2024-07-01 05:32:13
The Ministry of Well being and Welfare introduced that it’s going to implement ‘differentialization of out-of-pocket bills’ ranging from the first to curb the ordinary ‘medical procuring’ of some residents.
Excluding the variety of prescription days and hospitalization days, it was determined to extend the affected person burden charge from the present 20% to 90% from the 366th time onwards for sufferers who obtain outpatient remedy greater than 365 instances.
Nevertheless, it was determined to take care of the present degree (20%) for sufferers with particular calculations, corresponding to kids, pregnant girls, sufferers with extreme illnesses, or sufferers with uncommon or extreme incurable illnesses, who obtain outpatient remedy because of the illness. The variety of outpatient therapies is calculated yearly from January 1 to December 31, however this 12 months solely, it’s calculated from July 1, the efficient date of the system.
The aim of that is to strengthen administration of pointless medical abuse, corresponding to receiving outpatient remedy a whole lot of instances a 12 months. Some say that it is vital for sufferers and customers to pay attention to the general public nature of medical companies, as which means restricted assets have to be distributed and used appropriately by the general public.
As of 2021, the variety of annual outpatient medical visits by Korean residents is 15.7 instances, which is sort of 3 times larger than the Group for Financial Co-operation and Growth (OECD) common of 5.9 instances. As of 2021, the quantity of people that used outpatient medical care greater than 365 instances reached 2,550. The quantity invested for his or her salaries is 25.145 billion gained.
Lee Jung-gyu, director of the Well being Insurance coverage Coverage Bureau of the Ministry of Well being and Welfare, instructed Information 1 on at the present time, “We’ll assist extreme medical customers know the variety of medical makes use of and use them rationally by differentiating out-of-pocket prices and offering a medical use notification service.” He added, “Notifications will probably be offered for customers exceeding 180 instances. “Will probably be utilized first,” he defined.
First, sufferers can examine on the Nationwide Well being Insurance coverage web site whether or not the variety of outpatient medical therapies they’ve used has exceeded 365 from at the present time. Alternatively, you’ll be able to examine the medical remedy and medicine data on the cell ‘The Well being Insurance coverage App’.
Coverage specialists and client teams recommended that, whatever the want for rising the variety of medical faculties, the issue of medical abuse by the folks must also be resolved, and that associated insurance policies must be repeatedly ready sooner or later. If the federal government discusses ‘medical reform,’ it’s a analysis that it must also make efforts to enhance pointless medical abuse.
Lee Ju-yeol, a professor of well being administration at Seoul Nationwide College, instructed Information 1 on the identical day, “This coverage just isn’t associated to the political battle that has continued for 5 months, however the situation of lowering pointless medical abuse is included within the medical reform. This measure is acceptable.”
The professor added, “We’ve got taken particular measures to handle the issue of medical abuse for medical customers. Contemplating the federal government’s medical health insurance coverage to this point, it is a comparatively sturdy coverage.” He added, “With a purpose to scale back medical abuse, we are able to additionally take into account introducing a ‘main care doctor system’ to scale back pointless abuse.”
The Emergency Response Committee of the Seoul Nationwide College Faculty of Drugs-Seoul Nationwide College Hospital College Council lately held a symposium on ‘Roles and Duties of Suppliers and Customers to Forestall the Depletion of Shared Useful resource Well being Insurance coverage Funds’ to acknowledge medical care as a shared useful resource and focus on the problems from the views of insurers, suppliers, and customers. We mentioned the duties of every particular person.
At this occasion, Jeong Ji-yeon, Secretary Basic of the Korea Shopper Federation, stated, “Medical care is a service that requires the general public to correctly distribute and use restricted assets, so it is vital for customers to acknowledge medical care as a public service.” “We should always chorus from utilizing basic hospitals,” he stated.
The Medical Reform Particular Committee additionally plans to speak with the medical neighborhood to give you measures to enhance provide tradition and habits, corresponding to bettering overtreatment, and to advertise campaigns and civil society actions to enhance the tradition of medical use with client teams beginning subsequent month.
Particularly, we plan to emphasise use based on severity, with gentle sufferers going to native hospitals and extreme sufferers going to basic hospitals. The emergency room just isn’t on a first-come, first-served foundation, however relatively the judgment of the medical employees takes precedence, and we plan to ask folks to make use of native medical establishments first to advertise native medical care.
Reporter Kim Jeong-hyeon Picture Information 1
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2024-07-01 05:32:13