Yang B M
School of Public Health, Seoul National University, Korea.
Int J Health Plann Manage. 1996 Jul-Sep;11(3):231-52. doi: 10.1002/(SICI)1099-1751(199607)11:3<231::AID-HPM434>3.0.CO;2-Y.
The Korean health care system has been recognized by other countries for its rapid expansion of national health insurance. The government's policy of promoting the private sector, relying on market forces for various allocation decisions, and using the fee-for-service payment system has created a number of challenges for the Korean health system. Among these are rapid growth of health care expenditure, proliferation and duplication of medical technology, and lack of access for low-income groups due to high out-of-pocket payments for services covered by insurance. A number of recommendations are made concerning national health policy, modifying health insurance, and developing political consensus for bringing about health reform.
韩国的医疗保健系统因其国民健康保险的迅速扩张而得到其他国家的认可。政府促进私营部门发展、依靠市场力量做出各种分配决策以及采用按服务收费支付系统的政策给韩国医疗系统带来了诸多挑战。其中包括医疗保健支出的快速增长、医疗技术的扩散和重复，以及由于保险覆盖服务的自付费用高昂，低收入群体难以获得医疗服务。针对国家卫生政策、调整医疗保险以及就推动医疗改革达成政治共识提出了一些建议。
