Disability, poverty, and role of the basic livelihood security system on health services utilization among the elderly in South Korea
Bibliographic Data
| ID | 4593244 |
|---|---|
| Authors | Boyoung Jeon (0000-0002-2261-253X, University of Tsukuba), Harkuo Noguchi (0000-0002-4437-8238, Waseda University), Haruko Noguchi, Soonman Kwon (0000-0002-2236-2163, Seoul National University), Tomoko Ito (0000-0003-1970-9696, University of Tsukuba), Nanako Tamiya (0000-0002-8319-2057, University of Tsukuba, corresponding author) |
| Year | 2017 |
| Volume | 178 |
| Pages | 175-183 |
| Publication date | 2017-04-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Science & Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2017.02.013 |
| PMID | 28237862 |
| OpenAlex | W2588980520 |
| Language | EN |
| Citations received | 17 |
| References cited | 19 |
With rapid aging, many of the elderly suffer from poverty and high healthcare needs. In Korea, there is a means-tested and non-contributory public assistance, the National Basic Livelihood Security System (NBLSS). The purpose of this study is to show older population's condition of disability and poverty, to evaluate the impact of NBLSS on health services utilization, and to examine the differential effect of the NBLSS by disability status among the elderly. This study used the Korea Welfare Panel Study data 2005-2014 with the final sample of 40,365, who were 65 years and older. The participants were divided into people with mild disability, severe disability, and without disability according to the Korean disability registration system. The income-level was defined to the low-income with NBLSS, the low-income without NBLSS, and the middle and high income, using the relative poverty line as a proxy of the low-income. The dependent variables were the number of outpatient visits and inpatient days, experience of home care services, total healthcare expenditure, and financial burden of healthcare expenditure. We performed Generalized Estimating Equations population-averaged model using the ten years of panel data. The result showed that within the same disability status, the low-income without NBLSS group used the least amount of inpatient care, but their financial burden of health expenditure was the highest among the three income groups. The regression model showed that if the elderly with severe disability were in the low-income without NBLSS, they reduced the outpatient and inpatient days; but their financial burden of healthcare became intensified. This study shows that the low-income elderly with disability but without adequate social protection are the most disadvantaged group. Policy is called for to mitigate the difficulties of this vulnerable population
Economic growth · Economics · Environmental health · Geography · Health care · Livelihood · Population · Poverty · Proxy (statistics · Public health · Welfare · Global Health Care Issues · Health disparities and outcomes · Healthcare Systems and Reforms · Medicine · Nursing · Gerontology
Social policy system in the Republic of Korea
Comparison of the risks of occupational diseases, avoidable hospitalization, and all-cause deaths between firefighters and non-firefighters
Effectiveness of targeted financial aid on disability welfare for the ageing population in China
Long-term Care Hospitals and Changing Elderly Care in South Korea
Do persons with low socioeconomic status have less access to greenspace? Application of accessibility index to urban parks in Seoul, South Korea
Predictors of Depression among Individuals Receiving the Basic Livelihood Security Program Benefits in Korea
How Does Health Status Affect Marginal Utility of Consumption? Evidence from China
Influence of Residence Area and Basic Livelihood Conditions on the Prevalence and Diagnosis Experience of Osteoporosis in Postmenopausal Women Aged over 50 Years
Ageing, Disabilities, and Healthcare Utilisation
Unmet dental care needs of homeless adults in South Korea
Examining the long-term effect of leisure engagement, leisure satisfaction, and perceived discrimination on stress perception among Koreans with physical disabilities
Access to social security for migrant workers in South Korea
The impact of the cost-of-living crisis on water poverty in Scotland
Poverty Among Elderly in Indonesia
Association Between Food Insecurity and Multiple Chronic Diseases in Elderly People With Disabilities in South Korea
Impact of ill-health on household consumption in Sri Lanka
The Effect of Digital Financial Inclusion on Relative Poverty Among Urban Households
Fixed effects, random effects and GEE
Catastrophe and impoverishment in paying for health care
Live Long and Prosper
How the government intervention affects the distribution of physicians in Turkey between 1965 and 2000
Health care utilization and costs among medical-aid enrollees, the poor not enrolled in medical-aid, and the near poor in South Korea
Thirty years of national health insurance in South Korea
Socioeconomic inequalities in health after age 50
Socioeconomic inequalities in old-age mortality
| Unique citing works | 17 |
|---|---|
| Citations per year | 1,89 |
| Citation span | 2017 - 2026 (10) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 17 |