MRI 외부병원 판독 수가 인상의 효과 분석: 뇌 관련 자기공명영상을 중심으로
An Analysis on the Effect of the Increase in the Fee of Magnetic Resonance Imaging Deciphering of the External Hospital: Focusing on the Brain Magnetic Resonance Imaging
- Resource Type
- Article
- Authors
- 김록영 / Logyoung Kim; 사공진 / Jin Sakong; 조민호 / Minho Jo; 위세아 / Seah Wee; 이진용 / Jinyong Lee; 김용규 / Yongkyu Kim
- Source
- 보건행정학회지 / Health Policy and Mangemnet. Sep 30, 2021 31(3):261
- Subject
- Magnetic resonance imaging
Brain MRI scan
MRI deciphering fee of the external hospital
Policy effect
Coverage expansion
Healthcare resource
Fee schedule revision
Health insurance finance
Medical technology
- Language
- Korean
- ISSN
- 1225-4266
Background: In 2018, the government increased the fee for the magnetic resonance imaging (MRI) image deciphering services of the external hospital to discourage the redundant MRI scan and to induce appropriate use of the MRI services. It is important to evaluate the effect of the policy to provide the basis for establishing other MRI-related policies. Methods: The healthcare data of the patients who had brain MRI scans were organized by episode and analyzed using the panel study in order to find out the effect of the MRI-related policy on the substitution effect and the medical expenses. Results: As a result of the increase in the fee of deciphering the MRI image, there has been an uplift in deciphering the MRI scan of the external hospital. It implies that more hospitals chose to use the MRI scan taken by other clinics or hospitals, rather than the MRI scan taken at their own facilities. Conclusion: The research results imply that a policy that facilitates the exchange of the medical image data between the hospitals is needed in order to establish an efficient management system of the healthcare resources. Such improvement is expected to reduce the social cost and contribute to the stability in the finance of national health insurance.