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병원의 구매대행업체 유형별 치료재료 청구가격 비교: 일반척추수술 재료를 중심으로

Price Analysis of Therapeutic Materials for General Spinal Surgery by the Type of Wholesalers

보건행정학회지 2020년 30권 3호 p.409 ~ 417
변진옥, 이주향,
소속 상세정보
변진옥 ( Byeon Jin-Ok ) - National Health Insurance Service Health Insurance Institute
이주향 ( Lee Ju-Hyang ) - National Health Insurance Service Health Insurance Institute

Abstract


Background: It is well known that the distribution of therapeutic materials is very complex. However, it is not easy to demonstrate the concrete problems caused by distribution channels empirically. The purpose of this study was to investigate the differences in the price of therapeutic materials according to the type of purchasing agency and the way in which medical institutions purchase therapeutic materials.

Methods: This study compared the claimed prices and the maximum allowable prices for the items of therapeutic material used for general spinal surgery.

Results: Ilsan Hospital, which purchased directly without a purchasing agent, had the lowest claimed prices, followed by a large professional purchasing agency, a foundation-related purchasing agency, and a general purchasing agency. In addition, the difference between the claimed prices and the maximum allowable prices according to the purchase type was larger in the expensive treatment materials, and in the case of the lower price treatment materials, it tended to converge to the maximum allowable prices.

Conclusion: National health insurance spending for therapeutic materials are to be affected by the distribution channels of them. We proposed several ideas to rationalize the expenditure such as classification of therapeutic materials on the basis of price or other criteria.

키워드

Therapeutic material; Medical supplies; Supply chain; Health expenditure

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