Boston University, Boston, MA, USA.
Inquiry. 2022 Jan-Dec;59:469580221135957. doi: 10.1177/00469580221135957.
This study estimates the financial burden of healthcare in Korea using the National Survey of Tax and Benefit panel data from 2009 to 2019. The sum of a household's premium and out-of-pocket medical expenses defines the household financial burden of healthcare. We find that the household financial burden is regressive to income. We also find that the high burden household whose financial burden is over 10% of their household income accounts for about 30% of total household. This result suggests that equity in contribution to healthcare finance does not work well in Korea, which chose the universal health system that emphasizes the progressive contribution by income to medical finance.
本研究利用 2009 年至 2019 年的国家税收和福利面板数据估计了韩国的医疗保健财务负担。家庭的保费和自付医疗费用之和定义了家庭的医疗保健财务负担。我们发现，家庭财务负担与收入成反比。我们还发现，高负担家庭的财务负担超过其家庭收入的 10%，约占家庭总数的 30%。这一结果表明，韩国的医疗保健筹资公平性并不好，韩国选择了强调按收入向医疗财政缴款的渐进式全民健康制度。
