9 research outputs found
Americanization and de-Americanization of Korean fashion since 1945
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Όλ¬Έ(λ°μ¬) --μμΈλνκ΅ λνμ :μλ₯νκ³Ό,2009.8.Docto
ν¨μ μ λνλ ν¨μ νμμ κ΄ν μ°κ΅¬
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Όλ¬Έ(μμ¬)--μμΈλνκ΅ λνμ :μλ₯νκ³Ό,2003.Maste
A study on the influence factors on the percentage of uncovered health care services cost:Using requesting data for medical Fee Verification service in 2019
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μ λν κ³νκ³Ό νκ°λ₯Ό νλ λ°μ κΈ°μ΄μλ£λ‘μ¨ λ³΄ν¬μ΄ λκ³ μ νλ€. μ€κ³: 건κ°λ³΄νμ¬μ¬νκ°μ HIRA PLUS SYSTEMμμ 2019λ
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Background: Under Korea health insurance system, all medical care is divided into items subject to medical care benefits and items that do not receive medical care benefits. Items of care subject to care benefits are systematically managed through the review and assessment system by HIRA, but, uncovered health care services are determined by the caregiver's autonomous will. Uncovered health care services are an important part of improving the profitability of nursing institutions, a major factor that causes the nation's health insurance coverage rate to stagnate within the margin of error and increase the national health care costs despite the policy to strengthen the coverage of benefits. Therefore, it is intended to contribute to the planning and evaluation of related health policies in the future by studying the ratio of uncovered health care services costs in total medical expenses based on the request for medical fee verification service processed through the 2019 system for medical care benefits. Methods: Annual data on requests for medical fee verification service processed in 2019 were used by HIRA PLUS SYSTEM of the Health Insurance Review and Assessment Service. 23,290 cases were analyzed based on the amount duly paid after the examination of nursing institutions dealing with medical departments in order to obtain the proportion of uncovered health care services costs in total medical expenses and to identify the factors affecting them. Linear regression analysis was performed considering the correlation of factors in the study. All analyses used SAS Version 9.4 (SAS Institute, Cary, NC, United States), with a significant level of 5%. Results: As a result of multivariate analysis by controlling all of the characteristics of the patient, hospital, and medical care details, the ratio of uncovered health care services costs to women was higher than that of men in gender, 6-18 in age, health insurance in health insurance, Seoul Metropolitan Government in hospital-level nursing homes, outpatient care in medical care type, plastic surgery in medical department. Conclusions: In light of this study, women, 6-18 years of age, health insurance, hospital-level nursing institutions, nursing homes located in Seoul Metropolitan City, outpatient care, plastic surgery, disease classification of muscle systems and connective tissues, and surgery, need to be done after in-depth analysis of the causes of factors with high uncovered health care services costs rates. A lot of attention and policies are needed to create a reasonable and appropriate medical environment.openμ
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Όλ¬Έ(μμ¬)--μμΈλνκ΅ λ³΄κ±΄λνμ :보건νκ³Ό μνμ 곡,2003.Maste