• The Journal of the Korea Contents Association
• /
• v.14 no.1
• /
• pp.200-208
• /
• 2014

This study analyze long debate issues by the analysis of existing studies and the effect of private health insurance in the satisfaction of health service utilization. Then make developmental role of private health insurance. The analysis results of literatures, high-income earners are more subscriptions and the poor people in health status are excluded. Thus, enable private health insurance has the potential to lead the polarization of people. The medical use of private health insurance subscriber is more than non-subscriber and is likely to result in additional expenditure spending of public insurance. The contribution of private health insurance on improvement of the health option is clear. However, is not clear the contribution on health care quality improvement and health service customer satisfaction. The contribution on the national health care system efficiency of private health insurance is not clear. Private health insurance in the satisfaction of health service utilization is on effect. In short, supplementary private health insurance is desirable in our country.

• The Journal of the Korean dental association
• /
• v.27 no.8 s.243
• /
• pp.723-725
• /
• 1989

의료보험 진료비 산정에 따른 참고 사례등을 계속적으로 수록할 예정이오니 회원여러분의 많은 참고가 되시기를 바랍니다.

• 한국IT서비스학회:학술대회논문집
• /
• 2010.05a
• /
• pp.9-16
• /
• 2010

대한민국의 의료보험은 크게 국가에서 운영하는 국민건강보험과 국민이 선택적으로 가입하는 민간의료보험으로 나눌 수 있다. 국민건강보험과는 달리 민간의료보험 청구와 정산은 각 보험사별로 이루어지고, 또한 그 절차도 각자 독자적인 방법과 순서를 따라 진행되어 보험가입자의 불편 해소 및 업무의 효과적 추진을 위한 방안이 모색되어왔다. 이에 민간의료보헙협의체(KPPO)에서는 2009년부터 HNIP의 바로One 서비스를 통하여 병원, 보험회사, 보험가입자를 연계하는 보험 청구 및 지원서비스를 개발하여 운영하고 있다. 의료기관-보험사-보험가입자를 연계하는 전략적 협력 융합 서비스 구축을 토대로, 기존에 서로 연계되지 않고 오프라인으로 진행되던 보험금 청구 프로세스를 효과적이고 체계적인 관계로 발전시켰다. 그리고, 다자간의 새로운 정보 유통망의 구축 및 융합 서비스를 통하여 업무의 표준화, 다자간의 관련 업무 프로세스의 효율화를 도모하였다. 이러한 융합서비스를 통하여 규모의 경제, 고객의 편의 및 만족 증대, 기업의 사회적 책임 달성, 신뢰의 구축 등 융합서비스 구축의 다양한 시너지효과를 기대한다.

• Journal of the Korean hospital association
• /
• v.17 no.1.2 s.151
• /
• pp.4-7
• /
• 1988

올해 실시되는 농어촌지역 의료보험과 내년부터 시행될 전국민 의료보험은 병원경영의 사활적요소가 되고 있으며 이에 대한 올바른 대처방안을 강구하는 것이 병원경영의 관건이 되고있다. 이에 대한병원협회지는 회원병원들의 경영난타개에 일조하기위해 올해 일년 주제를 병원경영으로 잡고 이번호에는 올해 실시되는 농어촌지역 의료보험의 내용과 제반 문제점들을 살펴보고자 했다.

• The Journal of the Korea Contents Association
• /
• v.20 no.3
• /
• pp.92-105
• /
• 2020

This study was aimed to identify factors affecting the purchase of indemnity private health insurance and analyze its effect on healthcare utilization by gender. This study analyzed data of the 2010-2016 Korea Health Panel Survey using panel logit model and panel regression model. Men were less likely to purchase indemnity private health insurance than women. Self-rated health and unmet need for healthcare in women were related to insurance purchases. In men, married people and residents of the metropolitan area were more likely to purchase. The indemnity private health insurance did not affect the women's outpatient expenses per visit, but for men it increased. The indemnity private health insurance significantly increased women's inpatient expenses per admission, but it did not affect men's inpatient expenses. This study confirmed gender differences in the factors affecting the purchase of indemnity health insurance and the impact of indemnity health insurance on healthcare utilization. This suggests that gender differences should be taken into account in private health insurance research and institutional operation.

• The Science & Technology
• /
• v.30 no.8 s.339
• /
• pp.10-11
• /
• 1997

우리나라 의료보험이 실시된지 20년이 되었지만 그동안 개선이나 보안이 안돼 국민과 의료기관의 불평과 불만이 쌓여 뿌리를 내리지 못하고 있다. 양질의 의료서비스로 의료보험을 개선하기 위해선 1)합리적 의료보험수가 조정 2)수가의 현실화 3)진료비 심사기구 독립 4)사회보험성의 의보제 도입 등이 절실하다.

• The Journal of the Korea Contents Association
• /
• v.13 no.7
• /
• pp.322-332
• /
• 2013

This study investigated the awareness and purchase status of the private dental insurance. Self-reported survey was conducted with patients over the age of twenties who visited dental institutions located in Seoul Metropolitan City and Gyeonggi Province. The demographic and health related characteristics of respondents were analyzed, and logistic regression was conducted to examine factors affecting the awareness and purchase of private dental insurance. Because only four years had been passed since the introduction of private dental insurance, the awareness and purchase rate was found to be low. However, the number of people considering subscription due to the economic burden of dental care service was relatively high. Factors affecting awareness were satisfaction of the national health insurance, purchase of private health insurance and private dental insurance, self-perceived dental health status, and smoking. The variables affecting purchase of dental insurance were age, awareness, purchase of private health insurance, smoking, number of visits to dental institution. Because qualitative and quantitative change would be made in the dental care utilization due to the rapidly growing dental insurance subscribers, further studies regarding the trend of purchase rate of private dental insurance and the effect of dental insurance on use of dental institution are needed.

• The Journal of the Korea Contents Association
• /
• v.10 no.12
• /
• pp.190-204
• /
• 2010

This study firstly examined the socioeconomic and health factors associated with infiltration of private health insurance. Secondly, we compared health behavior, outpatient and inpatient use of private health insured with uninsured. The method of this study is that secondary analysis of the 2008 Korea National Health and Nutrition Survey was conducted for 7178 respondents aged 19 over. We use the logistic regression and t-test for data analysis. The first dependent variable was dichotomy which is divided to private health insured or uninsured and the second dependent variable was the presence and frequency of outpatient and inpatient use. The descriptive variables was gender, age, marital status, income, education, occupation, type of national health insurance, residential area, self confidence of health, prevalence rate of common disease, activity limitation, drinking and smoking status. The result of the major findings are as follows. First, 59 under aged person, married person, people in the higher brackets of income, national employee insured were more likely to infiltrate private health insurance. The poor self confidence of health, activity limitation, person with hypertension or allergic rhinitis and smoker were negatively related in infiltrating private health insurance. Second, private health insured did more preventive behavior such as self-paid health examination, cancer screening, regular exercise than uninsured. Third, private health insured was positively related with the presence of outpatient use and frequency of inpatient use

• The Journal of the Korea Contents Association
• /
• v.17 no.6
• /
• pp.63-70
• /
• 2017

Although the National Health Insurance, many people sign up for private health insurance to alleviate their financial burden. In this study, we analyzed the relationship between private health insurance and subjective financial burden about cost sharing. To confirm the effect we conducted the binary logistic regression by utilizing the Health Care Policy related to public survey. The private health insurance have a significantly association with the subjective financial burden about cost sharing. People who uninsured to purchase private health insurance were more likely to have the burden. Therefore, given the low participation rate of private medical insurance for high age and low income group, we suggest the need for redefining the role of private insurance to enhance the function and resolve equity issues to prepare for the burden.

• The Journal of the Korea Contents Association
• /
• v.18 no.1
• /
• pp.268-276
• /
• 2018

This study examined the effects of indemnity private health insurance on the medical utilization among the Korean adults. The used data were the 2014 survey data of Korea Health Panel, and the number of subjects was 11,436. Authors employed instrumental variable regression model where the instrument variables for controlling for endogeneity of indemnity were the purchasing of private pension and number of family members. The results showed that the number of outpatient visits and the number of hospitalizations for indemnity private health insurance subscribers were higher than non-subscribers. The number of household members and the private pension variables were proved to be appropriate as instrumental variables. This paper recommends the Korean government to monitor and evaluate the effects of indemnity private health insurance on the medical utilization in order to improve the efficiency of health care finance.