• Journal of the Korean Catholic Hospital Association
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• v.8 no.2
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• pp.12-14
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• 1977

복지사회를 지향하는 우리나라는 직장단위이기는 하나 의료보험제도를 출범시킨지 이미 3개월이 경과했다. 처음 시작되는 새로운 제도라 시행과정에서의 문제점과 부작용이 생기는 것은 당연한 현상이라 하겠다. 의료에 종사하는 우리들은 현재 정부가 지향하는 뜻을 잘 알고 적극적으로 협력하는 자새가 요구된다. 그러기 위하여 이제 시행 3개월동안 노출된 문제점과 부작용을 점검하고 이를 해결하는 방안을 모색해 보는 일은 큰 의의가 있다 하겠다.<편집자 주>

• The Journal of the Korean dental association
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• v.36 no.10 s.353
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• pp.691-696
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• 1998

지난 4월 제47차 정기대의원총회에서 정보통신위원회 신설에 대한 승인으로 치협 내에 정보통신위원회가 신설됐으며 서울지부에서도 정보통신부가 설립돼 이제는 치과계도 바야흐로 정보화 시대로 접어들게 됐다. 보건복지부와 의료보험연합회 역시 EDI 방식인 통신을 이용한 의료보험 청구를 적극 권장하고 있어 의료계에서도 컴퓨터를 활용하는 분야가 점차 확대될 전망이다. 개원가에서는 의료보험청구 외에도 덴탈 비전이나 디지털 엑스레이를 네트워크화 하여 활용하고 있으며 대학의 치과병원이나 종합병원 치과에서는 OCS(order communication system)와 PACS(picture archiving & communication system))를 중심으로 전산화 작업을 추진하고 있다. 컴퓨터 없이는 생활할 수 없는 현실 앞에서 치과계에는 전산화가 어느 정도 이루어졌는지 살펴보고 단국치대 교정과 김창환 레지던트의 글을 통해 교정분야에서 컴퓨터가 어떻게 활용되고 있는지에 대해 알아본다.

• The Journal of the Korea Contents Association
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• v.17 no.4
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• pp.585-595
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• 2017

The purpose of this study is to analyze the difference of medical care between medical assistance and health insurance patients to evaluate the increase of medical care costs due to the moral hazard of medical care patients and to provide a basis for rational medical care policy decision. For this purpose, we compared health insurance benefit data for Seoul citizens by gender, age, and type of medical institutions. The results of the analysis are as follows. First, all of the hospitalized and outpatient use of the advanced general Hospitals, medical assistance patients were less than those of the health insurance patients, so that the medical assistance patients could not use the high cost medical services. Second, in general hospitals, patients with health insurance are often hospitalized. On the other hand, medical assistance patients use a lot of outpatient services because they are less burdened. Third, in hospitals and clinics, medical benefits patients often use inpatient and outpatient services. Therefore, medical assistance patients are likely to use unnecessary medical care of outpatient and hospitalization clinics and hospitals, outpatient of general hospitals. But, in hospitalization and outpatient use in advanced general hospitals and medical assistance patients can not use due to excessive medical burden. Therefore, the policy to reduce the burden of medical expenses for patients with severe illness will continue, and the medical care patients using clinics and hospitals should be careful not to use unnecessary medical services.

• The Journal of the Korean dental association
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• v.29 no.4 s.263
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• pp.287-288
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• 1991

요양기관의 소재지등의 변경사항이 있을시는 협회나 의료보험연합회 관리부 관리 1과로 즉시 신고하여 주셔서 의료보험업무가 원활히 진행되도록 협조하여 주시기 바랍니다. 요양기관의 통보의무는 다음과 같습니다.

• Journal of the Korean hospital association
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• v.13 no.12 s.120
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• pp.44-48
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• 1984

의료보험제도의 시행과 더불어 변화된 양태중에서 누구나 용역하게 의료에 접할 수 있는 균등한 기회를 초래한 사실은 동 제도가 끼친 공학의 하나이기도 하다. 그러나 이 제도의 도입과 더불어 기존 의료제도의 변화로 야기된 여러가지 부정적인 측면은 오늘에 있어 부인할 수 없는 것 또한 현실이기도 하겠다. 본 고는 이러한 견지에서 의료보험제도의 실시와 더불어 발생하고 있는 제반문제중에서 특히 의료보험 진료비심사 지불제도에 관한 여러가지 문제점은 검토해 봄으로써 현안제도의 개선방향을 모색하고자 한다.

• The Journal of Society for e-Business Studies
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• v.14 no.1
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• pp.121-142
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• 2009

In this study, the marketing activity of medical service providers via Internet was considered as a new technology for approaching this problem and the consumers' acceptance of the new marketing activity was analyzed through the TAM (Technology Acceptance Model) path analysis. The path analysis was conducted for the non-insured medical departments and the insured medical departments. The path analysis revealed that the consumers felt usefulness of the marketing activity of non-insured medical service providers, which means that they have intention to accept and are satisfied with the Internet marketing activity provided by non-insured medical service departments. On the other hand, in the case of insured medical service, it was clarified that the 'easy of use' preferentially affects the users' intention of accepting the marketing activity rather than 'usefulness'.

• Journal of Family Resource Management and Policy Review
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• v.26 no.3
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• pp.49-64
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• 2022

This study aims to investigate unmet healthcare needs due to economic or non-economic difficulties among the elderly aged 65 or older. Using Korea Health Panel Survey (KHPS) data from 2018, the elderly are classified into one of four groups (health insurance subscribers, non-take-up, lower income relief, and medical aid recipients) based on their level of medical vulnerability. For hospital or dental care, the prevalence rates of unmet healthcare needs due to economic and non-economic difficulties are 12.6% and 10.6%, respectively. The prevalence rate of unmet healthcare needs due to economic difficulty in the medically vulnerable group was much higher than that of the non-vulnerable group-that is, health insurance subscribers. After controlling for other influential factors, medical vulnerability has a great impact on the prevalence rates of unmet healthcare needs due to economic difficulties. Compared to health insurance subscribers, the non-take-up, the lower relief, and the medical aid recipients are 1.4 times, 3.3 times, and 2.4 times more likely to experience unmet healthcare needs due to economic difficulty, respectively. The results of this study can provide important policy implications for securing essential healthcare resources for the elderly.

• Cement
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• s.66
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• pp.7-11
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• 1977

• Information Systems Review
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• v.7 no.1
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• pp.275-295
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• 2005

Changes in business environment caused by globalization of the world economy and the beginning of the knowledge society forced hospitals to equip with tools for the enhanced competitiveness. In other words, hospitals must aim three targets such as acquisition of advanced medical skills and equipments, improvement of service level for patients, and achievement of superior managerial performance simultaneously. This study has been done to suggest a way to reduce the possibility of hospital bill claim reduction as an alternative for the achievement of superior managerial performance. If the reduction rate of hospital bill claim is high, it will put negative impact on the hospital's revenue stream and hospital's reliability. Thus, if they want to stay competitive, hospitals need to device ways to cut the reduction rate as much as possible. In this study, a prototype system has been developed and implemented to check the possibility to cut the reduction rate through deep analysis of causes of reduction. The prototype first developed utilizing data mining techniques and the relation rules algorithm. Then the prototype was tested its performance using the D hospital's live data.

• The Journal of the Korean life insurance medical association
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• v.28 no.1_2
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• pp.36-38
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• 2009