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전산화 단층촬영의 의료보험 급여전후 촬영건수 비교

Other Titles
 The Comparison of Computerized Tomography Utilization between before and after Coverage of Medical Insurance 
Authors
 서신일  ;  김한중  ;  박은철  ;  손명세  ;  김동기 
Citation
 Korean Journal of Hospital Management, Vol.3(1) : 121-133, 1998 
Journal Title
Korean Journal of Hospital Management(병원경영학회지)
ISSN
 1226-6299 
Issue Date
1998
Abstract
We analyzed volume changes in the computerized tomography(CT) and the magnetic resonance imaging(MRI) utilizations. These two volumes are comparative because CT has been covered by the Medical Insurance from the beginning of 1996, however, MRI has not been covered up to now. We investigated 80 hospitals which afforded a facility of CT by the end of 1994. For the comparison of CT utilization, we selected two periods. The first period was from January to June of 1995, in which CT had not been covered by the Medical Insurance and the second period was from January to June of 1966, in which CT had been covered. The information we obtained were characteristics of hospitals, patients numbers per month, monthly uses of CT and MRI, and payments of CT claims, etc. After the Medical Insurance coverage, the number of CT uses per 1,000 patients were increased from January to March, however, was decreased from April to June in 1996 compared to the same periods of 1995. the number of CT uses in clinics were large than those in tertiary hospitals. The number of CT uses in small cities were larger than those in big cities. On the other hand, the number of MRI uses per 1,000 patients did not changed from January to May and was increased from June in 1996 compared to the same periods of 1995. These results showed the substitutional relationship of CT and MRI uses. After the insurance coverage for CT, the utilization of CT was increased because patients payed less than before. However, insurers restricted the payments to the CT claims. This impact might explain the substitutional relationship between CT and MRI.
Full Text
http://kiss.kstudy.com/journal/thesis_name.asp?tname=kiss2002&key=2756748
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Biomedical Systems Informatics (의생명시스템정보학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Dong Ki(김동기)
Kim, Han Joong(김한중)
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
Sohn, Myong Sei(손명세) ORCID logo https://orcid.org/0000-0002-4817-0127
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/177066
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