Impact of Osteoarthritis on Household Catastrophic Health Expenditures in Koreaopen accessImpact of Osteoarthritis on Household Catastrophic Health Expenditures in Korea
- Authors
- Kim, Hyoungyoung; Cho, Soo-Kyung; Kim, Daehyun; Kim, Dalho; Jung, Sun-Young; Jang, Eun Jin; Sung, Yoon-Kyoung
- Issue Date
- May-2018
- Publisher
- KOREAN ACAD MEDICAL SCIENCES
- Keywords
- Osteoarthritis; Health Expenditure; Households
- Citation
- JOURNAL OF KOREAN MEDICAL SCIENCE, v.33, no.21, pp 1 - 11
- Pages
- 11
- Journal Title
- JOURNAL OF KOREAN MEDICAL SCIENCE
- Volume
- 33
- Number
- 21
- Start Page
- 1
- End Page
- 11
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/2163
- DOI
- 10.3346/jkms.2018.33.e161
- ISSN
- 1011-8934
1598-6357
- Abstract
- Background: Osteoarthritis (OA) is a disease of old age whose prevalence is increasing. This study explored the impact of OA on household catastrophic health expenditure (CHE) in Korea. Methods: We used data on 5,200 households from the Korea Health Panel Survey in 2013 and estimated annual living expenses and out-of-pocket (OOP) payments. Household CHE was defined when a household's total OOP health payments exceeded 10%, 20%, 30%, or 40% of the household's capacity to pay. To compare the OOP payments of households with OA individuals and those without OA, OA households were matched 1:1 with households containing a member with other chronic disease such as neoplasm, hypertension, heart disease, cerebrovascular disease, diabetes, or osteoporosis. The impact of OA on CHE was determined by multivariable logistic analysis. Results: A total of 1,289 households were included, and households with and without OA patients paid mean annual OOP payments of $2,789 and $2,607, respectively. The prevalence of household CHE at thresholds of 10%, 20%, 30%, and 40% were higher in households with OA patients than in those without OA patients (P<0.001). The presence of OA patients in each household contributed significantly to CHE at thresholds of10% (odds ratio [OR], 1.48; 95% confidence interval [CIL 1.16-1.87), 20% (OR, 1.29; 95% Cl, 1.014.66), and 30% (OR, 1.37; 95% CI, 1.05-1.78), but not of 40% (OR, 1.17; 95% CI, 0.87-1.57). Conclusion: The presence of OA patients in Korean households is significantly related to CHE. Policy makers should try to reduce OOP payments in households with OA patients.
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