• Title, Summary, Keyword: 의료비부담

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Family Income Inequality and Medical Care Expenditure In Korea (한국 의료보장제도 의료비 부담과 가족소득 불평등의 관계)

  • Lee, Yong-Jae
    • The Journal of the Korea Contents Association
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    • v.16 no.8
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    • pp.366-375
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    • 2016
  • This study evaluates the degree of the inequality of medical care expenditure and private health insurance benefits and the relation with household income inequality in korea health care system. This study used the 2014 korea Health Panel survey, and study method is Gini coefficient. The main results are as follow. First, average household income in 1st income quartile is 6,290,000won and 10st income quartile is 101,930,000won. And Gini coefficient of Korea household income is 0.3756. In other words, family income inequality is quite serious. Second, the Gini coefficient of the public institution supported medical care expenditure, such as health insurance and public assistance, is 0.0761, and the Gini coefficient of the expenditure of transportation fee and medical materials etc that don't supported is 0878. The inequality in medical care expenditure in public health care system and without public support aren't serious all. Third, Gini coefficient in excluding household medical care expenditure from household income slightly increased. That is, the medical care expenditure of our country household is the factor of aggravating the inequality of household income. Fourth, Gini coefficient of private health insurance benefits is 0.0927. Therefore, the ineqality in private insurance benefits is low. In addition, the Gini coefficient of the sum of private insurance benefits and household income is 0.3672. it decrease from Gini coefficient(0.3756) of household's. Private health insurance perform the functions somewhat weaken household income inequality. However, it is very little improvement.

The Effect of Private Health Insurance on the Subjective Burden of Medical Expenses (민간의료보험 가입 여부가 본인부담 진료비의 주관적 부담 수준에 미치는 영향)

  • Hong, Jin Hyuk;Noh, Jin-Won;Park, Kisoo;Lee, Yejin;Kwon, Young Dae
    • The Journal of the Korea Contents Association
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    • v.17 no.6
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    • pp.63-70
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    • 2017
  • Although the National Health Insurance, many people sign up for private health insurance to alleviate their financial burden. In this study, we analyzed the relationship between private health insurance and subjective financial burden about cost sharing. To confirm the effect we conducted the binary logistic regression by utilizing the Health Care Policy related to public survey. The private health insurance have a significantly association with the subjective financial burden about cost sharing. People who uninsured to purchase private health insurance were more likely to have the burden. Therefore, given the low participation rate of private medical insurance for high age and low income group, we suggest the need for redefining the role of private insurance to enhance the function and resolve equity issues to prepare for the burden.

The Effect of Household Type on the Medical Burden of the Elderly Living in a Local Government that has Entered a Super-aged Society (초고령사회 진입 지방자치단체 노인의 의료비부담과 가구 유형의 영향)

  • Kim, Je-Sun;Han, Yeon-Ju
    • The Journal of the Korea Contents Association
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    • v.17 no.7
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    • pp.610-621
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    • 2017
  • Medical cost for elderly is increasing with ageing society and putting more and more burden on both individuals and government. To find a solution to reduce medical cost among elderly and to propose implication/suggestion to central government and a local government, different degree of medical cost burden by type of household and factors that affect increased medical cost are investigated based on elderly in Suwon city in this article. According to the research result, 59.3% of respondents felt medical cost burdensome. Also, according to the multiple regression performed to understand factors that increases medical cost by type of household, subjectively felt health status was found to be a statistically significant factor commonly in three groups which are living household with adult child, living household with spouse only, living household alone. And the degree of medical cost was higher in living household with spouse only, more higher in living household alone. And socioeconomic status and health status, health status, and health status and private insurance, medical security system were found to be significantly related to medical cost burden to household type of the elderly.

Impact of the Private Insurance Benefits and the medical Care Expenditure on Household Income Inequality (가구소득불평등에 민간보험수입과 의료비본인부담지출이 미친 영향)

  • Lee, Yong-Jae;Kim, Hyung-Eick
    • Journal of Digital Convergence
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    • v.15 no.12
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    • pp.625-633
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    • 2017
  • The purpose of this study is to investigate the effect of private insurance revenues and household spending on household income inequality. To this end, we conducted a concentration index and concentration curve analysis for the income level of medical panel survey data in 2015. The main results are as follows. First, the household income concentration ratio is 0.3580, which means that income is concentrated in the high income group, and the degree of inequality is considerably large. Second, although the portion of the private insurance benefits was small on the high-income household, it helped to strengthen the benefits concentration on this group. Third, the low income group has a large self-pay medical expense. Finally, the index of the income excluding the burden of the total medical expenses in the household income was 0.3676, so that even accounting for medical expenses, the income was concentrated in the high income class. Therefore, private insurance benefits and medical expenses were all contributing factors to the inequality of household income, and this study provides the essential materials for research and policy planning which could lead to the convergence of different fields.

COPD(만성폐쇄성폐질환)로 인한 국내 의료비 부담 심각

  • KOREA ASSOCIATION OF HEALTH PROMOTION
    • 건강소식
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    • v.28 no.9
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    • pp.28-29
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    • 2004
  • 현재 흡연으로 인한 COPD(만성폐쇄성폐질환)의 국내 의료비 부담이 심각한 것으로 드러났다. COPD 의료비 증가로 인한 경제적 부담감도 심각하지만, 천식 등으로 오인되는 COPD 환자 등 잠재환자의 증가와 더불어 COPD로 인한 사회경제적 손실도 더욱 커질 전망이다.

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The study of Health Care Utilization and Direct Medical Cost in the Diabetes Mellitus Client (당뇨병 질환자의 의료이용 및 직접의료비 연구)

  • Yoo, In Sook
    • The Journal of the Convergence on Culture Technology
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    • v.1 no.4
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    • pp.87-101
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    • 2015
  • This study was aimed to make data how much spent money of medical utilization and direct medical cost. In order to research we were using Korea Health panel 2012 Statistics which data contained Diabetes mellitus client 812 people in age 19. The method of this study was emergency cost, admission medical cost, out patient department cost(client own due, National Health insurance service due, not insurance fee). The result of this study, Diabete Mellitus client were using 198 times during 1 year per 100, total medical direct cost were 859,942 won, 447,359 won, 363,255,508. And admission times were 5.6 times per year, total direct cost was 772,240 won, 4,061,982 won, and 3,298,329,384 won, and out patient clinic using number was 10 times, medical cost total direct cost containing total direct cost was 11,978 won, 26,020 won, and 21,129,240 won. From this research we conclusion that the occurrence of diabetes mellitus can be increased medical cost and direct medical cost and it can be huge burden to client including their family and quality of life in the future. We suggest that in order to prevention and management of diabetes mellitus healthy diet, activity, blood sugar, and blood management should be encouragement.

Medical Care Utilization between National Health Insurance and Medical Assistance in Elderly Patients (건강보험과 의료급여 노인환자의 의료이용량 : 요양기관종별 분석)

  • Lee, Yong-Jae
    • The Journal of the Korea Contents Association
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    • v.17 no.4
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    • pp.585-595
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    • 2017
  • The purpose of this study is to analyze the difference of medical care between medical assistance and health insurance patients to evaluate the increase of medical care costs due to the moral hazard of medical care patients and to provide a basis for rational medical care policy decision. For this purpose, we compared health insurance benefit data for Seoul citizens by gender, age, and type of medical institutions. The results of the analysis are as follows. First, all of the hospitalized and outpatient use of the advanced general Hospitals, medical assistance patients were less than those of the health insurance patients, so that the medical assistance patients could not use the high cost medical services. Second, in general hospitals, patients with health insurance are often hospitalized. On the other hand, medical assistance patients use a lot of outpatient services because they are less burdened. Third, in hospitals and clinics, medical benefits patients often use inpatient and outpatient services. Therefore, medical assistance patients are likely to use unnecessary medical care of outpatient and hospitalization clinics and hospitals, outpatient of general hospitals. But, in hospitalization and outpatient use in advanced general hospitals and medical assistance patients can not use due to excessive medical burden. Therefore, the policy to reduce the burden of medical expenses for patients with severe illness will continue, and the medical care patients using clinics and hospitals should be careful not to use unnecessary medical services.

의료보험제도(醫療保險制度)의 소득재분배효과(所得再分配效果)

  • Gwon, Sun-Won
    • KDI Journal of Economic Policy
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    • v.11 no.3
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    • pp.61-85
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    • 1989
  • 본고(本稿)에서는 최근 달성된 전국민의료보험(全國民醫療保險)(NHI)의 재원조달방식(財源調達方式)을 개관한 다음 소득재분배관점(所得再分配觀點)에서 이론적(理論的), 실증적(實證的) 분석(分析)을 행하고자 한다. 의료보험(醫療保險)은 주로 건강한 사람으로 부터 병든 사람으로 의료(醫療)의 수평적(水平的) 재분배기능(再分配機能)을 행하나 결과적으로 수직적(垂直的) 재분배(再分配)에도 영향을 주게 된다. 형평(衡平)과 관련하여 모든 국민(國民)들에게 필요한 최저수준(最低水準)의 의료이용(醫療利用)을 보장한다든가 의료이용(醫療利用)에 따른 경제적(經濟的) 부담(負擔)을 균등하게 한다든가 하는 제기준(諸基準)의 선택은 결국 우리 사회(社會)가 내려야 할 가치판단(價値判斷)의 문제일 것이나 우리의 여건에 비추어 전자(前者)를 기조(基調)로 하되 후자(後者)를 지향하는 접근방식이 바람직하고 평가된다. 실증분석(實證分析)의 결과는 비록 작은 크기이기는 하나 어느 정도 재분배효과(再分配效果)를 보여주었으나 프로그램간 급여(給與)와 보험료부담(保險料負擔)의 측면에서 격차가 벌어지고 있는 실정이어서 NHI 재정통합(財政統合)이라는 장기목표(長期目標) 아래 소득연계적(所得連繫的)인 보험료부담(保險料負擔) 및 급여체계(給與體系)를 단계적으로 확립해 나가되 우선은 의료보호(醫療保護)부터 이 방안(方案)을 실천에 옮기도록 권고한다.

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의료산업화에 따른 의료비상승의 변화 메커니즘 : 병원의 영리화 & 의료의 산업화와 의료비의 영향에 대해서

  • Yun, In-Mo;Kim, Gi-Chan
    • Proceedings of the Korean System Dynamics Society
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    • pp.11-24
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    • 2008
  • 의료의 산업화는 의료비의 상승을 가져올것인가. 이것은 전세계적으로 중요한 문제이다. 국민의료비가 지속적으로 상승할 경우 국가의 발전에 적지 않은 부담이 되기 때문이다. 이에의료산업화의 한 큰 조류인 병원영리화와 의료비의 상승의 관계를 연구하였다. 찬성과 반대의 논의가 한 시스템에서 어떻게 조화를 이루고 상생을 할 수 있을지에 대해서 연구를 하였다. 찬성과 반대가 별도의 주장이 아닌 한 시스템내에서 조화롭게 선순환에 참여 될 수 있는 연구결과를 제시한다. 본 연구를 통해서 다음과 같은 사항을 알 수 있다. 의료와 민간의료를 분리시키고, 영리병원이 아닌 연구중심의 민간영리병원이 더욱 효과적이며, 전국민의료의 실시는 상승하는 의료비를 완화시키고 동시에 서비스의 다양화와 고급화를 이룰 수 있으며 국부창출에도 도움이 될 것이다.

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