- 최근 작업치료(OT)의 의료보험 삭감요인에 대한 대처방안 연구
- ㆍ 저자명
- 조윤경,최병옥,김종대,Cho. Yun-Kyoung,Choi. Byung-Ok,Kim. Jong-Dae
- ㆍ 간행물명
- 대한물리치료사학회지
- ㆍ 권/호정보
- 2003년|10권 2호|pp.226-235 (10 pages)
- ㆍ 발행정보
- 대한물리치료과학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
Under the present occupational therapy 6 items of overall coverage objects of health insurance are being applied and among them, only 3 items including the simple therapy, complex therapy, and special therapy can be demanded in the hospital. The treatment for Activities of Daily Living(ADL), Oral Motor Exercise and Functional Electrical Stimulation(FES) is exempted from an issue of reduction object, because it was covered 100% by the person himself. The reason why there are a lot of reduction factors is attributed mainly to vagueness of criteria and lack of exact understanding between therapists of insurance-applied hospitals. The reduction factors are characterized to confine them to only special treatment which demands the highest insurance cost claimed and to be applied without consideration of treatment times or days of hospital treatment. Moreover, the 56.38%, rate of reduction results from its uniform application based on willful convenience of health insurance not on embodiment of criteria or characteristics of various type of patients.