Association between chronic disease and catastrophic health expenditure in Korea

Jae Woo Choi, Jong Won Choi, Jae Hyun Kim, Ki Bong Yoo, Eun Cheol Park

Research output: Contribution to journalArticlepeer-review

72 Citations (Scopus)


Background: The prevalence and economic burden of chronic diseases are increasing worldwide. Nevertheless, little information is available on catastrophic health expenditures (CHE) associated with chronic diseases in Korea. This study explored the burden of household out-of-pocket health expenditures among the Korean population for different chronic diseases. Methods: This study was conducted utilizing data collected from the 7,006 households that participated in the Korea Health Panel Survey (KHPS) in 2008. The effect of CHE in relation to type of chronic disease was assessed via multiple logistic regression analysis. Results: Roughly 3.5% of the participating households experienced CHE. As opposed to households headed by females and middle-aged individuals (40-59 years), those of low economic status, elderly households, and households with a member who suffered from a chronic disease were more likely to experience CHE. According to type of chronic condition, households with a member who suffered from cerebrovascular disease, diabetes, or chronic kidney disease were at a significantly higher risk of experiencing CHE. Conclusion: Although Korea has greatly expanded its health insurance coverage, financial protection against CHE remains a concern.

Original languageEnglish
Article number26
JournalBMC health services research
Issue number1
Publication statusPublished - 2015 Jan 22

Bibliographical note

Funding Information:
We would like to thank Sonia Morgan-Linnell, BioScience Writers, who provided English translation services, as well as writing revision service. Also, this work was supported by a Korean Medical Association Grant funded by the Korean Government. The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Publisher Copyright:
© 2015 Choi et al.; licensee BioMed Central.

All Science Journal Classification (ASJC) codes

  • Health Policy


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