''저소득취약계층 건강보험료 지원사업''의 현황과 개선방안 연구 : A study of the current situation and the scheme of The ''National Health Insurance(NHI) contribution support program for vulnerable low-income group''
- 발행기관 서강대학교 신학대학원
- 지도교수 문진영
- 발행년도 2007
- 학위수여년월 2007. 8
- 학위명 석사
- 학과 및 전공 신학대학원
- 식별자(기타) 000000104363
- 본문언어 한국어
목차
본 연구의 목적은 국민건강보험공단의 ‘저소득·취약계층 건강보험료 지원사업’의 배경과 현황을 분석하여 문제점을 파악하고, 사업의 장점은 살리고 문제점을 보완하여 안정된 의료안전망의 보완제도로서 자리 잡을 수 있는 방법을 강구하는데 있다.
본 연구에서는 건강보험관리공단이 마련한 2006년 저소득·취약계층 데이터베이스 자료와 2005년도부터 2007년도 3월까지의 저소득·취약계층 건강보험료 지원사업 실적을 토대로 현황분석을 실시하였다. 저소득·취약계층 데이터베이스는 2005년도 건강보험관리공단의 보험료부과자료를 바탕으로 만들어졌다. 저소득·취약계층 데이터베이스와 저소득·취약계층 건강보험료 지원사업 실적 자료 외에도 문헌조사를 함께 병행하여 ‘저소득·취약계층 건강보험료 지원사업’의 현황을 분석하였다. 분석은 건강보험료 지원사업의 대상자 선정기준과 전달체계 그리고 재정으로 구분되어 이루어졌고 통계분석방법은 SPSS 12.0의 통계프로그램을 사용하였다.
목차
This study aims to examine the background and a current situation of the ''National Health Insurance(NHI) contribution support program for vulnerable low-income group'', and to make suggestions for improvement of the ''national health insurance contribution support program'' from ''health security complement system''.
This research use the vulnerable low-income groups data and the ''NHI contribution support program'' record of National Health Insurance Corporation(NHIC). The vulnerable low-income groups database is from NIH contrinbution record in 2005 and ''NHI contribution support program'' record based on NHI data in 2005 from march 2007. The methods employed in this study include literature review. Data analyze by SPSS 12.0 for windows applying frequency, percentage, mean. And the framework divide into the three categories: selectivity, delivery system and finance.
The finding of this study can be summarized as follows.
First, It is unclear to select the object group from 166 millions of the vulnerable low-income groups. Currently, NHIC concerts with supporting organization to set specific criteria of selection the object group. But local governments'' regulations seem to present the selection criteria. The regulations define the disadvantage group as the elderly living alone, the disabled and the youth householder. The applicants are also limited by the selectivity of program to NHI contributions payability or delinquency. The solitude elderly aged over 60 are mainly benefited from ''NHI contribution support program''. It is because the process of selecting the object group is conducted by many organizations and the united criteria are not established yet. The equity among the disadvantage group for the program, but also the consistency of delivery system between regions can be referred as a weakness of ''NHI contribution support program''. The role of NHIC in this program is mainly mediator between donors and vulnerable low-income groups. However, NHIC is required to perform a leading role that integrate variable organizations and interact private and public organizations. In the view of efficiency, the individual organization and human resource to take complete charge of NHIC are requested.
Secondly, the program has been financially supported by private-public organization. And the aid from local governments is increasing. The local governments'' subsidy for NHI contributions may weaken the principle of social insurance. This study suggests Community Chest of Korea is the most appropriate for this current delivery system. As a charity institute which operates nationwide, it is evaluated to develop various resources. Moreover the transparency and fairness will be guaranteed as a public organization. This study focuses on the weakness of ''NHI contribution support program'' and suggests the complements. According to the method of complements suggested above, ''NHI contribution support program'' can be improve to one of ''health security complement system''.
