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2022-05-17
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https://doi.org/10.18910/22971
このアイテムへのリンクには次のURLをご利用ください:http://hdl.handle.net/11094/22971
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論文情報
タイトル
Revisiting the OECD Review of the Korean Health System
著者
Colombo, Francesca
Colombo, Francesca
Hurst, Jeremy
Hurst, Jeremy
キーワード等
Korea
health
health system
review
performance
抄録
This paper follows up to the recommendations put forward by the OECD in 2003 in a review of the Korean health system, and analyses recent policy developments as well as areas for performance improvement. The Korean health system is characterised by a large role of the private sector in both the delivery and the financing of health services, and by predominant fee? for?service payments of health care providers. Despite significant achievements since the 1970s, such as the establishment of universal coverage in 1989, a relatively low share of GDP devoted to health spending, and unconstrained users’ freedom of provider choice, the Korean health system has faced significant policy challenges since 2000. At the start of the new millennium, difficulties in implementing two ambitious and controversial reforms??the merge of autonomous insurance societies into a single public payer and the separation of the functions of prescribing and dispensing of pharmaceuticals between doctors and pharmacists??were exacerbated by a financial crisis in the National Health Insurance system. More recently, Korea is addressing questions such as, among others: how should the health system respond to a rapidly ageing society; how could prevention be encouraged; how could access to care be preserved given significant out?of?pocket payments by households; what should be the role of private health insurance; what incentives and monitoring mechanisms for quality of care should be adopted; how could financial sustainability be maintained. Although the Korean health system is unique, the problems with which Korean health policy makers are wrestling will be familiar to other OECD countries.
公開者
大阪大学経済学会
公開者の別表記
The Economic Society of Osaka University
公開者 (ヨミ)
オオサカ ダイガク ケイザイ ガッカイ
掲載誌名
大阪大学経済学
巻
58
号
2
開始ページ
23
終了ページ
54
刊行年月
2008-09
ISSN
04734548
NCID
AN00030111
URL
http://hdl.handle.net/11094/22971
言語
英語
DOI
info:doi/10.18910/22971
カテゴリ
本学関連学会 Related Societies
大阪大学経済学 / 58巻2号 (2008-09)
論文詳細を表示
著者版フラグ
publisher
NII資源タイプ
学術雑誌論文
ローカル資源タイプ
本学関連学会
dcmi資源タイプ
text
DCTERMS.bibliographicCitation
大阪大学経済学.58(2) P.23-P.54
DC.title
Revisiting the OECD Review of the Korean Health System
DC.creator
Colombo, Francesca
Hurst, Jeremy
DC.publisher
大阪大学経済学会
DC.language" scheme="DCTERMS.RFC1766
英語
DCTERMS.issued" scheme="DCTERMS.W3CDTF
2008-09
DC.identifier" scheme="DCTERMS.URI
http://hdl.handle.net/11094/22971
DC.subject
Korea
health
health system
review
performance
DCTERMS.abstract
This paper follows up to the recommendations put forward by the OECD in 2003 in a review of the Korean health system, and analyses recent policy developments as well as areas for performance improvement. The Korean health system is characterised by a large role of the private sector in both the delivery and the financing of health services, and by predominant fee? for?service payments of health care providers. Despite significant achievements since the 1970s, such as the establishment of universal coverage in 1989, a relatively low share of GDP devoted to health spending, and unconstrained users’ freedom of provider choice, the Korean health system has faced significant policy challenges since 2000. At the start of the new millennium, difficulties in implementing two ambitious and controversial reforms??the merge of autonomous insurance societies into a single public payer and the separation of the functions of prescribing and dispensing of pharmaceuticals between doctors and pharmacists??were exacerbated by a financial crisis in the National Health Insurance system. More recently, Korea is addressing questions such as, among others: how should the health system respond to a rapidly ageing society; how could prevention be encouraged; how could access to care be preserved given significant out?of?pocket payments by households; what should be the role of private health insurance; what incentives and monitoring mechanisms for quality of care should be adopted; how could financial sustainability be maintained. Although the Korean health system is unique, the problems with which Korean health policy makers are wrestling will be familiar to other OECD countries.
DC.identifier
info:doi/10.18910/22971
citation_title
Revisiting the OECD Review of the Korean Health System
citation_author
Colombo, Francesca
Hurst, Jeremy
citation_publisher
大阪大学経済学会
citation_language
英語
citation_date
2008-09
citation_journal_title
大阪大学経済学
citation_volume
58
citation_issue
2
citation_firstpage
23
citation_lastpage
54
citation_issn
04734548
citation_public_url
http://hdl.handle.net/11094/22971
citation_keywords
Korea
health
health system
review
performance
citation_doi
info:doi/10.18910/22971