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http://dx.doi.org/10.7742/jksr.2020.14.6.801

Analysis of changes National Health Insurance Policy and Claim Data of PET  

Cho, Young-Kwon (College of health science, Radiologic science, Cheongju University)
Publication Information
Journal of the Korean Society of Radiology / v.14, no.6, 2020 , pp. 801-810 More about this Journal
Abstract
In this study, the health insurance application of PET and the change in the pay standard were examined, and the amount of health insurance use over the past 10 years was analyzed. Positron tomography was applied as health insurance in 2006, and after 18F-FDG was first applied as health insurance, positron tomography tests using various radioactive isotopes have been applied as health insurance. As of 2019, the number of positron emission tomography tests was 198,651 cases, and the treatment amount was about 88.3 billion won, and the number of tests according to general characteristics was higher in men than in women, and by age, the number of tests was the highest in 60s. The number of outpatient examinations was higher than that of inpatient examinations, and the number of examinations in tertiary hospitals(68.2%) was significantly higher than that of general hospitals and hospitals. As for the test site, torso test was the most common at 86.6%, and radioisotope was the most at 93.6% using 18F-FDG. The change in the use of PET for 10 years increased steadily from 2010 to 2014, but the amount of use decreased sharply afterwards as the recognition of asymptomatic long-term follow-up tests was deleted due to the government's change in health insurance application standards in 2014. As changes in health insurance standards have a great influence on changes in health insurance usage, continuous monitoring will be required in the future.
Keywords
PET; Health Insurance; Strengthening health insurance coverage;
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Times Cited By KSCI : 2  (Citation Analysis)
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