Earticle

초록

영어

This study intended to make a comparative analysis of our country’s medical benefits plan; a representative policy of the residual medical security system and the US Medicaid. Through this, this study aimed to inquire into policy alternatives for reinforcing the public health care coverage of medical benefits. The analysis results are as follows: First, the medical benefits plan puts emphasis on the centralized unity whereas in case of Medicaid, a far-reaching scope of autonomy is given to the state government in the area of recipient selection, service contents, and medical fees, etc. Second, the medical benefits plan invests the right to medical benefits with focus on households while Medicaid applies individualized selection criteria differently. Third, the medical benefits plan offers medical services through the three-stage medical delivery system; on the contrary, in Medicaid, dominated is the managed-care-centered medical delivery system through the contract with a medical institution. Fourth, the medical benefits plan in relation to medical fees adopts a ‘Fees for Service’ system as a central policy whereas the managed medical care forms a nucleus in Medicaid. Lastly, both the medical benefits plan and Medicaid control the demand for medical services through a user fee for the medical care system, but this study could confirm that the latter applies this system more strictly than the former. Consequently, it’s necessary to reflect individualized characteristics more aggressively in the selection of recipients, and to get the local government to take account of regional characteristics by vesting local governments with the extensive authority.

목차

Abstract
 I. 서론
 II. 연구를 위한 이론적 논의
  1. 의료보장의 의의와 유형
  2. 선행연구의 검토
  3. 저소득층 의료보장체제의 구성요소
 III. 의료급여와 메디케이드
  1. 의료급여의 의료보장성
  2. 메디케어드
 IV. 의료급여와 메디케이드의 보장성 비교분석
  1. 의료급여와 메디케이드의 행정체제 비교분석
  2. 의료급여와 메디케이드의 대상자 자격 비교분석
  3. 의료급여와 메디케이드의 전달체계와 급여내용 비교분석
  4. 의료급여와 메디케이드의 의료통제 비교분석
  5. 의료급여와 메디케이드 비교분석 종합
 V. 결론 : 메디케이드의 교훈
 <참고문헌>

키워드

저자

• 김주환 [ Ju-Huan Kim | 강동대학교 사회복지행정과 교수 ]

참고문헌

발행기관

간행물

관심저널 등록

• 간행물명

  한국비교정부학보 [Korean Comparative Government Review]

• 간기

  연3회

• pISSN

  1598-964X

• 수록기간

  1997~2017

• 십진분류

  KDC 350 DDC 350