Browse > Article

Comparing Difference of Volume of Psychiatric Treatments between the Patient with Health Insurance and Those with Medical Assistance - For Inpatients of Korean Psychiatric Hospitals -  

Lee, Dae-Hee (Department of Preventive Medicine, Yonsei University College of Medicine)
Park, Eun-Cheol (Institute of Health Services Research, Yonsei University)
Nam, Chung-Mo (Institute of Health Services Research, Yonsei University)
Lee, Sang-Gyu (Institute of Health Services Research, Yonsei University)
Lee, Dong-Han (Institute of Health Services Research, Yonsei University)
Yu, Seung-Hum (Institute of Health Services Research, Yonsei University)
Publication Information
Journal of Preventive Medicine and Public Health / v.36, no.1, 2003 , pp. 33-38 More about this Journal
Abstract
Objectives : To assess the difference in the volume of psychiatric treatments provided to health insurance inpatients, compared with those on medical assistance(the medical aid program) Korean psychiatric hospitals, and to determine factors which affect the volume of the services. Methods : 21 psychiatrists, from 3 Korean psychiatric hospitals recorded the frequencies psychiatric treatments provided to inpatients in one week (February 18-24, 2002). The records of 329 patients were analyzed through t-tests, and random effectmixed model analyses to define the difference between the two groups, and to find other factors affecting the volume of service. Results : A significant difference in the volume of psychiatric treatments provided was observed between the health insurance and medical assistance groups. The variation in the volume of service between hospitals was prominent, and other factors (gender, agegroup, length of stay and mental disorder)were also found to be significant. The patients on medical assistance received only 70% of the psychiatric treatments of those on health insurance. Conclusions : More effort is required to improve the methods of payment to increase the level of fee scheduling for medical assistance. Further studies on the mechanisms causing these differences in the volume of service are required.
Keywords
Psychiatri chospital; Health insurance; Medical assistance; Fee schedules;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Kim JH. Medical Care Utilization Pattern of Medical Aid Program Beneficiaries. Korean J. Prev Med 1984; 17(1): 37-45 (Korean)
2 신영수 등 지역사회 정신보건 사업체계 개발 서울대학교 의파대학 의료관리학교실， 서울대학교 지역의료체계 시범사업단, 1994, (13-30, 281-30 I쪽)
3 건강보험심사평가원 건강보험요양급여비용 2002, (210-213쪽)
4 Lee JH, Ji SH, Oh 58. An Investigation on Characteristics of the Home-resident Mentally III Covered by the Governmental Medical Security Program. Yong-In Psychiatry Bull 1994; 1(2): 75-83 (Korean)
5 Yu SH, Cho WH, Oh DK. Hospital Services Utilization by Insured and Noninsured Patients for Cesarean Section in a University Hospital. Korean J Prev Med 1981; 14(1): 53-58 (Korean)
6 한국보건산업진흥원. 정신병원의 운영효율화 및 수가체계 개선에 관한 연구 1999 , (23-26쪽)
7 Choi BH. Study on The Introduction of Prospective Payment System Based on DRG Classification. Res Health Soc Affairs 1998; 18(2): 54-82 (Korean)
8 한창현, 황병덕. 문헌고찰을 통한 의료이용분석. 보건복지연구(경산대학교 보건복지연구소) 1999; 3: 183-198
9 편집위원화 예방의학과 공중보건. 계축문화사; 2002, (600-605, 668-672쪽)
10 문옥륜 등. 의료서비스의 배분적 정의. 서울대학교출판부; 1999, (49쪽)
11 이호영 등. 1997 경기도 지역정신보건사업 기획평가보고서. 경기도, 경기도지역정신보 건사업기획평가단, 이주대학교의과대학, 1997, (3-19쪽)
12 대한정신병원협의회 정신보건법 시행에 따른 정신파 의료보호수가의 문제점. 2001. 5
13 민성길 등. 최신정신의학. 일조각; 2000, (235-254 ,261-262, 274-277, 401-407쪽)
14 Kang SH, Moon OR. Comparative Analysis on the Characteristics of High Cost Medical Users between Health Insurance and Medical Assistance Program. J Korean Sci Quality Assurance Health Care 1995; 2(2): 112-129 (Korean)
15 Kim JS, Park HY. A Study on Patients' Satisfaction and Service Utilization in the DRG Based Payment System. J Korean Sci Quality Assurance Health Care 2000; 7(2): 190-202 (Korean)
16 이충경 등 정신질환실태 역학조사. 보건복지부; 2001, (60-82쪽)
17 Lee YM, Kim HS, Lee HY. An Analysis for Appropriate Psychiatric Hospitalization in Korea. J Korean Neuropsychiatr Assc 1999; 38(5): 973-984 (Korean)
18 Moon OR, Kim CY, Kim MK. Individual Variations in the Code of the International Classification of Disease for Similar Outpatient Conditions among General Practitioners. Korean J Health Policy Admin 1992; 2(I): 66-79 (Korean)
19 Kim Y, Park JI, Kang WC, Hong JP. Factors Affecting Supply of Mental Health Care Services in Korea. J Korean Neuropsychiatr Assoc 2000; 39(3): 860-869 (Korean)