Pediatric Health Access and Private Medical Insurance
Based on the Ecology of Medical Care in Korea
Bibliographic Data
| ID | 15720113 |
|---|---|
| Authors | Dong-Hee Ryu (0000-0002-2860-8849, Daegu Catholic University), Yong-Jun Choi (0000-0002-1622-3175, Hallym University), Jeehye Lee (0000-0002-9522-1919, Eulji University, corresponding author) |
| Year | 2022 |
| Volume | 9 |
| Issue | 8 |
| Pages | 1101-1101 |
| Publication date | 2022-07-22 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Children (JOURNAL) |
| Journal identifiers | ISSN: 2227-9067 • E-ISSN: 2227-9067 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/children9081101 |
| PMID | 35892604 |
| OpenAlex | W4286586863 |
| Language | EN |
| References cited | 3 |
This study aimed to investigate pediatric health access by describing the ecology of medical care for children and adolescents in a medical environment where a well-balanced system between national health insurance (NHI) and private medical insurance (PMI) is required. Data from 2746 individuals aged 18 years old and younger were used. Of the participants, 87.3% had private medical insurance. Of the 1000 children, in an average month, 404 visited a clinic, 67 visited a hospital outpatient department (OPD), 49 visited an OPD in a tertiary hospital, 11 received emergency care, 5 received inpatient care in a hospital, and 9 were hospitalized. The generalized estimating equation models adjusted for age, sex, economic status, and pediatric comorbidity index were used for multivariate analysis. Receiving ambulatory care services in clinics was significantly more likely among children and adolescents with private medical insurance (adjusted odds ratio [aOR] = 1.16 [95% confidence interval [CI]: 1.00-1.35]). Receiving ambulatory care services in clinics was significantly more likely among indemnity type policyholders (aOR = 1.23 [1.05-1.45]) and single policyholders (aOR = 1.18 [1.00-1.37]). Countries with national health insurance schemes should continuously practice the proper regulation and management of PMI, including reviewing PMI compensation measures, NHI reimbursement standards, and consumers' perspectives on NHI and PMI
Actuarial science · Ambulatory · Ambulatory care · Business · Confidence interval · Environmental health · Family medicine · Health care · Indemnity · Logistic regression · Medical emergency · Odds · Odds ratio · Reimbursement · Global Health Care Issues · Healthcare Policy and Management · Healthcare Systems and Reforms · Medicine · Emergency Medicine · Pediatrics
| Citation velocity | historical |
|---|---|
| Highly cited | No |