Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.
Institute of Convergence Science (ICONS), Convergence Science Academy, Yonsei University, Seoul 03722, Korea.
Int J Environ Res Public Health. 2021 Apr 14;18(8):4135. doi: 10.3390/ijerph18084135.
The Korean government sought to include dental implant services for the elderly in the benefits package of the national health insurance. In 2014, the Citizens' Jury was held to discuss the topic, during which thirty jurors, randomly selected from the 2665 applicants, participated in a day-long deliberation process after having an information session on the topic by a team of experts. There was a substantial shift in opinion during the deliberation session toward a more cost-conscious view. Most jurors supported limiting the coverage of dental implant to only one tooth per individual given the extent of the financial burden that will be imposed on the population. They opposed covering implant services for the front teeth, given that the implant of front teeth generally serves aesthetic purposes rather than restoring mastication function. The government's final decision in 2014 was to offer coverage up to two teeth, regardless of tooth location. This scheme based on the jury's recommendations in 2014 has been implemented without policy failure to date, which shows that the lay public can meaningfully contribute to a decision-making process regarding controversial agendas such as benefits packages for expensive health services.
韩国政府试图将老年人的种植牙服务纳入国家健康保险的福利范围。2014 年，举行了公民陪审团会议来讨论这个话题，三十名陪审员从 2665 名申请者中随机选出，在接受专家组的主题信息介绍后，进行了为期一天的审议。在审议过程中，意见发生了重大转变，更倾向于考虑成本。鉴于种植牙会给民众带来巨大的经济负担，大多数陪审员支持将种植牙的覆盖范围限制在每个人一颗牙。他们反对为前牙提供种植牙服务，因为前牙的种植牙通常是出于美观目的，而不是恢复咀嚼功能。韩国政府在 2014 年的最终决定是提供两颗牙的种植覆盖，无论牙齿位置如何。自 2014 年以来，基于陪审团建议的这一方案一直没有出现政策失败，这表明普通公众可以为昂贵医疗服务的福利包等有争议的议程的决策过程做出有意义的贡献。
