Health Policy Manag.  2019 Jun;29(2):112-129. 10.4332/KJHPA.2019.29.2.112.

Designing the Sickness Benefit Scheme in South Korea: Using the Implication from Schemes of Advanced Nations

• Jung HW
• Sohn M
• Chung H

• KMID: 2453164
• DOI: http://doi.org/10.4332/KJHPA.2019.29.2.112

Abstract

Currently, the South Korean Government does not provide sickness benefits from the National Health Insurance, which is different from most other Organization for Economic Cooperation and Development countries. The sickness benefit guarantees a part of lost income due to injuries or diseases. The purpose of this study is to propose a sickness benefit scheme for South Korea. To this end, we compare health care systems, sickness benefit schemes, and delivery systems of those in Germany, Japan, and Sweden, focusing on the seven categories: management authority, object, level of payment, duration of payment, qualification requirements, connection with paid sick leave of workplace, and financial resources, and as to delivery system, the six categories: the number of procedures, transferring document between institutions, whether or not utilizing electronic reporting system, applicant, and administrative convenience. Based on the implications derived from the case study, we propose the sickness benefit scheme and its delivery pathway and other details for South Korea. This study is first to propose the sickness benefit for health insurance in Korea with its level of details. More studies should follow with case studies of other countries, as well as productive debates to build a feasible and sustainable sickness benefit system in South Korea.

Keyword

Sickness benefit; Paid sick leave; Delivery system

MeSH Terms

Delivery of Health Care
Germany
Insurance, Health
Japan
Korea*
National Health Programs
Organisation for Economic Co-Operation and Development
Sick Leave
Sweden