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이기효 한국병원경영학회 2004 병원경영학회지 Vol.9 No.1
The United States has a unique health care system, which is unlikely any other health care systems in the world. The major part of basic functional components of the system -financing, insurance, delivery, and payment- is in private hands. A market-oriented economy invites the participation of numerous private entities that are interested in carrying out the key functions of health systems. Due to this central feature, U.S.health care is not delivered through a network of interrelated components designed to work together coherently. For lack of standardization, the various components of the system fit together only loosely. The involvement of numerous players in the key functions leads to duplication, overlap, inadequacy, inconsistency, and waste, which add to the complexity and also make the system inefficient. Hence, cost containment remains an elusive goals. Moreover, the system falls short of delivering equitable services to all americans, though consumption of health care services is the largest in the world. On the other hand, United States leads the world in the latest and the best in medical technology, medical training, and research. It offers some of the most sophisticated institutions, products, and processes of health care delivery. This article discuss the characteristic features of the U.S. health care system and its performance, trying to seek its implication on Korean health care system.
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李起孝 서울大學校保健大學院 1992 國民保健硏究所硏究論叢 Vol.2 No.1
This paper outlines the current situation and recent developments of compensation scheme for medical malpractice in New South Wales as well as the situation elsewhere in Australia. Then, it identifies and expands on options which offer the most likely avenues to further development. Current issues relating to reform of a compensation scheme in Australia are whether the scheme should be based on "fault" or "no-fault", whether common law actions in respect of medical negligence should be abolished completely or partially, and whether the professional indemnity scheme for medical practitioners should be a voluntary or a compulsory insurance. The paper deals with pros and cons of the arguments.
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