Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Household Out-of-Pocket Payments and Trend in Korea

가계직접부담 비용의 현황과 추이

  • Park, Yoonsik (Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Park, Eun-Cheol (Department of Preventive Medicine, Yonsei University College of Medicine)
  • 박윤식 (연세대학교 의과대학 예방의학교실) ;
  • 박은철 (연세대학교 의과대학 예방의학교실)
  • Received : 2019.08.25
  • Accepted : 2019.09.04
  • Published : 2019.09.30
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Abstract

After the announcement of Moon Jae-in Government's plan (Moon's Care) for Benefit Expansion in National Health Insurance in August 2017, it is necessary to monitor the effects of the policy, especially household out-of-pocket payments (OOP). This paper aims to observe the current status and trend of OOP in Korea. Current health expenditure (CHE) was 144.4 trillion won in 2018, which accounts for 8.1% of gross domestic product (GDP) increased 9.7% from the previous year. Although GDP's share of CHE has been close to the average of the Organization for Economic Cooperation and Development (OECD) countries, the public fund's share was 59.8% of the total in 2018, which was lower than the OECD average of 73.5%. OOP's share was 32.9% in 2018, which decreased from 37.4% in 2008. The share of OOP of non-covered services was 20.0% in 2018, which decreased from 22.9% in 2008. The share of cost-sharing with third-party payers was 12.9% in 2018, which decreased from 14.5% in 2008. The OOP of non-covered services was significantly decreased in hospital and inpatient curative care, but the OOP of non-covered services was significantly increased in the medical clinic. The effect of Moon's Care was not showed in OOP through the results of 2017 and 2018, but further monitoring is needed because the Moon's Care is progressing and the observational period is short.

Keywords

References

  1. Statistics Korea. National Health Accounts [Internet]. Daejeon: Korean Statistical Information Service [cited 2019 Aug 23]. Available from: http://kosis.kr/index/index.do.
  2. Organization for Economic Cooperation and Development. OECD health statistics [Internet]. Paris: Organization for Economic Cooperation and Development [cited 2019 Aug 23]. Available from: http://stats.oecd.org/.
  3. Jeong HS, Shin JW, Moon SW, Choi JS, Kim H. 2018 Current health expenditures and National Health Accounts in Korea. Health Policy Manag 2019;29(2):206-219. DOI: https://doi.org/10.4332/KJHPA.2019.29.2.206.
  4. National Planning and Advisory Committee. Moon Jae-in Government's 5-year plan [Internet]. Seoul: National Planning and Advisory Committee; 2017 [cited 2017 Sep 10]. Available from: http://www.korea.kr/archive/expDocView.do?docId=37595.
  5. Ministry of Health and Welfare. All non-covered services, National Health Insurance is covered [Internet]. Sejong: Ministry of Health and Welfare; 2017 [cited 2017 Sep 10]. Available from: http://medicare1.nhis. or.kr/hongbo/static/html/minisite/sub/bj03_2.html.
  6. 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.
  7. 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.
  8. Lee SA, Park EC. Main indicators of National Health Insurance during 40 years. Health Policy Manag 2017;27(3):267-271. DOI: https://doi.org/10.4332/KJHPA.2017.27.3.267.
  9. 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.
  10. Kim HJ, Jang J, Park EC, Jang SI. Unmet healthcare needs status and trend of Korea in 2017. Health Policy Manag 2019;29(1):82-85. DOI: https://doi.org/10.4332/KJHPA.2019.29.1.82.
  11. Kim Y, Choi DW, Park EC. Catastrophic health expenditure and trend of South Korea in 2017. Health Policy Manag 2019;29(1):86-89. DOI: https://doi.org/10.4332/KJHPA.2019.29.1.86.