도침술의 진료수가에 대한 문제점과 개선방안 (Problems and Potential Improvements of National Health Insurance Fees Associated with Miniscalpel Acupuncture)

서지정보

· 발행기관 : 대한침구의학회
· 수록지 정보 : Journal of Acupuncture Research / 33권 / 3호 / 67 ~ 73페이지
· 저자명 : 오세정, 박무섭, 이정희, 전승아, 공한미, 최성훈, 황보민, 이현종, 김재수

초록

Problems and Potential Improvements of National Health Insurance Fees Associated with Miniscalpel Acupuncture※ Se Jung Oh1, Mu Seob Park1, Jung Hee Lee1, Seung Ah Jun1, Han Mi Gong1, Seong Hun Choi2, Min Hwangbo3, Hyun Jong Lee1 and Jae Soo Kim1,* 1Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Daegu Haany University 2Department of Anatomy and Histology, College of Korean Medicine, Daegu Haany University 3Department of Oriental Ophthalmology and Otolaryngology and Dermatology, College of Korean Medicine, Daegu Haany University Objectives : The objective of this study is to discuss problems and potential improvements of national health insurance fees associated with miniscalpel acupuncture according to Korean medical doctors' workload, material cost and degree of risk.
Methods : We researched the change of relative value points, national health insurance fees, the acupuncture process, and Korean medicine doctors' workload related to Miniscalpel acupuncture, as compared to general meridian point acupuncture. We also examined material cost by surveying pharmacies, internet shopping malls and medical appliance shops.
Results : Relative value point for Miniscalpel acupuncture decreased from 2010 to 2012, and remained the same from 2012 to 2016. National health insurance fees for Miniscalpel acupuncture increased by a small margin annually for rise of equivalent index. There was no reporting on workload related to Miniscalpel acupuncture. Material cost of Miniscalpel acupuncture was 18.2~20.7 times higher than actual cost of procedure. There were few studies examining medical accidents related to Miniscalpel acupuncture, and thus we could not evaluate degree of risk.
Conclusion : We suggest revaluating Korean medical doctors' workload related to including Miniscalpel acupuncture, to consider the material costs of Miniscalpel acupuncture, and investigate its degree of risk by researching medical accidents.

영어초록

Problems and Potential Improvements of National Health Insurance Fees Associated with Miniscalpel Acupuncture※ Se Jung Oh1, Mu Seob Park1, Jung Hee Lee1, Seung Ah Jun1, Han Mi Gong1, Seong Hun Choi2, Min Hwangbo3, Hyun Jong Lee1 and Jae Soo Kim1,* 1Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Daegu Haany University 2Department of Anatomy and Histology, College of Korean Medicine, Daegu Haany University 3Department of Oriental Ophthalmology and Otolaryngology and Dermatology, College of Korean Medicine, Daegu Haany University Objectives : The objective of this study is to discuss problems and potential improvements of national health insurance fees associated with miniscalpel acupuncture according to Korean medical doctors' workload, material cost and degree of risk.
Methods : We researched the change of relative value points, national health insurance fees, the acupuncture process, and Korean medicine doctors' workload related to Miniscalpel acupuncture, as compared to general meridian point acupuncture. We also examined material cost by surveying pharmacies, internet shopping malls and medical appliance shops.
Results : Relative value point for Miniscalpel acupuncture decreased from 2010 to 2012, and remained the same from 2012 to 2016. National health insurance fees for Miniscalpel acupuncture increased by a small margin annually for rise of equivalent index. There was no reporting on workload related to Miniscalpel acupuncture. Material cost of Miniscalpel acupuncture was 18.2~20.7 times higher than actual cost of procedure. There were few studies examining medical accidents related to Miniscalpel acupuncture, and thus we could not evaluate degree of risk.
Conclusion : We suggest revaluating Korean medical doctors' workload related to including Miniscalpel acupuncture, to consider the material costs of Miniscalpel acupuncture, and investigate its degree of risk by researching medical accidents.

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