한국의료패널 제1차 학술대회보고서
출처 : 한국의료패널 www.khp.re.kr/
Abstract ···················································································· 9
요약·························································································· 11
Ⅰ.한국의료패널의 소개····························································· 21
1. 한국의료패널 조사의 필요성 및 목적······································ 21
2. 한국의료패널 설문항목 기본방향 및 설문내용························· 24
3. 한국의료패널 조사의 추진체계 및 수행절차···························· 33
4. 한국의료패널 향후계획 및 기대효과········································ 39
Ⅱ.한국의료패널의 특성과 기대효과··········································· 49
1. 들어가는 글············································································ 49
2. 한국의료패널 이해·································································· 51
3. 한국의료패널과 보건의료 서비스 이용행태 분석모형················ 53
4. 보건의료관련 조사 자료와 한국의료패널의 비교······················ 58
5. 한국의료패널의 기대효과 및 활용··········································· 69
6. 맺는 글: 한국의료패널의 향후 발전과제·································· 74
Ⅲ.건강정책측면에서의 한국의료패널의 활용가치와
향후 개선방향··········································································· 81
1. 들어가며················································································· 81
2. 한국패널조사의 특징······························································· 81
3. 한국의료패널조사의 필요성과 의의·········································· 86
4. 한국패널조사의 활용방안························································· 88
5. 향후 설계시 추가적인 검토사항············································ 103
Ⅳ.「한국의료패널」에 대한 보건사회적 이해·························· 107
1. 한국의료패널의 배경····························································· 107
2. 의료패널 관련 기존 정보······················································ 126
3. 보건사회학적 관심································································ 145
Ⅴ.한국의료패널의 보건경제학적 가치와 활용방안···················· 155
1. 서론····················································································· 155
2. 인과관계 및 상관관계··························································· 159
3. 보건 분야의 경제학적 문제들과 주요 해외 들················ 163
4. 패널자료의 유용성과 의료패널의 필요성······························· 170
5. 결론····················································································· 173
Ⅵ.우리나라 패널조사자료의 검토와
한국의료패널의 활용방안························································· 177
1. 서론····················································································· 177
2. 우리나라의 패널조사 자료의 검토········································· 178
3. 한국의료패널의 검토와 활용방안··········································· 186
참고문헌················································································· 189
부록························································································ 201
표 목차
〈표 1-1〉기본(핵심) 조사의 주요 조사내용···················30
〈표 1-2〉부가조사의 주요 조사내용·························32
〈표 1-3〉건강가계부 유치를 위한 표본추출방법················36
〈표 1-4〉지역별 조사구 분포·····························37
〈표 1-5〉지역별 인구분포································38
〈표 1-6〉지역별 표본조사구 배분결과·······················39
〈표 2-1〉보건의료이용 모형 기준 「한국의료패널(KHP)」과
MEPS 비교············································59
〈표 2-2〉보건의료이용 모형 기준 「한국의료패널(KHP)」과
국내 보건의료 관련 조사자료 비교····························62
〈표 2-3〉「한국의료패널(KHP)」과 국민건강보험공단 조사자료
비교··················································68
〈표 2-4〉한국의료패널 설문지 개발 초기의 부가조사 주제········77
〈표 3-1〉2008년 1차 한국의료패널조사의 설문구성 및 주요항목·· 84
〈표 3-2〉한국의료패널조사와 건강정책 관련 기존조사들과의 비교··· 85
〈표 3-3〉SHA의 기능 및 재원별 분류······················91
〈표 3-4〉SAH 기능별분류에 근거한 건강보험제도 내부 및 외부에 따른
자료원·················································93
〈표 3-5〉의료비패널조사의 항목과 기존조사의 의약품조사항목과의
비교··················································98
〈표 5-1〉RAND 의료보험 실험의 변수별 평균 값············165
그림 목차
[그림 1-1] 한국의료패널의 개념적 틀························30
[그림 1-2] 기본(핵심) 조사의 분석틀·······················34
[그림 1-3] 조사추진체계·································34
[그림 1-4] 조사수행절차: 2007~2008년···················35
[그림 2-1] Andersen의 보건의료이용 모형 틀···············55
[그림 2-2] 「한국의료패널」의 조사모형·····················57
[그림 3-1] 국민의료비가 과소 추계되었을 경우와
실제 경우간의 비교·······································87
[그림 3-2] 연도별 생명보험료 수입의 추이···················88
[그림 3-3] 한국패널조사의 활용방안 도출을 위한
건강 정책적 프레임·······································90
[그림 3-4] 손실형 민간보험가입자의 증가가 국민건강보험재정에
미치는 기전···········································103
[그림 4-1] Health Service Utilization Model ········133
[그림 5-1] 국민 1인당 의료비 지출액, 공공/민간 지출(2006년) 157
[그림 5-2] OECD국가들의 GDP대비 보건의료비 지출 비율····158
[그림 5-3] 몽고메리 카운티 요식업계의 시기별 수입···········162
[그림 5-4] 몽고메리 카운티 요식업계와 통제집단의 시기별 수입··163
[그림 5-5] 의료보험 형태별 아동의 비율····················167