Republic of Korea: health system review
AbstractThe Health Systems in Transition (HiT) profi les are country-based reports that provide a detailed description of a health system and of policy initiatives in progress or under development. HiTs examine different approaches to the organization, fi nancing and delivery of health services and the role of the main actors in health systems; describe the institutional framework, process, content and implementation of health and health care policies; and highlight challenges and areas that require more in-depth analysis. The Republic of Korea has a National Health Insurance (NHI) system that provides health care benefi ts to the population. The Ministry for Health, Welfare, and Family Affairs (MIHWFA) plays a supervisory role, while the National Health Insurance Corporation (NHIC), as the single insurer, has responsibility for managing the NHI system. The Health Insurance Review and Assessment Service (HIRA) reviews the cost of health care benefi ts and evaluates the reasonableness of the health care services provided. Financing for the health care system is mainly funded through social health insurance contributions, government subsidies and out-of-pocket (OOP) payments by users of health services. South Korea has a relatively low level of health care expenditure, at 6.8% of gross domestic product (GDP) in 2007. Health care delivery is characterized by the dominance of private providers, with approximately 90% of total medical institutions being private facilities. Major health care reforms have been implemented in the last 10 years. Following intense discussions and negotiations, a single insurer system was established in 2000 by integrating all existing health insurance funds. The incremental expansion of the benefi t package has also contributed to the development of the health care system. MIHWFA has emphasized the importance of evidence-based health care in many parts of the health care system. A concerted focus on technology assessment led to the establishment of the National Evidence-based Healthcare Collaborating Agency in 2008. Prior to this, technology assessment in pharmaceutical pricing and the re-evaluation of drug costs were already standard procedures. These policy efforts, based on evidence-based approaches, will continue to be a meaningful tool for the development of the health insurance system in a rapidly changing health care environment in the 21st century. The future development of the health care system will rely on major stakeholders taking responsibility to secure a paradigm shift from the current prevalence of acute care towards a greater focus on preventive health care. This goal is central, in terms of maintaining both the sustainability of the NHI system and the health of the population in an era of rising chronic diseases.
Chun, C; Kim, S; Lee J and Lee, S & European Observatory on Health Systems and Policies. (2009). Republic of Korea: health system review. World Health Organization. Regional Office for Europe. https://apps.who.int/iris/handle/10665/330337
Health Systems in Transition;vol. 11, n. 7
MetadataShow full item record
Showing items related by title and subject
Encouraging cooperation to support countries in developing and implementing their national strategies for "Health for all by the year 2000" (draft resolution proposed by the delegations of Afghanistan, Angola, Cape Verde, Cuba, Cyprus, Democratic People's Republic of Korea, Guinea-Bissau, Iraq, Libyan Arab Jamahiriya, Mozambique, Nicaragua, Sao Tome and Principe, Sri Lanka, United Republic of Tanzania, Yugoslavia) World Health Assembly, 34 (World Health Organization, 1981)
Technical cooperation among developing countries in support of the goal of health for all: draft resolution presented by the delegations of: Afghanistan, Algeria, Angola, Argentina, Bangladesh, Cape Verde, China, Cuba, Cyprus, Democratic People's Republic of Korea, Egypt, Guyana, India, Indonesia, Jordan, Libyan Arab Jamahiriya, Malta, Mozambique, Pakistan, Sao Tome and Principe, Sri Lanka, Suriname, Thailand, Tunisia, United Republic of Tanzania, Yugoslavia, and Zambia World Health Assembly, 37 (World Health Organization, 1984)