Korea's National Health Insurance-Lessons From The Past Three Decades
Korea's National Health Insurance-Lessons From The Past Three Decades
复制标题
DOI：
10.1377/hlthaff.2008.0816
复制
发表时间：
2011-01-01
期刊：
影响因子：
9.7
通讯作者：
Jeong, Hyoung-Sun
中科院分区：
文献类型：
--
作者：
Jeong, Hyoung-Sun
这项研究提供了韩国自1977年以来30年的医疗保健支出数据，1963年颁布的国民健康保险是在这一年实施的。韩国的国民健康保险目前是一个单一付款人计划（公共和私人融资），支付私人提供的医疗保健。1989年实现了普及。因此，在这三十年中，家庭在全国卫生总支出中所占的份额从87.8%下降到54.6%，自付份额从87.2%下降到38.0%。虽然覆盖的服务逐步扩大，但福利仍然相对较低，公共资金有限，使受益人的共同负担费用相对较高。再加上政府管理支付给医疗服务提供者的费用，2007年医疗保健在国内生产总值中所占的比例仅为6.3%。这种分析可能对考虑扩大保险范围或进行保险改革的中低收入国家特别有意义。
This study presents data on health care spending in South Korea in the three decades since 1977, the year its national health insurance-enacted in 1963-was enforced. National health insurance in South Korea is currently a single-payer program (that is both publicly and privately financed) that pays for privately provided health care. Universal coverage was achieved in 1989. As a result, the household share of total national health spending fell from 87.8 percent to 54.6 percent during the three decades, and the out-of-pocket share dropped from 87.2 percent to 38.0 percent. Although covered services have gradually expanded, benefits remain relatively low, and public funding is limited, leaving beneficiaries with relatively high copayments. Coupled with the fact that the government manages the schedule of fees paid to providers, the health care share of gross domestic product was a low 6.3 percent in 2007. An analysis such as this may be of particular interest in middle-or low-income countries contemplating expansions of coverage or undertaking insurance reforms.