Revisiting the OECD Review of the Korean Health System

Colombo, Francesca; Hurst, Jeremy

doi:https://doi.org/10.18910/22971

このアイテムのアクセス数:157件（2023-12-03 19:51 集計）

このアイテムへのリンクには次のURLをご利用ください: https://doi.org/10.18910/22971

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タイトル	Revisiting the OECD Review of the Korean Health System
著者	著者名 Colombo, Francesca
著者	著者名 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.
出版者	大阪大学経済学会
	The Economic Society of Osaka University
	オオサカ　ダイガク　ケイザイ　ガッカイ
収録物名	大阪大学経済学
収録物名	Osaka Economic Papers
巻(号)	58(2)
ページ	23-54
刊行年月	2008-09
言語	英語
ハンドルURL	https://hdl.handle.net/11094/22971
DOI	https://doi.org/10.18910/22971
PISSN	04734548
NCID	AN00030111
アクセス権	open access
出版タイプ	Version of Record
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)

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. 2008, 58(2), p. 23-54
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
	The Economic Society of Osaka University
	オオサカ　ダイガク　ケイザイ　ガッカイ
DC.language' scheme='DCTERMS.RFC1766	英語
DC.type' scheme='DCTERMS.DCMIType	text
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2008-09
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	10.18910/22971
DC.format	application/pdf
citation_doi	https://doi.org/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
	The Economic Society of Osaka University
	オオサカ　ダイガク　ケイザイ　ガッカイ
citation_language	英語
citation_date	2008-09
citation_journal_title	大阪大学経済学
citation_journal_title	Osaka Economic Papers
citation_volume	58
citation_issue	2
citation_firstpage	23
citation_lastpage	54
citation_public_url	https://hdl.handle.net/11094/22971
citation_doi_detail	10.18910/22971

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