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경기도 어린이 의료비 상한제 도입에 대한 시나리오 분석
정재연 ( Jeong Jae Yeon ),윤인혜 ( Yoon In Hye ),황성완 ( Hwang Sung Wan ),허윤정 ( Heo Yun Jung ) 경희대학교 경영연구원 2021 의료경영학연구 Vol.15 No.2
Purposes: This study purposed to predict the government finances required for the introduction of children’s medical expenditure limit system in gyeonggi-do. Methodology: Status analysis, scenario analysis and trend prediction analysis were conducted to estimate using Korea Health Panel Survey 2014-2017. In study, children were classified into 4 categories, preschool children, elementary school students, middle school students, high school students, all analyzes were conducted in 4 categories. Findings: In the analysis of the current status of medical expenditure for children, preschooler were the highest percentage of total medical expenditure and high school students were highest medical expenditure per person. In the scenario analysis, the financial requirements for the introduction of the limit system were 1,489~2,566 billion won(at 0.5 million won upper limit), 818~1,640 billion won(at 1 million won upper limit), 728~1,554 billion won(at 1.5 million won upper limit). In the trend prediction analysis, medical expenditure of more than 1 million won are predicted to increase to 1 trillion 98.1 billion won in 2030. Practical Implications: So, the introduction of the 1 million won limit system on children’s medical expenditure as a way to strengthen medical coverage for children is a system with high possibility and reality. This further improves the quality of life of children and their families, it will be a system that enables children to grow into healthy adults.
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영유아 어머니의 국적이 영유아 건강검진 완전 수검에 미치는 영향
서미경 ( Mi Gyeung Seo ),정재연 ( Jae Yeon Jeong ),윤인혜 ( In Hye Yoon ),정형선 ( Hyoung Sun Jeong ) 한국병원경영학회 2021 병원경영학회지 Vol.26 No.3
Purposes: The purpose of this study is to confirm the effect of mother's nationality on screening rates for infants and children health screening. We intend to find out if there is a difference in health level between infants of multicultural families and infants of domestic families, and contribute to policies to enhance future national health levels by providing information on them. Methodology: Data for those who received the first infant and children health screening between 2012 and 2018 were obtained from the National Health Insurance Service(NHIS) DB. Frequency analysis, chi-square test and logistic regression analysis were performed with the SAS 9.4 program, and the case where all the 1st to 3rd checkups were completed was defined as type Ⅰ, and the case of all the 1st to 7th checkups completed, type Ⅱ. Findings: Complete screening rates for type Ⅰ and type Ⅱ were 45.8% and 20.0%, respectively. Especially, complete screening rate of infants whose mothers nationality is foreign is only 3-4th of that of domestic mothers, and it also differed according to nationality. Practical Implications: The difference in the screening rate according to the mother's nationality is likely to lead to a health gap between multicultural families and domestic families. It is necessary to promote and encourage proper monitoring and health management through continuous health screening for infants and children.
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