Earticle

초록

영어

Objectives : This study analyzes the characteristics of hospital organization structures, insurance claims reviews and assessment tasks and their effects on hospitals in Pusan. Methods : The data for this study were collected through interview and self-administered surveys in 109 hospitals. The study included only – hospitals with a minimum of 50beds and excluded those providing only dental, psychiatric, or long-term care. Results : The findings of this study state that the number of beds has an influence on the organizitional structure. Conclusions : Hospital managements should seek human resources management(the insurance claims reviewer and evaluator) schemes that take into account the characteristics of the medical institution. In addition, insurance claims review and assessment tasks in hospitals require considerable knowledge and experience, and hospitals should be equipped with staff that have the relevant expertise. Therefore, to further deepen knowledge, comprehensive training should be continuously carried out in order to produce specialists in claims review and assessment.

목차

 Ⅰ. 서론
  1. 연구의 필요성
  2. 연구목적
 Ⅱ. 연구방법
  1. 연구대상
  2. 연구방법
  3. 분석방법
 Ⅲ. 연구결과
  1. 조사대상의 일반적 특성
  2. 조사대상의 월 평균 심사내역
  3. 조사대상의 심사업무
  4. 병상 수별 조사대상 및 업무 특성
  5. 조사대상 특성별 심사업무 특성
  6. 조사대상 특성에 따른 입원·외래 심사업무 효과
 Ⅳ. 고찰
 Ⅴ. 결론
 REFERENCES

키워드

저자

• 이고은 [ Ko-Eun Lee | 부산가톨릭대학교 일반대학원 병원경영학전공 ] Corresponding author
• 김경화 [ Kyung-Hwa Kim | 부산가톨릭대학교 일반대학원 병원경영학전공 ]

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  보건의료산업학회지 [The Korean Journal of Health Service Management]

• 간기

  계간

• pISSN

  2093-5986

• 수록기간

  2007~2026

• 등재여부

  KCI 등재

• 십진분류

  KDC 517 DDC 613