Shin Y, Lee L
Korean Institute of Health Services Management.
World Hosp Health Serv. 1995;31(3):3-9.
The national health insurance system was introduced in Korea in 1977 and achieved universal coverage in July 1989. This article briefly describes the general features of the insurance scheme: coverage, management, benefit package, financing provision of medical services and method of reimbursement. Generally speaking, the system mirrors that of the German and Japanese experiences. Although the Korean health insurance system achieved universal coverage during a remarkably short time-span, there is much room for improvement. In this regard, the article also highlights the problems related to Korea's health insurance system and the attempts to improve equity and efficiency in both financing and provision of services.
韩国于1977年引入国民健康保险制度，并于1989年7月实现全民覆盖。本文简要介绍了该保险计划的一般特征：覆盖范围、管理、福利套餐、医疗服务的融资提供及报销方法。一般而言，该制度效仿了德国和日本的经验。尽管韩国的健康保险制度在极短的时间内实现了全民覆盖，但仍有很大的改进空间。在这方面，本文还强调了与韩国健康保险制度相关的问题，以及在融资和服务提供方面提高公平性和效率的尝试。
