MarketWatch: Pharmaceutical reform in South Korea and the lessons it provides

Health Affairs

Volumn 27, Issue 4, 2008, Pages

  Kim, Hak Ju ^a   Ruger, Jennifer Prah ^b  

^a Dongguk University   (South Korea)

^b YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; DRUG COST; DRUG INDUSTRY; DRUG MARKETING; HEALTH CARE POLICY; HUMAN; PATIENT CARE; PHARMACEUTICAL CARE; PRESCRIPTION; SOUTH KOREA; AMBULATORY CARE; DRUG UTILIZATION; ECONOMICS; HEALTH CARE COST; KOREA; LAW; LEGAL ASPECT; PHARMACY; PUBLIC HEALTH;

AMBULATORY CARE; DRUG UTILIZATION; HEALTH CARE REFORM; HEALTH EXPENDITURES; HUMANS; KOREA; LEGISLATION, PHARMACY; NATIONAL HEALTH PROGRAMS; PHARMACIES;

EID: 48149098219     PISSN: 02782715     EISSN: 02782715     Source Type: Journal    
DOI: 10.1377/hlthaff.27.4.w260     Document Type: Article

References (58)

1. Ministry of Health and Welfare, Health and Welfare Services (in Korean) (Seoul: MOHW, 2000);
2. and S. Kwon, "Pharmaceutical Reform and Physician Strikes in Korea: Separation of Drug Prescribing and Dispensing," Social Science and Medicine 57, no. 3 (2003): 529-538.
3. Health Insurance Review Agency, "Monitoring and Assessing Prescriptions in the Third and Fourth Quarter of 2002" (in Korean), 2002, http://www.hira.or.kr/common/dummy.jsp?pgmid=HIRAF010200000000 (accessed 29 February 2008).
4. MOHW, Analysis of the Effect of Separation of Prescription and Dispensing (in Korean) (Seoul: MOHW, 2001).
5. S. Park et al., "Antibiotic Use Following a Korean National Policy to Prohibit Medication Dispensing by Physicians," Health Policy and Planning 20, no. 5 (2005): 302-309.
6. H.K. Chung, "Five Years of the Separation of Dispensing from Prescribing Drugs! How Do We Evaluate the Reform?" (in Korean) (Seoul: Office of Congressman H.K. Chung, 2005).
7. J.G. Jo, "Evaluation of the Health Policy During the Past Five Years," Health and Welfare Policy Forum 74 (2002): 8-24.
8. J.P. Ruger and H. Kim, "Out-of-Pocket Healthcare Spending by the Poor and Chronically Ill in the Republic of Korea," American Journal of Public Health 97, no. 5 (2007): 804-811.
9. Kwon, "Pharmaceutical Reform."
10. MOHW, Major Programs for Health and Welfare 1998-1999 (in Korean) (Seoul: MOHW, 2000).
11. According to the first Samsung International Symposium on Antimicrobial Resistance in Seoul, South Korea, 26 March 1997.
12. H.S. Jo and S.H. Lee, "Trend on the Curtailments of Medical and Drug Expenditure Before and After the Separation of Prescription and Dispensing in General Hospitals," Journal of Health Administration 12, no. 3 (2002): 23-35.
13. MOHW, Major Programs;
14. and HIRA, Evaluating Adequacy of Prescription and Dispensing (in Korean) (Seoul: HIRA, 2002)..
15. L.E. Sang, "A Study of the Policy Making Process in the Separation of Dispensing from Prescribing Drugs" (Ph.D. thesis, Medical Graduate School of Kyunghee University, 2000; in Korean).
16. MOHW, Major Programs. 15. S. Kwon and M.R. Reich, "The Changing Process and Politics of Health Policy in Korea," Journal of Health Politics, Policy and Law 30, no. 6 (2005): 1003-1026.
17. H.H. Lee, "Financial Crisis of Health Insurance," Korean Development Institute Policy Forum 155 (2001-02) (Seoul: KDI, 2001).
18. National medical expenditures (NME) contain all direct costs for medical services provided by hospitals and clinics, dispensing by pharmacists, nursing and rehabilitation services in health service facilities, and home health care.
19. Korea National Statistical Office, Social Indicators in Korea 2007 (in Korean) (Seoul: NSO, December 2007);
20. and Organization for Economic Cooperation and Development, OECD Health Data 2007 (Paris: OECD, July 2007).
21. Korea National Statistical Office, Social Indicators in Korea 2007;
22. and MOHW, "National Medical Expenditures and Fee-Schedule Prices Statistics" (in Korean), 2007, http://www.mw.go.kr/user.tdf?a=user.tbdata. BoardApp&c=2001&board_id=gp_tb_data&skin=p_new_m2_common& bunr_code=310&mc=P_03_05_02 (accessed 29 February 2008).
23. MOHW, "Evaluation Report One Year after the Separation of Prescription and Dispensing" (internal report, in Korean) (Seoul: MOHW, 28 June 2001).
24. E.Y. Bae, "The Impact of the Separation of Prescription and Dispensing on the Pharmaceutical Industry: Evaluation Report of the Separation of Prescription and Dispensing," Health and Welfare Policy Forum 64 (2002): 33-41;
25. and MOHW, White Book on Health and Welfare 2004 (in Korean) (Seoul: MOHW, 2005).
26. National Health Insurance Corporation, Statistical Yearbook 2005 (in Korean) (Seoul: NHIC, 2006);
27. and MOHW, White Book on Health and Welfare 2006 (in Korean) (Seoul: MOHW, 2007).
28. B.M. Yang, E.Y. Bae, and J. Kim, "Economic Evaluation and Pharmaceutical Reimbursement Reform in South Korea's National Health Insurance," Health Affairs 27, no. 1 (2008): 179-187.
29. H.S. Chung, "Change in Income of Pharmacies, Hospitals, and Clinics Before and After the Separation of Prescription and Dispensing," Korean Health Policy and Administration Association Fall Conference 5 (2003): 92-111.
30. MOHW, "Profit Rate by Types of Hospitals from Uninsured Services," National Assembly's Inspection Report by Congressman S.M. Yu (in Korean) (Seoul: National Assembly Secretariat, 10 September 2004).
31. J.Y. Kim, "The Impact of the Separation of Prescription and Dispensing on Medical Service Utilization: Evaluation Report of Separation of Prescription and Dispensing," Health and Welfare Policy Forum 64 (2002): 6-19.
32. MOHW, "Profit Rate."
33. Ibid. According to the medical lawin Korea (specifically, the third article in the first chapter), a general professional hospital is required to have good-quality facilities with the minimum of beds for 300 inpatients and at least 9 departments including internal medicine, surgery, pediatrics, obstetrics, radiology, anesthesiology, laboratory medicine, psychiatry, and dentistry. A general hospital is required to have good-quality facilities with theminimum of beds for 100 inpatients and at least 7 departments including 3 out of 4 departments (internal medicine, surgery, pediatrics, and obstetrics) and radiology, anesthesiology, laboratory medicine, and psychiatry. A hospital is the place where medical doctors hold medical practice with the minimum of beds for thirty inpatients with good-quality facilities without any inconvenience. However, dentists are not constrained by the bed requirement.
34. S.Y. Lee et al., "A Basic Study for the Performance Evaluation of the Separation of Prescription and Dispensing," Policy Report no. 2005-81 (in Korean) (Seoul: Korea Institute for Health and Social Affairs, 2005).
35. Sang, "A Study of the Policy Making Process."
36. H. Lee, "Containing Health Care Expenditures in Korea: Issues and Strategies" (Unpublished rew port, Korean Development Institute, 2001).
37. S.M. Jang, "The Impact of Separation of Prescription and Dispensing on the Prescribing Behavior of Physicians," Health and Welfare Policy Forum 64 (2002): 20-30;
38. and J.K. Cho et al., Monitoring Healthcare Service Use Behavior According to the Separation of Prescription and Dispensing (in Korean) (Seoul: KIHASA, 2002).
39. J.Y. Kim, Effect of the Separation of Prescription and Dispensing to the Behavior of Medical Suppliers (in Korean) (Seoul: Evaluation Committee of the Separation of Prescription and Dispensing, 2001);
40. and B.H. Cho, "Social Conflicts and the Separation of Prescription and Dispensing" (in Korean), Journal of the Korean Bioethics Association 1 (2000): 201-229.
41. S.M. Lee, "Estimating the Financial Balance of the Pharmaceutical Sector after the Separation of Prescription and Dispensing" (M.A. thesis in School of Public Health at Yonsei University, 30 August 2002);
42. and Korean Food and Drug Administration, Medical Products Statistics (Seoul: KFDA, 2003), 82-83.
43. Committee on Health Care Reform, Health Care Reform (in Korean) (Seoul: COHCR, 2001).
44. KFDA, "Annual Statistics on Antibiotics Production and Import from Overseas," National Assembly's Inspection Report by Congressman M.O. Ahn (in Korean) (Seoul: National Assembly Secretariat, 4 October 2004).
45. MOHW, "Evaluation Report on Recent Projects" (internal report, in Korean) (Seoul: MOHW, 2002).
46. S.M. Chang et al., The Performance Analysis and Improvement Measures of the Separation of Prescription and Dispensing (in Korean) (Seoul: KIHASA, 2002)
47. H.S. Chung, "Change in Medical Fees Before and After the Separation of Prescription and Dispensing" (in Korean), in Korean Health Economics Association Spring Conference Proceedings 2 (Seoul: KHEA, 2004), 92-111.
48. H.J. Kim, W. Chung, and S.G. Lee, "Lessons from Korea's Pharmaceutical Policy Reform: The Separation of Medical Institutions and Pharmacies for Outpatient Care," Health Policy 68, no. 3 (2004): 267-275.
49. S.H. Lee, "Analysis of the Consumer Satisfaction with the Separation of Prescription and Dispensing: Evaluation Report of the Separation of Prescription and Dispensing," Health and Welfare Policy Forum 64 (2002): 40-49;
50. MOHW, "Analysis of the Effect";
51. and J.G. Jo et al., "The Performance Evaluation and Institutional Improvement of the Separation of Prescription and Dispensing" (in Korean), Policy Report no. 2003-22 (Seoul: KIHASA, 2003).
52. KFDA, Medical Products Statistics.
53. S.J. Nam, "Implementation of the Separation Systemof Pharmacy from Medicine in Korea and Its Influence," Prepared for the International Pharmaceutical Federation Singapore by the Chairman of International Affairs, Korean Pharmaceutical Association (Singapore: FIP, 9 February 2001).
54. MOHW, "Evaluation Report" (2002).
55. Kwon, "Pharmaceutical Reform."
56. H.K. Im, "Merger and Acquisition of Domestic Pharmaceutical Industry" (in Korean), Asian Economy Newspaper, 25 September 2006.
57. Chang, "The Impact."
58. J.G. Jo, "Improvement Measures for the Separation of Prescription and Dispensing: Evaluation Report of the Separation of Prescription and Dispensing," Health and Welfare Policy Forum 64 (2002): 50-61.