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http://dx.doi.org/10.5392/JKCA.2018.18.01.504

The Function of Strategic Purchasing and Its Application to the Korean National Health Insurance System  

Kim, Duck-Ho (서울시립대학교 대학원)
Chung, Seol Hee (건강보험심사평가원 심사평가연구소)
Publication Information
The Journal of the Korea Contents Association / v.18, no.1, 2018 , pp. 504-516 More about this Journal
Abstract
Many countries have tried to reform financing systems toward UHC and paid attention to the function of strategic purchasing. This study was performed to examine theoretical foundations and the function of strategic purchasing. And we examined the functions of strategic purchasing in Korea based on the framework proposed by Preker(2005). For this purpose, we reviewed literature related to purchasing. we defined the strategic purchasing as strategic activities to provide health care services people need within a given budget, which is carried out by certain organizations, purchasing organizations. These activities include selecting appropriate providers, designing and operating the payment system, setting the price, and determining the target populations and their needs etc. The relationships among government, purchasers and healthcare providers can be explained by the principal-agent theory. In addition to Preker's framework, we emphasized the importance of the infrastructure such as decision making support systems, information systems, health care resource management systems, or expenditure monitoring systems. The National Health Insurance Service and the Health Insurance Review & Assessment Service play major roles in performing strategic purchasing.
Keywords
Strategic Purchasing; Universal Health Coverage; National Health Insurance;
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