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법학논총 , 2011년, pp.305 - 340   http://dx.doi.org/10.17251/legal.2011.24.1.305
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

건강보험상 임의비급여 허용의 문제점
The Possibility of Out-of-Pocket Payment in the National Health Insurance System

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    Medical Personnel who acquired the medical qualification of the state have the broad discretion in the medical areas according the their own judgement. Nontheless, Korean doctors are doom to be insurance doctor by the state law regardless of their intention. In addition, they are obliged to examine and treat the patients in determined medical fee by the state.Recently Seoul Administration Court delivered a judgement which is construed to be exception to the Supreme Court's precedent. According to the judgement, medical institutions are able to impose the medical expenses on the patients in the name of out-of-pocket payment on the ground of patients's agrement with the medical institutions.However, private contracts in a medical insurance is only possible when the patients are able to pay the medical fees. As a result, the poor and sick person who get a unusual disease cannot receive a proper treatment in a insurance hospital. Because the insurance doctors are apt to pay more attention to the patients who are under private contracts with doctors than the patients who are under health insurance. Therefore, the People will have the difficulty finding the good health insurance hospital. This phenomena will lead to a curtailment of guarantee of health insurance system.


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