Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
권호 표지
DOI QR코드

DOI QR Code

Direction of Healthcare Reform for Sustainability

지속 가능한 보건의료의 혁신 방향

  • Published : 2019.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Korea's healthcare is in great danger of sustainability. In 2020, the baby boomer will begin to be older, and there is no promise that the total fertility rate of 1.0 or less will rebound, and Korea's economic growth rate is predicted to be less than 2%. Together with these phenomena, Plan for Benefit Expansion in Nation Health Insurance (Moon Jae-in Care) will seriously threaten the sustainability of health insurance finance. In addition, health care in Korea has many problems: excessive medical utilization, rapidly increasing elderly medical costs, concentrating patients into big hospitals, low healthcare personnel but many healthcare facilities and equipment, bad quality of primary and mental care, and fast-growing health expenditure. For sustainability, healthcare of Korea should be reformed. The direction of the reform is people-centered and integrated healthcare in the community which is composed of empowering and engaging people, strengthening governance and accountability, reorienting the model of care, coordinating services, and creating an enabling environment.

Keywords

References

  1. Park EC. Moon Jae-in Government's plan for benefit expansion in National Health Insurance. Health Policy Manag 2017;27(3): 191-198. DOI: https://doi.org/10.4332/KJHPA.2017.27.3.191.
  2. Moon JY, Park EC. Trend of benefit expenditure in National Health Insurance by age group, 2001-2016. Health Policy Manag 2017;27(4):371-373. DOI: https://doi.org/10.4332/KJHPA.2017.27.4.371.
  3. Kim IS. Comparative study of mortality pattern between Korea and Japan. Korean J Epidemiol 1979;1(1):47-54.
  4. Park EC, Jang SI. The diagnosis of healthcare policy problems in Korea. J Korean Med Assoc 2012;55(10):932-939. DOI: https://doi.org/10.5124/jkma.2012.55.10.932.
  5. 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.
  6. Lee SA, Park EC. Position value for relative comparison of healthcare status of Korea in 2014. Health Policy Manag 2017;27(1):88-94. DOI:https://doi.org/10.4332/KJHPA.2017.27.1.88.
  7. Chae W, Lee SA, Park EC. Position value for relative comparison of healthcare status of Korea among Organization for Economic Cooperation and Development countries, 2015. Health Policy Manag 2018;28(1):98-103. DOI: https://doi.org/10.4332/KJHPA.2018.28.1.98.
  8. Oh SS, Park EC. Position value for relative comparison of healthcare status of Korea in 2016. Health Policy Manag 2019;29(1):90-97. DOI:https://doi.org/10.4332/KJHPA.2019.29.1.90.
  9. Park EC, Hwang DN, Sohn MS. A view of health care system after mandatory designation for healthcare organization to National Health Insurance program. Korean J Med Law 2002;10(1):123-134.
  10. Park EC. Future direction of National Health Insurance. Health Policy Manag 2017;27(4):273-275. DOI: https://doi.org/10.4332/KJHPA.2017.27.4.273.
  11. Park EC. The urgency of reforming the healthcare system for the aged society. Health Policy Manag 2018;28(2):105-106. DOI:https://doi.org/10.4332/KJHPA.2018.28.2.105.
  12. Park EC. The first comprehensive plan of National Health Insurance. Health Policy Manag 2019;29(2):99-104. DOI:https://doi.org/10.4332/KJHPA.2019.29.2.99.
  13. Park EC. The urgent need to establish the Plan for Development of Health and Medical Services. Health Policy Manag 2019;29(3):245-247. DOI: https://doi.org/10.4332/KJHPA.2019.29.3.245.
  14. World Health Organization. WHO global strategy on people-centred and integrated health services [Internet]. Geneva: World Health Organization; 2015 [cited 2019 Nov 21]. Available from: http://www.who.int/servicedeliverysafety/areas/people-centred-care/en/.
  15. World Health Organization. World report on ageing and health [Internet]. Geneva: World Health Organization; 2015 [cited 2019 Nov 21]. Available from: https://www.who.int/ageing/publications/world-report-2015/en/.
  16. World Health Organization. Integrated care for older people (ICOPE) implementation framework: guidance for systems and services [Internet]. Geneva: World Health Organization; 2019 [cited 2019 Nov 21]. Available from: https://www.who.int/ageing/publications/icope-framework/en/.
  17. World Health Organization. Integrated care for older people (ICOPE): guidance for person-centred assessment and pathways in primary care [Internet]. Geneva: World Health Organization; 2019 [cited 2019 Nov 21]. Available from: https://www.who.int/ageing/publications/icope-handbook/en/.