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KMID : 0355420240480010009
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Journal of Korean Academy of Oral Health
2024 Volume.48 No. 1 p.9 ~ p.14
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Research on financial estimates to ensure dental care for North Korean residents after unification
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Han Dong-Hun
Lee Seung-Pyo
Myoung Hoon
Roh Sang-Ho
Park Yu-Yi
Lee Hye-Ju
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Abstract
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Objectives: The purpose of this study was to estimate the financial cost required for dental healthcare coverage by integrating North Korea’s free medical care system and South Korea’s health insurance system, assuming the unification of North and South Korea.
Methods: North Korea’s health insurance and medical benefit finances were estimated based onthe benefit content, benefit target, benefit level, dental service utilization rate, and dental care costgrowth rate.
Results: The results of the financial estimate assuming an average annual growth rate of dentalmedical expenses of 5% were as follows. Assuming that the proportion of health insurance recipients was 0% and the proportion of medical benefit recipients was 100%, health insurance was estimated at 0 won and government spending on medical benefits was estimated at KRW 771.9 billionin 2022. Assuming that the proportion of health insurance beneficiaries was 97% and the proportionof medical benefit recipients was 3%, health insurance was estimated at KRW 8,241.3 billion andgovernment expenditure on medical benefits was estimated at KRW 510.9 billion in 2052. In addition, the financial estimation results assuming an average annual growth rate of dental medicalexpenses of 10% were as follows. Assuming that the proportion of health insurance recipients was0% and the proportion of medical benefit recipients was 100%, health insurance was estimated at0 won and government spending on medical benefits was estimated at KRW 808.7 billion in 2022.
Assuming that the rate of health insurance beneficiaries was 97% and the rate of medical benefitrecipients was 3%, health insurance was estimated at KRW 34.858 trillion and government spending on medical benefits was estimated at KRW 2.1608 trillion in 2052.
Conclusions: If the rate of increase in dental medical expenditure is not controlled, it is possiblethat very high dental medical expenditure will become a significant social burden for both North andSouth Korea. A strategy needs to be developed to minimize the financial impact after unificationand promote efficient integration of the dental healthcare system.
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KEYWORD
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Dental care guarantee, Financial estimation, Reunification
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