선원보험 수진자의 상병유형에 따른 진료비 관리방안 - 부산지역을 중심으로 -
Management Strategies for Medical Expenses Depending on Type of Diseases for Patients of Seafarers Insurance - Focused on Busan -
Objectives : The aim of the study is to investigate the actual condition of the occurrence and recovery of medical expenses in seafarers insurance and to provide basic data to be helpful to establish efficient management strategies for medical expenses of insurance companies depending on type of seafarers insurance for hospital management. Methods : Three general hospitals located in Busan, Korea were selected and seafarers insurance claim data collected from January 1, 2012 to December 31, 2013(24 months) were analyzed. There were total 5,490 cases. Results : There was a significant difference in distribution of the incidence of disease, accrued medical expenses, payback of medical expenses and the actual condition of medical receivables depending on insurance companies. Conclusions : Therefore, differentiated payback strategies for medical expenses are needed to consider various seafarers insurance companies and treatment characteristics in seafarers insurance.
목차
Abstract Ⅰ. 서론 1. 연구의 필요성 2. 선원보험의 종류와 주요 특징 3. 연구의 목적 Ⅱ. 연구방법 1. 연구 대상 및 방법 2. 변수의 측정 Ⅲ. 연구결과 1. 연구대상의 일반적 특성 2. 상병 유형에 따른 보험자별 분포 3. 상병 유형에 따른 보험자별 진료비 발생 4. 상병 유형에 따른 보험자별 진료비 회수 5. 선원보험 진료특성이 진료비 회수기간에 미치는 영향 Ⅳ. 고찰 Ⅴ. 결론 REFERENCES