IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v15y2018i4p772-d141421.html
   My bibliography  Save this article

The Effects of Health Coverage Schemes on Length of Stay and Preventable Hospitalization in Seoul

Author

Listed:
  • Jungah Kim

    (The Seoul Institute, 57 Nambusunhwan-ro, 340-gil, Seocho-gu, Seoul 06756, Korea)

  • Changwoo Shon

    (The Seoul Institute, 57 Nambusunhwan-ro, 340-gil, Seocho-gu, Seoul 06756, Korea)

Abstract

The Medical Aid program is government’s medical benefit program to secure the minimum livelihood and medical services for low-income Korean households. In Seoul, the number of Medical Aid beneficiaries has grown, driving an increases in the length of stay (LOS) and healthcare cost. Until now, studies have focused on quantity indicators, such as LOS, but only a few studies have been conducted on the service quality. We investigated both LOS and the preventable hospitalization (PH) rate as proxy indicators for the quantity and quality of services provided to Medical Aid beneficiaries in Seoul. To understand the program’s impact, we extracted appropriate data of Medical Aid beneficiaries and data of the lower 20% of National Health Insurance (NHI) enrollees, performed Propensity Score Matching (PSM), and controlled the variables related to disease severity. The differences between Medical Aid beneficiaries and NHI enrollees were estimated using multilevel analysis. The LOS of Medical Aid beneficiaries was longer, and the preventable hospitalization (PH) rate was higher than that of NHI enrollees. It implies that these beneficiaries did not receive timely and adequate healthcare services, despite their high rate of service utilization. Thus, indicators such as patient’s visits and screening related to PHs should be included in management policies to improve primary care.

Suggested Citation

  • Jungah Kim & Changwoo Shon, 2018. "The Effects of Health Coverage Schemes on Length of Stay and Preventable Hospitalization in Seoul," IJERPH, MDPI, vol. 15(4), pages 1-11, April.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:4:p:772-:d:141421
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/15/4/772/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/15/4/772/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Pappas, G. & Hadden, W.C. & Kozak, L.J. & Fisher, G.F., 1997. "Potentially avoidable hospitalizations: Inequalities in rates between US socioeconomic groups," American Journal of Public Health, American Public Health Association, vol. 87(5), pages 811-816.
    2. Nak-Jin Sung & Yong-Jun Choi & Jae-Ho Lee, 2018. "Primary Care Comprehensiveness Can Reduce Emergency Department Visits and Hospitalization in People with Hypertension in South Korea," IJERPH, MDPI, vol. 15(2), pages 1-11, February.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Myung Ja Kim & Eunhee Lee, 2020. "How to Reduce Excessive Use of the Health Care Service in Medical Aid Beneficiaries: Effectiveness of Community-Based Case Management," IJERPH, MDPI, vol. 17(7), pages 1-10, April.
    2. Jeonghyun Cho & Kyungin Jeong & Samsook Kim & Hyejin Kim, 2019. "Exploring the Healthcare Seeking Behavior of Medical Aid Beneficiaries Who Overutilize Healthcare Services: A Qualitative Descriptive Study," IJERPH, MDPI, vol. 16(14), pages 1-9, July.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Sungje Moon & Mankyu Choi, 2018. "The Effect of Usual Source of Care on the Association of Annual Healthcare Expenditure with Patients’ Age and Chronic Disease Duration," IJERPH, MDPI, vol. 15(9), pages 1-11, August.
    2. Leemore Dafny & Jonathan Gruber, 2000. "Does Public Insurance Improve the Efficiency of Medical Care? Medicaid Expansions and Child Hospitalizations," NBER Working Papers 7555, National Bureau of Economic Research, Inc.
    3. Lori J. Curtis & William J. MacMinn, 2008. "Health Care Utilization in Canada: Twenty-five Years of Evidence," Canadian Public Policy, University of Toronto Press, vol. 34(1), pages 65-88, March.
    4. Gusmano, Michael K. & Weisz, Daniel & Rodwin, Victor G. & Lang, Jonas & Qian, Meng & Bocquier, Aurelie & Moysan, Veronique & Verger, Pierre, 2014. "Disparities in access to health care in three French regions," Health Policy, Elsevier, vol. 114(1), pages 31-40.
    5. Siman Yang & Mengping Zhou & Jingyi Liao & Xinxin Ding & Nan Hu & Li Kuang, 2022. "Association between Primary Care Utilization and Emergency Room or Hospital Inpatient Services Utilization among the Middle-Aged and Elderly in a Self-Referral System: Evidence from the China Health a," IJERPH, MDPI, vol. 19(19), pages 1-22, October.
    6. Lauren E Wallar & Laura C Rosella, 2020. "Risk factors for avoidable hospitalizations in Canada using national linked data: A retrospective cohort study," PLOS ONE, Public Library of Science, vol. 15(3), pages 1-21, March.
    7. Rasha A. Mosallam & Wafaa W. Guirguis & Mona HA Hassan, 2014. "Hospitalization for ambulatory care sensitive conditions at health insurance organization hospitals in Alexandria, Egypt," International Journal of Health Planning and Management, Wiley Blackwell, vol. 29(4), pages 394-405, October.
    8. Tom W. Smith & Jibum Kim, 2013. "An Assessment of the Multi-level Integrated Database Approach," The ANNALS of the American Academy of Political and Social Science, , vol. 645(1), pages 185-221, January.
    9. Abdoul Aziz Ndiaye & Alioune Badara Tall & Ndeye Fatou Ngom-Gueye & Ousseynou Ka & Birahim Thiam & Amadou Barro Mbodj & Cheikh Tacko Diop & Awa Diop-B & Lamine Gueye & Anta Tal-Dia, 2017. "Potentially Avoidable Hospitalizations at Grand Yoff General Hospital, Senegal," Global Journal of Health Science, Canadian Center of Science and Education, vol. 9(10), pages 137-137, October.
    10. Denise de Fátima Barros Cavalcante & Valéria Silva Cândido Brizon & Livia Fernandes Probst & Marcelo de Castro Meneghim & Antonio Carlos Pereira & Gláucia Maria Bovi Ambrosano, 2018. "Did the Family Health Strategy have an impact on indicators of hospitalizations for stroke and heart failure? Longitudinal study in Brazil: 1998-2013," PLOS ONE, Public Library of Science, vol. 13(6), pages 1-10, June.
    11. Genevieve E O'Connor, 2016. "Investigating the significance of insurance and income on health service utilization across generational cohorts," Journal of Financial Services Marketing, Palgrave Macmillan, vol. 21(1), pages 19-33, March.
    12. Marissa B Kosnik & David M Reif & Danelle T Lobdell & Thomas Astell-Burt & Xiaoqi Feng & John D Hader & Jane A Hoppin, 2019. "Associations between access to healthcare, environmental quality, and end-stage renal disease survival time: Proportional-hazards models of over 1,000,000 people over 14 years," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-17, March.
    13. Yu-Han Hung & Yu-Chieh Chung & Pi-Yueh Lee & Hao-Yun Kao, 2021. "Exploration of Preventable Hospitalizations for Colorectal Cancer with the National Cancer Control Program in Taiwan," IJERPH, MDPI, vol. 18(17), pages 1-9, September.
    14. Do Hwa Byun & Rho Soon Chang & Myung-Bae Park & Hyo-Rim Son & Chun-Bae Kim, 2021. "Prioritizing Community-Based Intervention Programs for Improving Treatment Compliance of Patients with Chronic Diseases: Applying an Analytic Hierarchy Process," IJERPH, MDPI, vol. 18(2), pages 1-20, January.
    15. Gusmano, Michael K. & Weisz, Daniel & Mercier, Grégoire & Vasile, Maria & Rodwin, Victor G., 2023. "Access to outpatient care in Manhattan and Paris: A tale of real change in two world cities," Health Policy, Elsevier, vol. 132(C).
    16. Kaestner, Robert & Sasso, Anthony T. Lo, 2015. "Does seeing the doctor more often keep you out of the hospital?," Journal of Health Economics, Elsevier, vol. 39(C), pages 259-272.
    17. Chen, Andrew & Hwang, Yuhchang & Shao, Benjamin, 2005. "Measurement and sources of overall and input inefficiencies: Evidences and implications in hospital services," European Journal of Operational Research, Elsevier, vol. 161(2), pages 447-468, March.
    18. Merkin, Sharon Stein & Diez Roux, Ana V. & Coresh, Josef & Fried, Linda F. & Jackson, Sharon A. & Powe, Neil R., 2007. "Individual and neighborhood socioeconomic status and progressive chronic kidney disease in an elderly population: The Cardiovascular Health Study," Social Science & Medicine, Elsevier, vol. 65(4), pages 809-821, August.
    19. Nolan, Anne, 2011. "An extension in eligibility for free primary care and avoidable hospitalisations: A natural experiment," Social Science & Medicine, Elsevier, vol. 73(7), pages 978-985.
    20. Lara Bryant & Sharmila Vishwasrao, 2006. "Physician Quality and Health Care for the Poor and Uninsured," Working Papers 06001, Department of Economics, College of Business, Florida Atlantic University.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:15:y:2018:i:4:p:772-:d:141421. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.