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Journal of the Korean Academy of Rehabilitation Medicine 2004;28(3):195-203.
Health Care System for the Persons with Disabilities in Developed Countries and Opening of the Health Care Market.
Lee, Bum Suk
Department of Spinal Cord Rehabilitation, National Rehabilitation Hospital, Korea. iambs@hanmail.net
선진외국의 장애인 보건의료제도 및 의료시장 개방
이범석
국립재활병원 척수손상재활과
Abstract
In Korea, the need of medical care is high in persons with disabilities. But the health care system, especially the continuum of long-term rehabilitation care for the persons with disabilities is not well established. Under the General Agreement on Trade in Services (GATS), the pressure to open up the health care market has been increased in Korea. This article examines the health care system of developed countries (USA, UK and Japan) with review of the health policies, laws, income security and pensions, payment systems, medical rehabilitation facilities, and home health services for the persons with disabilities.And this article also discusses the process of the health care market opening in Korea, the debating issues, the implications for the domestic medical market, and the matter of concern in rehabilitation medicine field. In the viewpoint of the rehabilitation medicine, the transitional services and home health services for the persons with disabilities should be prepared, and the public health should be expanded as the social network of the persons with disabilities, before the health care market is fully opened up. (J Korean Acad Rehab Med 2004; 28: 195-203)
Key Words: Health care system, Persons with disabilities, General Agreement on Trade in Services (GATS), Market opening
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