HIRA

선별급여 제도 영향 평가

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Type
Research report
Author(s)
조민우김주영유은지
Issued Date
2023-10
Keyword
선별급여예비급여조건부 급여정책평가근거창출
Publisher
건강보험심사평가원
URI
https://repository.hira.or.kr/handle/2019.oak/3250
Table Of Contents
제1장 서론 ····························································· 1
1. 연구 배경 및 목적 ·················································································· 3
가. 연구 배경 ·································································································· 3
나. 연구 목적 ·································································································· 7

제2장 연구 내용 및 방법 ····························································· 9
1. 연구 내용 ···························································································· 11
가. 세부 연구내용 ·························································································· 11
나. 연구 수행체계 ·························································································· 11
2. 연구 방법 ···························································································· 12
가. 정책평가 논리모형 구축 ············································································· 12
나. 기사검색 ·································································································· 15
다. 문헌검토 ·································································································· 16
라. 제도 운영 결과 ························································································ 17
마. 이해관계자 의견수렴 ················································································· 19
바. 제도 개선 방향 제시 ················································································· 20

제3장 연구 결과 ····························································· 21
1. 사회적 맥락 및 관련 제도 ····································································· 23
가. 언론 보도 ································································································ 23
나. 관련 제도 ································································································ 32
다. 소결 ········································································································ 36
2. 제도 운영 ···························································································· 37
가. 정책 변화 ································································································ 37
나. 선별급여 평가기준 및 척도 ········································································ 38
다. 적합성평가위원회 운영 ·············································································· 44
라. 선별급여 제도 운영 관련 변화 요약 ··························································· 46
마. 소결 ········································································································ 47
3. 제도 운영 결과 ···················································································· 49
가. 건강보험 보장성 ······················································································· 49
나. 선별급여 등재 현황 ·················································································· 55
다. 선별급여 재평가 진행과 결과 ····································································· 58
라. 근거 창출 ································································································ 63
마. 선별급여 항목 이용량 변화 ········································································ 98
바. 선별급여 항목 중 적합성 평가 결과에 따른 이용량 변화 ····························· 227
사. 본인부담률 조정 항목의 이용량 변화 사례 분석 ········································· 234
4. 이해관계자 의견수렴 ··········································································· 238
가. 이해관계자 의견수렴 ··············································································· 238
나. 소결 ······································································································ 250

제4장 결론 ····························································· 251
1. 제도 평가 및 개선방향 ········································································ 253
가. 선별급여 제도 평가 ················································································· 253
나. 선별급여 제도 개선방향 ··········································································· 255
2. 결론 ·································································································· 258

◾ 참고 문헌 ····················································································· 259
◾ 부록 ····························································································· 261
Publisher
건강보험심사평가원
Location
KOR
Citation
조민우. (2023-10). 선별급여 제도 영향 평가.
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