의료보험 구강요양급여비에 관한 조사연구 = A study on the medical health care benefits in the republic of Korea

다국어 초록 (Multilingual Abstract)

The government of our country has started Medical insurance policy, one of the social security systems.
However, statistical date of medical insurance benefits is not much. Especially dental data is insufficient and irrational. In order to get reliable data which offer a valuable suggestion to direction of health care insurance system, the author studied the amount of total care benefits at 1998 which revealed by the survey and analysis of medical statistic index. And it divided into medical insurance, dental insurance, korean-medicine insurance benefits. The dental insurance benefits divided into dental survey and dental disease care benefits again. The dental disease care expenses is composed of dental caries and its advanced disease care expenses, periodontal disease care expenses, other dental disease care expenses. Its date is revealed by the survey and investigation of the demands of 12 dental clinic in 1998.
The major findings of the analysis are summarized as follows;
1. In Medical insurance system, the total insurance benefits(include pharmaceutical expenses) was ￦10,115,324,330,000 and the total medical insurance benefits was ￦9,730,793,383,000. The Total dental insurance benefits was ￦647,033,656,600. The ratio of total medical insurance benefits to the total insurance benefit was the 96.20％, and the ratio of dental insurance benefits to the total medical insurance benefits was the 6.65％
2. The individual dental insurance benefits was ￦13,935.7. Among the individual dental insurance benefits, the proportion of the individual dental surveying expenses was 34.62％ and individual dental disease care expenses was 46.04％
3. The most part of the dental insurance benefits was dental caries and its advanced disease care expenses and periodontal disease care expenses.
4. Among the dental caries its advanced disease care benefits, the percentage of tertiary preventive expenses was 40.52％.
5. To reduce the expenditure of finance of the health care insurance system and to poromote national oral health, it is necessary to increase the primary and the secondary preventive expenses.
6. Oral diagnostic expenses, oral health care planning expenses and preventive expenses for oral disease, prosthetic expenses in medical insurance benefits didn's supplied.
7. It should be make the legal basis of supply for oral diagnostic expenses and oral health care expenses.
8. Statistic data of the dental insurance should be more rationalize.