한의 외래 비급여 진료비의 연도별 추이
Annual trends of Outpatients’ Out-of-pocket Spending in Using of Korean Medicine
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background : The introduction of policies expanding the coverage of uninsured Korean Medicine (KM) services have requires an understanding of the following components of the service : current financial expenses, degree of financial burden on the patient, and financial effect of the coverage expansion. Objectives : This study aims to determine the annual trend of outpatients’ characteristics and the category of out-of-pocket spending in KM. Methods : This study uses data from the Korea Health Panel to analyze use of KM in the Korean population. Using the user characteristics and behavior drawn from the Korea Health Panel data, out-of-pocket spending trends of KM were analyzed by year. The diagnosis and prescription of out-of-pocket spending were also analyzed. Results : The proportion of patients receiving uninsured medical treatment and the number of uninsured medical treatment in outpatient clinics have increased. However, the average out-of-pocket spending per person and out-of-pocket spending per visit are consistent or have decreased. Meaningful trends are the increase of R00-R99 (unclassified symptoms) and the decrease of K00-K93 (digestive system disease) and J00-J99 (respiratory system disease). Conclusions : Expansion of KM medical service and insurance is influenced by uninsured medical treatment of KM. Hence, research to increase medical treatment categories for out-of-pocket spending or explore diseases where KM diagnosis has been proven effective should be further developed.
Abstract
Background : The introduction of policies expanding the coverage of uninsured Korean Medicine (KM) services have requires an understanding of the following components of the service : current financial expenses, degree of financial burden on the patient, and financial effect of the coverage expansion. Objectives : This study aims to determine the annual trend of outpatients’ characteristics and the category of out-of-pocket spending in KM. Methods : This study uses data from the Korea Health Panel to analyze use of KM in the Korean population. Using the user characteristics and behavior drawn from the Korea Health Panel data, out-of-pocket spending trends of KM were analyzed by year. The diagnosis and prescription of out-of-pocket spending were also analyzed. Results : The proportion of patients receiving uninsured medical treatment and the number of uninsured medical treatment in outpatient clinics have increased. However, the average out-of-pocket spending per person and out-of-pocket spending per visit are consistent or have decreased. Meaningful trends are the increase of R00-R99 (unclassified symptoms) and the decrease of K00-K93 (digestive system disease) and J00-J99 (respiratory system disease). Conclusions : Expansion of KM medical service and insurance is influenced by uninsured medical treatment of KM. Hence, research to increase medical treatment categories for out-of-pocket spending or explore diseases where KM diagnosis has been proven effective should be further developed.
참고문헌 (16)
- National Health Insurance Plan : Proposal for 2020Implementation, "Ministry of Health and Welfare", Ministry of Health and Welfare, ~ (2019)
- 2018 Survey on Medical Treatment Payment for Patients with Health Insurance, "Health Insurance Policy Research Institute", Health Insurance Policy Research Institute, ~ (2019)
- 김동수, "한의의료비 자료원의 비교 분석 연구 : 조사 방법 및 2012년 한의원 의료비를 중심으로", 대한예방한의학회지, 19(2), pp.37~50 (2015), 대한예방한의학회
- 김동수, "비급여를 포함한 한의 외래의료이용의 최근(2008-2013) 변화추이", 대한예방한의학회지, 21(1), pp.57~66 (2017), 대한예방한의학회[DOI]
- 박장경, "한의 의료기관 비급여 진료 실태조사", 대한예방한의학회지, 21(3), pp.43~50 (2017), 대한예방한의학회[DOI]
- "2008-2016 Korea Health Panel Annual Data (beta version 1.5.1. codebook)" (2017)[URL]
- Primary Analysis Report on the Korean Health Panel(I), "Suh NG", Health Insurance Policy Research Institute, ~ (2016)
- 2014 Survey on the Use of Korean Medicine Treatment and Korean Herbal Medicine, "Yim DO", Korea Health Industry Development Institute, ~ (2014)
- 2014 Survey on the Use of Korean Medicine Treatment and Korean Herbal Medicine, "Ministry of Health and Welfare", Ministry of Health and Welfare, ~ (2018)
- 2016Survey on Korean Medicine Industry, "Korea Institute of Oriental Medicine", Korea Institute of Oriental Medicine, ~ (2016)
- 2018Survey on Korean Medicine Industry, "Korea Institute of Oriental Medicine", Korea Institute of Oriental Medicine, ~ (2018)
- 2017Survey on Medical Treatment Payment for Patients with Health Insurance, "Lee OH", Health Insurance Policy Research Institute, ~ (2018)
- "2018 Key Statistics on Medical Treatment Expenses" (2019)[URL]
- 2017 Year Book of Traditional Korean Medicine, "Publication Commission of Year Book of Traditional Korean Medicine, The association of Korean medicine", Korea institute of oriental medicine, National institute for Korean medicine development, Pusan national university school of Korean medicine, ~ (2019)
- 김동수, "한의 외래에서 첩약을 포함한 비급여 조제 한약 이용결정요인 분석", 대한예방한의학회지, 22(1), pp.1~14 (2018), 대한예방한의학회[DOI]
- 박민정, "한의 신의료기술 평가 활성화 방안 제언", 대한한의학회지, 40(3), pp.59~75 (2019), 대한한의학회[DOI]