DOI QR코드

DOI QR Code

Recognition and adequacy of dental service providers regarding dental prosthesis covered by dental auto insurance system

치과자동차보험 보철수가제도에 관한 치과 의료공급자의 인식도 및 적정성 방안에 관한 연구

  • Sim, Sungho (Department of Public Health, Sahmyook University Graduate School) ;
  • Chun, Sung-Soo (Department Health Management, Sahmyook University Graduate School) ;
  • Yun, Mi Eun (Department of Food and Nutrition, Sahmyook University)
  • 심성호 (삼육대학교 일반대학원 보건학과) ;
  • 천성수 (삼육대학교 보건관리학과) ;
  • 윤미은 (삼육대학교 식품영양학과)
  • Received : 2016.04.27
  • Accepted : 2016.08.05
  • Published : 2016.08.30

Abstract

Objectives: The purpose of the study is to investigate recognition and adequacy of dental service providers regarding dental prosthodontic treatment covered by dental auto insurance system. Methods: A self-reported questionnaire was completed by 320 dentists and dental hygienists in Seoul, Gyeonggido, and Incheon from February 22 to March 21, 2016. The questionnaire consisted of recognition and needs of auto insurance (4 items), and recognition of prosthodontic treatment covered by dental auto insurance system. Likert five point scale was used in the questionnaire. Data were analyzed by SPSS 21.0 program. Cronbach's alpha was 0.856 in the study. Results: The average of recognition was 2.62 and that of adequacy of auto insurance coverage was 1.98. The reasonable price of crown treatment was from 400,000 to 500,000 Korean Won in 67.9 percent of the dentists. But 49.8 percent of the dental hygienists answered that the reasonable price of crown was 300,000 to 400,000 Korean Won. The dentists preferred to treatment fee covered by dental auto insurance. The dental hygienists had a preference to combination of dental auto insurance and medical insurance fee. Conclusions: The opinion of the dental care providers should be considered and the adequate coverage of insurance would improve the dental health care.

Keywords

References

  1. Director of Health Insurance Review & Assessment Service. Standard of auto insurance. 24th ed. Seoul: Korea Disabled Culture Contents Association; 2015: 3-245.
  2. Koroad. Summery of car accident statistics. Road Traffic Authority 2015; 1: 3-12.
  3. Ahn BJ. Problems on system of auto insurance and social consideration of medical organization. Healthcare policy forum 2006; 4(1): 85-95.
  4. Yoo SY, Kim GH, Lee JK, Shim YJ, Kim SM, Problems on system of auto insurance and improvement plan. Korean Medical Association Research report 2006; 3: 1-88.
  5. Lee DR. Problems on treatment system of auto insurance and improvement plan[MA]. Seoul: Univ. of Yonsei, 2001.
  6. Yang SG. Insurance law. 5th ed. Seoul: Samjiwon; 2004: 346-47.
  7. Hong JR. View on medical fee unification of auto insurance. J Korean Hosp Assoc 2007; 1: 9-11.
  8. Lee YG. Research on system of auto insurance medical fee and an improvement plan. J Korean Hosp Assoc 2004; 1: 111-20.
  9. Jeong DJ. A study on improvement of car medical system[Doctoral dissertation]. Seoul: Univ. of Yonsei, 2003.
  10. Health Insurance Review & Assessment Service. System, policy, insurance system, auto insurance evaluation system [Internet] [cited 2016 Feb 11]. Available from: http://www.hira.or.kr/dummy.do?pgmid=HIRAA020019000000.
  11. Hwang JM, Kim JH, Park YD. Dental service providers' satisfaction with dental health insurance. J Korean Acad Oral Health 2010; 34(2): 214-21.
  12. Cho GS. A Study on reasonable program of Automobile Insurance Medical Fee System. J the Law 2010; 51(2): 393-427.
  13. Lee YJ. Problems of National Medical Expenses Management in Korea focused on Health insurance, occupational accidents compensation insurance, auto insurance. J of the Korea Contents Assoc 2011; 11(4): 263-74. http://dx.doi.org/10.5392/JKCA.2011.11.4.263.
  14. Healthcare Bigdata Hub. Information of medical statistics, major medical statistics(etc), the state of the claim of car treatment insurance review [Internet] [cited 2016. Feb. [13]. Available from: http://opendata.hira.or.kr/op/opc/olapEtcStatsInfo.do.
  15. Seo IS. Problems on transfer of health insurance review agency for supplementary private insurance through evaluation of commission of auto insurance review agency. Healthcare policy forum 2015; 13(1): 76-82.
  16. Han JH, Kim YS. A study on awareness of dental health insurance coverage. J Korean Soc Dent Hyg 2008; 8(2): 65-71.
  17. Jeon MO, Park GS. A study on recognition degree about the standard of health care insurance recuperation payment of dental sanitarian and the standard of dental treatment cost fee. Nursing Science Research 2000; 4: 147-61.
  18. Han JH. A study on priority-setting in expanding the dental health insurance coverage [Doctoral dissertation]. Seoul: Univ. of Hanyang, 2007.
  19. Shin YS, Shin HU, Yoo GC, Shin HS, Park SB, Kim JH, et al. Medical organization accounting research to improve vertical relative value. Health Insurance Review & Assessment Service, Korea Institute for Health and Social Affairs 2012; 235-68.
  20. Han JH, Hwang YS. A study of priority-setting in Korean national dental health insurance scheme. J Korean Acad Dental Hygiene Education 2006; 6(3): 243-61.