OECD 보건통계로 본 한국의 보건의료 위상과 성과 및 함의

OECD 보건통계로 본 한국의 보건의료 위상과 성과 및 함의
Review of the Korean health care system performance During 2000~2010 and policy implications based on OECD Health data

김혜련; 여지영; 강성욱; 정영호이수형

보건의료체계 성과평가; OECD 보건통계
OECD 보건통계와 지표 중 주요 항목을 선정하여 건강수준 지표와 보건의료 성과지표, 의료비 등의 상호 검토와 추이 파악을 통해 글로벌 표준에 비추어 우리나라 보건의료 체계와 정책의 취약점과 개선방향 모색

This study is aimed to analyze Korean health care system from 2000 to 2010 using 2012 OECD Health Database and to suggest policy recommendations based on these findings.
For this purpose, the study identified the changes in Korean health care system in the aspects of resources, services and health status for the decade, and measured relative performance among OECD members by making comparison with four member countries - Japan, France, Germany, and Netherlands - for those countries have national health insurance(NHI) system similar to Korea.
Moreover, this study is to evaluate the efficiency and equity of Korean health care system. For efficiency, this study selected several important indicators to analyze the Korean health care system performance. For analysis of equity, the study reviewed existing research findings.
The results of this study can be summarized as follows:
First, Korea over-supplied health care material resources such as hospitals, hospital beds and high price medical equipments, whereas under-supplied health care human resources including doctors and nurses. Second, Korea over-used health care services such as consultations with doctors and length of stay in hospitals. Third, Korea attained dramatic improvement in health status such as increase in life expectancy and decrease in premature mortality and infant mortality.
This study found that the aspects of the change in Korean health care system is very similar to those of Japan. It is suggested to review strengths and weaknesses of Japanese health care system in order to respond various forthcoming changes in Korean health care system.
There are a lot of challenges in Korean health care system. Because the system is dominated by private sector, it is difficult to appropriately regulate the supply of resources. Besides, low health insurance fee induces over-treatment and raises problems with quality of care and low level of patients' satisfaction. Confronted with these challenges, it is required to promote primary care, to improve equity and quality, and to put greater emphasis on health promotion initiatives and illness prevention, and to change payment system gradually which can improve performance as well as control of increasing health expenditure.
요 약
제1장 서론
제1절 연구배경 및 목적
제2절 연구방법
제2장 보건의료자원의 추이와 위상 비교
제1절 보건의료인력
제2절 보건의료시설
제3절 보건의료장비
제4절 보건의료 재원
제5절 보건의료자원 공급의 위상 비교 (2000년, 2010년
제3장 보건의료활동의 추이와 위상 비교
제1절 외래 의료이용
제2절 입원 의료이용
제3절 진료접근성
제4절 의약품소비
제5절 1차의료
제6절 보건의료활동의 위상 비교 (2000년, 2010년)
제4장 건강수준의 추이와 위상 비교
제1절 평균수명
제2절 조기사망과 질병부담
제3절 영아사망
제4절 자살사망
제5절 인지된 건강상태
제6절 건강수준의 위상 비교 (2000년, 2010년)
제5장 효율성과 형평성 측면에서 본 한국보건의료 성과
제1절 효율성 측면에서 본 한국보건의료 성과
제2절 형평성 측면에서 본 한국보건의료 성과
제6장 결론 및 정책제언
제1절 연구결과 논의
제2절 정책제언
보고서 번호
연구보고서 2012-66
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