Divergence in the development of public health insurance in Japan and the Republic of Korea: A multiple-payer versus a single-payer system

被引：11

作者：

Jeong, Hyoung-Sun ^{[1
]}

Niki, Ryu ^{[2
]}

机构：

[1] Yonsei Univ, Coll Hlth Sci, Dept Hlth Adm, 1 Yonseidae Gil, Wonju 220710, Gangwon Do, South Korea

[2] Nihon Fukushi Univ, Fac Social Welf, Aichi 4703295, Japan

来源：

INTERNATIONAL SOCIAL SECURITY REVIEW | 2012年 / 65卷 / 02期

关键词：

health insurance; political aspect; method of financing; scope of coverage; Japan; Republic of Korea;

D O I：

10.1111/j.1468-246X.2012.01428.x

中图分类号：

C93 [管理学]; D035 [国家行政管理]; D523 [行政管理]; D63 [国家行政管理];

学科分类号：

12 ; 1201 ; 1202 ; 120202 ; 1204 ; 120401 ;

摘要：

Japan and the Republic of Korea achieved universal health insurance coverage for their populations in 1961 and 1989, respectively. At present, Japan continues to operate a multiple-payer social health insurance system, while the Republic of Korea has moved to an integrated single-payer national health insurance structure. This article analyzes the influence of political economy in shaping the policy divergence found between these two Bismarckian health insurance systems. Issues addressed include differences in political power, the policy influence of business, the extent to which regional autonomy has developed and regional traits have been preserved, the level of political democratization, the form of political leadership, and the scale of development of the health insurance system. The article offers policy lessons derived from the two countries' experiences.

引用

页码：51 / 73

页数：23

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