원저 : 의약분업이 건강보험 급여비에 미친 영향

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분야	의약학 > 예방의학및보건학
저자	정형선 ( Hyoung Sun Jeong )
발행기관	한국보건행정학회
간행물정보	보건행정학회지 2006년, 제16권 제2호, 117~134쪽(총18쪽)
파일형식	2c300132.pdf [다운로드 무료 PDF 뷰어]
판매가격	4,800원
적립금	144원 (구매자료 3% 적립)

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연관 논문

의약분업정책이 건강보험료와 가계경제에 미치는 영향과 개선방안에 관한 연구 -

의약분업정책이 건강보험료와 가계경제에 미치는 영향과 개선방안에 관한 연구

건강보험 재정위기의 원인과 정책 과제 ( Fiscal Crisis of the National Health Insurance in Korea : Causes and Policy Options )

원저 : 의약분업실시에 따른 의료기관의 건강보험외래부문 순이익변화 추계

세계화와 국민국가의 복지정책 자율성 : 다국적 제약자본이 우리나라 제약정책 결정에 미친 영향을 중심으로 -

영문초록

Korean health care system introduced the reform for separation between prescribing and dispensing of drugs (SPD reform) in the latter part of the year 2000. The objective of this paper is to look at what change this reform has brought about in the financial situation of Korean public health insurance scheme, particularly in terms of insurance benefit outlay. Since the inception of the reform is a development of more than five years ago, its impact on the finance situation would now start to become apparent. Hypothesis is set in this study for each of three components of drug reimbursement in health insurance, i.e. average price level, composition of drugs and their overall volume. In terms of the classification of health care services by mode of production, the impact of the SPD reform is confined mainly to the last two among three drug reimbursement fields including inpatient department, out-patient department and pharmacy. Pure impact of the SPD reform was estimated to be more or less than 1.7 trillion won, 13.1% of the total outlay of the Nation Health Insurance in 2001, and more than 2.0 trillion won, 14.9% of the total outlay of the Nation Health Insurance in 2003. Both dispensing fees for the pharmacists, which had been newly introduced on occasion of the SPD reform, and larger share of expensive drugs in the medicines prescribed by doctors were confirmed to be main drivers of the augmentation of drug reimbursement.