의료보험 관리운영조직의 최적규모에 관한 고찰

양봉민 한국사회보장학회 1988 社會 保障 硏究 Vol.4 No.1

한국에서 로타바이러스 급성 위장관염의 질병 부담

양봉민,조대선,김윤희,홍지민,김정수 대한소아청소년과학회 2008 Clinical and Experimental Pediatrics (CEP) Vol.51 No.9

Purpose:This study aims to estimate the financial cost of rotavirus infection in Korea in the year of 2005. Methods:The incidence rates used were from the epidemiological profile at Jeoungeub District (5.8 cases/1,000 children <5 years old for inpatients, and 22.65 cases/1,000 children <5 years old for outpatients, per year). The health care cost per capita of rotavirus infection (ICD code: A08.0) was extracted from the Health Insurance Review and Assessment Service database in Korea. The patient survey was conducted to capture information about non-medical costs and associated productivity loss incurred by adult caregivers. Results:The number of annual national cases among children <5 years old with rotavirus infection was estimated to be 69,122 (i.e., 55,030 outpatients and 14,092 inpatients). The total cost of rotavirus infection was estimated at 13.3 billion Korean won, comprising 11 billion Korean won (82.7%) of direct medical costs, 1.6 billion Korean won (12.0%) of direct non- medical costs (e.g., transportation and supplies), and 0.68 billion Korean won (5.1%) of productivity lost by adult caregivers. Conclusion:Rotavirus infection carries not only medical costs but also non-medical and indirect costs; together, these costs incur a significant burden on South Korean society. The impact of rotavirus on quality of life and health among patient caregivers was not considered in this study, but it does merit further research. (Korean J Pediatr 2008;51:977-986) Purpose:This study aims to estimate the financial cost of rotavirus infection in Korea in the year of 2005. Methods:The incidence rates used were from the epidemiological profile at Jeoungeub District (5.8 cases/1,000 children <5 years old for inpatients, and 22.65 cases/1,000 children <5 years old for outpatients, per year). The health care cost per capita of rotavirus infection (ICD code: A08.0) was extracted from the Health Insurance Review and Assessment Service database in Korea. The patient survey was conducted to capture information about non-medical costs and associated productivity loss incurred by adult caregivers. Results:The number of annual national cases among children <5 years old with rotavirus infection was estimated to be 69,122 (i.e., 55,030 outpatients and 14,092 inpatients). The total cost of rotavirus infection was estimated at 13.3 billion Korean won, comprising 11 billion Korean won (82.7%) of direct medical costs, 1.6 billion Korean won (12.0%) of direct non- medical costs (e.g., transportation and supplies), and 0.68 billion Korean won (5.1%) of productivity lost by adult caregivers. Conclusion:Rotavirus infection carries not only medical costs but also non-medical and indirect costs; together, these costs incur a significant burden on South Korean society. The impact of rotavirus on quality of life and health among patient caregivers was not considered in this study, but it does merit further research. (Korean J Pediatr 2008;51:977-986)

전환기에서 본 의료보험의 개혁방안

양봉민 한국사회정책학회 1997 한국사회정책 Vol.4 No.2

適正 醫師人力에 對한 考察

梁奉玟 서울大學校 保健大學院 1991 보건학논집 Vol.28 No.1

醫療需要推計 및 適正醫師人力

梁奉玟 서울大學校 保建大學院 1992 보건학논집 Vol.29 No.1

공공부문 분만개조 사업 : 평가 및 발전방향

양봉민 한국보건행정학회 1991 보건행정학회지 Vol.1 No.1

Health of a nation is quite often represented by the statistics such as infant death rate and maternal mortality rate. It is indisputable that maternal child health(MCH) is the basis of health of a nation. MCH is also one of the cardinal component of primary health care. The importance of MCH is conspicuous especially in the developing countries. In Korea, People in the rural communities still have high access barrier to basic health care needs, including MCH services. Access to quality care during pregnancy and delivery seems to be the crucial factor in preventing deaths in women and children. The beneficial effects of prenatal and postnatal care on the outcome of pregnancy for mother and child, and those of health professional-attended institutional delivery on the health of mother and child have been well documented in many studies. Recognizing these effects, the government of Korea received IBRD loan of $30 million in 1979 for th purpose of constructing 89 rural MCH centers. The construction is complete now and all 89 MCH centers are under operation ti imporve primary health care for mothers and children in Korea. However, it has been observed over time that overall performance of public MCH centers is declining. The decline has been attributed partly to low quality services by public MCH centers, poor management by health center mangers, competition with for-profit private clinics, and to the development of national health insurance. This study investigates the utilization by rural communities in Korea of MCH services provided by public sector health centers deemed to be physically and financially accessible to the community but suboptimally used. It seeks also to determine the factors that influence people's utilizations. This study sets out to discover a desirable form of MCH center from among alternative forms of centers, thereby to construct a MCH model.

醫療保險 財政安定을 爲한 支拂報償制의 改編에 關한 硏究

梁奉玟 서울大學校 保健大學院 1987 보건학논집 Vol.24 No.1

The rapid increase in the health care expenditure has motivated policy makers to search for ways to reduce health care costs without sacrificing the quality of care. The rate of increase will be highly accelerated when full-scale national health insurance covering all the rural and fishery area residents is implemented in early 1989. One way to reduce, or at least to curve, the rate of increase in health care expenditure in the long run is to have a structural reform. It is well known that a payment-reimbursement system should try to achieve the following objectives; (ⅰ) promote the efficient production and consumption of services; (ⅱ) provide a level of reimbursement to providers that will maintain their viability; (ⅲ) require minimal administrative costs; (ⅳ)provide for equitable financing from multiple purchasers. With these objectives in mind, this study proposes to change the payment-reimbursement method from the current fee-for-service(FFS) scheme to another type, so called as prepaymet-negotiating scheme. Changing the health care system as a whole does not mean that everything should be tackled at the same time. A proper strategy is to take one feasible step at a specified time and not undertake more than is necessary. Though there are many things that need to be changed along with refomed payment-rembursement scheme, it may be best to apply a penetration strategy, which reorients only those elements within the total system that are necessary to make room for the initial steps. This study suggests that it is the reform on payment-reimbursement scheme that should be followed by many other necessary reorientations to achieve proposed public health goals.

의학적 처치와 비용-편익 분석

양봉민 大韓家庭醫學會 1993 Korean Journal of Family Medicine Vol.14 No.6-7

외국의 의약분업 : 유형별 분류 및 경제학적 고찰

양봉민 한국병원약사회 1999 병원약사회지 Vol.16 No.2

에이즈의 경제적 비용 -국민의료비의 $8\%$ 차지-

양봉민 대한에이즈예방협회 2005 레드리본 Vol.63 No.-

증가하는 HIV/AIDS 감염과 그로 인한 파괴적 결과는 세계적 관심사가 되었고, 발병률이 높은 지역에서 AIDS는 보건의료 문제를 넘어서 국민총생산을 감소시키는 사회경제적 문제가 되고 있다. 한국은 상대적으로 HIV감염 AIDS 발병률이 낮은 나라지만 당초 예상과는 달리 그 발병률이 둔화되고 있지 않으며, 1999년 이후 최근에는 감염자의 수가 급격히 증가하는 추세에 있다. 세계 다른 나라들이나 아시아의 주변국의 사정을 보면 우리나라도 결코 안전한 권역에 계속 머물러 있으리라는 장담을 하기가 어렵다. 특히 근년에 경제적 생산력이 왕성한 $20\~30$대 남성에서 HIV/ADIS 증가하고 있어, HIV/AIDS감염의 사회적 비용, 그 중에 특히 경제적 영향에 대한 관심이 커지고 있는 상황이다. 따라서 우리나라에서 발생하는 HIV/AIDS의 경제적 비용을 추산함으로써 증가하는 HIV/AIDS감염의 경제적 의미를 찾을 필요가 있다고 판단된다. 경제적 비용의 추산에 앞서 우선 우리나라 HIV/AIDS 감염자 수를 추계하여 보면 다음과 같다.