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의료서비스 선택과 비급여 의료비 부담: 일본 혼합진료금지제도 고찰

Choices of Medical Services and Burden of Health Care Costs: Japanese Prohibition of Mixed Treatment in Health Care

보건행정학회지 2021년 31권 1호 p.17 ~ 23
오은환,
소속 상세정보
오은환 ( Oh Eun-Hwan ) - Hyupsung University College fo Science & Engineering Department of Health Management

Abstract


With the introduction of national health insurance, the burden of health care costs decreased and choices of medical serviceswidened. However, because of the rapid expansion of non-covered medical services by health insurance, financial security for healthcare expenditure is still low. This gives patients barriers to choose medical services especially for non-covered medical services, andit becomes narrower. Compared to Korea, Japan has high financial protection in health care utilization, but there exists a limitationusing covered and non-covered medical services both together. This is called a prohibition of mixed treatment in health care. Thisstudy reviews the Japanese health care system that limits choosing medical services and the burden of health care costs. Theprohibition of mixed treatment can alleviate the out-of-pocket burden in the non-benefit sector, but it can be found that it has ahuge limitation in that it places restrictions on choices for both healthcare professionals and patients.

키워드

Choice of medical service; Non-covered medical services; Burden of health care cost; Health care system; Mixed treatment

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