|Implemented in this survey?|
The proposal of the MOHW (Ministry of Health and Welfare) to extend the public health care system aims to improve access to medical care, extend programs on prevention and health promotion and contribute to health cost containment. The proposal was presented after the new Government took office in 2003.
The Ministry of Health and Welfare (MOHW) has made a proposal to extend the public health care system. It plans to increase the percentage of public sector beds in total beds from current 15.2% to
30% by 2008.
Government expects that the extension of public health care system provides better (more equitable) access to medical care. Out-of-pocket payment at the point of services is still high despite the universal social health insurance, and public hospitals charge lower prices than private hospitals do. The Ministry of Health and Welfare expects that public hospitals focus more on prevention and health promotion and contributes to cost containment. Ministry of Health and Welfare's proposal includes plans to strengthen the role of national university hospitals, increase support for the infrastructure of local government hospitals and extend public health centers.
Improve access to care, strengthen health promotion and contain costs.
the poor and vulnerable
|Degree of Innovation||traditional||innovative|
|Degree of Controversy||consensual||highly controversial|
|Structural or Systemic Impact||marginal||fundamental|
|Public Visibility||very low||very high|
There was a change of government in early 2003, and the new president is interested in increasing the role of public sector in health care.
|Implemented in this survey?|
The new president as well as health policy community supporting him has placed emphasis on the role of public sector in health care. They believe that the public health care system is superior to
the private system in terms of prevention, health promotion, cost containment, and providing better access to medical care for the poor,
One of the major barriers to health care reforms in the previous government were physician strikes. Dominance of the private sector made the healthcare system vulnerable to physician strikes. Those experiences of previous health care reform reinforce the preference for the public health care system.
The approach of the idea is described as:
Providers do not support the idea of extending the public health care system because of the potential impact on competition. However provider group has not made official opposition to the
The Ministry of Finance and Economy is not supportive of the proposal made by the Ministry of Health and Welfare because of the burden on government budget.
Progressive civic groups support the idea of extending the public health care system.
The extension of the public health care system does not require legislation.
The Ministry of Health and Welfare's proposal to extend the public health care system has not been adopted yet. So far, there was no increase in the budget allocated to public health care systems.
|Quality of Health Care Services||marginal||fundamental|
|Level of Equity||system less equitable||system more equitable|
|Cost Efficiency||very low||very high|
If implemented, extended public health care system is expected to contribute to equity in access to care. Although public health care institutions tend to provide less unnecessary care (than private hospitals), they can suffer from managerial inefficiency. Therefore the impact of the extension of public health care system on overall cost efficiency is rather uncertain.
Internal reports of the Ministry of Health and Welfare