Changes in the volume of cataract surgeries and associated factors in Korea

Despite the continuous implementation of government’s policy to strengthen NHI coverage, health insurance coverage rate is still relatively low compared other OECD countries. The increase in use non-essential non-covered medical services known be main cause, and cataract surgery receiving attention recently as a representative example.</br>A DRG payment system has covered surgery, ophthalmic examinations. PHI costs for premium lenses examinations surgery. As such, if both pay same service, there high possibility that cost will increase. Specifically, pays out-of-pocket expensive multifocal lenses, lowering patient’s price barrier increasing provider’s gross income. In words, terms conditions reimbursement without any management mechanism number using according rational choice each stakeholder, thereby affecting finances NHI.</br>In order effectively manage services, it necessary review structural abnormalities caused by wrong design initial PHI’s conditions.