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http://dx.doi.org/10.4332/KJHPA.2006.16.1.073

Priority setting for expanding health insurance benefit package using Analytic Hierarchy Process  

Choi, Sook-Ja (National Health Research Center, National Health Insurance Corporotion)
Ko, Su-Kyoung (Research Department, Health Insurance Review Agency)
Kim, Jung-Hee (National Health Research Center, National Health Insurance Corporotion)
Lee, Sang-Yi (Department of Health Policy and Management, Medical College, Cheju National University)
Publication Information
Health Policy and Management / v.16, no.1, 2006 , pp. 73-94 More about this Journal
Abstract
This study was carried out to show how the Analytic Hierarchy Process technique could be used in setting the priority among selected diseases to increase the range of health insurance benefit. Thirty experts, including doctors (group1), experts for preventive medicine or public health(group2), and representatives of the insured(group 3), participated in the study panel that is conducted for priority setting. They were asked to evaluate the priorities among 6 selected criteria and then 42 selected diseases. The results were as follows; First, representatives of the insured think that the magnitude of out-of-pocket payment should have high priority while doctors think that effectiveness of treatment should have high priority. Second, all experts think that catastrophic diseases such as malignant neoplasm, major heart disease, and cerebral vascular disease should have high priority in health insurance coverage even though there is little difference among groups. These results can be useful to establish a systematic strategy for expanding health insurance benefit package.
Keywords
AHP(Analytic Hierarchy Process); Priority-setting; Health insurance benefit package;
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