@article{ART001974234},
author={송영진 and Cha Yu Jin},
title={Occupational Therapy Medical Insurance Review of Issues and Improvement of the System in Korea},
journal={Korean Journal of Occupational Therapy},
issn={1226-0134},
year={2015},
volume={23},
number={1},
pages={123-136},
doi={10.14519/jksot.2015.23.1.10}
TY - JOUR
AU - 송영진
AU - Cha Yu Jin
TI - Occupational Therapy Medical Insurance Review of Issues and Improvement of the System in Korea
JO - Korean Journal of Occupational Therapy
PY - 2015
VL - 23
IS - 1
PB - Korean Society Of Occupational Therapy
SP - 123
EP - 136
SN - 1226-0134
AB - Introduction : This study aimed to examine the current situation of the personnel and manpower of domesticoccupational therapists, the differences between occupational therapists’ duties and relevant areas defined in thelaw, the current status of the payment system of medical insurance companies for occupational therapy, and thedifferences between the current situations of the national health insurance for occupational therapy in Korea andother countries in order to analyze the problems of domestic medical insurance for occupational therapy, suggestdirections for revising the occupational therapy insurance payments, and provide foundational materials for such arevision.
Results : It is necessary to cultivate manpower quantitatively, provide qualitative management, and develop aninstitutional support system through a survey on the current situation of the personnel and manpower of domesticoccupational therapists. In addition, through a comparison on the occupational therapists’ duties and relevant areasdefined in the law, this study found that it is necessary to revise the law related with the insurance systemlimiting the duties or performances of occupational therapists. Moreover, the researchers have learned thatproblems exist, resulting from the use of an academic definition of ‘occupational therapy’ as the name of thebehavior used for insurance payments, limitations on the range of duties, an imbalance among specializedtreatment areas for rehabilitation services, or an imbalance in payments of relative value. In addition, according toa comparison of the current situations of insurance payments for occupational therapy in Korea, the US, andJapan, Korea is the only country that strictly restricts the qualifications for acts of rehabilitation.
Conclusion : Because insurance payments for occupational therapy do not reflect the duties of occupationaltherapists properly, it is necessary to improve the payment system based on the international standards toclassify such acts. It is expected that further legislative·institutional improvements in the domestic occupationaltherapy insurance payment system will support occupational therapists in improving national health and the qualityof life.
KW - Fee for service;Medical insurance reclassification;Occupational therapy;Relative value scale;Special rehabilitation therapy
DO - 10.14519/jksot.2015.23.1.10
ER -
송영진 and Cha Yu Jin. (2015). Occupational Therapy Medical Insurance Review of Issues and Improvement of the System in Korea. Korean Journal of Occupational Therapy, 23(1), 123-136.
송영진 and Cha Yu Jin. 2015, "Occupational Therapy Medical Insurance Review of Issues and Improvement of the System in Korea", Korean Journal of Occupational Therapy, vol.23, no.1 pp.123-136. Available from: doi:10.14519/jksot.2015.23.1.10
송영진, Cha Yu Jin "Occupational Therapy Medical Insurance Review of Issues and Improvement of the System in Korea" Korean Journal of Occupational Therapy 23.1 pp.123-136 (2015) : 123.
송영진, Cha Yu Jin. Occupational Therapy Medical Insurance Review of Issues and Improvement of the System in Korea. 2015; 23(1), 123-136. Available from: doi:10.14519/jksot.2015.23.1.10
송영진 and Cha Yu Jin. "Occupational Therapy Medical Insurance Review of Issues and Improvement of the System in Korea" Korean Journal of Occupational Therapy 23, no.1 (2015) : 123-136.doi: 10.14519/jksot.2015.23.1.10
송영진; Cha Yu Jin. Occupational Therapy Medical Insurance Review of Issues and Improvement of the System in Korea. Korean Journal of Occupational Therapy, 23(1), 123-136. doi: 10.14519/jksot.2015.23.1.10
송영진; Cha Yu Jin. Occupational Therapy Medical Insurance Review of Issues and Improvement of the System in Korea. Korean Journal of Occupational Therapy. 2015; 23(1) 123-136. doi: 10.14519/jksot.2015.23.1.10
송영진, Cha Yu Jin. Occupational Therapy Medical Insurance Review of Issues and Improvement of the System in Korea. 2015; 23(1), 123-136. Available from: doi:10.14519/jksot.2015.23.1.10
송영진 and Cha Yu Jin. "Occupational Therapy Medical Insurance Review of Issues and Improvement of the System in Korea" Korean Journal of Occupational Therapy 23, no.1 (2015) : 123-136.doi: 10.14519/jksot.2015.23.1.10