Analysis of the knowledge and insurance screening review rates of health insurance claims in the dental hygienist

일부 지역 치과위생사의 치과 건강보험에 관한 지식 및 심사조정률에 미치는 요인

  • Park, Sin Young (Department of Health, Graduate School of Chosun University) ;
  • Moon, Hye Ri (Department of Health Science, Graduate School of Health Environment, Wonkwang University)
  • 박신영 (조선대학교 대학원 보건학과) ;
  • 문혜리 (원광대학교 보건환경대학원 보건학과)
  • Received : 2015.03.29
  • Accepted : 2015.05.26
  • Published : 2015.06.30


Objectives: The purpose of the study is to investigate the level of knowledge and screening review rates of dental health insurance claims in dental hygienists. This analysis will provide the educational information to the dental hygienists. Methods: A self-reported questionnaire was completed by dental hygienists in Jeonbuk from December 17, 2012 to January 24, 2013. The questionnaire was distributed by ordinary mail or direct visit. Except incomplete answers, 350 data were collected and analyzed. The study instrument was adapted from the structured questionnaire by Hong and Yoo. The questionnaire consisted of education experience of health insurance management, subjective and objective knowledge, insurance screening review, and need for health insurance education. Data were analyzed by SPSS 12.0 program. Cronbach alpha in the objective knowledge on health insurance rate criteria was 0.836 and this was a reliable figure. Results: The subjective knowledge level of dental insurance was higher in the senior dental hygienists. Subgingival curettage was the lowest percentage of correct answers in the objective knowledge. In recent six months, higher review control rate was shown in the higher claim for health insurance and insurance screening review. Conclusions: The majority of the respondents had lower level of knowledge of health insurance claims. The continuous education of dental health insurance will be necessary in the dental hygienists.


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