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.
추천자료
[사회복지법제] 국민건강보험법의 개정에 영향을 미친 판례 연구
[복지정책]사회복지정책론(의약분업)
의약분업의 평가 및 대책방안
[보건복지][복지]보건복지와 보건복지관련법령, 보건복지사무소, 보건복지와 보건복지정책, 보건복지예산, 보건복지와 보건복지기획관리, 장애인보건복지, 보건복지와 의료비, 보건복지와 공공보건의료 확충 분석
현공 보험의 한계를 민간보험의 도입을 통해 극복할 수 있는가
국민건강보험의 현황과 문제점 OECD 국가의 민간의료보험 의성과 분석
건강보험 레포트
대형병원 진료비인상에 대한 논란의 문제점과 해결방안0
[사회보장법] 의약분업의 빛과 그림자
건강보험(국민건강보험) 재정안정의 배경과 추진과정, 건강보험(국민건강보험) 재정안정의 기본방향, 건강보험(국민건강보험) 재정안정의 수입안정화와 재정위기, 건강보험(국민건강보험) 재정안정의 재정관리개편
분야
2c300132.pdf 
