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http://dx.doi.org/10.5762/KAIS.2020.21.5.274

A Study of Category Standardization according to Non-benefit Medical Expense in Tertiary Hospitals  

Roh, Ock-Hee (Dept. of Hospital Management, Graduate School of Konyang University)
Ahn, Sang-Yoon (Dept. of Hospital Management, Konyang University)
Kim, Yong-Ha (Dept. of Hospital Management, Konyang University)
Lee, Chong Hyung (Dept. of Hospital Management, Konyang University)
Park, Arma (Humanity College, Konyang University)
Kim, Kwang-Hwan (Dept. of Hospital Management, Konyang University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.21, no.5, 2020 , pp. 274-280 More about this Journal
Abstract
The purpose of this study was to identify the average cost and present status of non-benefit medical expenses by using the data of tertiary hospitals released by the Health Insurance Review and Assessment Service(HIRA), and to compare the data to find cost variations. The target of analysis was the present status of the non-benefit medical expenses reported by 41 tertiary hospitals among the 44 previously designated hospitals (three were excluded due to revocation or new designation) for 2015, 2016, 2017, and 2018 (until April). This study was conducted after approval of using the released data of the HIRA's data opening system. This study was analyzed by its general characteristics, annual non-benefit medical expenses by frequency analysis, and annual understanding of variation by designating Coefficient of Variation (C.V.). The research found out that the number of details of non-benefit medical expense was gradually increased: the numbers of categories were 51 in 2015, 53 in 2016, and 98 in 2017, but there was a rapid increase in 2018 by 193. As a result, to standardize non-benefit medical expense items across tertiary hospitals due to their variations in the expenses, the government should expand standardized non-benefit medical expenses and make it mandatory for medical institutions to use the standardized items or names of such expenses.
Keywords
Non-benefit Medical Expense; Standardization of Non-benefit Medical Expenses; Non-benefit Medical Expense Items; Non-benefit Medical Expense Deviations; Non-benefit Medical Expense Variations;
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