국민건강보험제도의 평가와 개선방안

다국어 초록 (Multilingual Abstract)

As the standard of living improves and the average life span gets longer than ever, the public concerns are increasingly focusing on health and National Health Insurance System. The National Health Insurance has accomplished to provide the medical insurance to the whole nation in a very short period of time.

The purpose of this study is to indicate the Korea National Health Insurance's problems and improvement plans through case studies on some developed countries' health insurance system.
Chapter Ⅱ reviews meaning, accomplishment, and special features of the National Health Insurance and valuation bases of National Health Insurance present on the basis of NHI satisfaction survey. Chapter Ⅲ reviews a developed country's National Health Insurance System and reform tendency. This chapter classified National Health Insurance System such as National Health Insurance, National Health Services, Private Health Insurance, the others. Chapter Ⅳ reviews Korea National Health Insurance System's status of various aspects.
Chapter Ⅴ,Ⅵ review Korea National Health Insurance System's problems, evaluations and improvement plans.

Presently, there are such problems in Korea National Health Insurance, as financial distress, the restricted benefits coverage, the high level out-of-pocket payment of patients, and lack of correspondence to the rapid changeable medical needs. The results of this study show that Korea National Health Insurance needs to guarantee sufficient coverage based on financial stabilization.

목차 (Table of Contents)

• <목 차>
• Ⅰ. 서론 1
• 1. 연구의 배경과 목적 1
• 2. 연구의 범위와 방법 2
• Ⅱ. 국민건강보험제도의 의의 4
• 1. 국민건강보험제도의 개념 4
• 2. 국민건강보험제도의 특성 5
• 3. 국민건강보험제도의 유형 6
• 4. 국민건강보험제도의 평가기준 10
• Ⅲ. 주요국의 국민건강보험제도 및 개혁동향 16
• 1. 국가보건서비스방식 16
• 2. 사회보험방식 24
• 3. 민간보험중심방식 36
• 4. 기타 46
• Ⅳ. 국내 국민건강보험제도의 현황 56
• 1. 국민건강보험제도의 연혁 56
• 2. 보험급여 현황 59
• 3. 진료비 지불방식 64
• 4. 의료전달체계 66
• 5. 관리조직 67
• 6. 보험재정현황 71
• 7. 민간보험현황 76
• Ⅴ. 국내 국민건강보험제도의 문제점 78
• 1. 재정 78
• 2. 보장성 85
• 3. 형평성 88
• 4. 진료비 지불체계 93
• 5. 관리운영 95
• Ⅵ. 국내 국민건강보험제도의 평가와 개선방안 101
• 1. 국민건강보험제도의 평가 101
• 2. 국민건강보험제도의 개선방안 106
• Ⅶ. 결론 124
• 참고문헌 127
• ABSTRACT 131