The effects of patient cost‐sharing on adolescents' healthcare utilization and financial risk protection: Evidence from South Korea.

We examine the effects of patient cost‐sharing on adolescents' healthcare utilization and out‐of‐pocket medical expenditures by exploiting the healthcare reform in South Korea that lowered the coinsurance rate for inpatient care from 20% to 5% for children under 16. We apply a difference‐in‐regressi...

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Detalles Bibliográficos
Publicado en:Economic Inquiry Vol. 62; no. 3; pp. 1009 - 1024
Autores principales: Kim, Seonghoon, Koh, Kanghyock, Lyou, Wonjun
Formato: Artículo
Publicado: Wiley-Blackwell Jul2024
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Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:We examine the effects of patient cost‐sharing on adolescents' healthcare utilization and out‐of‐pocket medical expenditures by exploiting the healthcare reform in South Korea that lowered the coinsurance rate for inpatient care from 20% to 5% for children under 16. We apply a difference‐in‐regression‐discontinuities design using administrative claims data. We find that the reform increased adolescents' inpatient care utilization. It also reduced out‐of‐pocket healthcare expenditures. This effect was larger among low‐income households, facilitating income redistribution. However, the lack of evidence on health improvements and household consumption spending responses suggests that generous patient cost‐sharing for adolescent healthcare may cause efficiency losses.