Medical technology and inequity in health care: the case of Korea.
There has been a rapid influx of high cost medical technologies into the Korean hospital market. This has raised concerns about the changes it will bring for the Korean health care sector. Some have questioned whether this diffusion will necessarily have positive effects on the health of the overall population. Some perverse effects of uncontrolled diffusion of technologies have been hinted in recent literature. For example, there is a problem of increasing inequity with the adoption of expensive technologies. Utilization of most of the expensive high technology services is not covered by national health insurance schemes; examples of such technologies are Ultra Sonic, CT Scanner, MRI, Radiotherapy, EKG, and Lithotripter. As a result, the rich can afford expensive high technology services while the poor cannot. This produces a gradual evolution of classes in health service utilization. This study examines how health service utilization among different income groups is affected by the import of high technologies. It discusses changes made within the health care system, and explains the circumstances under which the rapid and excessive diffusion of medical technologies occurred in the hospital sector.
Yang
B M
BM
School of Public Health, Seoul National University, Korea.
D003362:Cost-Benefit Analysis; D003625:Data Collection; D004059:Diffusion of Innovation; D004465:Economic Competition; D006291:Health Policy / Q000191:economics*; D006297:Health Services Accessibility / Q000191:economics; D006302:Health Services Research; D007348:Insurance, Health; D007723:Korea; D009313:National Health Programs / Q000191:economics; D012935:Social Justice; D012959:Socioeconomic Factors; D013673:Technology Assessment, Biomedical / Q000191:economics* / Q000706:statistics & numerical data; D013675:Technology, High-Cost / Q000706:statistics & numerical data*