A Historical Legacy for Universal Health Coverage in the Republic of Korea: Moving Towards Health Coverage and Financial Protection in Uganda Comment on "Health Coverage and Financial Protection in Uganda: A Political Economy Perspective"
- PMID: 37579462
- PMCID: PMC10125087
- DOI: 10.34172/ijhpm.2023.7434
A Historical Legacy for Universal Health Coverage in the Republic of Korea: Moving Towards Health Coverage and Financial Protection in Uganda Comment on "Health Coverage and Financial Protection in Uganda: A Political Economy Perspective"
Abstract
Since 2001, when Uganda abolished user fees to improve the accessibility of healthcare, out-of-pocket costs still account for 42% of total health expenditure. Even if universal health coverage (UHC) is achieved on the demand-side, government authorities face political and economic challenges due to soaring burden of diseases. Therefore, this study aimed to re-analyze the implementation process according to three pillars by World Health Organization (WHO) based on Korean UHC-related articles. In terms of breadth, the national health insurance (NHI) in Korea UHC was established from 1977 for employees to 1989 for self-employed. In terms of depth, benefit packages in Korea UHC have expanded from essential medical services to expensive care (ultrasono, computerized tomography, etc) including benefit period. Finally, in terms of height of coverage, the government has tried to relieve financial burden of households with catastrophes and enhance benefit plan for major diseases till now. This historical legacy for UHC in Korea can pose lessons to policy-makers in developing countries including Uganda and Ghana.
Keywords: Benefit Package; Financial Burden; Health Insurance; South Korea; Universal Coverage.
© 2023 The Author(s); Published by Kerman University of Medical Sciences This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Conflict of interest statement
Author declares that he has no competing interests.
Comment on
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Health Coverage and Financial Protection in Uganda: A Political Economy Perspective.Int J Health Policy Manag. 2022 Sep 1;11(9):1894-1904. doi: 10.34172/ijhpm.2021.116. Epub 2021 Aug 29. Int J Health Policy Manag. 2022. PMID: 34634869 Free PMC article.
References
-
- World Health Organization (WHO). The World Health Report 2008: Primary Health Care: Now More Than Ever. Geneva, Switzerland: WHO; 2008.
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- Kim CB, Kim SY. Primary Health Care: Tikapur (Nepal) Meets Ganghwa (Republic of Korea)!–The Link and Performance of International and Regional Development. Seoul, Republic of Korea: Parkyoungsa; 2021.
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- National Health Insurance Service (NHIS). Lifelong Health Keeper: The People’s Health is Our Top Priority! Wonju, Republic of Korea: NHIS; 2020. https://www.nhis.or.kr/static/html/wbd/g/ebrochure/NHIS_Lifelong_Health_....
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