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The effect of epidemic outbreak on healthcare usage: Lessons from the 2015 Middle East respiratory syndrome outbreak in South Korea

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  • Jinhwan Park
  • Duk Bin Jun
  • Sungho Park

Abstract

When an epidemic outbreak occurs, the demand for healthcare services may increase because more people may seek medical care regardless of their infection status. On the other hand, it may decrease because of the fear of getting infected while seeking treatment. Moreover, the epidemic may have lasting effects on individuals' healthcare service usage after it ends. Armed with a representative and detailed individual level healthcare usage dataset, we examine the dynamic effect of the Middle East respiratory syndrome (MERS) outbreak which occurred in South Korea in 2015. To be more specific, we select patients who lived in regions where the MERS outbreak took place as the treatment group, and patients who lived in regions where MERS‐related events never occurred as the control group. Using this sample, we apply a difference‐in‐difference approach with propensity score matching to investigate the effect of epidemic disease on individuals' healthcare service usage. We find that healthcare visits to treat minor diseases during the MERS outbreak showed a significant decrease of 3.7%. This effect was pronounced in large tertiary hospitals (22.7%) and among minors under age 10 (10.1%). We could not find significant changes in visits to treat serious diseases. However, visits to the emergency department showed a temporary but significant decrease (18.1%). After the end of the epidemic, healthcare visits to treat minor diseases significantly increased by 4.0%. This after‐effect was pronounced in secondary hospitals (8.7%) and primary healthcare facilities (3.9%) and among minors under age 10. We discuss the implications of our findings for various stakeholders.

Suggested Citation

  • Jinhwan Park & Duk Bin Jun & Sungho Park, 2022. "The effect of epidemic outbreak on healthcare usage: Lessons from the 2015 Middle East respiratory syndrome outbreak in South Korea," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 185(3), pages 1319-1343, July.
    • Handle: RePEc:bla:jorssa:v:185:y:2022:i:3:p:1319-1343
    DOI: 10.1111/rssa.12798
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    1. King, Gary & Zeng, Langche, 2001. "Logistic Regression in Rare Events Data," Political Analysis, Cambridge University Press, vol. 9(2), pages 137-163, January.
    2. Goolsbee, Austan & Syverson, Chad, 2021. "Fear, lockdown, and diversion: Comparing drivers of pandemic economic decline 2020," Journal of Public Economics, Elsevier, vol. 193(C).
    3. Margolis, Jesse & Hockenberry, Jason & Grossman, Michael & Chou, Shin-Yi, 2014. "Moral Hazard and Less Invasive Medical Treatment for Coronary Artery Disease: The Case of Cigarette Smoking," IZA Discussion Papers 8492, Institute of Labor Economics (IZA).
    4. Sungwook Yoon & Duk Bin Jun & Sungho Park, 2020. "The effect of general health checks on healthcare utilization: accounting for self‐selection bias," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 183(1), pages 3-36, January.
    5. Agüero, Jorge M. & Beleche, Trinidad, 2017. "Health shocks and their long-lasting impact on health behaviors: Evidence from the 2009 H1N1 pandemic in Mexico," Journal of Health Economics, Elsevier, vol. 54(C), pages 40-55.
    6. Philipson, Tomas & Posner, Richard A, 1994. "Public Spending on AIDS Education: An Economic Analysis," Journal of Law and Economics, University of Chicago Press, vol. 37(1), pages 17-38, April.
    7. Christopher J. Cronin & William N. Evans, 2020. "Private Precaution and Public Restrictions: What Drives Social Distancing and Industry Foot Traffic in the COVID-19 Era?," NBER Working Papers 27531, National Bureau of Economic Research, Inc.
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