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KMID : 0387320140240020109
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Korean Journal of Health Policy and Administration
2014 Volume.24 No. 2 p.109 ~ p.119
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Health Insurance Benefit Criteria and Quality Assurance Policies of Diagnostic Ultrasound Services in Other Countries
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Chung Seol-Hee
Lee Hye-Jin
Kim Han-Sang
Oh Ju-Yeon
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Abstract
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In accordance with the government’s plan to expand the national health insurance (NHI) coverage for severe diseases such as cancer, heart disease, cerebrovascular disease, and rare and incurable disease, the diagnostic ultrasound services have been covered by NHI from October 1, 2013. The quality is very important factor in providing diagnostic services because they influence on the diagnosis, treatment, and outcome of diseases. In particular, equipments and health care providers plays an important role in providing qualitative services. The purpose of this paper is to examine the major feature of ultrasound services covered by health security system and to review quality assurance policies in other countries such as Australia, Japan, the USA, and Canada. In addition, we assessed the implication of those policies. We especially put emphasis on the types and qualifications of healthcare professionals and measures to manage equipments. All countries have reviewed on policies to promote the quality such as educational requirements of professionals or restrictions on the duration of equipment usage. Various measures should be implemented to assure the qualitative ultrasound service.
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KEYWORD
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National health insurance, Benefit criteria, Healthcare quality assurance, Ultrasonic diagnosis
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