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아동치과주치의 건강보험 시범사업 효과평가 모형개발 -2세부(비용효과 분석 방안)-

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Type
Research report
Author(s)
김록영조민호
Issued Date
2021-03
Abstract
The Ministry of Health and Welfare plans to run the National Health Insurance pilot program of family doctor for pediatric dentistry for 3 years from 2021 in order to improve oral health and reduce dental health gap among children.
In order to make evidence-based decision for the implementation of the pilot, evaluation models were required in different perspective, such as level of oral health and cost-effectiveness. This study was conducted to develop a cost-effectiveness evaluation model.
Based on performance of previous programs and expert's advise, direction for cost-effectiveness analysis was reviewed, and data collection method and relevant indicators were prepared. Cost-effectiveness analysis application methods were provided, which included Decision Tree and Makov model. Panel Study and other forecasting models were additionally offered, as cost occurs in short term but the benefit of the cost should be analyzed in the mid and long term.
Based on the framework for cost-effectiveness evaluation model proposed in this study, the real world data from the pilot should be leveraged to conduct follow up research in order to further develop the cost-effectiveness analysis model and produce regular performance production method in mid and long term.
Publisher
건강보험심사평가원
URI
https://repository.hira.or.kr/handle/2019.oak/3048
Alternative Title
Development of effect evaluation model for the National Health Insurance pilot program of family doctor for pediatric dentistry -Analysis method for cost-effectiveness-
Table Of Contents
요 약 ························································································································· ⅰ

제1장 서 론 ··············································································································· 1
1. 연구 배경 ········································································································· 1
2. 연구 목적 ········································································································· 2
3. 연구 내용 및 방법 ·························································································· 2

제2장 문헌고찰 및 전문가 자문 의견 ······································································ 3
1. 문헌 고찰 ········································································································· 3
2. 전문가 자문 의견 ························································································· 17

제3장 경제성 분석 개요 ························································································· 21

제4장 아동치과 주치의 시범사업 내용 ·································································· 26

제5장 모형 설계를 위한 기준설정 ········································································· 27
1. 분석 대상 ······································································································· 27
2. 자료원 ············································································································ 27
3. 투입 비용 ······································································································· 27
4. 치과 질병 발생 비용 ···················································································· 29
5. 효과 ················································································································ 30
6. 관련 모니터링 지표 ······················································································ 30

제6장 시범사업 경제성 분석 모형 설계 ································································ 32
1. 비용-편익 분석 ····························································································· 32
2. 비용-효과분석(결정수형, Decision Tree) ··············································· 33
3. 비용-효과분석(마콥 모형, Makov model) ·············································· 36
4. 이중차분법(Difference-in-Difference estimator) ······························ 39
5. 패널 스터디(Panel Study) ········································································· 41

제7장 시범사업 경제성 분석 계획(안) ··································································· 43
1. 단기 분석 모형 ····························································································· 43
2. 중·장기 분석 모형 ························································································ 44

참고문헌 ··················································································································· 45
ABSTRACT ············································································································· 47
부 록 ······················································································································ 48
Publisher
건강보험심사평가원
Location
KOR
Citation
김록영 and 조민호. (202103). 아동치과주치의 건강보험 시범사업 효과평가 모형개발 -2세부(비용효과 분석 방안)-.
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