JOURNAL BROWSE
Search
Advanced SearchSearch Tips
Factors Influencing the Knowledge of Health Insurance Standard and Health Insurance Application
facebook(new window)  Pirnt(new window) E-mail(new window) Excel Download
  • Journal title : Journal of dental hygiene science
  • Volume 15, Issue 6,  2015, pp.815-824
  • Publisher : the Korean Society of Dental Hygiene science
  • DOI : 10.17135/jdhs.2015.15.6.815
 Title & Authors
Factors Influencing the Knowledge of Health Insurance Standard and Health Insurance Application
Lee, Soon-Young; Lim, Soon-Ryun;
  PDF(new window)
 Abstract
This study aims to figure out the current state of health insurance education provided to dentists and personnel in charge of insurance claim as well as the effects of experiences in education on their knowledge of health insurance standard and actual application. As a result of analysis on 100 data sheets related to dentistry and 100 data sheets related to personnel in charge of insurance claim (a total of 200 data sheets), following results were generated. Insurance claim personnels showed higher score than dentist in knowledge of health insurance standard and it was significant statistically. Knowledge of insurance claim personnel showed significant differences in educational experiences, in health insurance for the latest three years and average hours of education per session whereas that of dentists did not indicate any significant differences. The level of practical application of dentists was significantly different (p<0.05) according to experiences in insurance claim, and that of insurance claim personnel significantly varied (p<0.05) depending on age, experiences of insurance education and average hours of education. The longer average hours of education, the higher level of practical application. Experiences of insurance education turned out to affect on the knowledge of health insurance standard significantly (p<0.05) on the part of dentists and insurance claim personnel, and the level of experiences in insurance claim and knowledge of health insurance standard on the part of dentists and insurance claim personnel turned out to affect on practical application significantly (p<0.001). Judging from the result, continuous education needs to be conducted in order to enable dentists and insurance claim personnel to maintain the level of knowledge about health insurance and practical application.
 Keywords
Health insurance application;Health insurance education;Knowledge of the health insurance standard;
 Language
Korean
 Cited by
 References
1.
National Legal Information Center: National Health Insurance Act. Retrieved November 19, 2015, from http://law.go.kr/lsSc.do?menuId=0&p1=&subMenu=1&nwYn=1§ion=&tabNo=&query=%EA%B5%AD%EB%AF%BC%EA%B1%B4%EA%B0%95%EB%B3%B4%ED%97%98%EB%B2%95#undefined.(Enforcement date, November 21, 2014).

2.
Health Insurance Review & Assessment Service: fee-forservice. Retrieved November 19, 2015, from http://www.hira.or.kr/dummy.do?pgmid=HIRAA020024000000&cmsurl=/cms/law/02/01/04/02/payment_type.html.

3.
Moon HR: A survey on health insurance claims and knowledge by the hygienist in Jeollabuk-do. Unpublished master's thesis, Wonkwang University, Iksan, 2013.

4.
Chang YS, Ahn YW, Park JS, Ko MY: Dentists' opinions in the dental field of present health insurance claim and review. J Oral Med Pain 30: 215-230, 2005.

5.
Nam YO, Kim SH, Kim MJ: The investigation of the degree of the request of the education about the claim for the medical expenses in the dentistry health insurance-mainly in the Daejeon, Chungcheong area. J Korean Soc Dent Hyg 11: 325-341, 2011.

6.
Kim KH: A study on the survey of oral health insurance benefit by dental hygienist on the aspect of periodontal treatment. Unpublished master's thesis, Chosun University, Gwangju, 2004.

7.
Kim SH. Kim MJ, Nam YO: Analysis research about awareness of demanders of recuperation allowance for dental clinic health insurance in Daejun and Chunchung area. J Korean Soc Dent Hyg 11: 275-289, 2011.

8.
Song JP: Effects of self-efficacy on knowledge of health insurance guidelines in dental clinic. Unpublished master's thesis, Kosin University, Busan, 2013.

9.
Yoo EM, Ahn SY, Choi HS, Hwang SH, Oh BK: A study on the state of the claim of dental medical institutions for payment from the national health insurance corporation. J Dent Hyg Sci 11: 31-35, 2011.

10.
Kim HS: Awareness of dental institution employees in charge of health insurance claim on health insurance and related education in Jeollabuk-do. Unpublished master's thesis, Wonkwang University, Iksan, 2014.

11.
Han HJ, Kim YS: A study on awareness of the dental health insurance coverage. J Dent Hyg Sci 8: 65-71, 2008.

12.
Kim KM, Ma DS, Jung SH, Kim CS, Park DY: Education on national health insurance: experience of Korean dentists who secured a license during 2000-2004. J Korean Acad Oral Health 38: 25-30, 2014. crossref(new window)

13.
Kwon JH, Lee MH, Yang JK, et al.: The research on the actual condition of health insurance education in the course of advanced general dentistry (AGD). J Korean Acad Dent Insurance 2: 1-14, 2011.

14.
Kim JB, Jung SH, Yang JK: Education related to the national health insurance at dental colleges and graduate schools of dentistry in Korea. J Korean Acad Dent Insurance 1: 8-16, 2010.

15.
Hong SA: A survey on health insurance claim affairs among dental clinic. Unpublished master's thesis, Inje University, Gimhae, 2010.

16.
Kim KH: A study on recognition and application degrees of clinical nurses' health insurance charge standard. Unpublished master's thesis, Kyunghee University, Seoul, 2002.

17.
Ju OJ, Kang EJ, Woo SH, Lee AJ, Lee HJ, Park MY: Recognition between lay persons and dental hygienists on expansion of health insurance of scaling. J Dent Hyg Sci 14: 431-438, 2014