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Korean Journal of Preventive Medicine 2003;36(1): 33-38.
Comparing Difference of Volume of Psychiatric Treatments between the Patient with Health Insurance and Those with Medical Assistance: For Inpatients of Korean Psychiatric Hospitals.
Dae Hee Lee, Eun Cheol Park, Chung Mo Nam, Sang Gyu Lee, Dong Han Lee, Seung Hum Yu
1Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea, Korea. seunghumyu@yumc.yonsei.ac.kr
2Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea, Korea.
OBJECTIVES: To assess the difference in the volume of psychiatric treatments provided to health insurance inpatients, compared with those on medical assistance (the medical aid program) Korean psychiatric hospitals, and to determine factors which affect the volume of the services. METHODS: 21 psychiatrists, from 3 Korean psychiatric hospitals recorded the frequencies psychiatric treatments provided to inpatients in one week (February18-24, 2002). The records of 329 patients were analyzed through t-tests, and random effectmixed model analyses to define the difference between the two groups, and to find other factors affecting the volume of service. RESULTS: A significant difference in the volume of psychiatric treatments provided was observed between the health insurance and medical assistance groups. The variation in the volume of service between hospitals was prominent, and other factors (gender, agegroup, length of stay and mental disorder) were also found to be significant. The patients on medical assistance received only 70% of the psychiatric treatments of those on health insurance. CONCLUSIONS: More effort is required to improve the methods of payment to increase the level of fee scheduling for medical assistance. Further studies on the mechanisms causing these differences in the volume of service are required.
Key words: Psychiatri chospital; Health insurance; Medical assistance; Fee schedules
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