건강보험 가입자와 의료급여 수급권자의 의료이용과 건강관련 삶의 질

초록

The purpose of this study is to examine the differences and influencing factors of health-related quality of life between the insured in National Health Insurance(NHI) and the recipients in Medical Aid Program, and to investigate the moderating effects of health-care utilization on health-related quality of life. For the empirical analysis, multiple regression analysis was employed using the Korea Medical Panel Data of 2011. The recipients in Medical Aid Program have more health-care utilization including out patient utilization frequencies, hospital days, and emergency use frequencies, however their health-related quality of life is lower than the insured of NHI. And the more health-care utilization, lower degree of health-related quality of life is also confirmed. There is an interaction effect of total health-care expenditure and types of health-care system on the health-related quality of life. This is the result of that the recipients in Medical Aid Program did not receive a timely treatment due to the access constraints of health-care services. Therefore, the expansion of health-care system and preventive health services are required to improve the health accessibility among the poor and near poor in Korea.

키워드