저소득층 의료보장성 비교연구

• 영문명: Comparative Study on Public Health Care Coverage for Low Income Bracket-Comparison between Medical Benefits and Medicaid-
• 발행기관: 한국비교정부학회
• 저자명: 김주환(Ju-Huan Kim)
• 간행물 정보: 『한국비교정부학보』제17권 제3호, 195~220쪽, 전체 26쪽
• 주제분류: 사회과학 > 행정학
• 파일형태: PDF
• 발행일자: 2013.12.30

영문 초록

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

I. 서 론

II. 연구를 위한 이론적 논의

III. 의료급여와 메디케이드

IV. 의료급여와 메디케이드의 보장성 비교분석

V. 결 론 : 메디케이드의 교훈

참고문헌

키워드

의료급여 메디케이드 의료보장성 잔여적 복지체제 의료전달체계 Medical Benefits Medicaid Public Health Care Coverage Residual Welfare System Medical Delivery System