Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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An Convergence Study of the Factors Affecting the Knowledge Level of Dental Health Insurance for Some Dental Workers

일부 치과 종사자의 치과 건강보험의 지식수준에 미치는 요인에 대한 융합연구

  • Lee, Sun-Mi (Department of Dental Hygiene, Yeungnam University College) ;
  • Son, Hwa-Kyung (Department of Dental Hygiene, Yeungnam University College)
  • 이선미 (영남이공대학교 치위생과) ;
  • 손화경 (영남이공대학교 치위생과)
  • Received : 2021.09.06
  • Accepted : 2021.10.20
  • Published : 2021.10.28
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Abstract

The purpose of this study is to analyze the factors affecting the education experience, education needs, and knowledge level of calculation criteria for dental workers. It was conducted on dental workers in Daegu and Gyeongbuk province and an online survey was conducted using Google Survey. We used frequency analysis, crossover analysis, and ANOVA analysis method to find out general characteristic, education experience, education needs, and knowledge level according to education experience and education needs of candidates. As a result of in the knowledge level survey of dental health insurance, there were high rates of incorrect answers to the calculation criteria when the claim program automatically processes it or notifies you through an error window. The level of knowledge of candidates who are experienced, on a claim, and with experience in dental insurance training in the last six months was high. In conclusion, it seems that accurate and correct insurance claims are possible when the dental workers are familiar with the calculation criteria changed through regular dental health insurance education. We look forward to this study providing basic data in preparation of education system for professional dental insurance claims for dental workers.

이 연구는 치과 종사자들의 치과 건강보험 교육경험 및 교육요구도와 산정기준에 대한 지식수준에 미치는 요인을 분석하는 것을 목적으로 한다. 대구·경북 지역의 치과 종사자들을 연구대상으로 하였으며, 구글 설문지를 활용한 온라인 조사를 실시하였다. 연구대상자의 일반적 특성, 교육 경험, 교육 경험 및 교육요구도에 따른 지식수준을 알아보기 위하여 빈도분석과 교차분석 및 ANOVA분석을 사용하였다. 분석 결과, 치과 건강보험에 대한 지식수준 조사에서 청구 프로그램에서 자동으로 처리를 해주거나 오류창으로 알려주는 경우의 산정기준에 대한 오답률이 높았다. 근무경력이 많고 치과에서 보험청구를 하고 있거나 최근 6개월 동안 치과보험 교육 경험이 있는 대상자들에서 산정기준에 대한 지식수준이 높았다. 결론적으로, 정기적인 치과 건강보험 교육을 통해 변경되는 산정기준을 숙지하도록 해야만 정확하고 올바른 보험청구가 가능하다고 보여진다. 이 연구는 치과 종사자들의 전문적인 치과 보험청구를 위한 교육체계 마련에 기초자료를 제공할 것으로 기대한다.

Keywords

References

  1. S. Y. Park, H. R. Moon. (2015). Analysis of the knowledge and insurance screening review rates of health insurance claims in the dental hygienist. J Korean Society Dent Hyg 15(3), 353-61. DOI : 10.13065/jksdh.2015.15.03.353
  2. H. W. Seo & Y. S. Kim. (2020). Changes in dental care utilization and expenditure by the expansion policy of the health insurance coverage : Korea Health Panel Survey 2012-2016. J Korean Soc Dent Hyg, 20(5), 611-21. DOI : 10.13065/jksdh.20200056
  3. H. S. Kim. (2015). Awareness of dental institution employees in charge of health insurance claim on health insurance and related educationin Jeollabuk-do. Unpublished master's thesis, Wonkwang University.
  4. S. Y. Lee & S. R. Lim. (2015). Factors influencing the knowledge of health insurance standard and health insurance application. J Dent Hyg Sci, 15(6), 815-824. https://doi.org/10.17135/jdhs.2015.15.6.815
  5. E. M. Yoo, S. Y. Ahn, H. S. Choi, S. H. Hwang & B. K. Oh, (2011). A study on the state of the claim of dental medical institutions for payment from the national health insurance corporation. J Dent Hyg Sci 14(1), 31-35.
  6. Y. O. Nam, S. H. Kim & M. J. Kim. (2010). The investigation of the degree of the request of the education about the claim for the medical expenses in the dentistry health insurance - mainly in the Daejeon, Chungcheong area, J Dent Hyg Sci, 11(3), 325-341.
  7. Y. Kim, J. A. Seo & Y. Chung. (2002). Comparative Analysis of Medical Treatment Practices and Medical Costs between DRG Payment System and Fee For Service System. The Medical Journal of Chosun University, 27(1), 166-176.
  8. J. W. Woo. (1999). A study on actual state the insurance education for dental hygiene. J Korean Acad Dent Hyg 1(1), 55-74.
  9. Z. S. Hashemi, M. Khorsandi, M. Shamsi & R. Moradzadeh. (2021) Effect combined learning on oral health self-efficacy and self-care behaviors of students: a randomized controlled trial. BMC Oral Health 21, Article number 342. DOI : 10.1186/s12903-021-01693-y
  10. H. G. Ryu. (2016). Knowledge of the dental health insurance standard in the dental hygienists: based on the elderly denture. J Korean Soc Dent Hyg, 16(1), 61-7. DOI : 10.13065/jksdh.2016.16.01.61
  11. K. H. Lee, S. B. Lee, E. Y. Jung, E. B. Jo & E. S. Jung. (2018). Factors influencing awareness of dental health insurance among adults. J Korean Soc Dent Hyg, 18(5), 771-83. DOI : 10.13065/jksdh.20180066
  12. S. U. Yoon. (2021). Convergence effect of dental insurance knowledge and oral health knowledge of adults on dental health insurance recognition satisfaction. J Korea Convergence Society, 12(1), 119-125. DOI : 10.15207/JKCS.2021.12.1.119
  13. S. A. Hong. (2010). A survey on health insurance claim affairs among dental clinics. Unpublished master's thesis, Inje University.
  14. M. Y. Jeon & K. S. Park. (2000). 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. The chung-Ang Journal of Nursing, 4(2), 147-161.
  15. H. G. Ryu, I. Y. Gu, S & S. Choi. (2013). Research on the Oral Health Professional's Awareness of the Dental Health Insurance Standard. Journal of Korean Clinical Health Science, 1(3), 1-9.
  16. Y. J. Shin. (2017). The Effects of the Health Insurance Education Experiences of Dental Workers on the Knowledge Level and Claims of the Guidelines : Focused on Daegu Area,
  17. S. Y. Jeong, M. J. Ma & Y. G. Kim. (2018). A study on the dental health treatment claim of National Health Insurance by dental hygienists: Analysis of differences in work interest, necessity, recognition, and contribution. Journal of the Korean Academy of Dental Insurance, 8(1), 11-23.
  18. H. K. Kang & Y. R. Kim. (2019). Comparison of the oral health status before and after preventive scaling using the provision of national health insurance: The 5th-6th Korea National Health and Nutrition Examination Survey. J Korean Soc Dent Hyg, 19(5), 765-76. DOI : 10.13065/jksdh.20190065
  19. S. H. Yoon & C. J. Seo. (2016). The effects of the scaling health insurance coverage expansion policy on the use of dental services among patients with gingivitis and periodontal diseases. The Korean Journal of Health Economics and Policy, 22(2), 143-162.