Revisiting the OECD Review of the Korean Health System

Colombo, Francesca; Hurst, Jeremy

doi:info:doi/10.18910/22971

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タイトル	Revisiting the OECD Review of the Korean Health System
著者	Colombo, Francesca Colombo, Francesca
著者	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
カテゴリ	大阪大学経済学 / 58巻2号 (2008-09)

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
DC.creator	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
citation_author	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

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