2018년 경상의료비 및 국민보건계정

• Published in: Health policy and management Vol. 29; no. 2; pp. 206 - 219
• Main Authors: 정형선, Hyoung-sun Jeong, 신정우, Jeong-woo Shin, 문성웅, Sung-woong Moon, 최지숙, Ji-sook Choi, 김희년, Heenyun Kim
• Format: Journal Article
• Language: Korean
• Published: 한국보건행정학회 30.06.2019
• Subjects: Fee for service; Geographic practice cost index; Payment system; Resource-based relative value scale; 예방의학; Public-private mix; Current Health Expenditure(CHE); System of Health Accounts(SHA); 2018 Health Accounts; SHA2011
• ISSN: 1225-4266; 2289-0149

This paper aims to demonstrate current health expenditure (CHE) and National Health Accounts of the years 2018 constructed according to the SHA2011, which is a manual for System of Health Accounts (SHA) that was published jointly by the Organization for Economic Cooperation and Development (OECD), Eurostat, and World Health Organization in 2011. Comparison is made with international trends by collecting and analyzing health accounts of OECD member countries. Particularly, scale and trends of the total CHE financing as well as public-private mix are parsed in depth. In the case of private financing, estimation of total expenditures for (revenues by) provider groups (HP) is made from both survey on the benefit coverage rate of National Health Insurance (by National Health Insurance Service) and Economic Census and Service Industry Census (by National Statistical Office); and other pieces of information from Korean Health Panel Study, etc. are supplementarily used to allocate those totals into functional classifications. CHE was 144.4 trillion won in 2018, which accounts for 8.1% of Korea’s gross domestic product (GDP). It was a big increase of 12.8 trillion won, or 9.7%, from the previous year. GDP share of Korean CHE has already been close to the average of OECD member countries. Government and compulsory schemes’ share (or public share), 59.8% of the CHE in 2018, is much lower than the OECD average of 73.6%. ‘Transfers from government domestic revenue’ share of total revenue of health financing was 16.9% in Korea, lower than the other social insurance countries. When it comes to ‘compulsory contributory health financing schemes,’ ‘transfers from government domestic revenue’ share of 13.5% was again much lower compared to Japan (43.0%) and Belgium (30.1%) with social insurance scheme.