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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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
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      dt: Jul2024
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        atl: The effects of patient cost‐sharing on adolescents' healthcare utilization and financial risk protection: Evidence from South Korea.
      aug:
        au:
          Kim, Seonghoon
          Koh, Kanghyock
          Lyou, Wonjun
        affil:
          School of Economics, Singapore Management University and IZA, Singapore, Singapore
          Department of Economics, Korea University and IZA, Seoul, South Korea
          Department of Economics, Ohio State University, Columbus OH,, USA
      su:
        South Korea
        Medical care costs
        Teenagers
        Health care reform
        Financial risk
        Inpatient care
      sug:
        subj:
          Medical care costs
          Teenagers
          South Korea
          Health care reform
          Financial risk
          Inpatient care
      keyword:
        consumption spending
        difference in regression discontinuities design
        healthcare utilization
        income redistribution
        out‐of‐pocket expenditure
        patient cost‐sharing
        consumption spending
        difference in regression discontinuities design
        healthcare utilization
        income redistribution
        out‐of‐pocket expenditure
        patient cost‐sharing
      ab: 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.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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