韓国の医療制度

書誌事項

タイトル別名
  • Development of Korean Health Care System
  • カンコク ノ イリョウ セイド

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抄録

The development of Korean health care system was reviewed dating back to the end of the 19th century through collection of the pre-war documents surviving in the National Institute of Public Health. Modern medicine was introduced to Korea at around the end of 19th century by American Christian priests. During the colonial rule (1910-45), a considerable share of health manpower and hospitals were from Japan. After the end of the WWII in 1945, Japanese health professionals withdrew but the infrastructure left behind provided the basis for Korean public hospitals to date. However, Japan failed to export its health insurance system to Korea and hence Koreans had to develop their own health insurance system from a scratch. The first health insurance legislation was enacted in 1963 and the national coverage was achieved in 1989. The Asian economic crisis in 1997 facilitated unification of fragmented health insurance systems, forced separation of prescription and dispensing of drugs and online submission of health insurance claims, which was to be achieved in 2000. Present Korean health insurance system is administered by a single insurer called National Health Insurance Corporation and the problem of underreporting of self-employed population is circumvented by including real estates and automobile ownership into consideration for the purpose of premium setting. Patient copayment is meticulously manipulated to facilitate efficient liaison among different providers. Today, Korea is viewed as the most advanced country in terms of health information technology effectively utilizing its world-largest national data warehouse to provide good quality of care in a cost-efficient manner.

収録刊行物

  • 医療と社会

    医療と社会 18 (1), 95-120, 2008

    公益財団法人 医療科学研究所

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