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치과위생사의 국민건강보험 치과진료비 청구에 관한 연구: 업무 관심도, 필요도, 인지도, 성과 기여도 차이분석
정선영(Seon yeong Jeong),마민정(Min jeong Ma),김영경(Yeong gyeong Kim) 대한치과보험학회 2018 대한치과보험학회지 Vol.8 No.1
Objective: In recent years, the proportion of insured medical care has also increased in the dental medical field amid recent trends of policy that strengthens the coverage of health insurance. The expansion of such insured care requires accurate knowledge related to insurance-related reimbursement claims with regard to the implementation of duties and roles of dental hygienists. This study was intended to provide the data for education which would be necessary for making claims for dental care expenses under the national health insurance system by examining the awareness of dental hygienists towards the health insurance. Methods: The collected data were analyzed by SPSS 12.0 according to the study purpose and the following statistical analysis was performed based on the 95% confidence level. The statistical method used is Frequency analysis, Cross analysis, Independent T-test, one-way ANOVA. Results: 95.4% of dental hygienists surveyed in this study recognized the need for education on dental health insurance and 89.5% had the experience of receiving related education. The proportion of dental hygienists comprised 70.8%, the highest, among those who handled works associated with claims for insurance-related reimbursement. The proportion was found higher among those who received education for longer period of time, those who handled works related to patient counseling, and those who performed works associated with claims for insurance-related reimbursement (P<0.05). 50.6% of dental hygienists were found to have certificates related to health insurance. The interest in health insurance and the need for performance of works associated with claims for insurance-related reimbursement turned out to be higher when they had the experience of making claims for insurance-related reimbursement(P<0.05). The awareness towards the basis for estimation of reimbursement amount, the extent of education on insurance-related reimbursement, and the degree of contribution to hospital performance were higher among those who handled works associated with claims for insurance-related reimbursement(P<0.05). Conclusion: Most respondents were found to have greater need for health insurance-related education. Systematic and specialized education is needed as the professional knowledge of health insurance is necessary for dental hygienists to carry out works independently and take on their roles firmly.
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