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KMID : 1170320160220040101
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Korean Journal of Health Economics and Policy
2016 Volume.22 No. 4 p.101 ~ p.118
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Case Study on the introduction of New Technology in Case Payment : Focusing on Procedure for Prolapse and Hemorrhoid Stapler
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Jeong Seo-Hyun
Kang Gil-Won
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Abstract
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Diagnosis Related Group (DRG) Payment Systems in United States and European countries has institutional arrangements such as supplementary payments, DRG weight adjustments, and new DRG creations for the introduction of new medical technology. However, the controversy has been continued because payment for new medical technology is determined without explicit criteria by the professional committee in Korea. In this study, we carried out a case study on Procedures for Prolapse and Hemorrhoid (PPH) stapler to identify how the new medical technology have been introduced and diffused in Korean case payment system. PPH stapler was rarely used in early additional payment period when the amount of payment was low. However, the usage of PPH stapler increased rapidly in clinics and hospitals when the amount of payment was increased. After the creation of new DRG for PPH stapler, the usage of PPH stapler increased further in all types of health providers. In this case study, we have identified that new technology can be introduced smoothly if the additional payment is appropriate. However, there were not the mechanism to prevent inappropriate diffusion of the new technology and social consensus on the creation of new DRG which means continuous additional payment for the new technology. The result of this study can be used as basis for designing a reasonable payment system for the new technology in case payment.
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KEYWORD
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New Technology, Procedure for Prolapse and Hemorrhoids Stapler, Case Payment
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