• 한국컴퓨터정보학회논문지
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• 제19권5호
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• pp.109-117
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• 2014

본 연구는 우리나라 사회보험정책의 집행에 활용된 정책수단의 유형을 규명하기 위한 논문이다. 본 연구를 위해 지금까지 학자들에 의해서 연구된 정책수단의 개념 및 유형에 대해 살펴보았다. 이를 근거로 해서 우리나라 사회보험정책의 집행에 활용된 정책수단들의 유형을 강요적 혼합적 자발적 정책수단으로 분류하여 탐색해 보았다. 연구결과 밝혀진 사실은 다음과 같다. 첫째, 강요적 정책수단의 경우 정부보험, 공기업, 규제라는 정책수단이 모든 사회보험정책 집행과정에서 활용되었다. 둘째, 혼합된 정책수단의 경우는 강요적 정책수단의 경우와는 다른 특성을 보여주고 있다. 먼저 5대 사회보험정책 모두 사용자 부담금이라는 정책수단이 활용되고 있으나, 보조금의 경우에는 건강보험, 연금보험, 고용보험, 노인장기요양보험에서 사용되고 있다. 이러한 정책수단 외에 정보와 훈계라는 정책수단은 고용보험정책에서, 파트너십은 노인장기요양보험정책에서 활용되고 있다. 셋째, 자발적 정책수단으로는 가족과 공동체라는 정책수단이 대부분의 사회보험정책에서 활용되고 있다. 다만 산재보험정책은 공동체라는 수단만이 중요한 정책수단으로 활용되고 있는 특성을 보이고 있다.

• 한국사회정책
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• 제24권2호
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• pp.31-60
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• 2017

이 논문은 독일에서 진행 중인 사회보험 개혁론의 배경과 쟁점을 드러내고 시사점을 제시한다. 사회보험 개혁론의 배경에는 사회보험이 근간으로 삼았던 산업사회 표준성의 위기가 자리 잡고 있다. 표준성의 위기는 재정과 이중화라는 이중적 위기로 표출되고 있다. 사회보험 개혁론은 개별 사회보험 영역에서 서로 다른 형태로 표출되는 표준성의 위기에 대한 대응으로서, 건강보험은 시민보험으로, 연금보험은 취업자 보험을 비롯한 다양한 대안적 제도로, 실업보험은 일자리 보험으로 재편을 모색하고 있다. 사회보험이 전통적으로 가정했던 표준성을 재구성하려는 사회보험 개혁론의 공통점 중 하나는 자신의 선조인 비스마르크로부터 벗어나려는 것이다. 그러나 경제 상황의 호전, 사회보험 개선의 역사적 경험, 높은 만족도 등으로 전통적인 사회보험에서 급진적으로 전환하기 보다는 점진적 개선으로 가닥을 잡을 것으로 전망된다. 사회보험의 성숙도가 낮은 한국의 경우 독일 사회보험이 직면한 위기를 반면교사로 새길 필요가 있다. 우리는 사회정책의 기본으로 돌아가 표준성과 보편성의 재구성이라는 관점에서 다양한 구상들을 열어 놓고 사회정책의 설계도를 다시 그려볼 필요가 있다.

• 보건행정학회지
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• 제10권1호
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• pp.57-94
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• 2000

Korea's social health insurance system was introduced in 1977, which has made a universal coverage possibly by July 1989. Korean government had pursued a single objective for the last decade to put the whole population under the coverage of medical security, and the objective was achieved within 12 years. The rapid accomplishment is primarily due to such factors as limited benefits, high copayment rate, low contributions as well as rapid economic growth. There are several sources of pressure for the implementation of social health insurance such as health professional group, labor unions, politicians, international organizations etc.. However it is important to look at the feasibility of social health insurance. Among other things, it is necessary to identify the administrative infrastructure of insurance system and to assess income for source of fund. As many developed countries, Korea began to apply health insurance to the employees of the large firms, and the expansion based on employment status. Thus the several funds system was inevitable according to the gradual expansion strategy. However many persons had criticized several funds system in respect with equity and efficiency aspects. In the short history of the Korean health insurance, whether one fund or sever or funds had been the most controversial issue. In Febrary 1999, the National Assembly passed the act of one fund system. From July 2000 separate funds will be unifed under new health insurance scheme. In this study we will analyze the policy making process on implementation, expansion and integration of health insurance system of Korea. And also analyse problems related to policy making.

• 한국사회복지학
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• 제45권
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• pp.72-100
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• 2001

Despite the rapid expansion of social security coverage in the 1990s, many wage earners in Korea, especially the majority of the nonstandard workforce are excluded in the social insurance programs. In this regards, the purpose of this paper is to analyze causes of the exclusion of nonstandard workers to the social insurance scheme and to suggest the feasible policy options. Through this paper, four arguments are addressed as follows. First, the main issue for exclusion from coverage of those workers is that they have no entitlement to social insurance. This is not an issue of that they fall below hours or income thresholds for the entitlement Second, the top-down process of the extension in the Korean social insurances have divided the wage earners into two groups, the insider (the included) and the outsider (the excluded). Many nonstandard workers belong to the latter category. Third, the social insurance systems have been designed for the regular workers who were characterized by a full-time with some degree of stability. Reform designed to cope with the growth of nonstandard workers must build on the existing structure of social insurance. Finally, the governance capacity by social security administration body must be improved in order to provide a basic social protection for those workers. For that, four separated social insurance administration bodies could be unified to one administrative body, or tax and contribution of social insurance could be collected by one integrated administration body, the National Tax Service.

• 의료법학
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• 제8권2호
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• pp.37-68
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• 2007

Health insurance has gone far toward solving Korea's health related problems through thirty years. Health Insurance as social security system has a role of national system to secure national health. But there are many problems in health insurance. There is a dispute about many issues, coverage of health security, compulsory appointment of health insurance organization, coverage and level of health insurance benefit, decisionmaking right of health insurance price, examination of health insurance etc. Generally, the opinion for health insurance policy to be leaded by nation sets against the opinion to be leaded by private sector. It is necessary to study politics of law, constitute law and comparative law for rational solving these problems. If desirable setting of health law system can be made, legal system must be set during a long time and be discussed synthetically in different standpoint.

• 한국노년학
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• 제38권3호
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• pp.453-466
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• 2018

본 연구의 목적은 정책 비교를 통한 한국의 장기요양보험 제도가 중국 청도의 장기요양보험 시스템 구축에 미치는 영향과 시사점을 검토하는데 있다. 중국과 한국의 문화배경, 생활습관 및 인구구조 등 다양한 측면에서 매우 유사하여 한국 장기요양보험의 성공적인 경험은 중국 청도의 장기요양보험 제도를 구축하는 데 큰 도움이 될 것으로 판단된다. 이에 본 연구는 문헌연구를 통해 Gilbert & Terrell의 사회복지정책분석 프레임워크에서 청도와 한국의 장기요양보험 정책을 비교해 보았다. 정책비교를 통해 청도의 현재 시범 정책 문제점들로 입법 지원 부족, 재정 독립 그리고 심사 기준 등이 명확하지 않고 인적자원 부족을 논의하였다. 이에 다양한 차원에서의 정책비교를 통해 법제 지원, 평가기준 상세화, 혜택범주 확대화, 서비스네트워크 강화, 재원 최적화를 위해 청도의 장기요양보험 개선 제안들을 결론으로 제시해 보았다.

• 사회복지연구
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• 제36호
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• pp.29-53
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• 2008

세계 최대 인구국가인 중국은 인구문제 해결을 위해 계획생육을 기본국책으로 정하였고, 이를 사회보험인 생육보험과 연계하여 실시하고 있다. 여성의 생육가치에 대한 사회적 인정으로서 중요성을 갖는 생육보험은 그 범위가 도시지역 임금여성에게 한정되어, 도시에 살지 않고 일이 없는 여성을 제외하는 결과를 낳고 있다. 생육보험을 받기 위해 계획생육을 지켜야 하는 현재 조건은 궁극적으로 도시여성에게만 가입 유인 등 긍정적 효과를 기대할 뿐, 생육보험이 진정 필요한 농촌여성과 유동인구 여성에게 혜택을 제공하지 못한다. 따라서 이 구조는 도농분리 경제정책에서 사회보장영역인 생육보험의 지역간 격차 확대로 이어질 우려가 크다. 생육보험과 계획생육 연계는 한자녀 정책하의 도시여성에 대한 적용확대수를 늘리면서 인구규제도 가능하게 한다. 그러나 생육보험제도가 필요한 농촌과 유동인구여성은 인구규제에서 후순위임과 동시에 적용 가능성도 적다. 도시와 농촌 분리정책에서 나온 생육보험의 가입 격차를 줄이고 현재 배제된 대상에게 이 보험을 확대하기 위해서는, 중국 정부가 조화사회원칙을 강조함과 더불어 계획생육의 부정적 영향을 재고해야 한다.

• 보건행정학회지
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• 제15권4호
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• pp.65-80
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• 2005

This study examines the effects of supplemental insurance on health care utilization and expenditures among cancer patients, who were hospitalized in a general hospital in Korea 2003. We find that those who purchase the supplemental insurance in addition to the social health insurance use more health care services and pay more than those who do not, suggesting insurance effects. This paper, however, cannot distinguish the moral effects of the health insurance from the selection effects due to adverse selection.

• 대한예방한의학회지
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• 제24권2호
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• pp.83-94
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• 2020

Backgrounds : To reduce the patients' economic burden of herbal decoctions use, in 2012, Korean government decided to implement the pilot project of herbal decoctions coverage in the National Health Insurance. Objectives : This study aimed to analyze the policy decision-making process for the pilot insurance project in 2012. Methods : Official documents, research papers, statistical reports, and news articles, etc. on the coverage of herbal decoctions were searched and collected. We used the Kingdon's Policy Stream Model to analyze how the policy of pilot project of herbal decoctions coverage was decided, and who were the main activists for the decision-making process. Results : Components to be included in the 'Problem stream' were the decline in the profits of Korean Medicine institutions, the contraction of the herbal decoctions use, and the fiscal surplus of National Health Insurance. In the 'Policy stream', there were several model studies for herbal decoctions coverage, and examples of herbal benefits in other social insurances. In the 'Political stream', there were the legislative initiatives by member of the National Assembly and the promotion of insurance coverage by the Association of Korean Medicine(AKOM), etc. Policy window for herbal decoctions coverage was opened by the combination of these three streams with the efforts of policy activists, such as the executives of AKOM, and policy researchers. Conclusions : The policy decision process for health insurance coverage of herbal decoctions was analyzed using Kingdon's model, and the analysis shows that the combination of political streams and entrepreneurs' competencies can be an important driving force in policy decision making.

• 대한예방한의학회지
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• 제1권1호
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• pp.137-148
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• 1997

The Serial Securities and the Social Welfare, as the national policy aimed at securing generals' lives, are the policies or systems for the stabilization in lift; especially of law-incomers and workers, for which the povernment has to establish the Social Security System. No wonder the Social Insurance System is a part of the Social Security System and the most important. The Social Insurance System, along with Public Assistance, is underlying the Social Security System. Social Security System includes medical insurance, industrial accident Compensation insurance, national pention insurance and employment insurance. The study is on 'The Oriental Medical Insurance and the Industrial Accident Compensation in the Social Security System' . The rate of industrial accident in Korea marks the highest rank in the world. for laborer, industrial accident do not merely mean the loss of health but the question of the right to live in terms of their loss of opportunity of life. The industrial accident compensation system should be established as the es post facto remedy system to guarantee the injured worker and his/her family's life. The oriental medical insurance system which began to operate in 1987 in Korea is based on unionism and divided into 3 parts; one part for the worker, a second part for the community inhabitants, and a third part for the public service personnel and private school personnel. Today the medical problem must be the most important social assignment to be considered. The medical system of contemporary industrial society has began greatly stood out in relief as a part of social welfare not emphasized on gainings of physicians. Accordingly systematization of the oriental medical insurance was strongly Pursued and it was developed to to the extent of entire nation insurance. Though the history of it is very short, most of the people are getting benefit from the insurance system by the social security system method. This study develops the Oriental Medical Insurance, the Workmen's Accident Compensation Insurance, the Pension System in relation to the industrial accident compensation of Employees, along with the ideas and principles of social insurance.