Health for all in the Republic of Korea: one country's experience with implementing universal health care

Peabody, John; Lee, Sung‐Woo; Bickel, Stephen R.

doi:10.1016/0168-8510(94)00669-6

Cited by 42 publications

(30 citation statements)

References 8 publications

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“…Since 2000, the health insurance system in the Republic of Korea has provided coverage for the entire population 22. Under this system, all medical costs incurred for prescriptions, hospital admissions, and ambulatory visits are reimbursed by the NHIC.…”

Section: Discussionmentioning

confidence: 99%

The Financial Burden of Asthma: A Nationwide Comprehensive Survey Conducted in the Republic of Korea

Kim

Park

et al. 2011

Allergy Asthma Immunol Res

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PurposeAsthma-related morbidity and mortality are increasing, and the financial burden imposed by this condition will substantially increase. Nevertheless, little information is available regarding the nature and magnitude of the burden due to asthma at the national level. This study was conducted to characterize the financial burden imposed by asthma in the Republic of Korea at the national level.MethodsThe overall prevalence of asthma and the costs of related medical services were determined using data from the National Health Insurance Corporation, which is responsible for the National Health Insurance scheme. Indirect costs, including expenditures on complementary and alternative medicines, and the economic impact of an impaired quality of life (intangible costs) were estimated by surveying 660 asthmatics, and these estimates were transformed to the national level using the prevalence of asthma.ResultsThe prevalence of asthma and total costs related to the disease in 2004 were 4.19% and $2.04 billion, respectively. Direct costs and indirect costs contributed equally to total costs (46.9% and 53.1%, respectively). However, when intangible costs were included, total costs rose to $4.11 billion, which was equivalent to 0.44% of the national gross domestic product in 2004.ConclusionsThe results provide evidence that asthma is a major health cost factor in the Republic of Korea and that intangible costs associated with asthma are significant cost drivers.

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Section: Discussionmentioning

confidence: 99%

The Financial Burden of Asthma: A Nationwide Comprehensive Survey Conducted in the Republic of Korea

Kim

Park

et al. 2011

Allergy Asthma Immunol Res

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“…Medical specialists who can run their own community clinics see patients directly without referrals by family physicians. Private sector dominance in health care has led Korea to exhibit the characteristics of a free market even in the National Health Insurance (NHI) system (6). Primary care does not have a gate-keeping role in Korea.…”

Section: Introductionmentioning

confidence: 99%

Association of the Length of Doctor-Patient Relationship with Primary Care Quality in Seven Family Practices in Korea

et al. 2013

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Countries with historically unlimited patient choice of medical provider, such as Korea, have been promoting rational health care pathways. Factors related to the length of doctor-patient relationship (DPR) for enhancing primary care in those countries should be studied. Participants were patients who had visited their family practices on six or more occasions over a period of more than 6 months. Five domains (21 items) of the Korean Primary Care Assessment Tool (first contact, coordination function, comprehensiveness, family/community orientation, and personalized care) and general questions were administered in the waiting rooms. From seven practices, the response rate was 83.7% (495/591). The older the age, the lower the income, the shorter the duration of education, the more the number of diseases the patients had, and in provincial cities rather than in Seoul, the longer length of DPR ( ≥ 4 yr) was shown. The long-term DPR was associated with total primary care quality score (upper [ ≥ 71.4] vs lower [ < 71.4], OR, 1.74; 95% CI, 1.10-2.76), especially with coordination function (OR, 1.01; 95% CI, 1.00-1.02), being adjusted for confounding variables. Strengthening the coordination function may have to be the first consideration in primary care policy in countries like Korea.

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“…The public health insurance system achieved universal population coverage in July 1989, having incorporated the urban self-employed who were previously uncovered. Nonetheless, a policy of low contribution and low benefits with high co-payments has continued since the beginning of the health insurance scheme in order to ensure universal population coverage without much of a government burden [14][15][16][17]. On the other hand, the government plays a direct insurance role for the very poor.…”

Section: Demand-sidementioning

confidence: 99%

Health care reform and change in public–private mix of financing: a Korean case

Jeong

2005

Health Policy

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Health for all in the Republic of Korea: one country's experience with implementing universal health care

Cited by 42 publications

References 8 publications

The Financial Burden of Asthma: A Nationwide Comprehensive Survey Conducted in the Republic of Korea

The Financial Burden of Asthma: A Nationwide Comprehensive Survey Conducted in the Republic of Korea

Association of the Length of Doctor-Patient Relationship with Primary Care Quality in Seven Family Practices in Korea

Health care reform and change in public–private mix of financing: a Korean case

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