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아프리카 국가 간 보편적 의료보장(UHC) 지표 비교

Comparison of the Universal Health Coverage Index among Africa Countries

  • Oh, Chang Seok (Department of Healthcare Management, Youngsan University)
  • 투고 : 2018.03.25
  • 심사 : 2018.05.15
  • 발행 : 2018.06.30

초록

Objectives : To compare the degree of achievement of Universal Health Coverage (UHC) among 39 developing countries in Africa and to investigate the correlation between health care financing and the UHC index. Methods : For data, 14 UHC indexes were used in 2015 supplied by the World Health Organization (WHO). In addition, this study used a 10% of threshold point corresponding to the catastrophic health expenditures and a 25% of threshold points as a health care financing index. Results : It was found that there were significant difference among Least Low Developed Countries (LLDCs), Other Low Income Countries (Other LICs), Lower Middle Income Countiies (LMICs), Upper Middle Income Countires (UMICs) to compare the average value by nation on the UHC index. This study showed that the UHC index of LLDCs was lowest, but the average value was higher as it moved towards LMICs and UMICs. In addition, it was found that there was an average value difference among the groups like LLDCs, Other LICs, LMICs and UMICs. As a result of comparison, it was found that the spending of household health expenditure increased as LLDCs moved towards UMICs when the burden of household health expenditure was 25%. Conclusions : This study aimed to compare the UHC indexes of African nations and to investigate the correlation between the degree of spending of total expenditure on health and burden of household health expenditure and UHC, and its effect.

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참고문헌

  1. http://www.who.int/mediacentre/commentaries/universal-health-coverage/en/
  2. M.J Ju(2015), Universal Health Coverage and the Right to Health : The Case of Humanitarian Status Holders in Korea, Ewha Womans University, pp. 10-25.
  3. E.W. Nam(2016), SDG, Sustainable Development in Health Care, Health 2015 :from MDGs to SDGs, Gyechuk, p.51.
  4. Transforming our world(2015), The 2030 Agenda for Sustainable Development, New York, United Nations, pp. 7-23.
  5. Y.K. Jong(2015), Research on the National Health Insurance law from the Perspective of Universal Health Coverage as Exemplary on Managing Qualification and Imposing Contribution System, Korean Social security law Association, Vol.4(1);79-96.
  6. J. Goudge, T. Gumede, L Gilson, S Russell, S.M. Tollman, A. Mill(2007), Coping with The Cost Burdens of Illness, Scandinavian Journal of Public Health, Vol.35(2);181-185. https://doi.org/10.1080/14034950701355551
  7. R. Boateng(2017), Analysis on the Perceived Effect of National Health Insurance System on UHC in Ghana and South Korea, Silla University, pp 1-7.
  8. J.H. Sun, J.H. Lee, S.Y. Min, J.W. Shin(2008), Scale and Structure of 2006 Total Health Expenditure in Korea Constructed According to OECD/WHO/EUROSTAT' SHA, The Korean Journal of Health Economic and Policy, Vol.14(1);151-169.
  9. C.S. Kim, E. Kim(2010), A Study on the Factors That Influence Health Care Expenditure of a Nation, Journal of Social Policy. Vol.16(2); 57-92.
  10. S. Priyanka, H. Justine, D, Evans(2014), Financial Risk Protection and Universal Health Coverage : Evidence and Measurement Challenges, Plos Medicine, Vol.11(9);47-60.
  11. N.K. Seo, S.Z. Ahn, T.U. Kang, Y.H. Hwang(2015), Study of Estimating Household Catastrophic Health Expenditure using Korea Health Panel Data, The Korean Journal of Health Economics and Policy, Vol.21(1);79-102.
  12. K.S. Woo, Y.J. Shin(2015), Effect of Catastrophic Health : Expenditure on Household Economy : Focusing on Financial Coping and Poverty, health and Social Welfare Review, Vol.35(3);166-198. https://doi.org/10.15709/hswr.2015.35.3.166
  13. A. Wagstaff, V.E. Doorslaer(2003), Catastrophe and Impoverishment in Paying for Healthcare : With Applications to Vietnam 1993-1998, Journal of Health Economic, Vol. 12(11); 921-934. https://doi.org/10.1002/hec.776
  14. J. Ataguba(2011), Reassessing Catastrophic Health Care Payment with Nigerian Case Study, Health Economy Policy Law,Vol.7(3); 307-326.
  15. H.J. Lee(2016), Healthcare Utilization and Out-of-Pocket Spending of Medical aid Recipients in South Korea : a Propensity Score Matching with National Health Insurance Participants, The Korean Journal of Health Economic and policy, Vol.6(2); 22-49.
  16. http://www.oecd.org/dac/stats/daclist.htm
  17. WHO(2017), Tracking Universal Health Coverage : 2017 Global Monitoring Report, p.10.
  18. K Xu, J Klavus, K. Kawabata, D. Evans(2003), Household Catastrophic Health Expenditure a Multi-Country Analysis, Lancet, Vol.362(9378);111-117. https://doi.org/10.1016/S0140-6736(03)13861-5
  19. https://data.worldbank.org/indicator/SH.XPD.TOTL.ZS?locations=US
  20. http://apps.who.int/gho/cabinet/uhc.jsp
  21. C.S. Oh(2016), Comparision of Health Indicator According to Officail Assistance in Aisa, The Korean Journal of Health Service Management, Vol.9(4);197-206.