Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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The Determinants of Health Outcome between Two Health Care Financing Systems

보건의료체계 재원조달 유형별 건강결과 결정요인 -OECD 국가를 중심으로-

  • Jeong, Ae-Suk (Korea Institute for Health & Social Affairs) ;
  • Lee, Kyu-Sik (Department of Health Administration, Yonsei University) ;
  • Shin, Ho-Sung (Korea Institute for Health & Social Affairs)
  • Published : 2007.12.30
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Abstract

The purpose of a national health care system is to improve health care outcome among population. The objective of the study was to explore the determinants of health outcome in the 24 OECD countries between two health care financing systems. The study employed the pooled time series and cross-sectional analysis with tax-funded and social insurance-funded countries over the period of 1980 to 1999 using OECD Health Data 2002. The study revealed that health expenditure per capita, physicians per 1,000 of the population and calorie intake were positively significantly associated, smoking rate was negatively associated with health outcome while controlling all variables in the tax-funded countries. But in the insurance-funded countries, health expenditure per capita and the number of physicians were not statistically significant factors explaining health outcome. Only the calorie intake was positively associated with, and smoking rate, alcohol consumption per capita, and total nitrogen oxide emission per capita were negatively significantly associated with health outcome. In conclusion, healthy life style factors were much more important to improve health outcome in the both systems.

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References

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