DOI QR코드

DOI QR Code

Survey on Private Health Insurance Awareness of Korean Medicine Doctor

실손의료보험에 대한 한의사 인식도 조사

  • Hye In Jeong (Department of Preventive Medicine, School of Korean Medicine, Kyung Hee University) ;
  • Taegwang Nam (School of Korean Medicine, Woosuk University) ;
  • Kyeong Han Kim (Department of Preventive Medicine, School of Korean Medicine, Woosuk University)
  • 정혜인 (경희대학교 한의과대학 예방의학교실 ) ;
  • 남태광 (우석대학교 한의과대학 ) ;
  • 김경한 (우석대학교 한의과대학 예방의학교실)
  • Received : 2023.07.26
  • Accepted : 2023.08.25
  • Published : 2023.08.31

Abstract

Objectives : This study aimed to investigate the recognition of coverage for Korean medicine treatments in private medical insurance among Korean medicine doctors (KMDs). Methods : Questionnaire reviewed by experts was performed to KMDs who were registered in the Association of Korean Medicine. The survey targeted awareness of private health insurance for Korean medicine, appropriate coverage, cost, and frequency. Results : Data were collected from 932 respondents out of 28,234 Korean medicine doctors. Most KMDs were aware of coverage for Korean medicine in private medical insurance, and they responded that pharmacopuncture and herbal decoction were covered first. KMDs also responded that the coverage should be provided without limited number of times, except herbal medicine. Conclusion : Most KMDs responded that Korean medical private medical insurance was essential. To promote the developing insurance for Korean medicine, survey for public and insurance company will be performed.

Keywords

References

  1. Ahn YS. Key indicators by inpatient/outpatient type [Internet]. HIRA Bigdata Open portal. 2023 [cited 2023 Feb 14]. Available from : https://opendata.hira.or.kr/op/opc/olapHthInsRvStatInfoTab2.do?docNo=03-002 
  2. The Korea Consumer Agency, Problems and Improvement Measures of Payment of Medical Insurance for Losses - Focusing on those subject to the self-burden ceiling -. 2017. Available form: https://www.kca.go.kr/home/board/download.do?menukey=4062&fno=10021716&bid=00000146&did=1002647650 
  3. Shin EH. A Study on the Policy Formulation of Health Insurance Development Stage. Doctoral dissertation, Yonsei universitiy of medical law ethics. 2006. Available from: https://ir.ymlib.yonsei.ac.kr/bitstream/22282913/137052/1/T009673.pdf 
  4. Financial Supervisory Service. measures to standardize medical insurance for loss. 2009. Available from: https://www.kiri.or.kr/publication/list.do?docId=3484&catId=0&parentCatId=0&searchCon=EDITION&searchWord=%EC%A0%9C46%ED%98%B8&page=1 
  5. Kim KH. History and current status of medical insurance for loss of Korean medicine. Koreanl medicine policy 2022:11(1):36-47. Available form: https://kiom.re.kr/galleryDownload.es?bid=0003&list_no=44&seq=20 
  6. Jo YW. Prerequisites for Guaranteeing Medical Expenses of Medical Insurance for Legal Non-payment of Korean Medicine. Kiri weekly 2013:230:1-8. Available form: https://www.kiri.or.kr/pdf/%EC%A0%84%EB%AC%B8%EC%9E%90%EB%A3%8C/KIRI_20130419_18946.pdf 
  7. Kim SM, Ahn ES, Shin HS. How does private health insurance affect dental care utilization?. Journal of Korean Academy of Oral Health. 2014 [cited 2023 Jul 24];38(4):203-211. Available from: https://doi.org/10.11149/jkaoh.2014.38.4.203 
  8. Korea Credit Information Service. Teeth insurance, who signed up for how much. CIS issue report 2019(2):1-8. Available form: https://credb.kcredit.or.kr:3446/frt/CustomerCenter/cisfocusGalleryList.do 
  9. Anti-Corruption and Civil Rights Commission. Improvement of the compensation system for non-payment medical expenses of actual medical expense insurance. 2014. Available form: https://www.acrc.go.kr/board.es?mid=a10504030000&bid=1013&act=view&list_no=30319&tag=&nPage=40 
  10. LEE HB, Jeong HJ. A Study on the Changes in the Medical Use of Subscribers due to the Reduction of the Coverage of Medical Insurance for Loss. the journal of the insurance society. Korean Journal of Insurance: 2016: 106:67-92. Available form: https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART002101289  101289
  11. Choi HJ, "Last year alone, 1.1 trillion won in loss insurance and an increase in insurance premiums are inevitable." Kyeong Hyang newspaper [cited in 2023 Jul 24] Availabe form: https://www.khan.co.kr/economy/finance/article/202212011105001. 
  12. Dental Medical Dental Medical Policy Institute Policy Institute. Do Dentists Recommend Private Dental Insurance? : Private dental insurance that dentists think. Korean Dental Association2015:5:1-22. Available from: http://www.hpikda.or.kr/3_publish/issue/view.asp?id=5&page=&search=&searchstr= 
  13. National Health Insurance Corporation. Survey on medical expenses for health insurance patients in 2021. 2023. Available form: https://www.acrc.go.kr/board.es?mid=a10504030000&bid=1013&act=view&list_no=30319&tag=&nPage=40. 
  14. Jeon JY. "Why don't you claim loss insurance? 90% "Because it's a small amount" " Money today news. 2018. [cited in 2023 Aug 5] Available form: https://news.mt.co.kr/mtview.php?no=2018100711281576483 
  15. Ki KS. "Simplified claims for loss insurance at oriental medical institutions" Akom news. 2023. [cited in 2023 Aug 15] Available form: https://www.akomnews.com/bbs/board.php?bo_table=news&wr_id=53357 
  16. Ministry of Health and Welfare. 2020 Basic Report on the Status of Oriental Medical Use. 2021. Available form: http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=374252. 
  17. Ministry of Health and Welfare. 2022 Basic Report on the Status of Oriental Medical Use. 2023. Available form: https://nikom.or.kr/koms/html.do?menu_idx=40. 
  18. Kim JY. "70% of Korean doctors oppose the pilot project to make medicine pay...Ministry of Health and Welfare, as scheduled" Young doctor news. [cited in 2023 jul 24] Available form: http://www.docdocdoc.co.kr/news/articleView.html?idxno=2020868 
  19. LEE SY. "Strengthening oriental medicine coverage through pilot project for drug health insurance application". Ministry of Health and Welfare Press Release. [cited in 2023 jul 24] Available form: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=361102&page=1 
  20. Kim CH. "Raw material price ↑ clinician-industry "raised price slightly, but more worried about the future" " The Minjok Medicine News. [cited in 2023 jul 23] Available form: https://www.mjmedi.com/news/articleView.html?idxno=54899 
  21. Park SM. A study on the direction of improvement in the management of non-payment medical expenses to improve the coverage rate of national health insurance. Journal of the Insurance Society, 2018:114: 1-34. Available form: https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART002338675