Dilemmas Within the Korean Health Insurance System
The health insurance system in Korea is well-established and provides benefits for the entire national population. In Korea, when patients are treated at a hospital, the hospital receives a partial payment for the treatment from the patient, and the remaining amount is provided by the health insuran...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Preventive Medicine
2020-07-01
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| Series: | Journal of Preventive Medicine and Public Health |
| Subjects: | |
| Online Access: | http://www.jpmph.org/upload/pdf/jpmph-20-074.pdf |
| _version_ | 1818248966062473216 |
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| author | Donghwi Park Min Cheol Chang |
| author_facet | Donghwi Park Min Cheol Chang |
| author_sort | Donghwi Park |
| collection | DOAJ |
| description | The health insurance system in Korea is well-established and provides benefits for the entire national population. In Korea, when patients are treated at a hospital, the hospital receives a partial payment for the treatment from the patient, and the remaining amount is provided by the health insurance service. The Health Insurance Review and Assessment Service (HIRA) assesses whether the treatment was appropriate. If HIRA deems the treatment appropriate, the doctor can receive payment from the health insurance service. However, this system has several drawbacks. In this study, we aimed to provide examples of the problems that can occur in relation to HIRA assessments in Korea through actual clinical cases. |
| first_indexed | 2024-12-12T15:28:59Z |
| format | Article |
| id | doaj.art-72926fb46c4249c6a7d52dcf0be715fb |
| institution | Directory Open Access Journal |
| issn | 1975-8375 2233-4521 |
| language | English |
| last_indexed | 2024-12-12T15:28:59Z |
| publishDate | 2020-07-01 |
| publisher | Korean Society for Preventive Medicine |
| record_format | Article |
| series | Journal of Preventive Medicine and Public Health |
| spelling | doaj.art-72926fb46c4249c6a7d52dcf0be715fb2022-12-22T00:20:08ZengKorean Society for Preventive MedicineJournal of Preventive Medicine and Public Health1975-83752233-45212020-07-0153428528810.3961/jpmph.20.0742097Dilemmas Within the Korean Health Insurance SystemDonghwi Park0Min Cheol Chang1 Department of Physical Medicine and Rehabilitation, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea Department of Physical Medicine and Rehabilitation, Yeungnam University College of Medicine, Daegu, KoreaThe health insurance system in Korea is well-established and provides benefits for the entire national population. In Korea, when patients are treated at a hospital, the hospital receives a partial payment for the treatment from the patient, and the remaining amount is provided by the health insurance service. The Health Insurance Review and Assessment Service (HIRA) assesses whether the treatment was appropriate. If HIRA deems the treatment appropriate, the doctor can receive payment from the health insurance service. However, this system has several drawbacks. In this study, we aimed to provide examples of the problems that can occur in relation to HIRA assessments in Korea through actual clinical cases.http://www.jpmph.org/upload/pdf/jpmph-20-074.pdfhealth insurance systemhealth insurance review and assessment servicepaymentpatientkorea |
| spellingShingle | Donghwi Park Min Cheol Chang Dilemmas Within the Korean Health Insurance System Journal of Preventive Medicine and Public Health health insurance system health insurance review and assessment service payment patient korea |
| title | Dilemmas Within the Korean Health Insurance System |
| title_full | Dilemmas Within the Korean Health Insurance System |
| title_fullStr | Dilemmas Within the Korean Health Insurance System |
| title_full_unstemmed | Dilemmas Within the Korean Health Insurance System |
| title_short | Dilemmas Within the Korean Health Insurance System |
| title_sort | dilemmas within the korean health insurance system |
| topic | health insurance system health insurance review and assessment service payment patient korea |
| url | http://www.jpmph.org/upload/pdf/jpmph-20-074.pdf |
| work_keys_str_mv | AT donghwipark dilemmaswithinthekoreanhealthinsurancesystem AT mincheolchang dilemmaswithinthekoreanhealthinsurancesystem |