DOI QR코드

DOI QR Code

Scale and Structure of Pharmaceutical Expenditure for the year 2006 in Korea

우리나라 2006년 약제비의 규모 및 구성

  • Jeong, Hyoung-Sun (Department of Health Administration, College of Health Sciences, Yonsei University) ;
  • Lee, Jun-Hyup (Department of Healthcare Management, College of Health Sciences, Korea University)
  • 정형선 (연세대학교 보건행정학과) ;
  • 이준협 (고려대학교 보건행정학과)
  • Published : 2008.09.30

Abstract

Expenditures on pharmaceuticals of different concepts were estimated and their functional, financing and providers' breakdowns were examined in line with the OECD's System of Health Accounts (SHA) manual. This study also shows the way such estimates are made. The results are then analyzed particularly from the international perspective. Data from both Household Survey by the National Statistical Office and the National Health and Nutritional Survey by the Ministry of Health and Welfare of Korea were used to estimate pharmaceutical expenditures that. are financed by out-of-pocket payments of the household, while national health insurance data etc. were used for estimation of pharmaceutical expenditures that are financed by public funding sources. The 'per capita expenditure on pharmaceutical/medical non-durables' in Korea stood at 380 US$ PPPs, less than the OECD average of 443 US$ PPPs in 2006, but its share of the per capita health expenditure of 25.9% noticeably outnumbered the OECD average of 17.1%, due partly to low per capita health expenditure as a denominator of the ratio. This indicates that Koreans tend to spend less on health care than an OECD average, while tending to spend more on pharmaceuticals than on other health care services, much like the pattern found in relatively low income countries. An international pharmaceuticals pricing mechanism is most likely responsible for such a tendency. In addition, it is to be noted that the percentage comes down to 21.0%, when expenditures on both medical non-durables and herbal medicine, which is locally quite popular among the elderly, have been excluded.

Keywords

References

  1. 건강보험심사평가원. 요양급여비용청구내역경향조사 및 건강보험통계연보. 서울 : 건강보험심사평가원; 각 연도
  2. 국민건강보험공단. 건강보험통계연보. 서울 : 국민건강보험공단; 각 연도
  3. 노동부. 산재보험사업연보. 서울 : 노동부; 각 연도
  4. 대한약사회. 1998년도 전국 약국 경영실태조사 및 적정조제료 산출에 관한 연구보고서. 서울:대한약사회, 1998
  5. 보건복지부. 의료급여통계. 서울 : 보건복지부; 각 연도
  6. 보건복지부. 2005 국민건강영양조사. 서울 : 보건복지부
  7. 류시원, 이의경, 황인경, 박정영, 신창우, 김태현. 약국경영평가. 서울 : 한국보건사회연구원, 2001
  8. 윤경일, 장선미. 표준약국 모형개발연구. 서울: 한국보건사회연구원, 1997
  9. 이의경, 장선미, 신종각, 박정영. 의약분업 전후의 약제비 변동요인 분석 및 정책과제. 서울: 한국보건사회연구원, 2001
  10. 정우진, 박혜경. 의약분업 실시에 대비한 적정 의사처방료 및 약사조제료 산정 연구. 서울 : 한국보건사회연구원, 1998
  11. 정형선. OECD의 개념에 따른 우리나라 약제비의 국제 비교, 보건행정학회지, 2003;13(4):102-124
  12. 정형선, 이규식, 장영식. 보건계정의 체계 : OECD/SHA와 WHO/PG의 비교. 연세대학교보건과학연구소, 2003
  13. 정형선. 2006년 국민의료비 추계 및 국민보건계정 구축. 보건복지부연세대학교의료복지연구소, 2008
  14. 한병현. 의약분업 제도 도입에 따른 약국의 경영수지 분석 및 적정 조제료 산정 연구. 서울 : 대한약사회, 2000
  15. Jacobzone S. Pharmaceutical Policies in OECD countries: Reconciling Social and Industrial Goals. Labour Market and Social Policy-Occasional Papers No.40, Paris : OECD; 2000
  16. OECD. System of Health Accounts. Paris : OECD; 2000
  17. OECD. OECD Health Data 2007 (Oct.). Paris : OECD; 2007
  18. OECD. Health at a Glance 2003. Paris : OECD; 2003
  19. OECD. Health at a Glance 2005. Paris : OECD; 2005
  20. OECD. Health at a Glance 2007. Paris : OECD; 2007