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KMID : 0387320200300030409
Korean Journal of Health Policy and Administration
2020 Volume.30 No. 3 p.409 ~ p.417
Price Analysis of Therapeutic Materials for General Spinal Surgery by the Type of Wholesalers
Byeon Jin-Ok

Lee Ju-Hyang
Abstract
Background: It is well known that the distribution of therapeutic materials is very complex. However, it is not easy to demonstrate the concrete problems caused by distribution channels empirically. The purpose of this study was to investigate the differences in the price of therapeutic materials according to the type of purchasing agency and the way in which medical institutions purchase therapeutic materials.

Methods: This study compared the claimed prices and the maximum allowable prices for the items of therapeutic material used for general spinal surgery.

Results: Ilsan Hospital, which purchased directly without a purchasing agent, had the lowest claimed prices, followed by a large professional purchasing agency, a foundation-related purchasing agency, and a general purchasing agency. In addition, the difference between the claimed prices and the maximum allowable prices according to the purchase type was larger in the expensive treatment materials, and in the case of the lower price treatment materials, it tended to converge to the maximum allowable prices.

Conclusion: National health insurance spending for therapeutic materials are to be affected by the distribution channels of them. We proposed several ideas to rationalize the expenditure such as classification of therapeutic materials on the basis of price or other criteria.
KEYWORD
Therapeutic material, Medical supplies, Supply chain, Health expenditure
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