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지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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This study intended to make a comparative analysis of our country’s medical benefits plan; a representative policy of the residual medical security system and the US Medicaid. Through this, this study aimed to inquire into policy alternatives for reinforcing the public health care coverage of medical benefits. The analysis results are as follows: First, the medical benefits plan puts emphasis on the centralized unity whereas in case of Medicaid, a far-reaching scope of autonomy is given to the state government in the area of recipient selection, service contents, and medical fees, etc. Second, the medical benefits plan invests the right to medical benefits with focus on households while Medicaid applies individualized selection criteria differently. Third, the medical benefits plan offers medical services through the three-stage medical delivery system; on the contrary, in Medicaid, dominated is the managed-care-centered medical delivery system through the contract with a medical institution. Fourth, the medical benefits plan in relation to medical fees adopts a ‘Fees for Service’ system as a central policy whereas the managed medical care forms a nucleus in Medicaid. Lastly, both the medical benefits plan and Medicaid control the demand for medical services through a user fee for the medical care system, but this study could confirm that the latter applies this system more strictly than the former. Consequently, it’s necessary to reflect individualized characteristics more aggressively in the selection of recipients, and to get the local government to take account of regional characteristics by vesting local governments with the extensive authority.
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