Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Achievements and Challenges of 40th Anniversary Health Insurance

건강보험 40년 성과와 과제

  • Lee, Kyu Sik (Department of Health Administration, Yonsei University College of Health Sciences)
  • 이규식 (연세대학교 보건과학대학 보건행정학과)
  • Received : 2017.06.02
  • Accepted : 2017.06.13
  • Published : 2017.06.30
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Abstract

There have been many achievements for 40 years since the introduction of compulsory health insurance. Despite many achievements, it has many challenges in health insurance. Aging, non-communicable disease, and low growth economy are threatening the sustainability of health insurance, and it is time to reform the health insurance. A long-term reform plan will be an absolute necessity for reform of health insurance and health care system. Health insurance and health care reform should be an extremely revolutionary content that completely changes the framework. This reform should deal with the philosophy of health, approach of medical education and doctor training, changing supply of medical service, the innovation of primary medical care, reform of public health system, the management of medical utilization, the integration of medical cure and care services, enhancing the benefit coverage, prohibition of covered and non-covered services, etc. Therefore, it is urgent to form a consensus on the necessity of reform, to establish the health insurance plan on this consensus, and to make efforts to make health insurance sustainable.

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References

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