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全民健康保险的成效:来自韩国的经验教训。

Performance of universal health insurance: lessons from South Korea.

作者信息

Moon Sangho, Shin Jaeun

出版信息

Healthc Q. 2007;10(3):116-30.

PMID:17626554
Abstract

The aim of this study was to assess the maturity of the South Korean healthcare system in comparison with those of the 30 countries of the Organization for Economic Co-operation and Development (OECD) and to provide a foundation to evaluate the performance of the South Korean healthcare system. Using OECD Health Data 2005, we evaluated the performance of the healthcare system of the 30 industrialized countries. The evaluation focused on three dimensions that have remained central to healthcare debates internationally for years: access, cost and outcomes. Although South Korea has successfully implemented its universal health insurance scheme in a very short period of time and possesses highly advanced medical technologies, we found that South Koreans incurred more out-of-pocket expenditures on healthcare. Health outcomes were of relatively low quality compared with those of other OECD countries, but compared relatively well with the four countries (Greece, New Zealand, Portugal and Spain) with similar per capita gross domestic product (GDP).

摘要

本研究的目的是将韩国医疗体系的成熟度与经济合作与发展组织(经合组织)30个国家的医疗体系进行比较,并为评估韩国医疗体系的绩效提供基础。我们使用《经合组织2005年卫生数据》评估了30个工业化国家医疗体系的绩效。评估聚焦于多年来在国际医疗辩论中一直处于核心地位的三个维度:可及性、成本和结果。尽管韩国在很短时间内成功实施了全民健康保险计划,且拥有高度先进的医疗技术,但我们发现韩国人在医疗保健方面的自付费用更高。与其他经合组织国家相比,韩国的健康结果质量相对较低,但与人均国内生产总值(GDP)相似的四个国家(希腊、新西兰、葡萄牙和西班牙)相比则相对较好。

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