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http://dx.doi.org/10.5762/KAIS.2015.16.3.1920

Analysis of the Health Insurance Costs of Occupational Therapy in Stroke patients  

Kim, Hyun-Jin (Dept. of Rehabilitation Standard & Policy, National Rehabilitation Research Institute)
Kim, Se-Yun (Dept. of Occupational Therapy, College of Health & Welfare, Woosuk University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.16, no.3, 2015 , pp. 1920-1927 More about this Journal
Abstract
This study examined health insurance costs of occupational therapy in stroke patients. The subjects were stroke patients, who underwent occupational therapy by hospitalization or out-patient centers in 2010. The cost of occupational therapy was analyzed from the insurance claims data of Health Insurance Review and Assessment Service in 2010. The kinds of occupational therapy were divided according to the insurance fee of occupational therapy in 2010. In-patients who received occupational therapy paid the highest rehabilitation treatment fee, whereas outpatients paid the highest nervous system function test fee. The cost of occupational therapy in the special rehabilitation treatment fee was highest by 25.3 billion won. The number of uses of general hospitals was the highest by 180 thousand but the total cost of long-term care hospital was highest by 10.4 billion won. The number of uses and cost by regional groups was highest in Seoul and Gyeonggi-do province. This study is meaningful in that a cost analysis of occupational therapy in stroke patients was performed for the first time using the stroke data from the whole country. The result can be used to provide basic data to improve the insurance fee in the future.
Keywords
Health insurance cost; Occupational therapy; Stroke;
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1 Statistics Korea. Report on death causes 2010. Daejeon" Statistics Korea; 2010.
2 H. J. Kim, Y. Kim, H. Y. Seo, E. J. Kim, S. J. Yoon, and I. H. Oh, "The economic burden of stroke in 2010 in Korea", Journal of the Korean Medical Association, Vol. 55, No. 12, pp. 1226-1236, 2012. DOI: http://dx.doi.org/10.5124/jkma.2012.55.12.1226   DOI   ScienceOn
3 H. Y. Kang, S. J. Lim, H. S. Suh, and D. Liew, "Estimating the lifetime economic burden of stroke according to the age of onset in South Korea: a cost of illness study", BMC public health, Vol. 11, No. 1, pp. 646, 2011. DOI: http://dx.doi.org/10.1186/1471-2458-11-646   DOI
4 H. T. Hendricks, J. van Limbeek, A. C. Geurts, and M. J. Zwarts, "Motor recovery after stroke: a systematic review of the literature", Archives of physical medicine and rehabilitation, Vol. 83, No. 11, pp. 1629-1637, 2002. DOI: http://dx.doi.org/10.1053/apmr.2002.35473   DOI
5 H. C. Dijkerman, M. Ietswaart, M. Johnston, and R. S. MacWalter, "Does motor imagery training improve hand function in chronic stroke patients? A pilot study", Clinical rehabilitation, Vol. 18, No. 5, pp. 538-549, 2004. DOI: http://dx.doi.org/10.1191/0269215504cr769oa   DOI
6 G. Kwakkel, B. J. Kollen, J. van der Grond, and A. J. H. Prevo, "Probability of regaining dexterity in the flaccid upper Limb Impact of severity of paresis and time since onset in acute stroke", Stroke, Vol. 34, No. 9, pp. 2181-2186, 2003. DOI:http://dx.doi.org/10.1161/01.STR.0000087172.16305.CD   DOI
7 U. Sveen, E. Bautz-Holter, K. M. Sodring, T. B. Wyller, and K. Laake, "Association between impairments, self-care ability and social activities 1 year after stroke", Disability & Rehabilitation, Vol. 21, No. 8, pp. 372-377, 1999. DOI: http://dx.doi.org/10.1080/096382899297477   DOI
8 G. J. Hankey, and C. P. Warlow, "Treatment and secondary prevention of stroke: evidence, costs, and effects on individuals and populations", The Lancet, Vol. 354, No. 9188, pp. 1457-1463, 1999. DOI: http://dx.doi.org/10.1016/S0140-6736(99)04407-4   DOI
9 P. Langhorne, and P. Duncan, "Does the organization of postacute stroke care really matter?", Stroke, Vol. 32, No. 1, pp. 268-274, 2001. DOI: http://dx.doi.org/10.1161/01.STR.32.1.268   DOI
10 D. T. Wade, "Stroke: rehabilitation and long-term care", The Lancet, Vol. 339, No. 8796, pp. 791-793, 1992. DOI: http://dx.doi.org/10.1016/0140-6736(92)91906-O   DOI
11 S. A. Cermak, C. A. Trombly, J. Hausser, and A. M. Tiernan, "Effects of lateralized tasks on unilateral neglect after right cerebral vascular accident", Occupational Therapy Journal of Research, Vol. 11, No. 5, pp. 271-191, 1991.   DOI
12 D. Dirette, and J. Hinojosa, "Effects of continuous passive motion on the edematous hands of two persons with flaccid hemiplegia", American Journal of Occupational Therapy, Vol. 48, No. 5, pp. 403-409, 1994. DOI: http://dx.doi.org/10.5014/ajot.48.5.403   DOI
13 Korean Society of Occupational Therapy. Medical insurance fee of occupational therapy[Internet]. Seoul: Korean Society of Occupational Therapy, 2010. Available From: http://www.kaot.org, (accessed Aug, 10, 2010).
14 H. S. Choi, H. G. Kang, M. Y. Jung, W. S. Jung, Y. M. Chae, and Y. G. Ji, "A cost-benefit analysis on home-based occupational therapy for stroke patients", Journal of Korean Society of Occupational Therapy, Vol. 15, No. 2, pp. 13-24, 2007.
15 H J. Kim, D. H. Kim, and J. I. Moon, "Cost analysis of home-rehabilitation in stroke", Journal of the Korean Aging Health Freindly Policy Association, Vol. 2, No. 1, pp. 35-43, 2010.
16 Y. Kim, N. J. Moon, S. W. Park, J. H. Park, J. H. Park, H. Y. Shin, B. S. Lee, S. H. Ho, S. J. Moon, J. H. Lee, and S. H. Hwang. A study on improvement plans of rehabilitation-health service system for the Handicapped. Ministry of Health & Welfare, Seoul, Korea, 2009.
17 J. Leal, R. Luengo-Fernandez, A. Gray, S. Petersen, and M. Rayner, "Economic burden of cardiovascular diseases in the enlarged European Union", European Heart Journal, Vol. 27, No. 13, pp. 1610-1619, 2006. DOI: http://dx.doi.org/10.1093/eurheartj/ehi733   DOI
18 Y. D. Kwon, H. Chang, Y. J. Choi, and S. S. Yoon, "Nationwide trends in stroke hospitalization over the past decade", Journal of Korean Medicine Association, Vol. 55, No. 10, pp. 1014-1025, 2012. DOI: http://dx.doi.org/10.5124/jkma.2012.55.10.1014   DOI   ScienceOn
19 National Health Insurance Corporation, Ministry of Health & Welfare [Internet]. Seoul: National Health Insurance Corporation, 2010 [cited 2010 April 5], Available From: http://stat.mw.go.kr/front/include/download.jsp?bbsSeq=4&nttSeq=14626&atchSeq=1657, (accessed Oct., 29, 2014)
20 National Health Insurance Corporation, Ministry of Health & Welfare. National Health Insurance Statistical Yearbook. Seoul, Korea, 2014.
21 D. H. Lee, E. C. Park, C. M. Nam, S. G. Lee, D. H. Lee, and S. H. Yu, "Comparing difference of volume of psychiatric treatments between the patient with health insurance and those with medical assistance: for inpatients of Korean psychiatric hospitals', Korean Journal of Preventive Medicine, Vol. 36, No. 1, pp. 33-38, 2003.
22 M. Y. Jung, and Y. J. Cha, "An analysis on the status and supply-demand of occupational therapist in Korea", Journal of Korean Society of Occupational Therapy, Vol. 17, No. 4, pp. 113-126, 2009.