재난적 의료비 지출이 가구의 빈곤화에 미치는 영향: 재정적 대응의 매개효과를 중심으로

초록

This study aimed to examine the direct effects of catastrophic health expenditure on the transition to poverty of households in South Korea, to verify the mediating effects of financial coping in the causal process. This study involved 3,321 households who participated in the 7th–8th KWPS and were surveyedas non-poor households in the 7th. To examine catastrophic health expenditure in these households, changes in financial coping, and the association with transition to poverty, a three-step logistic regression were performed. The results showed that the households facing catastrophic health expenditure had a significantly higher risk of facing poverty than the households without catastrophic health expenditure, and the households facing catastrophic health expenditure showed a significant increase in private transfer income and private insurance benefits whereas they showed a significant decrease in assets. Between households’ financial coping and transition to poverty, increased private transfer income, increased savings, and increased non-healthcare service spending were negatively(−) associated with the transition to poverty of households. In addition, only private transfer income had a mediating effect in the process of catastrophic health expenditure affecting the transition to poverty of households.

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