자동차보험 진료비심사 일원화 이후 의료기관 진료행태 변화Changes in Providers’ Behavior after the Reviewer Unification of Auto Insurance Medical Benefit Claims
- Other Titles
- Changes in Providers’ Behavior after the Reviewer Unification of Auto Insurance Medical Benefit Claims
- Authors
- 김재선; 서원식
- Issue Date
- 2017
- Publisher
- 한국보건행정학회
- Keywords
- Auto insurance; Medical claims review; Unification of review process; Providers
- Citation
- 보건행정학회지, v.27, no.1, pp.30 - 38
- Journal Title
- 보건행정학회지
- Volume
- 27
- Number
- 1
- Start Page
- 30
- End Page
- 38
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/7147
- ISSN
- 1225-4266
- Abstract
- Background: This study aims to analyze the behavioral changes of healthcare providers and influencing factors after the reviewer unification of auto insurance medical benefit claims by an independent review agency.
Methods: The comparison data were collected from the second half of 2013 and the same period of 2014. The key indicators are the number of admission days, the number of outpatient visits, inpatient ratio, inpatient medical expenses, and outpatient medical expenses.
Results: Four indicators (number of admission days, number of outpatient visits, inpatient ratio, and outpatient medical expenses) showed statistically significant drops, while one indicator (inpatient medical expenses) showed no significant change.
Conclusion: The reviewer unification of auto insurance medical benefit claims by an independent review agency showed significant reduction in cost and patient days.
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Collections - 사회과학대학 > 의료경영학과 > 1. Journal Articles
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