|
KMID : 1124020190350010129
|
|
Korean Social Security Studies
2019 Volume.35 No. 1 p.129 ~ p.149
|
|
|
A Study on the Current Status and Improvement of out-of-pocket maximum on health care utilizations in Nursing Hospital Patients
|
|
Lim Seung-Ji
Lee Hyun-Boc
|
|
|
Abstract
|
|
|
|
The purpose of this study was to analyze the use of the out-of-pocket payment ceiling system for hospitalized patients in a nursing hospital and to plan ways to improve them. For this study, we analyzed data from the National Health Insurance DB of 652,358 subjects who have applied the out-of-pocket payment ceiling system for inpatient medical expenses. As a result of the analysis, Of the inpatients in nursing hospital who is applied the out-of-pocket payment ceiling system, 52.4% had mild symptoms rather than those requiring medical treatment. And these minor patients were 2-3 times more hospitalized than those who needed medical treatment, and the total medical expenditure was also higher. The results of this study suggest that the out-of-pocket payment ceiling system should be improved for minor patients. Also, a system should be established to reduce the long-term hospitalization of mild patients.
|
|
|
KEYWORD
|
|
|
Nursing hospital, Nursing Hospital Patients, out-of-pocket, health care utilizations
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|