Association between all-cause mortality and insurance status transition among the elderly population in a rural area in Korea: Kangwha Cohort Study
Uložené v:
| Názov: | Association between all-cause mortality and insurance status transition among the elderly population in a rural area in Korea: Kangwha Cohort Study |
|---|---|
| Autori: | Jae Hyun Kim, Eun Cheol Park, Jae Woong Sull, Heechoul Ohrr, Sung In Jang, Sang-Wook Yi |
| Prispievatelia: | Sung-In Jang, Sang-Wook Yi, Jae-Woong Sull, Eun-Cheol Park, Jae-Hyun Kim, Heechoul Ohrr, Kim, Jae-Hyun, Park, Eun Chul, Ohrr, Hee Choul, Jang, Sung In |
| Zdroj: | Health Policy. 119:680-687 |
| Informácie o vydavateľovi: | Elsevier BV, 2015. |
| Rok vydania: | 2015 |
| Predmety: | Male, Rural Population, National Health Programs, Insurance Coverage, State Medicine, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Universal Health Insurance, Surveys and Questionnaires, Republic of Korea, 80 and over, Humans, National Health Insurance, Mortality, Aged, Aged, 80 and over, Korea, Medicaid, 16. Peace & justice, Mortality/trends, 3. Good health, 8. Economic growth, Insurance Coverage/statistics & numerical data, Female, Republic of Korea/epidemiology, Universal Coverage, 0305 other medical science, National Health Programs/statistics & numerical data |
| Popis: | The study purpose was to examine the association between health insurance transition and all-cause mortality. 3206 residents in Korea who participated in two surveys in 1985 and 1994, were followed-up during 1994-2008. Adjusted hazard ratios (aHR) were calculated using Cox hazard model. Participants were divided into four groups by insurance transition (the "National Health Insurance (NHI)-NHI", "NHI-Medicaid", "Medicaid-NHI", and "Medicaid-Medicaid" groups), where NHI-Medicaid means participants covered by NHI in 1985 but by Medicaid in 1994. For men covered by NHI in 1985, the mortality risk in the NHI-Medicaid was higher (aHR=1.47) than in the NHI-NHI. For men and women, covered by Medicaid in 1985, aHR was non-significantly lower in the Medicaid-NHI than in the Medicaid-Medicaid. When four groups were analyzed together, men in the Medicaid-Medicaid (aHR=1.67) and NHI-Medicaid (aHR=1.46) groups had higher mortality risk than males in the NHI-NHI, whereas no significant difference was observed for females. In conclusion, transition from NHI to Medicaid increases mortality risk, and transition from Medicaid to NHI may mitigate risk, while remaining on Medicaid pose the greatest risk, especially for men. Therefore, policy makers should strengthen coverage for Medicaid. The weak effects of transition from NHI to Medicaid on mortality for women require validation. |
| Druh dokumentu: | Article |
| Popis súboru: | 680~687 |
| Jazyk: | English |
| ISSN: | 0168-8510 |
| DOI: | 10.1016/j.healthpol.2014.10.012 |
| Prístupová URL adresa: | https://pubmed.ncbi.nlm.nih.gov/25456018 https://www.sciencedirect.com/science/article/pii/S0168851014002760 https://econpapers.repec.org/article/eeehepoli/v_3a119_3ay_3a2015_3ai_3a5_3ap_3a680-687.htm https://www.ncbi.nlm.nih.gov/pubmed/25456018 https://mdanderson.elsevierpure.com/en/publications/association-between-all-cause-mortality-and-insurance-status-tran https://ideas.repec.org/a/eee/hepoli/v119y2015i5p680-687.html https://ir.ymlib.yonsei.ac.kr/handle/22282913/140069 |
| Rights: | Elsevier TDM CC BY NC ND |
| Prístupové číslo: | edsair.doi.dedup.....76b1d3d11f320721f22b86728f7dcb50 |
| Databáza: | OpenAIRE |
Full Text Finder 
Nájsť tento článok vo Web of Science | Abstrakt: | The study purpose was to examine the association between health insurance transition and all-cause mortality. 3206 residents in Korea who participated in two surveys in 1985 and 1994, were followed-up during 1994-2008. Adjusted hazard ratios (aHR) were calculated using Cox hazard model. Participants were divided into four groups by insurance transition (the "National Health Insurance (NHI)-NHI", "NHI-Medicaid", "Medicaid-NHI", and "Medicaid-Medicaid" groups), where NHI-Medicaid means participants covered by NHI in 1985 but by Medicaid in 1994. For men covered by NHI in 1985, the mortality risk in the NHI-Medicaid was higher (aHR=1.47) than in the NHI-NHI. For men and women, covered by Medicaid in 1985, aHR was non-significantly lower in the Medicaid-NHI than in the Medicaid-Medicaid. When four groups were analyzed together, men in the Medicaid-Medicaid (aHR=1.67) and NHI-Medicaid (aHR=1.46) groups had higher mortality risk than males in the NHI-NHI, whereas no significant difference was observed for females. In conclusion, transition from NHI to Medicaid increases mortality risk, and transition from Medicaid to NHI may mitigate risk, while remaining on Medicaid pose the greatest risk, especially for men. Therefore, policy makers should strengthen coverage for Medicaid. The weak effects of transition from NHI to Medicaid on mortality for women require validation. |
|---|---|
| ISSN: | 01688510 |
| DOI: | 10.1016/j.healthpol.2014.10.012 |