The Journal of the Korea institute of electronic communication sciences (한국전자통신학회논문지)

Korea Institute of Electronic Communication Science (한국전자통신학회)
권호 표지
DOI QR코드

DOI QR Code

Ubiquitous Environment with Private Health Insurance and the Relevance of Length of Stay

유비쿼터스 환경에서 민영의료보험 가입과 입원기간과의 관련성

  • Received : 2013.10.23
  • Accepted : 2014.02.11
  • Published : 2014.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to analysis of influence between of private health insurance and length of stay with cervical and lumbar simple sprain patients at Ubiquitous medical environment. They were diagnosed as having sprain of cervical and lumbar spine without neurological symptoms in hospitals and clinics from July 1, 2010 to February 29, 2012. This study was t-test, ANOVA and multiple regression analysis. The results were when the number of private health insurance was input as an independent variable, the subjects had one or two accidental insurances(${\beta}$=2.731, P=0.013), length of stay in beds was longer than they had no accidental insurance and when they had more than three ones(${\beta}$=4.991, P=0.000), length of stay was significantly longer. This study has a meaning in that it is domestic practical study which identified relationships between entry of private health insurance and length of stay.

본연구의 목적은 유비쿼터스 의료환경에서 경요추부 염좌 환자의 민영의료보험 가입이 재원기간에 미치는 영향을 조사하기 위하여 시행되었다. 연구의 대상자들은 2010년 7월1일 부터 2012년 2월 29일까지 신경학적 증상이 없는 경요추 염좌 진단받은 환자이다. 분석방법은 t-분석, 분산분석 그리고 다중회귀분석을 이용하였다. 재원기간과 관련된 요인을 통제한 후에 민영의료보험 관련 특성인 민영의료보험 개수를 독립변수로 투입하였을 때, 민영의료보험 개수가 '없음' 보다 1-2개(${\beta}$=2.731, P=0.013), 3개 이상(${\beta}$=4.991, P=0.000)에서 유의하게 입원기간이 길었다. 민영의료보험의 다수 가입이 도덕적 해이의 존재와 정도를 일정 부분 규명하였다.

Keywords

References

  1. S.-I. Huh and S.-Y. Lee, "Impact of Complementary Private Health Insurance on Public Health Spending in Korea," Korean J. Health Policy Admin, vol. 17, no. 2, 2007, pp. 1-17. https://doi.org/10.4332/KJHPA.2007.17.2.001
  2. I.-K. Hwang, H.-S. Son, G.-W. Ko, and B.-G. Jung, "The determinant of private health insurance purchasing decision under national health insurance system in korea The expanding of private health insurance market, for the better or worse," Korean J. Health Policy Admin, vol. 15, no. 4, 2005, pp. 161-175. https://doi.org/10.4332/KJHPA.2005.15.4.161
  3. D.-R. Jang and M.-G. Kang, "The Influence of Private Health Insurance on Admission among Some Patients with Cervical or Lumbar Sprain," J. Agric Med Community Health, vol. 37, no. 2, 2012, pp. 84-95. https://doi.org/10.5393/JAMCH.2012.37.2.084
  4. K.-T. Jung, E.-K. Shin, and C.-H. Kwak, "An Empirical Study on the Relationship between Private Health Insurance and Moral Hazard," J. of Korean Insurance Academic Society, vol. 75, no. 6, 2006, pp. 1-25.
  5. S.-W. Kang, Y.-D. Kwon, and C.-H. You, "Effects of Supplemental Insurance on Health Care Utilization and Expenditures among Cancer Patients in Korea," korean J. Health policy Admin, vol. 15, no. 4, 2005, pp. 65-80. https://doi.org/10.4332/KJHPA.2005.15.4.065
  6. J.-H. Kim, "Private Health Insurance Policy holders' Moral Hazard in the Use of Medical Services by Income Levels," Korean Insurance Academic Society, vol. 89, 2011, pp. 95-126.
  7. T.-W. Kim, "A Study on Effect of Soft Insurance Fraud on Insurance Risk Premium : Based on the Field of The 3rd Insurance," [master's]. Kukmin University, 2009.
  8. C.-W. Lee, "The diffect of private health insurance on hospitalization," Health and Social Welfare Review, vol. 30, no. 2, 2010, pp. 463-483. https://doi.org/10.15709/hswr.2010.30.2.463
  9. S.-L. Lee and J.-S. Lee, "Medicare for strengthening the role of private health insurance set," Korean Academy of Health Policy and Management, 2005, pp. 113-147.
  10. J.-H. Lim, K.-S. Choi, S.-G. Kim, E.-C. Park, and J.-H. Park, "Effects on Private Insurance on Health Care Utilization and Expenditures in Korea Cancer Patients: Focused on 5 Major Cancers in One Cancer Center," J. Prev Med Public Health, vol. 40, no. 4, 2007, pp. 329-335. https://doi.org/10.3961/jpmph.2007.40.4.329
  11. National health insurance, National Health Insurance Service. National health insurance annual statistical, 2011.
  12. OECD. Private Health Insurance in OECD Countries: The Benefits and Costs for Individuals and Health System. Paris, OECD Publishing, 2004, pp. 35-37.
  13. M.-J. Park, Y.-S. Choi, J.-H. Choi, S.-J. Back, and H.-Y. Lee, Year 2010 Health Insurance Survey of patients should pay medical expenses. National Health Insurance Service, 2011.
  14. C. Sapelli and B. Vial, "Self-selection and Moral Hazard in Chilean Health Insurance," J. of Health Economics, vol. 22, no. 3, 2003, pp. 459-476. https://doi.org/10.1016/S0167-6296(02)00121-2
  15. J. E. Svenson and C. W. Spurlock, "Insurance Status and Admission to Hospital for Head Injuries: Are We Part of a Two-Tiered Medical System," American J. of Emergency Medicine, vol. 19, no. 1, 2001, pp. 19-24. https://doi.org/10.1053/ajem.2001.18041
  16. C.-H. You, S.-W. Kang, Y.-D. Kwon, and E.-H. Oh, "The effect of supplementary private health insurance on healthcare utilization and expenditures: indemnity vs fixedbenefit", Korea Social Security Studies, vol. 27, no. 1, 2011, pp. 277-292.
  17. J.-J. Kwak and C.-G. Hwang, "A Study on the Effects of Quality of u-City Service on Customer Satisfaction in the Korea: Focusing on Public Services," J. of the Korea institute of Electronic Communication Sciences, vol. 8, no. 12, 2013, pp. 1959-1969. https://doi.org/10.13067/JKIECS.2013.8.11.1959
  18. S.-Y. Park and H.-J. Lee, "Determinate of internet addition among the korea youth," J. of the Korea institute of Electronic Communication Sciences, vol. 8, no. 2, 2012, pp. 291-299. https://doi.org/10.13067/JKIECS.2013.8.2.291
  19. B.-Y. Park and J.-H. Shin, "Relevance of role perception and job satisfaction of hospital workers," J. of the Korea institute of Electronic Communication Sciences, vol. 7, no. 5, 2012, pp. 1197-1203.