Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Determinants of selecting a doctor in specialized medical institutions and general hospitals

종합전문요양기관과 종합병원의 선택진료 결정요인

  • An, Byeung-Ki (Department of Health Care Administration, Keimyung College) ;
  • Park, Jae-Yong (Department of Preventive Medicine, Kyungpook National University)
  • 안병기 (계명문화대학 보건행정과) ;
  • 박재용 (경북대학교 의과대학 예방의학교실)
  • Received : 20110000
  • Accepted : 20110000
  • Published : 2011.12.31
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Abstract

This research was performed to investigate the determination factors of medical service to cover the fee for selecting a doctor which is one of the most important causes of debilitating national health insurance in Korea. Data was from Korea Health Panel and analyzed by Dutton(1986)'s medical service model which was an extended Anderson Model and was widely used in the researches on determination factors of medical service. The results were as follows; In the determinants of selecting a doctor in specialized medical institutions and general hospitals, patients with serious diseases selected doctors more often than other patients. By industrial accident compensation insurance law and enforcement ordinances, insurance covers the fee of selecting a doctor in the hospitals appointed by Labor Welfare Corporation for the patients in critical conditions under industrial accident compensation insurance, while health insurance patients pay the fee themselves for selecting a doctor in all cases. It is suggested that patients with serious diseases proved by medical opinion be provided with health care insurance in selecting a doctor and that the health insurance benefit coverage be enhanced by staged lowering of patient's cost-sharing.

Keywords

References

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