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KMID : 1022120030060010097
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Health and Welfare
2003 Volume.6 No. 1 p.97 ~ p.129
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A Study on Patients’ Utilization Rates of the Use of Health Insurance(Medical Protection) Cards
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Kim Seung-Hee
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Abstract
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This study is aimed at finding out the extent of patients’ utilization rate factors about the use of health insurance( medical protection) cards, and knowing the effective ways to use them by comparing patients’ utilization rate factors. The basic contents based on this research that patients must know to use them are as follows: 1. Patient allotments in health insurance expenses must be 20/100 of total expenses without regard to medical institutions in cases of admission. Out-patients must pay a part of total expenses as forms of decided rates and amounts. 2. Application periods of health insurance allowances are limited within 365 days a year. 3. Every medical institutions must confirm insurance qualifications through internet and let patients to be treated without cards when patients do not carry cards. 4. The first and second ranking medical institutions must let patients re-visit them with the medical charts of the third ranking hospitals when they visit them firstly when they are not emergency patients. 5. Health Insurance Foundation must inform patients of basic treatment contents such as treatment days and their allotments in the form of paper documents after their treatments. 6. The concerned medical institutions are to be forced to issue receipts after patients pay medical fees. To conclude, the concerned authorities about health insurance including health wealth ministry, hospitals, and so on must inform the peoples of the basic things about health insurance through mass communications and various methods, and the government must continue the health insurance educations to the concerned teachers and hospital workers about it in order to get better results about its use.
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