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NTIS 바로가기Health policy and management = 보건행정학회지, v.28 no.3, 2018년, pp.263 - 271
이영성 (한국보건의료연구원)
Health technology assessment (HTA) is defined as multidisciplinary policy analysis to look into the medical, economic, social, and ethical implications of the development, distribution, and use of health technology. Following the recent changes in the social environment, there are increasing needs t...
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핵심어 | 질문 | 논문에서 추출한 답변 |
---|---|---|
건강의 요인으로 어떤 것들이 있눈가? | 세계보건기구(World Health Organization)에 의하면 건강이란 단순히 질병이 없거나 허약하지 않은 상태를 말하는 것이 아니라 신체적, 정신적, 사회적으로 완전히 안녕한 상태(well-being)를 말한다[1]. 건강의 장 모형에는 여러 요인이 있는데, 건강을 형성하는 데에는 생물학적 요인뿐만 아니라 개인의 건강행태, 환경적 요인 그리고 그 개인이 속한 사회의 의료제도 역시 영향을 미친다. 보건의료제도는 그 사회의 보건의료서비스 제공체계를 일컫는데, 여기에는 보건의료기술뿐만 아니라 의료자원의 개발과 의료자원 조직, 제공체계가 포함되며 자원과 서비스의 흐름을 관리하는 행정과 재정의 요소가 포괄적으로 구성되어 있다. | |
건강이란? | 세계보건기구(World Health Organization)에 의하면 건강이란 단순히 질병이 없거나 허약하지 않은 상태를 말하는 것이 아니라 신체적, 정신적, 사회적으로 완전히 안녕한 상태(well-being)를 말한다[1]. 건강의 장 모형에는 여러 요인이 있는데, 건강을 형성하는 데에는 생물학적 요인뿐만 아니라 개인의 건강행태, 환경적 요인 그리고 그 개인이 속한 사회의 의료제도 역시 영향을 미친다. | |
우리나라 보건의료 제도의 주축을 이루는 건강보험의 개선 요구가 높아지는 원인은 무엇인가? | 우리나라 보건의료 제도의 주축을 이루는 건강보험은 지속적인 발전을 이루어 왔으나 사회적 환경 변화에 대응하여 개선의 요구가 높아지고 있다. 정부의 건강보험 확대 노력에도 불구하고 우리나라 건강보험 보장률은 지난 10년간 60% 초반에 머물러 있으며, 가계직접부담 의료비 비율이 경제협력개발기구(Organization for Economic Cooperation and Development) 국가 중 두 번째로 높은 수준을 기록하고 있다. 특히 비급여 진료비는 연 13.1% 수준의 증가율을 보이며 국민 의료비 부담을 가중시키는 실정이다[2]. 지난해 7월 정부는 국민 의료비 부담을 낮추기 위하여 ‘건강보험 보장성 강화대책’을 발표하였으며, 그 핵심은 비급여 의료비 해소 및 발생의 차단이다. |
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Shin CM, Lee MY, Ahn JH, Lee Sh, Park CY, Joo YI, et al. The development of clinical management guide for temporary approval of new health technology. Seoul: National Evidence-based Healthcare Collaborating Agency; 2013.
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Health Quality Ontario. Health technology assessments: methods and process guide: version 2.0. Toronto (ON): Health Quality Ontario; 2018.
Bae JM, Shin EH, Seo HS, Jang BH, Kim JH, Kwak SJ, et al. Safety of comprehensive aortic root and valve repair surgery: a retrospective out-comes research. Seoul: National Evidence-based Healthcare Collaborating Agency; 2010.
Bae JM, Lee HY, Park JE, Lee YJ, Jung SY, Cho JH, et al. Health technology assessment for efectiveness and safety of human placental extracts. Seoul: National Evidence-based Healthcare Collaborating Agency; 2009.
Shin CM, Park JY, Park JJ, Seo SW, Shim JI. Assessment of clinical safety and efcacy for weight loss supplements (garcinia cambogia extract, irvingia gabonensis seed extract) in human. Seoul: National Evidence- based Healthcare Collaborating Agency; 2016.
Park JS, Choi SJ, Hwang JS, Ko EB, Shin MK, Kim SK. The safety and domestic usage of amalgam in dental caries. Seoul: National Evidence-based Healthcare Collaborating Agency; 2014.
Oh MD, Kim HB, Kim HY, Song YG, Kim CJ, Yang MH, et al. A study to improve national healthcare system for overcoming healthcare associated infection and antimicrobial resistance. Seoul: National Evidence-based Healthcare Collaborating Agency; 2011.
Oh MD, Kim HB, Kim HY, Song YG, Kim CJ, Yang MH, et al. Macroeconomic study on the improvement of national healthcare management system to overcome healthcare associated infection and antibiotic resistance. Seoul: National Evidence-based Healthcare Collaborating Agency; 2011.
Lee SM, Jang EJ, Ko MJ, Kim JY, Hong SB, Na SW, et al. Economic evaluation for procalcitonin test in patients with suspected sepsis. Seoul: National Evidence-based Healthcare Collaborating Agency; 2015.
Hyun MK, Kwon JW, Kim JH, Kim JM, Shim JI, Lee NR, et al. A research on evidence-based healthcare for thyroid cancer screening. Seoul: National Evidence-based Healthcare Collaborating Agency; 2012.
Bae SC, Kim SY, Sung YK, Lee EB, Choi CB, Seo HJ, et al. Efectiveness of glucosamine and chondroitin in osteoarthritis. Seoul: National Evidence-based Healthcare Collaborating Agency; 2009.
Jee SM, Lee SH, Park EJ, Park JJ, Kim JY. Determine the status of cosmetic plastic procedure and the development of information booklet for the users. Seoul: National Evidence-based Healthcare Collaborating Agency; 2013.
Joo CK, Tchah HW, Hyon JY, Kim MK, Kim TI, Kim JH, et al. Long-term safety and stability of refractive surgeries in myopia. Seoul: National Evidence-based Healthcare Collaborating Agency; 2010.
Heo YS, Kwon JW, Lee HJ, Choi JE, Song HJ, Oh SH, et al. The clinical effectiveness and economic analysis of bariatric surgery for severe obesity. Seoul: National Evidence-based Healthcare Collaborating Agency; 2011.
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Lee SK, Jo HJ, Lee MS, Lim SW, Choi SK. Analyzing local evidence on tobacco control to reinforce the national tobacco control policy. Seoul: National Evidence-based Healthcare Collaborating Agency, Ministry of Health and Welfare; 2015.
Lee SK, Park JY, Kim JY, Baek MJ, Park SH, Baek HN. A study on the change of tobacco product use and the regulation of new tobacco by strengthening the smoking cessation policy. Seoul: National Evidence-based Healthcare Collaborating Agency, Ministry of Health and Welfare; 2015.
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Choi JE, Kim MJ, Kim SH, Kim JY, Park CY, Seo SW, et al. 2015 Round table conference for consensus of healthcare and social issues. Seoul: National Evidence-based Healthcare Collaborating Agency; 2015.
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