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KMID : 0363620130340010035
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Journal of Korean Oriental Medicine
2013 Volume.34 No. 1 p.35 ~ p.51
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Comparative Analysis Study of Oriental and Western Medical Insurance Fees in Long-Term Care Hospitals
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Kim Jae-Soo
Kim Sung-Jin
Lee Hyun-Jong
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Abstract
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Objectives: The purpose on this study was to analyze medical health insurance to provide useful data to reestablish oriental medical insurance fees for long-term care hospitals.
Methods: First, comparative analysis on medical health insurance was performed, calculating insurance fees of patients admitted to Mungyung Long-term Care Hospital. The oriental medical insurance fee of the patients was calculated as if the patients have been admitted to oriental long-term care hospitals, and the ratio of oriental medical insurance fee to western was calculated.
Results: 1. The ratios of total medical expenses were 90% within 3 months and 82% over 3 months. 2. The ratios of co-pays were 86% within 3 months and 82% over 3 months.
Conclusions: Oriental medical insurance fees need to be reevaluated.
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KEYWORD
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Oriental medical insurance fee, long-term care hospital, total medical expenses, co-pay
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