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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

Abstract

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.

References

  1. Korea ministry of government legislation. Article 10 and 34 constitution of the republic of korea[Internet]. [Cited 2013 Dec 01].
  2. Korea ministry of government legislation. Article 1 National health insurance art[Internet]. [Cited 2013 Dec 01].
  3. Choi IG, Park HS, Lee GC. Health insurance review & assessment service 10 years story. Korea: health insurance & review assessment service; 2010: 21-2.
  4. Mok CS, An SH, Kim DK. A study on the status of the claim and review of dental insurance system. J Korean Acad Oral Health 1999; 19(2): 291-303.
  5. Han JH, Hwang YS. A study of priority-setting in korean national dental health insurance scheme. J Korean Soc Dent Hyg 2006; 6(3): 243-61.
  6. Hong SA. A study on health insurance claim affairs among dental clinics. Journal Korean Acad Dental Insurance 2010; 1(1): 17-27.
  7. Jean MY, Park KS. A study on recognition degree a bout the standard of health care insurance recuperation payment of dental sanitarian and the standard of dental treatment cost fee. The Chung-Ang Journal Of Nursing 2000; 4(2): 147-61.
  8. Woo JW. A study oh actual state the insurance education for dental hygiene. J Korean Acad Dent Hyg 1999; 1(1): 55-74.
  9. Yoo EM, Ahn SY, Choi HS, Hwang SH, Oh BK. A study on the state of the claim of dental medical for payment from the national health insurance corporation. J Dent Hyg Sci 2011; 11(1): 31-5.
  10. Kim GH, Park IS, Song GS, Kim DK. A study on the survey by dental hygienists for payment under dental health insurance - the case of periodontal treatment -. Oral Biology Research 2006; 30(1): 99-109.
  11. Kim SH, Kim JK, 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 2011; 11(2): 275-89.

Cited by

  1. Knowledge of the dental health insurance standard in the dental hygienists: based on the elderly denture vol.16, pp.1, 2016, https://doi.org/10.13065/jksdh.2016.16.01.61