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The Effect of Non-Payment, Optional Treatment, and Hospitalization Decision on the Payment of Medical Expenses

  • The Journal of Transdisciplinary Studies
  • Abbr : JTS
  • 2022, 6(3), pp.229-244
  • Publisher : The Society for Transdisciplinary Studies
  • Research Area : Interdisciplinary Studies > Interdisciplinary Research
  • Received : May 15, 2022
  • Accepted : October 6, 2022
  • Published : December 31, 2022

Yu-Na Kim 1 Lee Hyeon Ji 2 Kim, Jae-Hyun 2

1단국대학교(천안캠퍼스)
2단국대학교

Accredited

ABSTRACT

The purpose of this study is to provide the basic data for related policies by analyzing the relationship between the non-payment, optional treatment, hospitalization decision, and the payment of medical expenses. A total of 7,317 inpatients were selected as the final subjects using the 2011-2015 data of the Korea Medical Panel. It was analyzed using the chi-square test and the generalized estimating equation (GEE), and the demographic variables affecting payment of medical expenses and use of medical treatment variables were included as the correction variables. As a result of the analysis performed, compared to the inpatients with non-payment expenditures less than 250,000 won, 250,000 won to 500,000 won (OR: 1.19 95% CI: 1.01-1.39, P-value: 0.0319), 500,000 won to less than 1 million won (OR: 1.75 95% CI: 1.46-2.09, P-value: <.0001), over 1 million won (OR: 1.58 95% CI: 1.27-1.96, P-value: <.0001), there was a burden on the expenditure of medical expenses. Furthermore, while there was no recommendation for optional treatment, the inpatients who received optional treatment had a higher payment of medical expenses compared to the inpatients who did not (OR: 1.20 95% CI: 1.00-1.45, P-value: 0.0490). The patients who decided to be hospitalized had a higher payment of medical expenses than those who decided to be hospitalized by themselves (OR: 1.14 95% CI: 1.03-1.27, P-value: 0.0149). As a result of this study, the non-payment, optional treatment, and the hospitalization decision had an effect on the payment of medical expenses. Optional treatment was closed after 2018, but the payment of medical expenses due to the non-payment and the hospitalization decisions still exists, and hence, there is a need for the policy improvement to reduce them.

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