Dilemmas Within the Korean Health Insurance System

Autor: Donghwi Park, Min Cheol Chang
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of Preventive Medicine and Public Health, Vol 53, Iss 4, Pp 285-288 (2020)
Druh dokumentu: article
ISSN: 1975-8375
2233-4521
DOI: 10.3961/jpmph.20.074
Popis: 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.
Databáze: Directory of Open Access Journals