The financial crisis of the National Health Insurance caused by the separation of prescription and dispensing of drugs had been overcome due to the government’s urgent financial countermeasures, increase of contribution rate, and expenditure-control policies. However, the balance has became in deficit again for the years 2006 and 2007. Although the balance has turned into a surplus in 2008, it is expected that an increase in the contribution rate of 12~13% is likely with the aging of the population, increases in chronic diseases such as hypertension and diabetes, a rise in national income, and development of new medical technologies. Moreover, as Korea’s total health expenditure (THE) remains at a very low level compared to many other countries’, it is expected that the insurance expenditure as well as THE will further increase. Due to the current economic recession, possible financial risk factors including the increase in the number of defaulters should be considered, too. This study is intended to examine the measures for financial stability and to present the amendment of contribution rate of the insured as one of the measures for financial efficiency from the consumer side, in order to ensure efficient use of health resources.
제2장 의료비 지출구조 분석 1. 진료비 증가추이 2. 건강보험 재정추이 및 전망 3. 진료비 증가요인 분석
제3장 국내 재정효율화 방안 선행연구 1. 국민건강보험의 재정위기 평가와 재정안정화 방안 2. 건강보험 관리체계 개선방향 3. 보건의료 선진화를 위한 제도개선방안
제4장 외국의 의료비 지출 효율화 사례 1. 재정 관련 외국의 최근 개혁 동향 2. 진료비 억제대책 3 3. 의료시스템 개편을 통한 비용 절감 4. 의료의 질 관리를 통한 진료비 절감
제5장 재정효율화를 위한 본인부담 구조조정방안 1. 본인부담 효과에 대한 이론적 고찰 2. 재정효율화를 위한 본인부담 구조조정방안