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KMID : 1170320080140010001
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Korean Journal of Health Economics and Policy
2008 Volume.14 No. 1 p.1 ~ p.27
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Comparative study on priority setting in healthcare of developed countries and implications
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Song Hyun-Jong
Kang Min-Sun
Cho Su-Jin
Chung Seol-Hee
Oh Ju-Yeon
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Abstract
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Efficient resource allocation is one of major challenge among the all nations because health care demand usually exceeds the available resources. Therefore, rationing and priority setting are necessary to allocate scarce resources effectively. However, discussions and studies about priority setting regarding health care are insufficient in Korea while rationing and priority setting in health care has been discussed among the European countries since the late 1980’s. This paper offers the comprehensive analysis of rationing and priority setting in major foreign countries and ultimately drives suggestions for Korea. The health care cost containment and the limitation on health care coverage are major motivation to start discussions about prioritization among the foreign countries. Those prioritizations are based on both clinical standards and social standards including disease severity, cost effectiveness, individual responsibility, etc. The levels of prioritization are federal governments, local governments, and individual organizations such as hospitals. Epidemiological and economical approaches are used as prioritization methods and recently medical technology evaluation is used for the prioritization in many countries. The participation of the general public is getting important in the priority setting at the same time. In conclusion, various stake holders and interest groups should be included for the priority setting in Korea to develop clear standards by common consent.
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KEYWORD
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priority setting, resource allocation, comparative study
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