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

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.