Korea Journal of Hospital Management (한국병원경영학회지)
- Volume 7 Issue 4
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- Pages.1-23
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- 2002
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- 1226-6299(pISSN)
A Study of the Influence of 'the Separation of Prescribing and Dispensing Roles' Policy on Medical Institutions
의약분업실시에 따른 의료기관의 건강보험외래부문 순이익변화 추계
- Chung, Woo-Jin (Graduate School of Health Science and Management, Yonsei University) ;
- Shin, Seung-Ho (Graduate School of Health Science and Management, Yonsei University) ;
- Lee, Sun-Mi (Graduate School of Health Science and Management, Yonsei University) ;
- Jung, Sang-Hyuk (Department of Preventive Medicine, Ewha Womans University) ;
- Koh, Kwang-Wook (Department of Preventive Medicine, Kosin University) ;
- Park, Si-Woon (Christian Medical Fellowship Korea) ;
- Shin, Eui-Chul (Department of Preventive Medicine, The Catholic University cf Korea) ;
- Lee, Sun-Hee (Department of Preventive Medicine, Ewha Womans University) ;
- Hwang, Jin-Mee (Department of Clinical Pathology, Incheon Christian Hospital)
- 정우진 (연세대학교 보건대학원) ;
- 신승호 (연세대학교 보건대학원) ;
- 이선미 (연세대학교 보건대학원) ;
- 정상혁 (이화의대 예방의학교실) ;
- 고광욱 (고신의대 예방의학교실) ;
- 박시운 (한국누가회) ;
- 신의철 (가톨릭의대 예방의학교실) ;
- 이선희 (이화의대 예방의학교실) ;
- 황진미 (인천기독병원 임상병리과)
- Published : 2002.12.30
Abstract
This study examined the influence of the separation of prescribing and dispensing roles(SPD) policy implemented in Korea in July 2000, especially on the change in the net profit of medical institutions. Using the data set from the Korea's National Health Insurance and the previous research, this study elicited the following main results. First, tertiary care institutions was estimated to lose about 631 billion won after the SPD policy. Second, general hospitals and hospitals gained about 557 billion and 564 billion won, respectively. Third, it is shown that clinics also gained 389-659 billion won. Finally, however, the change in net profit of medical institutions after the SPD policy largely depends on different estimation models. Moreover, it also varies from the assumptions on the price differential of a reimbursable drug which worked as cross-subsidy to insufficient physician's fee before the SPD policy. Despite such limitations as lack of data outside of the National Health Insurance's coverage, this study differs from others. This is the first research to explore the effect of the SPD policy on different types of medical institutions and to attempt to purely focus on the SPD policy. In this study, we can draw the policy implication that preparing for a policy change, the government should set up the policy evaluation system to collect the concerned data and develop the methodologies in advance to the policy implementation.