{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:44:01Z","timestamp":1787316241309,"version":"build-2736575974"},"reference-count":39,"publisher":"XMLink","issue":"21","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003710","name":"Korea Health Industry Development Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003710","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003625","name":"Ministry of Health and Welfare","doi-asserted-by":"publisher","award":["HC15C3388"],"award-info":[{"award-number":["HC15C3388"]}],"id":[{"id":"10.13039\/501100003625","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["synapse.koreamed.org"],"crossmark-restriction":false},"short-container-title":["J Korean Med Sci"],"DOI":"10.3346\/jkms.2018.33.e161","type":"journal-article","created":{"date-parts":[[2018,5,3]],"date-time":"2018-05-03T04:09:40Z","timestamp":1525320580000},"update-policy":"https:\/\/doi.org\/10.3346\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Impact of Osteoarthritis on Household Catastrophic Health Expenditures in Korea"],"prefix":"10.3346","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1415-461X","authenticated-orcid":false,"given":"Hyoungyoung","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4493-8837","authenticated-orcid":false,"given":"Soo-Kyung","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8696-0616","authenticated-orcid":false,"given":"Daehyun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Statistics, Kyungpook National University, Daegu, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8658-6679","authenticated-orcid":false,"given":"Dalho","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Statistics, Kyungpook National University, Daegu, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2032-112X","authenticated-orcid":false,"given":"Sun-Young","family":"Jung","sequence":"additional","affiliation":[{"name":"College of Pharmacy, Chung-Ang University, Seoul, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9137-9815","authenticated-orcid":false,"given":"Eun Jin","family":"Jang","sequence":"additional","affiliation":[{"name":"Department of Information Statistics, Andong National University, Andong, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6691-8939","authenticated-orcid":false,"given":"Yoon-Kyoung","family":"Sung","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"18617","published-online":{"date-parts":[[2018]]},"reference":[{"issue":"6209","key":"10.3346\/jkms.2018.33.e161_ref1","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1126\/science.1254405","volume":"346","author":"Harper","year":"2014","journal-title":"Science"},{"issue":"1","key":"10.3346\/jkms.2018.33.e161_ref2","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.berh.2009.08.006","volume":"24","author":"Shane Anderson","year":"2010","journal-title":"Best Pract Res Clin Rheumatol"},{"issue":"12","key":"10.3346\/jkms.2018.33.e161_ref3","doi-asserted-by":"crossref","first-page":"1531","DOI":"10.1093\/rheumatology\/kei049","volume":"44","author":"Gupta","year":"2005","journal-title":"Rheumatology (Oxford)"},{"key":"10.3346\/jkms.2018.33.e161_ref4","unstructured":"Health Insurance Review & Assessment Service. National Health Insurance Statistical Year Book. Updated 2015. Accessed on August 6, 2017.  http:\/\/opendata.hira.or.kr\/op\/opc\/selectStcPblc.do?sno=11201&odPblcTpCd=002&searchCnd=&searchWrd=&pageIndex=1"},{"issue":"5","key":"10.3346\/jkms.2018.33.e161_ref5","doi-asserted-by":"crossref","first-page":"431","DOI":"10.5124\/jkma.2013.56.5.431","volume":"56","author":"Shin","year":"2013","journal-title":"J Korean Med Assoc"},{"issue":"1","key":"10.3346\/jkms.2018.33.e161_ref6","doi-asserted-by":"crossref","first-page":"11","DOI":"10.4078\/jkra.2008.15.1.11","volume":"15","author":"Hur","year":"2008","journal-title":"J Korean Rheum Assoc"},{"key":"10.3346\/jkms.2018.33.e161_ref7","unstructured":"KCDC. Prevalence of Osteoarthritis among Adults over 50 years old in Korea, 2010??013. Updated 2015. Accessed on August 6, 2017.  http:\/\/cdc.go.kr\/CDC\/info\/CdcKrInfo0301.jsp?menuIds=HOME001-MNU1154-MNU0005-MNU0037&cid=61436"},{"key":"10.3346\/jkms.2018.33.e161_ref8","unstructured":"Distribution of health payments and catastrophic expenditures Methodology. Updated 2005. Accessed on August 6, 2017.  http:\/\/www.who.int\/iris\/handle\/10665\/69030"},{"key":"10.3346\/jkms.2018.33.e161_ref9","first-page":"1","volume":"4","author":"Puteh","year":"2017","journal-title":"Health Syst Policy Res"},{"issue":"1","key":"10.3346\/jkms.2018.33.e161_ref10","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1093\/wbro\/17.1.47","volume":"17","author":"Filmer","year":"2002","journal-title":"World Bank Res Obs"},{"key":"10.3346\/jkms.2018.33.e161_ref11","doi-asserted-by":"crossref","first-page":"698709","DOI":"10.1155\/2012\/698709","volume":"2012","author":"Chen","year":"2012","journal-title":"Arthritis"},{"issue":"8","key":"10.3346\/jkms.2018.33.e161_ref12","first-page":"S230","volume":"15","author":"Bitton","year":"2009","journal-title":"Am J Manag Care"},{"issue":"12","key":"10.3346\/jkms.2018.33.e161_ref13","doi-asserted-by":"crossref","first-page":"3546","DOI":"10.1002\/art.24984","volume":"60","author":"Kotlarz","year":"2009","journal-title":"Arthritis Rheum"},{"issue":"4","key":"10.3346\/jkms.2018.33.e161_ref14","doi-asserted-by":"crossref","first-page":"354","DOI":"10.4078\/jkra.2007.14.4.354","volume":"14","author":"Cho","year":"2007","journal-title":"J Korean Rheum Assoc"},{"issue":"4","key":"10.3346\/jkms.2018.33.e161_ref15","doi-asserted-by":"crossref","first-page":"281","DOI":"10.4078\/jkra.2009.16.4.281","volume":"16","author":"Choi","year":"2009","journal-title":"J Korean Rheum Assoc"},{"key":"10.3346\/jkms.2018.33.e161_ref16","unstructured":"Korea Health Panel. Introduction of KHP. Accessed on August 6, 2017.  https:\/\/www.khp.re.kr:444\/eng\/introduction\/introduction.do"},{"issue":"9378","key":"10.3346\/jkms.2018.33.e161_ref17","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/S0140-6736(03)13861-5","volume":"362","author":"Xu","year":"2003","journal-title":"Lancet"},{"issue":"1","key":"10.3346\/jkms.2018.33.e161_ref18","first-page":"124","volume":"44","author":"Weraphong","year":"2013","journal-title":"Southeast Asian J Trop Med Public Health"},{"key":"10.3346\/jkms.2018.33.e161_ref19","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1186\/1472-6963-12-413","volume":"12","author":"Chuma","year":"2012","journal-title":"BMC Health Serv Res"},{"issue":"4","key":"10.3346\/jkms.2018.33.e161_ref20","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1377\/hlthaff.5.4.138","volume":"5","author":"Berki","year":"1986","journal-title":"Health Aff (Millwood)"},{"issue":"8","key":"10.3346\/jkms.2018.33.e161_ref21","first-page":"613","volume":"80","author":"Ranson","year":"2002","journal-title":"Bull World Health Organ"},{"key":"10.3346\/jkms.2018.33.e161_ref22","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1186\/1472-6963-7-43","volume":"7","author":"Devadasan","year":"2007","journal-title":"BMC Health Serv Res"},{"issue":"9549","key":"10.3346\/jkms.2018.33.e161_ref23","doi-asserted-by":"crossref","first-page":"1828","DOI":"10.1016\/S0140-6736(06)69565-2","volume":"368","author":"Knaul","year":"2006","journal-title":"Lancet"},{"issue":"1","key":"10.3346\/jkms.2018.33.e161_ref24","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/j.healthpol.2013.10.001","volume":"115","author":"Kronenberg","year":"2014","journal-title":"Health Policy"},{"issue":"2","key":"10.3346\/jkms.2018.33.e161_ref25","doi-asserted-by":"crossref","first-page":"e56873","DOI":"10.1371\/journal.pone.0056873","volume":"8","author":"Rahman","year":"2013","journal-title":"PLoS One"},{"key":"10.3346\/jkms.2018.33.e161_ref26","unstructured":"Health service delivery profile: Republic of Korea. Updated 2012. Accessed on August 8, 2017.  http:\/\/www.wpro.who.int\/health_services\/service_delivery_profile_republic_of_korea.pdf"},{"issue":"9","key":"10.3346\/jkms.2018.33.e161_ref27","doi-asserted-by":"crossref","first-page":"664","DOI":"10.2471\/BLT.12.102178","volume":"90","author":"Li","year":"2012","journal-title":"Bull World Health Organ"},{"key":"10.3346\/jkms.2018.33.e161_ref28","doi-asserted-by":"crossref","first-page":"988","DOI":"10.1186\/1471-2458-12-988","volume":"12","author":"Jiang","year":"2012","journal-title":"BMC Public Health"},{"issue":"3","key":"10.3346\/jkms.2018.33.e161_ref29","doi-asserted-by":"crossref","first-page":"336","DOI":"10.3346\/jkms.2016.31.3.336","volume":"31","author":"Lee","year":"2016","journal-title":"J Korean Med Sci"},{"issue":"2","key":"10.3346\/jkms.2018.33.e161_ref30","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1007\/s10754-011-9089-3","volume":"11","author":"Amaya Lara","year":"2011","journal-title":"Int J Health Care Finance Econ"},{"key":"10.3346\/jkms.2018.33.e161_ref31","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1186\/s12916-015-0433-1","volume":"13","author":"The ACTION Study Group","year":"2015","journal-title":"BMC Med"},{"issue":"Suppl 2","key":"10.3346\/jkms.2018.33.e161_ref32","doi-asserted-by":"crossref","first-page":"S48","DOI":"10.1016\/S0140-6736(15)60843-1","volume":"385","author":"O'Neill","year":"2015","journal-title":"Lancet"},{"issue":"6","key":"10.3346\/jkms.2018.33.e161_ref33","doi-asserted-by":"crossref","first-page":"1474","DOI":"10.1002\/art.39079","volume":"67","author":"Yazdany","year":"2015","journal-title":"Arthritis Rheumatol"},{"issue":"11","key":"10.3346\/jkms.2018.33.e161_ref34","doi-asserted-by":"crossref","first-page":"1112","DOI":"10.1111\/1756-185X.12813","volume":"19","author":"Lang","year":"2016","journal-title":"Int J Rheum Dis"},{"issue":"2","key":"10.3346\/jkms.2018.33.e161_ref35","doi-asserted-by":"crossref","first-page":"122","DOI":"10.18553\/jmcp.2016.14261","volume":"22","author":"Hopson","year":"2016","journal-title":"J Manag Care Spec Pharm"},{"issue":"4","key":"10.3346\/jkms.2018.33.e161_ref36","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1002\/art.11198","volume":"49","author":"Woo","year":"2003","journal-title":"Arthritis Rheum"},{"key":"10.3346\/jkms.2018.33.e161_ref37","author":"Murphy","year":"2017","journal-title":"Arthritis Care Res (Hoboken)"},{"key":"10.3346\/jkms.2018.33.e161_ref38","volume-title":"Healthcare Cost and Utilization Project (HCUP) Statistical Briefs","author":"Torio","year":"2006??016"},{"issue":"11","key":"10.3346\/jkms.2018.33.e161_ref39","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1002\/hec.1209","volume":"16","author":"van Doorslaer","year":"2007","journal-title":"Health Econ"}],"container-title":["Journal of Korean Medical Science"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/synapse.koreamed.org\/pdf\/10.3346\/jkms.2018.33.e161","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/synapse.koreamed.org\/DOIx.php?id=10.3346\/jkms.2018.33.e161","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/jkms.org\/DOIx.php?id=10.3346\/jkms.2018.33.e161","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,5,15]],"date-time":"2020-05-15T02:38:08Z","timestamp":1589510288000},"score":1,"resource":{"primary":{"URL":"https:\/\/jkms.org\/DOIx.php?id=10.3346\/jkms.2018.33.e161"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018]]},"references-count":39,"journal-issue":{"issue":"21","published-online":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.3346\/jkms.2018.33.e161","relation":{},"ISSN":["1011-8934","1598-6357"],"issn-type":[{"value":"1011-8934","type":"print"},{"value":"1598-6357","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018]]},"assertion":[{"value":"https:\/\/synapse.koreamed.org\/DOIx.php?id=10.3346\/jkms.2018.33.e161","URL":"https:\/\/synapse.koreamed.org\/DOIx.php?id=10.3346\/jkms.2018.33.e161","name":"synapse","label":"Synapse","group":{"name":"multiple_resolution","label":"Full text available at:"}},{"value":"https:\/\/jkms.org\/DOIx.php?id=10.3346\/jkms.2018.33.e161","URL":"https:\/\/jkms.org\/DOIx.php?id=10.3346\/jkms.2018.33.e161","name":"the_journal","label":"the Journal","group":{"name":"multiple_resolution","label":"Full text available at:"}},{"value":"2017-10-12","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-03-26","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-05-02","name":"published_online","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"\u00a9 2018 The Korean Academy of Medical Sciences.","name":"copyright","label":"Copyright","group":{"name":"Copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.","name":"license","label":"License","explanation":{"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},"group":{"name":"Copyright_and_licensing","label":"Copyright and Licensing"}}],"article-number":"e161"}}