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건강보험 노인의료비의 효율적 관리방안(Efficient management of health insurance expenditures on the elderly)

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  • 건강보험 노인의료비의 효율적 관리방안(Efficient management of health insurance expenditures on the elderly)
  • 신현웅; 윤장호; 이슬기; 하솔잎
  • 한국보건사회연구원


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Title 건강보험 노인의료비의 효율적 관리방안(Efficient management of health insurance expenditures on the elderly)
Similar Titles
Material Type Reports
Author(Korean)

신현웅; 윤장호; 이슬기; 하솔잎

Publisher

서울:한국보건사회연구원

Date 2012-11
Series Title; No 연구보고서 / 2012-17
ISBN 978-89-8187-945-7 93330
Pages 184
Subject Country South Korea(Asia and Pacific)
Language Korean
File Type Link
Subject Social Development < Health
Holding 한국보건사회연구원

Abstract

This study attempts to analyze factors responsible for the increasing elderly health expenditures and the health care use of the elderly. The goal is to suggest efficient ways of managing expenditure on health services for the elderly.
The increase in the elderly expenditure is found to have been due to the increase in the number of service recipients, the increase in days of visit, and the increase in fee per visit, which accounts respectively for 26.5~35.8%, 22.1~60.5% and 5.1~46.1%, depending on the type of service. The increase in days of visit is found to have contributed 60.5% of the increase in elderly inpatient expenditure. Pharmaceutical expenditure took the biggest share of 46.1% in the increase in fee per visit.
The ways this study suggests of managing elderly health expenditure are for providers, users, and the National Health Insurance. From the perspective of health care provision, this study recommends strengthened management for providers who deliver services more than medically necessary, establishment of an elderly health care cost information system, and improved quality of service provision. For the elderly population, the study suggests to step up efforts to promote healthy lifestyle behavior, educate the elderly about rational use of health services, and provide a rational level of support for elderly in their use of health services. Also, at the institutional level, improvements need to be made in the system of the National Health Insurance, in terms of reimbursement rules, age criteria, copayment rules, the supply of long-term care beds, and the role of the long-term care insurance.