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NTIS 바로가기Health policy and management = 보건행정학회지, v.24 no.3, 2014년, pp.242 - 253
송은철 (구로구 보건소) , 신영전 (한양대학교 의과대학 예방의학교실)
Background: The low benefit coverage rate of South Korea's health security system causes catastrophic health expenditure. And catastrophic health expenditure can be the cause of the transition to and persistence of poverty. This study was conducted to ascertain the effect of catastrophic health expe...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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건강보장제도는 어떤 기능을 하는가? | 한 국가의 건강보장제도는 건강상의 위험과 이로 인한 경제적 위험에서 국민을 보호하는 기능을 한다[1]. 그러나 한국의 건강보장제도는 많은 비급여항목과 높은 본인부담수준, 그로 인한 낮은 보장성으로 인해 그 기능이 충분하지 않다는 지적이 지속적으로 제기되어 오고 있으며[2-8], 이러한 낮은 보장성은 재난적 의료비(catastrophic health expenditure)를 발생시키게 된다. | |
재난적 의료비 지출율 통계를 토대로 감소하고 있는 추세이기는 하나 여전히 많은 가구가 재난적 의료비를 지출하고 있음을 확인할 수 있는데 그 이유는? | 0%로 나타나, 감소하고 있는 추세이기는 하나 여전히 많은 가구가 재난적 의료비를 지출하고 있음을 확인할 수 있다. 이는 본인부담상한액 차등화, 중증질환자 본인부담금 경감, 본인부담금 경감대상 희귀난치성질환 확대, 저소득층 의료비지원사업 확대 등 다양한 보장성 확대정책의 효과가 나타나고는 있지만 그 효과가 충분하지는 않은 것으로 볼 수 있다. 이렇게 재난적 의료비를 지출하는 가구의 비율이 높은 이유는 건강보험의 보장수준이 낮기 때문이다. | |
한국의 건강보장제도는 그 기능이 충분하지 않다는 지적이 지속적으로 제기되어 오는 이유는? | 한 국가의 건강보장제도는 건강상의 위험과 이로 인한 경제적 위험에서 국민을 보호하는 기능을 한다[1]. 그러나 한국의 건강보장제도는 많은 비급여항목과 높은 본인부담수준, 그로 인한 낮은 보장성으로 인해 그 기능이 충분하지 않다는 지적이 지속적으로 제기되어 오고 있으며[2-8], 이러한 낮은 보장성은 재난적 의료비(catastrophic health expenditure)를 발생시키게 된다. |
Kim CY. Theories of health security. Paju: Hanul publishing Co.; 2009.
Kim CY, Lee JS, Kang GW, Kim YI. Magnitude of patient's cost-sharing for hospital services in the national health insurance in Korea. Korean J Health Policy Admin 1999;9(4):1-14.
Shin YS, Shin HW, Hwang DK, Kim HI, Kim JS. Establishment of the health care safety net and policy task. Seoul: Korea Institute for Health and Social Affairs; 2006.
Shin YJ. Health care safety net in Korea: issues and policy options. Health Welf Policy Forum 2009;155:17-28.
Shin YS. Policy measures of medical safety net for low-income and underprivileged brackets. Health Welf Policy Forum 2012;185:6-14.
Shin HW, Yeo JY. Health security and policy issues. Health Welf Policy Forum 2014;207:5-16.
Suhrcke M, Rocco L, McKee M. Health: a vital investment for economic development in eastern Europe and central Asia. Copenhagen: World Health Organization on behalf of the European Observatory on Health Systems and Policies; 2008.
Wagstaff A, van Doorslaer E. Catastrophe and impoverishment in paying for health care: with applications to Vietnam 1993-1998. Health Econ 2003;12(11):921-934. DOI: http://dx.doi.org/10.1002/hec.776
Xu K, Evans DB, Kawabata K, Zeramdini R, Klavus J, Murray CJ. Household catastrophic health expenditure: a multicountry analysis. Lancet 2003;362(9378):111-117. DOI: http://dx.doi.org/10.1016/s0140-6736(03)13861-5
Lee TJ, Yang BM, Kwon SM, Oh JH, Lee SH. Equity in the expenditures of health care services. Korean Health Econ Rev 2003;9(2):25-24.
Lee WY. Equity in catastrophic health expenditure [dissertation]. Seoul: Hanyang University; 2004.
Lee WY, Shin YJ. Catastrophic health expenditure among income groups in urban households. Korean Soc Sec Stud 2005;21(2):105-133.
Kim HJ. Household medical expenditure burden of the poor. J Soc Res 2008;9(1):229-254.
Kim YH, Yang BM. The trend in catastrophic health payments by income strata in South Korea. Korean J Health Econ Policy 2009;15(1):59-77.
Shin HW, Shin YS, Hwang DK, Yoon PK. The effects of catastrophic health expenditure on poverty. Seoul: Korea Institute for Health and Social Affairs; 2010.
Kim KS, Lee HO. Household catastrophic health expenditure and unmet needs depending on the types of health care system. Soc Welf Policy 2012;39(4):255-279.
Lee TJ, Lee HJ, Kim YH. Analysis of catastrophic health expenditure using 1st wave Korea health panel data. Korean J Health Econ Policy 2012; 18(1):95-111.
Lee HJ, Lee TJ. Factors associated with incidence and recurrence of household catastrophic health expenditure in South Korea. Korean Soc Secur Stud 2012;28(3):39-62.
Park JY, Kim YM, Jung KT. A study on the determinants of catastrophic health expenditure of the middle- and old-aged household. Health Serv Manag Rev 2013;7(2):25-37.
Jung YI, Lee HJ, Lee TJ, Kim HS. Measures of household catastrophic health expenditure: systematic review and implications. Korean J Health Econ Policy 2013;19(4):1-27.
Ku IH. Socio-economic characteristics of the poor and poverty transition in Korea: since the recent economic crisis. Korean J Soc Welf 2002;48:82-112.
Ku IH. Poverty dynamics in Korea: poverty duration and its determinants. Korean J Soc Welf 2005;57(2):351-374.
Kim AR. A study on poverty duration and its determinants: focusing on type of household [dissertation]. Seoul: Seoul National University; 2006.
Seok SH. Testing for state dependence effects in poverty dynamics. Korean Soc Secur Stud 2007;23(3):79-99.
Kim, SY, Huh S. Factors influencing poverty of the class of elderly working poor. J Welf Aged 2010;47:375-398.
Ban JH. A study on the income variation and the poverty of self-employed households: based on the comparison of paid worker households. Q J Labor Policy 2012;12(1):29-56.
Kim JH. Impoverishment of unprivileged divorcees: their social exclusion experience in family and labor market. Korean J Fam Soc Work 2012;38: 69-102.
Kim MS, Bae HO. Poverty status changes of the families with children. J Korean Counc Child Rights 2012;16(3):497-521.
Korea Welfare Panel Study. Korea Welfare Panel Study user's guide. Seoul: Korea Institute for Health and Social Affairs, Institute of Social Welfare, Seoul National University; 2013.
Lee BJ, Kang SK, Ku IH, Kim TS, An SH, Son BD, et al. An in-depth study of 2006 Korea Welfare Panel Study. Seoul: Department of Social Welfare, Seoul National University; 2007.
Li Y, Wu Q, Liu C, Kang Z, Xie X, Yin H, et al. Catastrophic health expenditure and rural household impoverishment in China: what role does the new cooperative health insurance scheme play? PLoS One 2014;9(4):e93253. DOI: http://dx.doi.org/10.1371/journal.pone.0093253
Weraphong J, Pannarunothai S, Luxananun T, Junsri N, Deesawatsripetch S. Catastrophic health expenditure in an urban city: seven years after universal coverage policy in Thailand. Southeast Asian J Trop Med Public Health 2013;44(1):124-136.
Raban MZ, Dandona R, Dandona L. Variations in catastrophic health expenditure estimates from household surveys in India. Bull World Health Organ 2013;91(10):726-735. DOI: http://dx.doi.org/10.2471/blt.12.113100.
Kavosi Z, Rashidian A, Pourreza A, Majdzadeh R, Pourmalek F, Hosseinpour AR, et al. Inequality in household catastrophic health care expenditure in a low-income society of Iran. Health Policy Plan 2012;27(7):613-623. DOI: http://dx.doi.org/10.1093/heapol/czs001
Onoka CA, Onwujekwe OE, Hanson K, Uzochukwu BS. Examining catastrophic health expenditures at variable thresholds using household consumption expenditure diaries. Trop Med Int Health 2011;16(10):1334-1341. DOI: http://dx.doi.org/10.1111/j.1365-3156.2011.02836.x
Bredenkamp C, Mendola M, Gragnolati M. Catastrophic and impoverishing effects of health expenditure: new evidence from the Western Balkans. Health Policy Plan 2011;26(4):349-356. DOI: http://dx.doi.org/10.1093/heapol/czq070
Organization for Economic Cooperation and Development. Health at a glance 2013: OECD indicators. Paris: OECD Publishing; 2013.
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