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The Triangular Axes of Universal Health Coverage Achievement: The Success Factors Behind Korean Community-Based Health Insurance Expansion

Title
The Triangular Axes of Universal Health Coverage Achievement: The Success Factors Behind Korean Community-Based Health Insurance Expansion
Authors
Kim Y.Kang M.
Ewha Authors
강민아
SCOPUS Author ID
강민아scopus
Issue Date
2022
Journal Title
Inquiry (United States)
ISSN
0046-9580JCR Link
Citation
Inquiry (United States) vol. 59
Keywords
community-based health insurancehealth insuranceinformal sectorKoreapopulation coverage
Publisher
SAGE Publications Inc.
Indexed
SCIE; SSCI; SCOPUS WOS scopus
Document Type
Article
Abstract
Though it has passed over 30 years, Korea’s community-based health insurance (CBHI) expansion can provide useful policy implications to developing countries with similar conditions, that is, lack of fiscal resources, health infrastructure, and medical resources to expand coverage to the informal sector. We summarized three groups of success factors through in-depth interviews and narrative analysis: system design, system operation, and public perception of the system. Korean CBHI could expand to the informal sector with the same system design as the formal sector such as mandatory enrolment, compulsory designation of medical service providers along with the low-benefit, low-contribution, and a low-payment system. However, expansion to the informal sector was somewhat different, as the CBHI exercised and operated the scheme with flexibility, semi-autonomy and leadership to fit for local context in terms of operation. Moreover, cultural factors that encouraged public awareness and increased participation significantly contributed in appealing to the informal sector. Overall, the systemic, operational, and cultural factors interacted with each other and created a synergy effect that local members in the informal sector found attractive. © The Author(s) 2022.
DOI
10.1177/00469580221093723
Appears in Collections:
사회과학대학 > 행정학전공 > Journal papers
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