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NTIS 바로가기Health policy and management = 보건행정학회지, v.30 no.3, 2020년, pp.409 - 417
변진옥 (국민건강보험공단 건강보험연구원) , 이주향 (국민건강보험공단 건강보험연구원)
Background: It is well known that the distribution of therapeutic materials is very complex. However, it is not easy to demonstrate the concrete problems caused by distribution channels empirically. The purpose of this study was to investigate the differences in the price of therapeutic materials ac...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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건강보험 진료비에서 치료재료가 차지하는 비중은 어떻게 되는가? | 건강보험 진료비에서 치료재료가 차지하는 비중은 약 4% 수준으로 진료료나 행위료, 약품비 등에 비해 작기 때문에 그간 건강보험 영역에서 상대적으로 중요성이 낮았다[1,2]. 그러나 치료재료 급여비 절대액은 꾸준히 증가하여, 2018년에 3조 1천억 원을 넘어섰다[3]. | |
2018년 기준 치료재료 급여비 절대액은 어떻게 되는가? | 건강보험 진료비에서 치료재료가 차지하는 비중은 약 4% 수준으로 진료료나 행위료, 약품비 등에 비해 작기 때문에 그간 건강보험 영역에서 상대적으로 중요성이 낮았다[1,2]. 그러나 치료재료 급여비 절대액은 꾸준히 증가하여, 2018년에 3조 1천억 원을 넘어섰다[3]. 치료재료는 의료행위의 증가에 따라 같이 증가하는 경향이 있고, 기술 발달로 인해 고가의 품목들이 점점 더 많이 급여되고 있는 상황이어서 향후 급여확대에 따라 건강보험 지출영역에서 중요한 부분이 될 수 있다. | |
치료재료 부문에서 가장 오래되고 심각한 문제 중에 복잡한 유통이 포함되는 이유는? | 치료재료 부문에서 가장 오래되고 심각한 문제 중 하나는 복잡한 유통이다. 치료재료 시장은 품목 수가 많고1) 다수의 영세사업자로 이루어져 있어, 동일금액의 중분류 품목이라 하더라도 제품마다 유통구조가 달라 그 마진이 서로 상이한 상황이다[6]. |
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Korean Medical Device Industry Association. 2016 KMDIA discussion to establish the distribution order of medical devices-seeking ways to solve the problems of purchasing agency in the medical device market. Seoul: Korean Medical Device Industry Association; 2016.
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