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KMID : 0861120100140020057
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Korean Journal of Oriental Preventive Medicine
2010 Volume.14 No. 2 p.57 ~ p.66
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Measuring the resource-based relative value scale scores for physical therapies of traditional Korean medicine and estimating the insurer’s expenditure in National Health Insurance
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Lim Byung-Mook
Shin Mi-Suk
Shin Byung-Cheul
Song Yoon-Kyung
Song Mi-Yeon
Shin Seung-Woo
Kim Ho-Jun
Lee Myeong-Jong
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Abstract
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Backgrounds : Since December 1, 2009, National Health Insurance began to reimburse for three physical therapies of Korean medicine. The extension of insurance coverage is demanded by Korean medicine societies.
Objectives : This study aimed to measure the resource-based relative value scale (RBRVS) scores for thirty four physical therapies of Korean medicine and to estimate the insurer’s expenditure for them in National Health Insurance.
Methods : To measure the physician’s work and the practice expense, the ’magnitude estimation method (MEM)’ and the ’fully distributed cost - attributable cost method (FDC-ACM)’ were applied respectively. We collected the frequency data of physical therapies from Korean medicine hospitals and clinics to estimate the total expenditure.
Results : The resource-based relative value scale scores of physical therapies were measured from 23.44 to 160.66. Total insurer’s expenditure was calculated to be 95.5 billion won as of 2009.
Conclusions : Based on the result that showed minor increase of total expenditure, most physical therapies of Korean medicine need to be reimbursed in the National Health Insurance.
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KEYWORD
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Resource-based Relative Value Scale, Physical Therapy, Korean Medicine, National Health Insurance
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