국가별 건강보험체계에 따른 국가건강검진제도 비교 연구

초록

Background: Korea’s health screening program has been faced the need for changes as the population and diseases structure arechanging. In addition to Korea, many countries operate state-led health check-up programs to improve the health level of the people,and the operating methods of the program appear in various forms according to each country’s health insurance system. This studyexamines other state-led health screening programs and proposes a direction for the development of Korea’s health screeningprogram. Methods: The study was conducted using the literature review method, and the “country” was set as a unit for the case analysis. Theoperating method of the health screening programs and the financial resources were compared according to the health insurancesystem. Five countries were selected as Korea, the United States, the United Kingdom, Japan, and Taiwan. Results: The analyzed countries mainly operate the health screening program as a management method for chronic diseases, butthere were differences in the operating method, financing, and targeted subjects and examination items. In most countries, a riskassessment was performed prior to the examination (screening), and the subjects who needed the examination were first selected,and a follow-up management service was provided in accordance with the risk each individual exposed. Conclusion: Rather than applying the same screening method to populations with different risk levels, a health screening programwill be constructed in consideration of the individual’s health level and exposure risk, and the healthcare delivery system will bereorganized so that screening and treatment services can be linked.

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