원저 : 한방의료의 건강보험 적정 본인부담률 추계
분야
의약학 > 예방의학및보건학
저자
김진현 ( Jin Hyun Kim ) , 유왕근 ( Wang Keun Yoo ) , 서동민 ( Dong Min Seo )
발행기관
한국보건행정학회
간행물정보
보건행정학회지 2007년, 제17권 제1호, 1~27페이지(총27페이지)
파일형식
2c300150.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    This study is designed to estimate an appropriate level of patient`s cost-sharing for oriental medical services in the Korean National Health Insurance. The findings of this study can be summarized as follows: 1) The current co-payment system for oriental medical services does not reflect its cost structure in clinical practice due to inconsistency of cost-sharing plan in the NHI. 2) Both oriental medical institutions and their patients, as a result, are at a relative disadvantage in financial burden, compared with other services. 3) The substantial proportion of patients` cost-sharing depends on the amount of co-payment and the range of medical cost that a flat rate is applied to. 4) The extension of the range doesn`t make any substantial decrease in patient`s cost-sharing. 5) The fixed amount of co-payment is more sensitive than a range to total variations of patient`s cost-sharing. Based on the above, the budget impacts of a new co-payment system were estimated for each co-insurance rate, according to given scenarios. The results range from -59 billion Won(-8.5%) to 16 billion Won(2.3%).
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