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NTIS 바로가기Health policy and management = 보건행정학회지, v.28 no.4, 2018년, pp.369 - 377
김연수 (이화여자대학교 행정학과) , 김혜윤 (질병관리본부 만성질환관리과)
Background: Catastrophic health expenditure (CHE) occurs when medical expenditure of a household passes over a certain ratio of household income. This research studied the effect of gender on CHE based on Korea Health Panel data. Methods: This study implemented binary logistic regression model to fi...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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상대적으로 의료비가 개인의 전체 지출에서 차지하는 비중이 증가하게 되는 원인은? | 성별과 더불어 연령대, 경제활동 여부, 혼인상태를 기준으로 세부집단을 구분하여 재난적 의료비 지출이 많은 조합을 파악한 결과, 남녀 모두 경제활동이 없는 기혼 집단에서 재난적 의료비 지출이 높게 발생하는 것으로 나타났다. 경제활동이 없는 집단의 경우 재난적 의료비 지출 여부 산출의 분모에 해당하는 가용소득의 크기가 줄어들기 때문에 상대적으로 의료비가 개인의 전체 지출에서 차지하는 비중이 증가하게 되며, 기혼 집단은 상대적으로 의료이용의 기회가 늘어나 이러한 양상이 나타나는 것으로 해석할 수 있다[36]. 또한 기혼 가구가 비혼인 경우에 비하여 잦은 외래방문 등으로 의료이용 및 의료비 지출이 많다는 기존 연구결과와 일치한다[35,37]. | |
바람직한 보건의료체계는 국민에게 제공되는 의료서비스의 질 및 형평성과 함께 질병이나 사망으로 인한 재정적 결과로부터 구성원을 보호할 수 있어야 하지만 직면하게 되는 현실은 무엇인가? | 특히 바람직한 보건의료체계는 국민에게 제공되는 의료서비스의 질 및 형평성과 함께 질병이나 사망으로 인한 재정적 결과로부터 구성원을 보호할 수 있어야 한다[1]. 그러나 의료비 지출은 여전히 개인적 책임으로 여겨지는 경우가 많으며[2,3], 한국과 같이 의료비의 본인부담 비율이 높은 보건의료체계에서는 의료비 지출에 대한 지불능력이 낮은 가구 또는 개인들은 가계 재정상황에 위협이 되는 경우에 종종 직면하게 된다. 재난적 의료비 지출은 세계보건기구(World Health Organization, WHO)의 보건의료 재정의 공평성 지표 중 하나로, 한 가구의 의료비 지출이 가구의 전체 지출 중 일정 수준을 넘어서는 경우를 의미한다[4-8]. | |
국가의 보건의료체계가 가진 기능은? | 국가의 보건의료체계는 국민의 건강을 최선의 상태로 유지하고 보호할 의무와 기능을 지닌다. 특히 바람직한 보건의료체계는 국민에게 제공되는 의료서비스의 질 및 형평성과 함께 질병이나 사망으로 인한 재정적 결과로부터 구성원을 보호할 수 있어야 한다[1]. |
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