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KMID : 0387320210310030344
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Korean Journal of Health Policy and Administration
2021 Volume.31 No. 3 p.344 ~ p.354
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The Effect of the National Health Insurance Coverage of Chuna Therapy on the Costs and Service Uses of Chuna Therapy in Automobile Insurance Oriental Medical Institutions
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Kim Kung-Hwa
Cho Hyung-Kyung
Lee Kwang-Soo
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Abstract
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Background: The purpose of this study was to analyze the effect of national health insurance coverage of Chuna therapy in April2019 on the costs and service uses in automobile insurance.
Methods: This study used the claim data from Health Insurance Review and Assessment Service. A total of 189,912 inpatients and1,550,497 outpatients who received Chuna therapy covered by automobile insurance in oriental medical institutions were included.
The analysis period was from July 2018 to December 2019, and a total of 18 months before and after April 2019, when Chuna therapywas covered by national health insurance. Interrupted time series analysis was applied to analyze the impact on the costs and serviceuses of Chuna therapy in automobile insurance before and after April 2019.
Results: From July 2018 to December 2019, for 189,912 inpatients the cost and the number of times for Chuna therapy per capitawere increased by 22.0% and decreased by 7.3% respectively right after the implementation of the policy. In the case of 1,550,497outpatients, the cost of Chuna therapy per capita tends to be increased by 0.4% in overall study periods and increased 28.4%immediately after the implementation of the policy. Meanwhile, the number of times and visits for Chuna therapy per capita tendsto be increased by 0.4% in overall study periods but decreased by 0.4% after the implementation of the policy.
Conclusion: Results suggest that if the national health insurance coverage of oriental medicine services increases according to thepolicy stance for benefit expansion in national health insurance, the criteria for providing national health insurance benefits shouldbe considered with the comprehensive impacts on the costs and service uses of automobile insurance.
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KEYWORD
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Costs, Service uses, Chuna therapy, Automobile insurance, National health insurance
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