The Korean Journal of Health Service Management (보건의료산업학회지)

Korea Society of Health Service Management (보건의료산업학회)
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Management Strategies for Medical Expenses Depending on Type of Diseases for Patients of Seafarers Insurance - Focused on Busan -

선원보험 수진자의 상병유형에 따른 진료비 관리방안 - 부산지역을 중심으로 -

  • Park, Eun-Ha (Hospital Management Consulting Institute) ;
  • Hwang, Byung-Deog (Department of Health Care Management Catholic University of Pusan)
  • 박은하 (병원경영컨설팅연구소) ;
  • 황병덕 (부산가톨릭대학교 병원경영학과)
  • Received : 2016.10.28
  • Accepted : 2016.12.20
  • Published : 2016.12.30
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Abstract

Objectives : The aim of this study is to investigate the actual condition of the occurrence and recovery of medical expenses through seafarers insurance and to provide basic data that will be helpful in the establishment of efficient hospital management strategies for medical expenses of insurance companies depending on the type of seafarers insurance. Methods : Three general hospitals located in Busan, Korea, were selected, and seafarers insurance claim data was collected from January 1, 2012 to December 31, 2013(24 months) and analyzed. There were 5,490 cases in total. Results : There was a significant difference in the distribution of disease incidence, accrued medical expenses, reimbursement of medical expenses, and the actual condition of medical receivables depending on the insurance company. Conclusions : Therefore, differentiated payback strategies for medical expenses are needed that consider the various seafarers insurance companies and their treatment characteristics.

Keywords

References

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