중증화상 보장성 강화 정책이 본인부담금에 미친 영향

초록

The purpose of this study is to identify change in out-ofpocket payment of major burn patients between before and after the major burn coverage reinforcement policy with a view to identify the effect of the severe burn coverage reinforcement policy that was implemented in 2010 while evaluating the difference of policy effect according to income levels. The 4th year data(between January to June, 2010) and 5th year data (between July to December, 2010) of Korea health Care Panel Study were utilized to implement the DID and DDD analysis. As a result of the formal analysis, ‘total medical expense (out-of-pocket payment + prescription drug price + transportation cost + nursing care cost)’, ‘TOTAL (inpatient + outpatient) out-of-pocket payment’, and ‘outpatient out-of-pocket payment’ decreased, but did not decrease significantly(p>0.05). As a result of the DDD, the gap among policy effect according to income levels was also found in some parts but not significant(p>0.05). The health insurance coverage expansion policy should be more active in expanding its coverage to ease the financial burden on households to pay for the expensive medical cost for severe burn cases.

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