Clinical Gastroenterology Vol.31 No.2(4-6)

Theme Evidence-based Guidelines Version 2 for Gastric Cancer Screening ; The Beginning of a New Era of Endoscopic Cancer Screening
Title National Cancer Screening Program in Korea
Publish Date 2016/02
Author Rei Goto Hakubi Center of Advanced Research, Graduate School of Economics
[ Summary ] Korea provides population‒based screening programs. However, the screening rates are much higher in Korea than in Japan. Population‒based cancer screening in Korea is coordinated well with social health insurance under a unified system. The screening rate of cancer is over 70 %, which is much higher than that in Japan. In Korea, public healthcare does not cover a wide range of services. Nearly free cancer screening and subsidized medical expenses for cancers detected by population‒based screening provides a high incentive for participation. In Japan, in contrast, greater coverage of medical services, low co‒payments, and a lenient medical audit enables cancer screening under public health insurance and also covers a broad range of cancer screening. The implementation of evidence‒based cancer screening programs may be largely dependent on the prevailing healthcare system. Understanding the impacts of each healthcare system as a whole and matching the characteristics of a particular healthcare system is important when designing an efficient cancer screening program.
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