Factors affecting the growth of healthcare costs and long-term spending-control strategies

Abstract

□ 본 연구는 중장기적인 건강보험 재정지출 구조 개선을 위한 기초자료로 최근 급격히 증가하고 있는 진료비 지출구조에 대한 현황을 파악하고, ○ 진료비 증가에 미치는 요인들이 어떠한 것들이 있으며, 각 요인들이 진료비 증가에 미치는 기여 정도를 파악하고자 함. ○ 이를 위해 진료비 지출 구조를 요인별 분해하여 증가 기여도를 분석하고, 진료비를 12가지 지출항목별로 세분화하여 분석하고자 함. ○ 진료비와 증가요인 변수간의 모델을 통한 우리나라의 진료비 증가의 적정성 평가 □ 마지막으로 진료비 증가요인분석을 통해 중장기적인 진료비 거시관리모형을 제시하고자 함.

The overall goal of this paper is to present recent trends in National Health Insurance expenditure and look into the potential contributors to expenditure growth, and find effective ways to contain spending based on our results. Specifically, the factors that affect the recent growth in health care costs are empirically examined and the effects of each of the factors are quantified. In addition, we try to investigate what drove the recent slowdown in health spending growth. The paper is organized as follows. Section 2 reviews the literature on various health care spending growth factors. Recent trends in health care costs are presented, followed an examination of some factors that may affect recent slow growth in health care spending in Section 3. Sections 4 discusses the relationship between medical spending and health behavior. Section 5 includes an in-depth econometric analysis of factors affecting the health care costs. Section 6 provides concluding remarks with policy suggestions.