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ORIGINAL ARTICLE
J Korean Med. 2013;34(1): 35-51.
Comparative Analysis Study of Oriental and Western Medical Insurance Fees in Long-Term Care Hospitals
Jae-Soo Kim, Sung-Jin Kim, and Hyun-Jong Lee
Dept. of Acupuncture & Moxibustion Colleage of Oriental Medicine, Daegu Hanny University
Corresponding Author: Hyun-Jong Lee ,Tel: +82-53-770-2115, Email: whiteyyou@hanmail.net
Received: July 30, 2012;  Accepted: September 12, 2012.
ABSTRACT
Objectives: The purpose on this study was to analyze medical health insurance to provide useful data to reestablish oriental medical insurance fees for long-term care hospitals. Methods: First, comparative analysis on medical health insurance was performed, calculating insurance fees of patients admitted to Mungyung Long-term Care Hospital. The oriental medical insurance fee of the patients was calculated as if the patients have been admitted to oriental long-term care hospitals, and the ratio of oriental medical insurance fee to western was calculated. Results: 1. The ratios of total medical expenses were 90% within 3 months and 82% over 3 months. 2. The ratios of co-pays were 86% within 3 months and 82% over 3 months. Conclusions: Oriental medical insurance fees need to be reevaluated.
Keywords: Oriental medical insurance fee | long-term care hospital | total medical expenses | co-pay
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