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KMID : 1142920190030010061
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Public Health Affairs
2019 Volume.3 No. 1 p.61 ~ p.70
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Empirical analysis of patient concentration in tertiary hospitals
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Ko Jung-Ae
Cho Do-Yeon
Cho Sang-A
Han Seung-Jin
Lee Da-Hee
Heo Yun-Jung
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Abstract
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In August 2017, the government announced health insurance coverage expansion measures ("Moon Jae-in Care") which include medical bill reduction measures to strengthen health insurance coverage to lower medical expenses and strengthen the safety network for the vulnerable, including the elderly, children, women, the disabled, and low-income families. Recently, the media reported that based on the medical expenses of the Health Insurance Review & Assessment Service, medical expenses at tertiary hospitals in 2018 increased by 25.2% to 28.7% (and the share of medical expenses incurred at tertiary hospitals increased by 22.9%) compared to 2017. After the introduction of Moon Jaein Care, the burden brought on by medical expenses has been eased, and discussions about accelerating patient care at large hospitals have emerged. The timeframe between insurance claim reviews and medical care usage remains different. As a result of analysis of the use of medical care at the time of medical treatment, it was found that medical care usage increased after the introduction of Moon Jae-in Care not in tertiary hospitals but in general hospitals. Therefore, there is still a limited increase in patient concentration in tertiary hospitals after the launch of Moon Jae-in Care. In addition to the policy of strengthening health insurance coverage, impact on medical care usage is modulated by various factors such as demographic changes, income increases, private medical insurance, and traffic improvements due to the increase in the elderly population. As such, this issue requires multilateral analysis and continuous monitoring.
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KEYWORD
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Moon Jae-in Care, tertiary hospital concentration
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