Park Ju Moon
University of Incheon, Incheon, South Korea
Asia Pac J Public Health. 2015 Mar;27(2):NP914-24. doi: 10.1177/1010539512446961. Epub 2012 May 31.
This study examined the extent to which equity in the use of physician services has been achieved in the Republic of Korea. Descriptive and logistic regression analysis was performed examining the relationship between the dependent variable and the independent variables and the relative importance of factors. The results indicate that a universal health insurance system has not yielded a fully equitable distribution of services. Access differences arise from coverage limitation, as well as urban/rural variations in the distributions of providers. The policy options for expansion of coverage should be encouraged to ease the financial burden of out-of-pocket payments on patients and to limit the range of noninsured services. Urban/rural variations in the distributions of providers are caused by the government's "laissez-faire" policy for the private medical sector. To solve this geographic misdistribution, the attention of policy makers is required, with changing of the government's "laissez-faire" policy.
本研究考察了韩国在医生服务利用方面的公平性实现程度。进行了描述性和逻辑回归分析，以检验因变量与自变量之间的关系以及各因素的相对重要性。结果表明，全民健康保险制度并未实现服务的完全公平分配。获得服务的差异源于保险覆盖范围的限制，以及医疗服务提供者分布的城乡差异。应鼓励采取扩大保险覆盖范围的政策选项，以减轻患者自付费用的经济负担，并限制未参保服务的范围。医疗服务提供者分布的城乡差异是由政府对私立医疗部门的“放任”政策造成的。为解决这种地理分布不均的问题，需要政策制定者予以关注，改变政府的“放任”政策。
