Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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The Impact of Supplier Induced Demand on Increase in Medical Aid Expenditure

의료급여비용 증가에 공급자 유인효과가 미치는 영향

  • Shin, Hyunwoung (Korea Institute for Health and Social Affairs) ;
  • Yoon, Jangho (College of public health and health science, Oregon State University) ;
  • Noh, Yunhong (Medical Campus, Gachon University) ;
  • Yeo, Ji-Young (Korea Institute for Health and Social Affairs)
  • 신현웅 (한국보건사회연구원) ;
  • 윤장호 (오리건주립대학교 보건과학대학) ;
  • 노연홍 (가천대학교 메디컬캠퍼스) ;
  • 여지영 (한국보건사회연구원)
  • Received : 2013.12.23
  • Accepted : 2014.03.24
  • Published : 2014.03.31
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Abstract

Background: A need arises to efficiently control health expenditure for medical aid due to a sharp increase in medical aid expenditure. This study experimently analyzes the impact of physician behavior on medical use for medical aid beneficiaries using supplier induced demand (SID) theory. Methods: This study looks into analyze SID effect using expenditure factor analysis of medical aid for the years between 2003 and 2010 in comparison with health insurance. Moreover, this study analyzes the existence and scale of SID using econometrics modeling with panel data on 16 cities and provinces's health expenditure data for medical aid from 2003 1/4 to 2010 4/4. Results: This study finds that the growth rate of visit days per capita and treatment amount per visit days for medical aid is higher than health insurance. Furthermore, the result of econometrics modeling analysis shows the existence of SID in general hospital, hospital, clinic, oriental clinic. Conclusion: In order to efficiently control expenditure for medical aid, it is required to reinforce macro polices such as the introduction of 'target management' and micro policies such as the strengthen of management on medical institutes in the perspective of suppliers as well as regulations of demanders.

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