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Original Article
An Investigation into Chronic Conditions and Diseases in Minors to Determine the Socioeconomic Status, Medical Use and Expenditure According to Data from the Korea Health Panel, 2015
Jong-Hoon Moon
Osong Public Health Res Perspect. 2019;10(6):343-350.   Published online December 31, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.6.04
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AbstractAbstract PDF
Objectives

This study compared the socioeconomic status, medical use and expenditures for infants (1–5 years), juveniles (6–12 years), and adolescents (13–19 years) with a chronic condition or disease to determine factors affecting health spending.

Methods

Data from 3,677 minors (< 20 years old, without disabilities) were extracted from the Korea Health Panel (2015) database.

Results

Minors with chronic conditions or diseases were older (juveniles, and adolescents; p < 0.001), and included a higher proportion of Medicaid recipients (p = 0.004), a higher use of hospital outpatient care (p < 0.001), and higher medical expenditure (p < 0.001) compared to minors without chronic conditions or diseases. Boys were more likely to have a chronic condition or disease than girls (p = 0.036). Adolescents and juveniles were more likely than infants to have a chronic condition or disease (p = 0.001). Medicaid recipients were more likely to have a chronic condition or disease than those who were not Medicaid recipients (p = 0.008). Minors who had been hospital outpatients were more likely to have a chronic condition or disease, compared with minors who had not been an outpatient (p = 0.001). Having a chronic condition or disease, was a factor increasing medical expenditure (p = 0.001). Medical expenditure was higher in infants than in juveniles and adolescents (p = 0.001). Infants had higher rates of medical use when compared with juveniles and adolescents (p = 0.001).

Conclusion

These findings suggest that systematic health care management for minors with chronic conditions or diseases, is needed.

Citations

Citations to this article as recorded by  
  • Household income and maternal education in early childhood and activity-limiting chronic health conditions in late childhood: findings from birth cohort studies from six countries
    Nicholas James Spencer, Johnny Ludvigsson, Yueyue You, Kate Francis, Yara Abu Awad, Wolfgang Markham, Tomas Faresjö, Jeremy Goldhaber-Fiebert, Pär Andersson White, Hein Raat, Fiona Mensah, Lise Gauvin, Jennifer J McGrath
    Journal of Epidemiology and Community Health.2022; 76(11): 939.     CrossRef

PHRP : Osong Public Health and Research Perspectives