Health Policy Manag.  2019 Jun;29(2):206-219. 10.4332/KJHPA.2019.29.2.206.

2018 Current Health Expenditures and National Health Accounts in Korea

Affiliations
  • 1Department of Health Administration, Yonsei University College of Health Science, Wonju, Korea.
  • 2Korea Institute for Health and Social Affairs, Sejong, Korea.
  • 3Health Insurance Policy Research Institute, National Health Insurance Service, Wonju, Korea.
  • 4Health Insurance Review and Assessment Research Institute, Health Insurance Review and Assessment Service, Wonju, Korea.
  • 5Department of Health Administration, Yonsei University Graduate School, Wonju, Korea. heenyunk@yonsei.ac.kr

Abstract

This paper aims to demonstrate current health expenditure (CHE) and National Health Accounts of the years 2018 constructed according to the SHA2011, which is a manual for System of Health Accounts (SHA) that was published jointly by the Organization for Economic Cooperation and Development (OECD), Eurostat, and World Health Organization in 2011. Comparison is made with international trends by collecting and analyzing health accounts of OECD member countries. Particularly, scale and trends of the total CHE financing as well as public-private mix are parsed in depth. In the case of private financing, estimation of total expenditures for (revenues by) provider groups (HP) is made from both survey on the benefit coverage rate of National Health Insurance (by National Health Insurance Service) and Economic Census and Service Industry Census (by National Statistical Office); and other pieces of information from Korean Health Panel Study, etc. are supplementarily used to allocate those totals into functional classifications. CHE was 144.4 trillion won in 2018, which accounts for 8.1% of Korea's gross domestic product (GDP). It was a big increase of 12.8 trillion won, or 9.7%, from the previous year. GDP share of Korean CHE has already been close to the average of OECD member countries. Government and compulsory schemes' share (or public share), 59.8% of the CHE in 2018, is much lower than the OECD average of 73.6%. "˜Transfers from government domestic revenue' share of total revenue of health financing was 16.9% in Korea, lower than the other social insurance countries. When it comes to "˜compulsory contributory health financing schemes,'"˜transfers from government domestic revenue' share of 13.5% was again much lower compared to Japan (43.0%) and Belgium (30.1%) with social insurance scheme.

Keyword

2018 Health Accounts; System of Health Accounts(SHA); SHA2011; Current Health Expenditure(CHE); Public-private mix

MeSH Terms

Belgium
Censuses
Classification
Gross Domestic Product
Guanosine Diphosphate
Health Expenditures*
Healthcare Financing
Japan
Korea*
National Health Programs
Organisation for Economic Co-Operation and Development
Social Security
World Health Organization
Guanosine Diphosphate
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