DOI QR코드

DOI QR Code

Main Indicators of National Health Insurance during 40 Years

건강보험 40년의 주요 지표

  • Lee, Sang Ah (Department of Public Health, Yonsei University Graduate School) ;
  • Park, Eun-Cheol (Institute of Health Services Research, Yonsei University)
  • 이상아 (연세대학교 대학원 보건학과) ;
  • 박은철 (연세대학교 보건정책 및 관리연구소)
  • Received : 2017.09.20
  • Accepted : 2017.09.28
  • Published : 2017.09.30

Abstract

This year marks the 40th anniversary of the introduction of National Health Insurance (NHI) which has contributed to improving public health and accessibility. This article aims to show the trends of main indicators during the last 40 years. NHI has achieved rapid expansion of target population (1977-1989). The percentage of population covered increased from 8.8% in 1977 to 94% in 1990. The average number of visit days per person was 0.75 in 1977 but significantly increased to 31.11 in 2015. In 2015, NHI revenues were 52.4 trillion won and expenditures were 48.2 trillion won which is 9.5 times and 9.6 times higher than in 1995. NHI achieved universal coverage in short period of time and has contributed to improving the healthcare status. However, there still remain problems including low-benefit coverage and high out of pocket money. Therefore, the effort to reform these problems is needed.

Keywords

References

  1. Kang MS, Jang HS, Lee M, Park EC. Sustainability of Korean National Health Insurance. J Korean Med Sci 2012;27 Suppl:S21-S24. DOI: https://doi.org/10.3346/jkms.2012.27.S.S21.
  2. National Health Insurance Corporation, Health Insurance Review and Assessment Service. Statistical booklet on 30-year-history of Korean National Health Insurance. Wonju: National Health Insurance Corporation, Health Insurance Review and Assessment Service; 2007.
  3. National Health Insurance Corporation, Health Insurance Review and Assessment Service. 40-Year-history of Korean National Health Insurance. Wonju: National Health Insurance Corporation, Health Insurance Review and Assessment Service; 2017.
  4. National Health Insurance Corporation. Major statistics of National Health Insurance 2015. Wonju: National Health Insurance Corporation; 2016.
  5. National Health Insurance Corporation, Health Insurance Review and Assessment Service. National Health Insurance statistical yearbook. Wonju: National Health Insurance Corporation, Health Insurance Review and Assessment Service; 2016.
  6. Lee KS. Achievements and challenges of 40th anniversary health insurance. Health Policy Manag 2017;27(2):103-113. DOI: https://doi.org/10.4332/KJHPA.2017.27.2.103.
  7. Organization for Economic Cooperation Development. OECD health data [Internet]. Paris: Organization for Economic Cooperation Development; 2015 [cited 2017 Sep 10]. Available from: http://stats.oecd.org/index.aspx?DataSetCode=HEALTH_STAT. Accessed 18th Sep, 2017.
  8. World Health Organization. World health report 2010-health systems financing: the path to universal coverage. Geneva: World Health Organization; 2010.
  9. Jang SI, Nam JM, Choi J, Park EC. Disease management index of potential years of life lost as a tool for setting priorities in national disease control using OECD health data. Health Policy 2014;115(1):92-99. DOI: https://doi.org/10.1016/j.healthpol.2013.11.007.
  10. Kim W, Park EC. Catastrophic health expenditure status and trend of Korea in 2015. Health Policy Manag 2017;27(1):84-87. DOI: https://doi.org/10.4332/KJHPA.2017.27.1.84.
  11. Xu K, Evans DB, Kawabata K, Zeramdini R, Klavus J, Murray CJ. Household catastrophic health expenditure: a multicountry analysis. Lancet 2003;362(9378):111-117. DOI: https://doi.org/10.1016/s0140-6736(03)13861-5.
  12. Park EC. Presidential election and health policy. Health Policy Manag 2017;27(2):95-96. DOI: https://doi.org/10.4332/KJHPA.2017.27.2.95.