Strengthening Social Cohesion in Korea

Korea is confronting a serious challenges. It has to improve income equality in the context of a severe demographic transition. Such a transition, from one of the youngest populations in the OECD at present to the second oldest by 2050, may boost the need for public spending and slow economic growth. In this context and as the pace of population ageing is accelerating, it is important to act quickly in a wide range of areas:
-Policies to sustain Korea’s growth potential in the face of falling labour inputs;
-Measures that improve both growth and equality;
-Carefully-targeted increases in social spending to reduce inequality and poverty;
-Financing higher social spending, with priority given to a reform of tax and social security that minimises the negative impact on output growth.
Against the background of these broad challenges, which are discussed in a specific, setting-the-ground, Chapter, the report suggests policy options, based on the practices and reforms of other countries, in the following four areas: I) Income Distribution and Poverty; II) Tackling the Duality of the Labour Market; III) Early Childcare; and IV) Moving beyond Hospitals to better Care in the Community.
Also available in: Korean
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Moving from hospitals to primary care for chronic diseases
This chapter provides policy recommendations to help develop stronger primary care in Korea, by suggesting a new type of service delivery – multi-specialty group practices (polyclinics). It examines the rapid growth of health care costs, fuelled by payments that encourage the delivery of high volumes and complex services. Hospitals dominate Korea’s health system, which also has one of the highest of avoidable hospital admissions in the OECD. At a time when more Koreans are facing health problems as they get older, primary care services that help people manage health conditions like diabetes and heart diseases are underdelivered. Improving access to high quality primary care services can decrease health inequalities and contribute to social cohesion.
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