Earticle

초록

영어

The arguments exist that private health insurance(PHI) policy holders tend to use the health care services more than non-policy holders due to their little out-of-pocket spending, resulting in the adverse effects on the finances of National Health Insurance. This study aims to increase the objective understanding of the issue and to draw a direction of further research, by reviewing the articles, reports and statistics which examined the effects of purchasing PHI policies on health care utilization. Significant differences in healthcare utilization, except for the very partial increase of utilization in outpatient settings, have been not found. The similar trends of the results have existed in a few previous studies which tried to control the endogeneity of medical use and health insurance with latent variables which affect the decision on medical use and health insurance. However, we can not exclude the potential change of healthcare utilization patterns because the portion of the insured of indemnity PHI is becoming rapidly larger in the market. For further research, we should try to obtain the objective information of subjects' past medical history, health status, health related behavior, and income affecting purchase of PHI and utilization of healthcare services. And the efforts of controlling the endogeneity of medical use and health insurance with latent variables which affect the decision on medical use and health insurance, are very considerable.

목차

Abstract
 I. 서론
 II. 연구방법
  1. 문헌 선정 기준과 검색
  2. 연구방법별 분류
  3. 연구지표의 설정
 Ⅲ. 연구결과
  1. 보험사 및 국민건강보험의 자료에 근거한 의료이용량 비교
  2. 내생성 통제 전후의 의료이용량 비교
  3. 실손보상형 상품이 의료이용에 미치는 영향
  4. 국외 연구
 Ⅳ. 결론 및 제언
 참고문헌

키워드

저자

• 김승모 [ Seung-Mo Kim | 가톨릭대학교 의료경영대학원 ]
• 권영대 [ Young-Dae Kwon | 가톨릭대학교 의과대학 인문사회의학과 ]

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  보건의료산업학회지 [The Korean Journal of Health Service Management]

• 간기

  계간

• pISSN

  2093-5986

• 수록기간

  2007~2026

• 등재여부

  KCI 등재

• 십진분류

  KDC 517 DDC 613