Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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A Convergent Study on the Necessity of Standardized Dental Health Insurance Education

표준화된 치과건강보험교육의 필요성에 관한 융합적 연구

  • Received : 2022.04.21
  • Accepted : 2022.05.20
  • Published : 2022.05.28
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Abstract

The purpose of this study is to provide basic data necessary for preparing a sustainable health insurance system in the future by analyzing the difference in the results of claims according to the claims status of health insurance of dental medical institutions and the level of health insurance knowledge. In this study, a self-written online questionnaire was conducted for dental medical institutions 209 workers from March to May 2019. As a result of the study, The demand for professional manpower according to claim satisfaction was statistically significant in the qualification requirements (p<.05). Therefore, the necessity of professional workers for dental health insurance claims was confirmed and policies for this should be prepared.

본 연구는 치과의료기관의 건강보험 청구 만족도 및 건강보험 지식정도에 따른 청구 결과의 차이를 분석하여 향후 지속 가능한 건강보험제도를 마련하는데 필요한 기초 자료를 제공하고자 한다. 본 연구는 치과 의료기관 종사자 209명을 대상으로 2019년 3월~5월까지 자기기입식 온라인 설문을 시행하였다. 분석결과 건강보험 청구 만족도에 따른 치과건강보험청구 관련 전문인력의 요구도는 전문인력 자격요건(p<.05) 항목에서 통계적으로 유의하였다. 지식정도를 측정하는 지표인 자격증 유무에 따른 전문인력 요구도는 의료기관에 따라 청구 전문인력 필요 이유가 상이한 것으로 나타났으며(p<.05) 통계적으로 유의하였다. 따라서 치과건강보험 청구 전문인력의 필요성을 확인하였으며 이를 위한 정책이 마련되어야 할 것이다.

Keywords

References

  1. J. H. Choi & N. H. Kim. (2022). Association between Oral Examination and Out-of-pocket Expenditures on Dental Care. Journal of Korean Academy of Oral Health, 46(1), 11-20. DOI : 10.11149/jkaoh.2022.46.1.11
  2. Health Insurance Review & Assessment Service. Fee-forservice. http://www.hira.or.kr/dummy.do?pgmid=HIRAA020022000000
  3. E. M. Yoo, S. Y. Ahn, H. S. Choi, S. H. Hwang & B. K. Oh. (2011). A Study on the State of the Claim of Dental Medical Institutions for Payment from the National Health Insurance Corporation. Journal of dental hygiene science, 11(1), 31-35.
  4. Y. O. Nam, S. H. Kim & M. J. Kim. (2011). The Investigation of the Degree of the Request of the Education about the Claim for the Medical Expenses in the Dentistry Health Insurance: Mainly in the Daejeon, Chungcheong area. Journal of Korean Society Dental Hygiene, 11(3), 325-341.
  5. Y. H. Kim & E. U. Jeong. (1993). A Study on the Adaptation of Professional Personnel Qualification System for Medical Insurance Claims. Journal of Korean Hospital Association, 22(7,8), 31-39.
  6. E. G. Son, Y. J. Kim & H. Y. Jung. (2017). Preference of Dental Insurance-related and Dental Health Insurance Professional Qualifications. Journal of Korea Academia-Industrial cooperation Society, 18(9), 386-394. DOI : 10.5762/KAIS.2017.18.9.386
  7. Y. Y. Kil & E. H. Lee. (2022) Effects of Self-Leadership and Organizational Culture on the Job Performance of Insurance Review Nurses. Journal of the Korea Academia-Industrial cooperation Society, 23(2), 361-368 https://doi.org/10.5762/KAIS.2022.23.2.361
  8. B. K. Oh. (2005). Research of the Disparity in the Dental Health Insurance Process. Master's thesis dissertation. Yonsei University, Wonju.
  9. B. K. Oh, E. M. Yoo, M. Y. Kim & H. S. Choi. (2020). The Claim State of Dental Institutions for Payment from the NHIC. Medico-Legal Update, 20(1), 1739-1744.
  10. H. S. Lee. (1996). A Study on the Knowledge of Medical Insurance Cost of the Clinical Nurses. Master's thesis dissertation. Ewha Womans University, Seoul.
  11. J. I. Ryu, H. J. Park & H. A Park. (2022). A Qualitative Study to Understand the Perception and the Need for Preventive Dental Services among Dental Professionals. Journal of Korean Academic Oral Health, 46(1), 3-10. https://doi.org/10.11149/jkaoh.2022.46.1.3
  12. Ministry of Health and Welfare. (2019). 1st National Health Insurance Comprehensive Plan 2020 Implementation Plan. https://www.korea.kr/archive/expDocView.do?docId=38838
  13. S. Y. Lee & S. R. Lim. (2015). Factors Influencing the Knowledge of Health Insurance Standard and Health Insurance Application. Journal of Dental Hygiene Science, 15(6), 815-824. DOI : 10.17135/jdhs.2015.15.6.815
  14. S. Y. Jeong, M. J. Ma & Y. G. Kim. (2018). A Study on the Dental Health Treatment Claim of National Health Insurance by Dental Hygienists: Analysis of Differences in Work Interest, Necessity, Recognition, and Contribution. Journal of Korean Academin Dental Insurance, 8(1), 11-23.
  15. S. H. Kim, M. J. Kim & Y. O. Nam. (2011). Analysis Research about Awareness of Demanders of Recuperation Allowance for Dental Clinic Health Insurance in Daejun and Chunchung Area. Journal of Korean Society Dental Hygiene, 11(2), 275-289.
  16. S. Y. Park & H. R. Moon. (2015). Analysis of the Knowledge and Insurance Screening Review Rates of Health Insurance Claims in the Dental Hygienist. Journal of Korean Society Dental Hygiene, 15(3), 353-361. DOI : 10.13065/jksdh.2015.15.03.353
  17. H. R. Moon. (2013). A Survey on Health Insurance Claims and Knowledge by the Hygienist in Jeollabuk-do. Master's thesis dissertation. Wonkwang University, Iksan.
  18. C. Y. Kang. (2019). Dental Hygienist's Professionalism and Health Insurance in Korea. Master's thesis dissertation. Yonsei University, Wonju.
  19. H. Y. Hwang. (2009). The Development Job Standards for Advanced Health Insurance Review Nurses. J Korean Acad Nurs Adm, 15(2), 264-274.
  20. M. J. Park. (2021. 12. 22.). What are the 4 Major Directions for the Comprehensive Health Insurance Plan for Next Year?. News of Health Korea. https://www.hkn24.com/news/articleView.html?idxno=323782