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Kim, Ma, Jung, Kim, and Park: Education on National Health Insurance: experience of Korean dentists who secured a license during 2000-2004
Original Article

J Korean Acad Oral Health 2014;38(1):25-30.

Published online: 12 March 2014

DOI: https://doi.org/10.11149/jkaoh.2014.38.1.25

Education on National Health Insurance: experience of Korean dentists who secured a license during 2000-2004

Kyung-Mi Kim1, Deuk-Sang Ma1, Se-Hwan Jung1, Cheoul-Sin Kim2, Deok-Young Park1

1Department of Preventive and Public Health Dentistry, College of Dentistry, Gangneung-Wonju National University & Research Institute of Oral Science, Gangneung, Korea

2Research Institute for Dental Care Policy and Dental Practice Management, Seoul, Korea

Corresponding Author: Deok-Young Park Department of Preventive and Public Health Dentistry, College of Dentistry, Gangneung-Wonju National University, 7 Jukheon-gil, Gangneung 210-702, Korea Tel: +82-33-640-2794 Fax: +82-33-640-6410 E-mail: jguitar@gwnu.ac.kr

Received 16 December 2013       Revised 14 January 2014       Accepted 27 March 2014

Copyright © 2014 Journal of Korean Academy of Oral Health

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives

The purpose of this study was to investigate Korean dentists’ perceived experience with and contents of education on National Health Insurance, and their competence in the practice of cases involving a health insurance claim.

Methods

A survey was conducted with 600 dentists who secured their dentist license during 2000-2004. A systemic stratified sampling, with “school graduated from” as a stratum, was conducted on a population of 3,947 dentists, using the register of the Korean Dental Association. A survey request and questionnaire sample was mailed, and responses were collected using a web-based replying method. The impact of the experience of education related to health insurance on the frequency of, and perceived competence on health insurance claims was analyzed using the chi-square test.

Results

Only 21% dentists replied that they had educational experiences related to health insurance when they were dental students, and the content of this education was ‘health insurance system’ (69%) and ‘health insurance law’ (59%). Only 28% of the respondents replied that they had practiced cases related to health insurance claims at dental schools. The rate of dentists who had educational experiences related to health insurance after their graduation was 73%. The experience of education related to health insurance and the perceived competency on handling health insurance claims showed a statistically significant correlation (P<0.01).

Conclusions

It is necessary to develop a standardized curriculum related to health insurance and health insurance claims in dental schools.

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Keywords: Curriculum, Dentist, Health insurance

References

1. Kim BH, Yoon BJ, Yoon CK, Lee JH, Kang SM, Park KS. Theory and practice of health insurance. 7th ed.Seoul: KyeCookmunhwa sa;2010. p. 73.
2. Ministry of Government Legislation. Legislation search, National Health Insurance Act [Internet]. [cited 2012 Dec 01]. Available from:. http://www.law.go.kr/lsSc.do?menuId=0&subMenu=1&query=%EA%B5%AD%EB%AF%BC%EA%B1%B4%EA%B0%95%EB%B3%B4%ED%97%98%EB%B2%95#liBgcolor0.
3. National Health Insurance Corporation. Overview of the health insurance system. Seoul: National Health Insurance Corporation;2004. p. 30.
4. Jang YH, Paik DI, Kim JB, Moon HS. A study on the medical health care benefits in the republic of Korea. J Korean Acad Oral Health. 2003; 27:15–29.
5. Jeon MY, Park KS. A study on recognition degree about the standard of health care insurance recuperation payment of dental sanitarian and the standard of dental treatment cost fee. The Chung-Ang J Nurs. 2000; 4:147–158.
6. Jung SJ. On-site investigation system and unfair calling case. J Korean Acad Dent Insurance. 2011; 2:23–32.
7. Dailydental. Search, Dental college insurance education [Internet]. [cited 2014 Feb 04]. Available from:. http://www.dailydental.co.kr/news/article.html?no=66602.
8. Hong SA. A survey on health insurance claim affairs among dental clinics. J Korean Acad Dent Insurance. 2010; 1:17–27.
9. Yoo EM, Ahn SY, Choi HS, Hwang SH, Oh BK. A study on the state of the claim of dental medical institutions for payment from the national health insurance corporation. J Dent Hyg Sci. 2011; 11:31–35.
10. Norman GR, Streiner DL. Biostatistics: The bare essentials. 2th ed.Mosby: BCDecker Inc.;1994. p. 252.
11. Korean Dental Association. 2011 A membership list. Seoul: Korean Dental Association;2011.
12. Kim SH. The study on the problems and the ways of the improvement for the claiming system of the medical expense of health insurance [master’s thesis]. Seoul: Korea University;2010. [Korean].
13. Kim JB, Jung SH, Yang JK. Education related to the national health insurance at dental colleges and graduate schools of dentistry in Korea. J Korean Acad Dent Insurance. 2010; 1:8–16.
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jkaoh-38-25f1.tif
Fig. 1.
Research Design.
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Table 1.
The general characteristics of respondents
Characteristics Classification Frequency (N) Percentage (%)
Age (yrs) Total 136 100.0
30-34 27 19.9
35-40 91 66.9
>40 18 13.2
Gender Male 105 77.2
Female 31 22.8
Year of clinical experience <8 11 8.1
Over 8-Under 10 40 29.4
>10 85 62.5
Number of employees in clinic* 2-5 97 71.3
6-10 22 16.2
≥11 17 12.5

*Employees include dentist, dental hygienist, nursing assistant etc.

Table 2.
Dentists’ perceived competency in practice of health insurance claim and person who practice claim
Characteristics Classification Frequency Percentage
Perceived competency of health insurance claim practice Total 136 100.0
Can claim very well 38 27.9
Can claim to fairly well 52 38.3
Can’t claim appropriately 35 25.7
Can’t claim at all 9 6.6
Don’t know 2 1.5
Person who is doing practice of claim in clinic Total 136 100.0
Dentist 35 25.7
Dental hygienist 75 55.2
Nursing assistant 18 13.2
Committed agent 4 3.0
Others 4 2.9
Reasons why claim practice is not done by dentists* Total 101 -
Lack of time 42 41.6
Lack of knowledge 14 13.9
Tiresomeness 23 22.8
Others 14 13.9
Nonresponse 8 7.9

*Multiple choice.

Table 3.
Perceived experience of education related to the health insurance in dental schools
Characteristics Classification Frequency Percentage
Experience of health insurance claim education in dental school Total 136 100.0
Yes 30 22.1
No 106 77.9
Educational contents* Total 30 -
Health insurance system 20 66.7
Health insurance law 17 56.7
Practice of insurance claims 10 33.3
Claim settlement analysis 1 3.3
Claim raising about settlement 1 3.3
Others 3 10.0
Perceived helpfulness of claim education in dental school Total 30 100.0
Very helpful 0 0.0
Somewhat helpful 2 6.7
So-so 7 23.3
Not helpful 12 40.0
Not helpful at all 8 26.7
Don’t know 1 3.3
Experience of health insurance education after graduation of dental college Total 136 100.0
Yes 99 72.8
No 37 27.2
Education hours after graduation Total 99 100.0
<5 52 52.5
5 to <10 31 31.3
10 to <20 7 7.1
20 to <30 1 1.0
≥30 5 5.1
Don’t know 3 3.0

*Multiple choice.

Table 4.
Association between perceived competency and experience of education Unit: N (%)
Experience of education on health insurance claim Classification Perceived competency on claim* P-value†
Competent Incompetent
Total Yes 136 (100.0)
In dental college Yes 18 (20.0) 11 (23.9) 0.598
No 72 (80.0) 35 (76.1)
After graduation Yes 72 (80.0) 27 (58.7) 0.008
No 18 (20.0) 19 (41.3)

*Recoded ‘Can claim very well’ and ‘Can claim to some degree’ as ‘competent’, and ‘Can’t claim appropriately’ and ‘Can’t claim at all’ as ‘incompetent’.

† by Chi-square test.

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