Health care has two different facets. One is commodity and another is a right of human being. Health care as a commodity is utilized by demand approach in market. Demand is determined by economic factors such as price and income. From the last third of the 19th century until the early 1920s, priority of sickness insurance was replacing the income that workers lost as a result of illness and injury. By the 1920s, the capacity of applied biological and medical science was remarkably developed. Development of medical science stimulated the cost of medical care, and the burden of increased medical care cost required new role of medical care security system. In 1942, Beveridge report was published in United Kingdom, and health care was considered as a right of human being. In 1948, United Nations declared heath care as a right in the Universal Declaration of Human Right. In most countries introduced new medical care security policy based on health care as a right. The viewing health care as a commodity must be shifted toward need based care as a right. Need were understood to rest on demographic, epidemiological, scientific, and medical knowledge factors. Bring needed care to the population could best be achieved institutionally by a hierarchy of provider organizations, guided by planning bodies, which would provide comprehensive benefits. In Korea, health care in social health insurance (SHI) is considered as a commodity not a right. However, health policies under SHI must be need approach based on health care as a right. Mismatch between health policies and ideology of SHI made big troubles. It is important to realize ideology of SHI for good health policies.
구매자인 보험자는 의료서비스의 가격이 높아지면 보험재정 운영에 어려움이 생기고 공급자인 의료기관은 가격이 낮아지면 의료기관 경영에 어려움을 겪게 된다. 만약 가격이 너무 낮아지면 공급자는 의료의 질(환자 안전 포함)을 떨어뜨리게 된다. 의료 질이 떨어지면 이용자(보험 적용자)인 환자들이 불만을 제기하기 때문에 구매자와 공급자가 협상을 통하여 적정한 가격을 설정하는 것이 중요
구매자인 보험자는 의료서비스의 가격이 높아지면 보험재정 운영에 어려움이 생기고 공급자인 의료기관은 가격이 낮아지면 의료기관 경영에 어려움을 겪게 된다. 만약 가격이 너무 낮아지면 공급자는 의료의 질(환자 안전 포함)을 떨어뜨리게 된다. 의료 질이 떨어지면 이용자(보험 적용자)인 환자들이 불만을 제기하기 때문에 구매자와 공급자가 협상을 통하여 적정한 가격을 설정하는 것이 중요하다.
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