의료보장체계 개혁의 결정요인에 대한 연구김철주 = A Study on the Determinant Factor of the Health Care Reform

다국어 초록 (Multilingual Abstract)

This article analyzes the healthcare reforms of the developed capitalist states focused on the three aspects-security of medical service, control of cost, and quality of medical. The result shows the trilemma of the aspects and we can find three types of healthcare reform. Type I is successful at security and quality but fails in control. Type II is successful at cost control and security but fails in medical quality. And Type III is successful at medical quality and cost control but fails in security. The analysis on the causality of healthcare reform is carried out through the search of causal conjuncture of 8 dependence values. Type I joins together strong left party, low christian party, low trade openess, and low state autonomy. Type II joins together low GDP, low old age, low left party, and strong state autonomy. Lastly, Type II joins together low GDP, weak left party, low, unemploy, low old age, and high government deficit, high trade openess, strong christian party.

Key words: healthcare reform, trilemma, qualitative comparative analysis

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