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의료서비스 선택과 비급여 의료비 부담: 일본 혼합진료금지제도 고찰
Choices of Medical Services and Burden of Health Care Costs: Japanese Prohibition of Mixed Treatment in Health Care 원문보기

Health policy and management = 보건행정학회지, v.31 no.1, 2021년, pp.17 - 23  

오은환 (협성대학교 보건관리학과)

Abstract ▼ AI-Helper 아이콘AI-Helper

With the introduction of national health insurance, the burden of health care costs decreased and choices of medical services widened. However, because of the rapid expansion of non-covered medical services by health insurance, financial security for health care expenditure is still low. This gives ...

주제어

#Choice of medical service   #Non-covered medical services   #Burden of health care cost   #Health care system   #Mixed treatment  

AI 본문요약
AI-Helper 아이콘 AI-Helper

문제 정의

  • 비급여서비스 이용에 급여서비스 이용분에 대해서도 환자 본인부담이 되기 때문에 비급여 의료서비스 이용에 제한을 두는 혼합진료금지제도가 대표적인 것이 될 것이다. 본 연구에서는 일본의 혼합진료금지제도에 대한 고찰을 통해 의료서비스 선택과 비급여 의료비 부담 간의 관계를 고민해보고, 우리나라 건강보험제도에서의 시사점을 찾아보고자 한다.
본문요약 정보가 도움이 되었나요?

참고문헌 (25)

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  5. Shin HM. Is support for rare and intractable diseases as good as it is? Proceedings of the Expansion of Coverage for Four Major Diseases: Policy Discussion on Support Measures for Rare and Intractable Diseases; 2013 Jun 13; Seoul, Korea. Seoul: The National Assembly; 2013. 

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    원문보기 상세보기 crossref

  9. You CH, Kang SW, Choi JH, Oh EH, Kwon YD. The effect of private health insurance on health care utilization: evidence from Korea Health Panel (2008-2010). Korean J Health Serv Manag 2014;8(2):101-113. DOI: https://doi.org/10.12811/kshsm.2014.8.2.101. 

    원문보기 상세보기 crossref

  10. Hayashi Y, Yamada R. Economic theoretical consideration on mixed medical care system. Med Care Soc 2003;13(3):3_73-3_85. DOI: https://doi.org/10.4091/iken.13.3_73. 

    crossref

  11. Shirakami M. Examination of cost-effectiveness of salmeterol in the treatment of bronchial asthma. Pharm J 2005;126(1). 

  12. Oh EH. Prohibition of mixed treatment in health care and new medical technology. Health Insur Rev Assess Serv Policy Brief 2007;1(2):37-42. 

  13. Supreme Court. Tokyo District Court Judgment November 7, 2007, 2006(Gyo) 124 Health Insurance Entitlement Confirmation Request Case [Internet]. Tokyo: Supreme Court, Tokyo High Court Case Search System; 2007 [cited 2020 Sep 20]. Available from: http://www.courts.go.jp/hanrei/pdf/20071112151712.pdf. 

  14. Supreme Court. 2007(Gyoko) 405 Health Insurance Entitlement Confirmation Request Appeal Case September 29, 2009 [Internet]. Tokyo: Supreme Court, Tokyo High Court Case Search System; 2010 [cited 2020 Sep 20]. Available from: http://www.courts.go.jp/hanrei/pdf/20100405102504.pdf. 

  15. TKC Group. Settlement of information mixed medical care problems-impact of "reform of specified medical care expense system" on hospitals. Utsunomiya: TKC Group, TKC Medical Practice Management Information; 2005. 

  16. Ministry of Health, Labor and Welfare. About the so-called mixed medical care problem. Tokyo: Ministry of Health, Labor and Welfare; 2004. 

  17. Niki R. Newsletter on Health Economics and Policy Studies of Ryu Niki (Vol. 89) [Internet]. Tokyo: Institute of Nonprofit Health Care Cooperation; 2011 [cited 2020 Sep 20]. Available from: http://www.inhcc.org/jp/research/news/niki/20111201-niki-no089.html. 

  18. Niki R. Newsletter on Health Economics and Policy Studies of Ryu Niki (Vol. 91) [Internet]. Tokyo: Institute of Nonprofit Health Care Cooperation; 2012 [cited 2020 Sep 20]. Available from: http://www.inhcc.org/jp/research/news/niki/20120201-niki-no091.html. 

  19. Regulatory Reform and Promotion Council. The Ministry of Health, Labor and Welfare's approach to the "Interim Report" of the Regulatory Reform and Private Opening Promotion Council [Internet]. Tokyo: Regulatory Reform and Promotion Council; 2004 [cited 2020 Sep 25]. Available from: https://www8.cao.go.jp/kisei-kaikaku/old/minutes/meeting/2004/05/item03.pdf. 

  20. Regulatory Reform and Promotion Council. First report on promotion of Regulatory Reform and Private Opening [Internet]. Tokyo: Regulatory Reform and Promotion Council; 2004 [cited 2020 Sep 25]. Available from: https://www8.cao.go.jp/kisei-kaikaku/old/publication/2004/1224/item 041224_01.pdf. 

  21. Japan Medical Association. What is a mixed treatment [Internet]. Tokyo: Japan Medical Association; 2012 [cited 2020 Sep 20]. Available from: http://www.med.or.jp/. 

  22. National Federation of Insurance Medical Associations. Mixed treatment narrows medical options [Internet]. Tokyo: National Federation of Insurance Medical Associations Associations; 2012 [cited 2020 Sep 20]. Available from: http://hodanren.doc-net.or.jp. 

  23. Meeting to Live with Cancer. Our thoughts on the lifting of the ban on mixed medical care [Internet]. [place unknown]: Meeting to Live with Cancer; 2009 [cited 2020 Sep 25]. Available from: http://www.cancer-jp.com. 

  24. Regulatory Reform and Promotion Council. Interim Report attachment [Internet]. Tokyo: Regulatory Reform and Promotion Council; 2004 [cited 2020 Sep 25]. Available from: https://www8.cao.go.jp/kisei-kaikaku/old/publication/2004/0803/item10.pdf. 

  25. Prime Minister's Office. Mixed medical care. Tokyo: Prime Minister's Office; 2004. 

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