Insurance (NHI) and co-payment.
The medical expenditure per admission increased slowly from 3,455 thousand Korean won (KRW) to 4,068 thousand KRW. While expenditures covered by the NHI have increased annually, co-payments have generally decreased. The out-of-pocket expenditure ratio, which means the proportion of uncovered expenditure and co-payment among total medical expenditure dropped sharply from 2005 to 2007 and was maintained at a similar level after 2007. Medical expenditures, NHI coverage, and the out-of-pocket expenditure ratio differed across cancer types.
It is necessary to continually monitor the expenditure of uncovered services by the NHI, and to provide policies to reduce this economic burden. In addition, an individual approach considering cancer type-specific characteristics and medical utilization should be provided.
本研究旨在调查住院患者癌症治疗的自付费用，并分析其随时间的变化模式。
本研究调查了2003年1月至2010年12月期间两家三级医院所有接受住院治疗的癌症患者的数据。计算每次住院的医疗费用，并将其分为韩国国民健康保险（NHI）覆盖和未覆盖的费用以及自付费用。
每次住院的医疗费用从34.55万韩元缓慢增加到40.68万韩元。虽然NHI覆盖的费用逐年增加，但自付费用总体上有所下降。自付费用比率，即未覆盖费用和自付费用在总医疗费用中的比例，在2005年至2007年期间急剧下降，并在2007年后维持在类似水平。不同癌症类型的医疗费用、NHI覆盖范围和自付费用比率有所不同。
有必要持续监测NHI未覆盖服务的费用，并提供政策以减轻这种经济负担。此外，应提供考虑癌症类型特定特征和医疗利用情况的个性化方法。
