Comparative analysis of medicinal expenditure archives in Korean medicine : Focusing on survey methods and expenditure of Korean medicine clinics in 2012

한의의료비 자료원의 비교 분석 연구 : 조사 방법 및 2012년 한의원 의료비를 중심으로

  • Received : 2015.08.04
  • Accepted : 2015.08.13
  • Published : 2015.08.31

Abstract

Objective : In order to understand the scale of medicinal expenditure in the Korean medicine, an analysis has been made of Korean National Health Account and statistic archives used to estimate the Korean National Health Account and also of such archives as are contributory to learn the scale of total health expenditures in the Korean medicine. Method : From the Korean National Health Account archives, an analysis has been made of National health insurance statistic annual reports, National health insurance non-payment items, Korean Economic Census (The Service Industy Survey), and Korea Health Panel data. Moreover, in order to know the sales of overall Korean medicine clinics, relevant data have been utilized and cited from investigations into National tax statistics, Korean medicine medical institutions and Korean medicines used, and current states of medicinal herbs and Korean medicine industry. Results : It is found that the average scale of each section of the medical expenditures archives in the Korean medicine in 2012 was KRW 3.5638 billion and that the average medical expenditures in the Korean medicine derived from Total Health Expenditure, The Service Industy Survey, National tax statistic, and Korean medicine industry are approximately KRW 3.3901, 3.4796, 3.7218 and 3.9634 billion. And the average expenditures derived from National health insurance patients and Korea Health Panel data are 2.5162 and 2.2292 billion won and those from the users and consumers of Korean medicines and herbs are 5.6,461 billion won. In order to verify the appropriateness of estimated medical expenditures in the Korean medicine included in the archives, an analysis has been made of uninsured costs which come from the aggregate sales amount surveyed minus health insurance treatment expenditures and it is found that the ratio of insured costs against total health expenditures in 2006 was 50.67% and 41.92% in 2012 and that the ratio based on National tax statistics and The Service Industy Survey was 52.19% and 49.28% in 2006 and 50.54% and 50.64% in 2012 and that the ratio of uninsured costs against Korean medicines and herbs and Korean medicine industry was 37.5% and 58.27% in 2013. Conclusion : It calls for the improvement of the accuracy of an investigation into Total Health Expenditure which comprise the actual conditions of health insurance and Korea Health Panel, the development of statistic schemes for understanding and classifying medical expenditures of all the Korean medicine medicinal institutions like medicinal clinics, and enhanced methods for independent panels to comprehensively collect and analyze the number of sampled Korean medicine medical institutions.

Keywords

References

  1. 정형선. 2012 국민의료비 및 국민보건계정 보고서. 보건복지부, 연세대학교 의료복지연구소;2014.
  2. 서남규, 이옥희, 강태욱, 태윤희, 서수라, 안수지, 이혜정. 2012년 건강보험 환자 진료비 실태조사. 국민건강보험공단 건강보험정책연구원;2013.
  3. 보건복지부. 2014-2018. 건강보험 중기보장성 강화 계획; 2015.
  4. 허순임, 신호성, 강민아, 김태일, 김창보. 건강보험 적정 보장성 확보방안. 한국보건사회연구원;2007.
  5. 장영식, 고경환, 도세록, 신정우, 진재현, 함선유. 2014년 OECD 등 국제기구통계 생산 및 관리. 보건복지부, 한국보건사회연구원;2014.
  6. 이인실. 한국의 국가통계체계에 대한 소고. 한국데이터정보과학회지 2012;23(3):419-446
  7. 정형선. OECD 신보건계정체계(SHA2011) 적용 위한 국민의료비 시범추계. 보건복지부, 연세대학교 의료.복지연구소;2012.
  8. OECD, Eurostat and WHO. A System of Health Accounts 2011 edition. OECD Publishing;2011.
  9. 통계청. 국민의료비 추계 및 국민보건계정 - 통계설명자료. http://meta.narastat.kr/metasvc/index.do?orgId=117&confmNo=11768&kosisYn=Y
  10. 통계청. 2010년 기준 경제총조사보고서 전국편. 2012.
  11. 통계청. 가계동향조사 - 통계설명자료. http://meta.narastat.kr/metasvc/index.do?orgId=101&confmNo=10106&kosisYn=Y
  12. 통계청. 가계동향조사 보건 항목 분류 및 해설. 2009
  13. 통계청. 2012년 기준 서비스업조사 보고서. 2013.
  14. 국세청. 2012년판 국세통계연보 발간 보도자료. 2012.
  15. 이태진, 김호, 김진현, 장수현, 유수연. 건강보험 환자진료비실태조사 2011년 수시통계품질진단 연구용역 최종결과보고서. 통계청, 서울대학교;2011.
  16. 서남규, 안수지, 황연희, 조미경, 이장수, 이형진 등. 2012년 한국의료패널 기초분석보고서(I). 국민건강보험 건강보험정책연구원, 한국보건사회연구원; 2014.
  17. 김동수, 최병희, 임병묵, 2013년 한국의료패널 심층분석보고서 - 한방의료이용분석. 국민건강보험 건강보험정책연구원, 한국보건사회연구원; 2013: 333-358.
  18. 임달오, 정명진, 박재산, 서건석, 황준원, 김은영 등. 한방의료이용 및 한약소비 실태조사. 보건복지부, 한국보건산업진흥원;2014.
  19. 김경태, 임대철, 서미경, 남은정. 2014년 한의약산업실태조사 최종보고서. 한국한의학연구원, 한국통계진흥원;2014.
  20. 배성일. 국내 보건계정의 실태와 발전 과제. 국민건강보험공단 건강보험포럼 2007;6(1):2-12.
  21. 정형선. OECD 보건의료체계와 WHO 국민보건계정비 비교. 보건복지부;2002.
  22. 통계청. 국민의료비 추계 및 국민보건계정. http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_11768_2009NN1&conn_path=I2
  23. 통계청. 서비스업조사 중 시도/산업/매출액규모별 현황. http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1KB3003&conn_path=I2
  24. 국세청. 국세통계 중 부가가치세 면세 사업자 수입 금액현황(업종별). http://stats.nts.go.kr/national/major_detail.asp?year=2013&catecode=A09067
  25. 건강보험심사평가원. 2012년 진료비통계지표;2012.
  26. 대한한의사협회, 한국한의학연구원, 부산대한의학 전문대학원. 2013 한국한의약연감;2014.
  27. 국민건강보험공단 건강보험정책연구원. 2006-2012년 건강보험환자진료비실태조사;2007-2013.