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전미용 ( Jeon Mi-Yong ) - 건강보험심사평가원
박경숙 ( Park Kyong-Sook ) - 중앙대학교 의과대학 간호학과
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Abstract
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Korean health insurance finally established the whole national health insurance by its rapid development since the health insurance was conducted 12 years ago, and owing to the fact the meidcal usage of the people was suddenly increased.
Consequently, in this study I tried to understand the degree of the knowledge after researching the degree of the recognition of the health insurance of dental sanitarians who worked in the dental meidcal organization, and to suggest the basic data about the importance of the future health insurance education and the effective educational program, I abstracted some people arbitrarily of 300 sanitarians who worked in dental clinics and dental medical centers located in Seoul from October 9th to October 28th 2000, and the I surveyed them with direct interviews, and finally I performed the statistical anaysis treatment on 228 people of those sanitarians above. The collected data were analyzed using SAS(Statistical Analysis System) program, and the conclusion I could find through the study is as follows.
1. The degree of the knowledge about the recuperation payment of the dental sanitarian was 3.07 as an average score, and in descending order they can be displayed as the outside-hospital prescription, recuperation payment process, and the objection request for the treatment fee, and on the other hand, the lowest one was the computation of the recuperation payment period.
2. The degree of the knowldege about the standard of the dental treatment cost fee of the dental sanitarian was 3.44 as an average score, and in descending order they can be displayed as the rapid daily charging treatment, muscular tube medical care, and the mouth surgery in the field of the dental disease treatment, and in ascending order the lower articles were the organ regeneration inducement treatment, bone organs deformity correcting treatment, and the dental muscular excision treatment in the field of the surgeon.
3. The degree of the knowldege in each general characteristic of the dental sanitarians was higher in those who were old enough and had a lot of clinical experiences and there was a lot of cases that the sanitarians themselves requested in the electronic documentary interchange way about the standard of the recuperation payment and the standard of the dental treatment cost fee.
When summarizing those results above, in order to increase the degree of the knowledge about the health insurance of the sanitarians, the consistent and systematic payment education should be performed. Especially, because in the group which was consisted of people who were insufficiently aged and had unsatisfactory clinical experiences, the degree of knowledge about the health insurance was shown to be low, the work guid book about the recruit dental sanitarian should be prepared, and the systematic payment education and information service are thought to be necessary. Additionally, when educating about the payment to the dental sanitarian, the payment eudcation about the concrete contents such as the dental treatment and the calculation guideline for the remedy fee, medication prescription, and medicine compounding fee should be performed. The health insurance cost fee is bing changed continuously, and the payment education of the dental sanitarians should be performed continuously, and additionally because there is no insurance-inspecting dental sanitarian who charges the inspection work professionally, the cultivation of the specially trained employees and the institutional backup for increasing the participation degree in the payment education should be executed.
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KeyWords
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치위생사, 치과진료수가기준
Standard of Dental Treatment Cost Fee
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원문 및 링크아웃 정보
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등재저널 정보
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