title: Egalitarian health policy preference and its related factors in Korea: national representative sample survey.
abstract: Recently in Korea, the commercialization of health services has come to the fore, and the issue of egalitarianism/universal coverage in health is a matter for debate. This study explored the extent of Korean citizen's preference for egalitarian health policies focusing on the provision of health care service, financing and related factors. The data came from the 2011 Korean General Social Survey (KGSS) and the International Social Survey Program (ISSP). The preference for an egalitarian health policy (dependent variable) was divided into a preference for an egalitarian health services provision (ES) and a willingness to contribute (WC) to it. Each index was linearly regressed with demographic factors, socioeconomic status, ideology, and health-related factors. ES was significantly associated with an individual's egalitarianism and political liberalism, having illness/disability, having no additional private health insurance, and their perception of health insurance coverage. WC was associated with age, sex, household income, education, egalitarianism, and their perception of health insurance coverage. There were evidently different factors between ES and WC, mainly socioeconomic factors. WC was strongly influenced by socioeconomic status, whereas ES seemed to be linked more closely to economic affordability. Moreover, the results showed that Korean citizens prefer ES but do not like WC. These results deserve great attention, and the authorities should keep it in perspective. If the government wants to make a successful attempt to change the healthcare system through public policy, it will need to take public preferences into account.
authors.affiliation: Department of Social and Preventive Medicine, School of Medicine, Sungkyunkwan University, Suwon, Korea.
authors.forename: Eun-Whan
authors.identifier: 0000-0002-4831-344X
authors.initials: EW
authors.lastname: Lee
authors.affiliation: Department of Social and Preventive Medicine, School of Medicine, Sungkyunkwan University, Suwon, Korea.
authors.forename: Jae-Hyun
authors.identifier: 0000-0001-5860-7487
authors.initials: JH
authors.lastname: Park
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D003258:Consumer Behavior / Q000706:statistics & numerical data*; D004651:Employment / Q000706:statistics & numerical data; D005260:Female; D006291:Health Policy; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D007182:Income; D008297:Male; D008875:Middle Aged; D057240:Patient Preference / Q000706:statistics & numerical data*; D011057:Politics; D056910:Republic of Korea / Q000453:epidemiology; D017678:Sex Distribution; D012923:Social Class; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D019472:Universal Health Insurance / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: Health Care Reform; Health Policy; Korea; Social Class; Universal Coverage