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건강보험보장성 정책결정과정의 평가와 재설계

Improving Priority-setting Procedures for NHI benefit package

윤희숙 / 권순만 / 권용진

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Abstract

In health care, the process of resource allocation becomes a controversial process of rationing, as scarce resources are allocated between the numerous health care interventions. Especially for the last few years, decisions to define and expand the benefit package of National Health Insurance have always become the object of fierce criticism. It is partly because we have not reached a collective agreement as to what the most important criteria for spending priorities are. This paper considers the procedures and the principles which could be used to determine rationing in health care, and emphasizes the need to have explicit principles which determine patient access to care and to have an evidence base to inform rationing decisions. Also, the need to set up a public committee is suggested to take rationing decisions on behalf of government and NHS and to present them as evidence-based decisions.

Issue Date
2010-06
Publisher
한국보건행정학회
DOI
10.4332/KJHPA.2010.20.2.053
Journal Title
보건행정학회지
Start Page
53
End Page
68
ISSN
1225-4266
Language
Korean
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