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KMID : 0387320210310030261
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Korean Journal of Health Policy and Administration
2021 Volume.31 No. 3 p.261 ~ p.271
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An Analysis on the Effect of the Increase in the Fee of Magnetic Resonance Imaging Deciphering of the External Hospital: Focusing on the Brain Magnetic Resonance Imaging
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Kim Log-Young
Sakong Jin
Jo Min-Ho
Wee Se-Ah
Lee Jin-Yong
Kim Yong-Kyu
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Abstract
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Background: In 2018, the government increased the fee for the magnetic resonance imaging (MRI) image deciphering services of theexternal hospital to discourage the redundant MRI scan and to induce appropriate use of the MRI services. It is important to evaluatethe effect of the policy to provide the basis for establishing other MRI-related policies.
Methods: The healthcare data of the patients who had brain MRI scans were organized by episode and analyzed using the panel studyin order to find out the effect of the MRI-related policy on the substitution effect and the medical expenses.
Results: As a result of the increase in the fee of deciphering the MRI image, there has been an uplift in deciphering the MRI scan ofthe external hospital. It implies that more hospitals chose to use the MRI scan taken by other clinics or hospitals, rather than the MRIscan taken at their own facilities.
Conclusion: The research results imply that a policy that facilitates the exchange of the medical image data between the hospitalsis needed in order to establish an efficient management system of the healthcare resources. Such improvement is expected to reducethe social cost and contribute to the stability in the finance of national health insurance.
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KEYWORD
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Magnetic resonance imaging, Brain MRI scan, MRI deciphering fee of the external hospital, Policy effect, Coverage expansion, Healthcare resource, Fee schedule revision, Health insurance finance, Medical technology
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