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건강보험 보장성 강화에 따른 의료체계의 지속가능성 제고 방향(Improving the sustainability of healthcare delivery in line with NHI coverage enhancement)

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  • 건강보험 보장성 강화에 따른 의료체계의 지속가능성 제고 방향(Improving the sustainability of healthcare delivery in line with NHI coverage enhancement)
  • 신영석; 강희정; 김남순; 정영호; 김동진; 황도경
  • 한국보건사회연구원


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Title 건강보험 보장성 강화에 따른 의료체계의 지속가능성 제고 방향(Improving the sustainability of healthcare delivery in line with NHI coverage enhancement)
Similar Titles
Material Type Reports
Author(Korean)

신영석; 강희정; 김남순; 정영호; 김동진; 황도경

Publisher

서울:한국보건사회연구원

Date 2013-07
Series Title; No 수시보고서 / 2013-01
ISBN 978-89-6827-031-4 93330
Pages 163
Subject Country South Korea(Asia and Pacific)
Language Korean
File Type Link
Subject Social Development < Health
Holding 한국보건사회연구원

Abstract

This study suggests several changes to make the Korean healthcare delivery system more sustainable and to better align it with the on-going plan of enhancing NHI coverage for the four major diseases.
If implemented in the current form the coverage enhancement will lead to a structural over-concentration of patients in the "Big5" general hospitals. In this regard, the provider-oriented healthcare delivery system needs to be more patient- oriented. The process of the systemic reorganization should involve, on the one hand, improvement of chronic disease management via regional healthcare cooperative networks, and on the other, establishment of sub-acute healthcare delivery system.
The over-concentration of patients around the Big5 hospitals is evidence of how irrational the current healthcare delivery system is. A multidimensional policy kit is needed to change the public's unconditional preference for big and high-tech hospitals to informed preference for efficient services that meet their medical needs.