원문정보
초록
영어
Korea is currently faced with severely declining birth rates and an increasing aging population. In particular, the decrease of the productive population is expected to have a huge effect on health insurance finances, and demands from different industries to revise the health insurance policy paradigm based on the past fairness are growing. This article aims at diagnosing Korea’s health care environment theoretically, by analyzing the critical juncture. It also presents future goals and directions for Korea’s health insurance policies by comparing them to this newly constructed paradigm. Results of the literary analysis show that first, in the new paradigm, efficiency and productivity are pursued as the core values. The essence of the insurance premium levying system, improvements of the operating system and wage structure, and allowing exemptions of combined examinations are designed to overcome problems with internal inefficiency and institutional productivity. Second, instead of the treatment-oriented approach of the old paradigm, an attempt was made in the new paradigm to focus on disease prevention and management. This is a preventive approach that promotes disease prevention and customizes health improvement projects using large scale data in order to achieve sustainable medical welfare. Third, the new paradigm is being converged into a global level health insurance policy paradigm. This reflects the OECD recommendations well and is expected to develop at an international level through exchange and cooperation.
목차
1. Introduction
2. Theory
2.1. A Critical Juncture: Rapidly Changing Health Insurance Policy Environment of Korea
2.2. Limitations of the Old Health Insurance Policy Paradigm
2.3. Trilemma of Korean Bureaucratic Politics
2.4. Rise of the New Health Insurance Policy Paradigm
3. Future Study
4. Conclusion
Conflict of Interests
References