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KMID : 0386819930030020112
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Journal of the Institute of Health Environmental Sciences
1993 Volume.3 No. 2 p.112 ~ p.129
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Policy Directions for Developing the National Health Care System of the 2000's Era-Reorienting the Health Care System towards a More Desirable Reform
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문옥륜.
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Abstract
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The purpose of this study is to draft the blueprint of policy directions for developing the national health care system in the coming era of 2000's. In order to achieve this objective, the author has identified the ideal of a nation's health care
and
the role of a government, and measured the gap between the ideal and the realities facing Korea. And then this study has figured out the central value concerning the reform of the health care system in Korea.
As for the ideal, three different perspectives, conservative, radical and reformative/progressive, have been compared and found that their goals f achieving health for all as a basic human right are the same despite of their differences in
ideology
and
approaches. Five goals identified are as follows: 1) Health care should be guaranteed regardless of age, sex, income, residence, occupation and education. 2) A comprehensive range of quality care should be provided with continuity. 3) financial
burden
should equitably be distributed over the population. 4) Health resources should be managed efficiently and effectively. 5) People's participation should be maximized in the process of policy decision-making, implementation and evaluation.
Current health service problems have been analyzed from the perspectives of utilization of health resources, organizational efficiency, provision of health services, financial equity, and managerial efficiency. The analysis confirms the existence
of
wide gaps between the ideal and the realities. The study indicates that it is important to maintain the balance between equity and efficiency in the fulfillment of the gap reduction.
Finally, the study has attempted to materialize five policy objectives in accordance with problems mentioned above for the reform currently in operation under the name of New Economic Plan. First, with respect to provision of health services,
twelve
policy measures are specified for the reduction of gap in utilization of health services among areas and income brackets. Second, as for the provision of comprehensive quality, care, twenty-six policy measures are specified for the construction
of
health service network and management of quality. Third, six policy measures are identified in relation to the equitable financing of health services, such as fund raising through the introduction of tax based on alcohol and tobacco consumption.
Fourth,
as for managerial efficiency, thirty-three policy measures are identified in the seven different areas: improvement in claim review, improvement in payment method, expansion of preventive services, enhancement of public interests particularly in
the
operation of private medical facilities, efficient administration in running health insurance associations, productivity increase in the use of health resources, and administrative organization reform. Fifth and lastly, seven policy measures are
listed
to have people participate actively in health planning process.
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KEYWORD
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