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KMID : 1812620210010010081
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HIRA Research
2021 Volume.1 No. 1 p.81 ~ p.84
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The Role of the Health Insurance Review and Assessment Service Referring to Changes in Health Care Environment
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Lee Pil-Soo
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Abstract
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Since Health Insurance Review & Assessment Service (HIRA) emphasized only fairness and expertise, they did not sufficiently reflect the reality of medical care, and failed to reinforce opportune communication with the medical community, thereby losing trust in the medical field. Especially after the coronavirus disease 2019 (COVID-19) outbreak, there were many changes in the health care environment. Considering COVID-19 pandemic, the role of HIRA should change from simply screening and review to practically meeting the demands deriving from changes in the medical field. Moreover, the fact that HIRA manage personal information and data of all patients implies that it should take caution and secure them while utilizing the data and Drug Utilization Review (DUR). Korean Medical Association suggests HIRA respond to changes and demands of health care field and communicate timely with medical community.
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KEYWORD
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Korean Medical Association, Health Insurance Review & Assessment Service, Drug Utilization Review
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