Journal of radiological science and technology (대한방사선기술학회지:방사선기술과학)

Korean Society of Radiological Science (대한방사선과학회)
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Relationship Between Type of Medical Institutions According to the Equipment List and Inspection Fee Computed Tomography

의료기관 종별에 따른 전산화단층촬영장비 보유현황과 검사료간의 관계

  • 김민철 (한서대학교 보건의료학과) ;
  • 임청환 (한서대학교 보건의료학과) ;
  • 주영철 (한서대학교 보건의료학과)
  • Received : 2014.11.03
  • Accepted : 2014.12.15
  • Published : 2014.12.31
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Abstract

This study demonstrates holding condition of CT by medical institution classification and by season, and examination fee in Korea currently to quantitatively understand frequency of examination region by change of CT equipment, domestic growing trend and change of distribution and using rate. Recent 10 years of CT holding condition by medical institution classification (Tertiary hospital, General hospital, Hospital, Clinic, Dental hospital, Dental clinic, Hospitalized health center) and by year (2003-2012), and CT examination fee of distribution of medical institution by year is surveyed. The holding ratio of Tertiary hospital level and General hospital level is 32.7% in 2003 and 33.0% in 2012. Whereas, Hospital and Clinic level is 74.2% in 2003 and 66.8% in 2012, which takes approximately 70%. Based on data in 2012, it is 82.2% of total examination fee in Tertiary hospital and General hospital, while 17.5% in hospital and clinic. CT holding rate of Hospital level is increasing, while Clinic level is decreasing. Approximately 80% of CT examination fee is claimed by Tertiary hospital and General hospital. Therefore, there is a significant correlation between CT holding condition of medical institution classification and examination fee. Particularly, correlation between CT holding number of Tertiary hospital and examination fee is significant (p<.001). The more CT holding number, the higher the amount claimed examination fee.

본 연구에서는 CT 장비의 국내에서의 보급률과 이용률이 증가되고 있는 흐름과 증가의 변화와 장치의 변화가 검사부위에 나타나는 빈도 등을 정량적으로 파악하기 위하여 현재 우리나라의 의료기관 종별 및 시기별의 의료영상 진단 장비인 CT장치의 보유현황, 검사료 등을 조사하였다. 최근 10년간의 우리나라 의료기관 종별(상급종합병원, 종합병원, 병원, 의원, 치과병원, 보건의료원, 한방병원) 및 연도별(2003~2012)에 따른 CT장치 보유현황, 연도별 CT검사료를 의료기관 종별의 분포를 조사하였다. 우리나라 CT장치는 상급종합병원과 종합병원급 의료기관에서 보유한 총 비율은 2003년에 25.6%, 2011년에 32.5%정도인 반면, 병원과 의원급 의료기관에서 보유한 비율은 2003년에 73.5%와 2009년에 67.5%로 약 70%를 차지하고 있는 것으로 나타났다. 2011년도를 기준으로 하였을 때 상급종합병원과 종합병원에서 총 검사료의 82.4% 정도인 반면, 병원과 의원에서는 총 검사료의 17.6%로 나타났다. CT장비는 병원급은 증가하고 있는 추세이나 의원급은 감소하고 있는 것으로 나타났다. CT검사료 대부분은 80% 이상이 상급종합병원과 종합병원에서 청구하는 것으로 나타났다. 의료기관 종별 CT장비 보유현황과 검사료간의 상관관계가 유의미함을 알 수 있다. 그 중에서도 상급종합병원의 CT보유대수와 검사료간의 상관관계가 높았으며(p<.001), CT보유대수가 많아질수록 검사료 청구액도 높아진 것으로 나타났다.

Keywords

References

  1. JH Kim, JJ Chung, KH Kim: Reduction of Contrast Volume in Head Angiography by MDCT, Journal of Korean Society of Computed Tomographic Technology, 10(1), 118-121, 2008
  2. Sung-su Park: Device for measuring the radiation dose CT study, Korea University Master's Thesis, Korea, 4-7, 22-24, 2011
  3. Sangkyu Lee: Current Status and policy options for high-tech medical devices in Korea: vertical and horizontal synchronization of health policy, J Korean Med Assoc, 55(10), 950-958, 2012 https://doi.org/10.5124/jkma.2012.55.10.950
  4. Kyoungnam Ko: Epidemiologc Characteristic of Side Effects from the Use of Contrast Media in the Experienced CT examination, Graduate School of Public Health, Chungnam National University, 1-2, 2007
  5. YC Joo, CH Lim, HR Jung et al.: The Survey for Awareness of Radiation Dose of CT and General X-ray Examination, Journal of Radiological Science and Technology, 35(1), 35-44, 2012
  6. YH Oh, JH Kim: The Demand and Supply of Major Medical Equipments and Policy Recommendations, Health and Social Welfare Review, 27(2), 96-121, 2007 https://doi.org/10.15709/hswr.2007.27.2.96
  7. SS Moon, MK Choi: Public Health Administration, Bomungak, 267-273, 2012
  8. Monchan Kim: Diagnostic Reference Dose Levels for Computed Tomography Examination in Korea, Eulji Universitiy Graduate School Doctorate Thesis, 1-2, 2013
  9. Youngcheol Joo: The Study of Understanding of Waiting and Satisfaction of Examination in CT Appointed Patient: With a Focus Trasnsfer Distance and Time Between Hospital and House, Journal of Korean Society of Computed Tomographic Technology, 11(2), 123-131, 2009
  10. Guisoo Jung, Inhuk Lee: Outlook on Medical Equipment Market, Hana Industry info., www.hanaif.re.kr, 2008
  11. SY Lee, HJ Song: The Present Condition of Supply and Demand for Healthcare Resources and Management Policy Implications, KIHASA, 269-337, 2003
  12. KH Han, SK KO, SH Jeong: High-Price Medical Technologies in South Korea, Korean Journal of Hospital Management, 12(1), 31-50, 2007
  13. MK Lee, CH Lim: Survey of CT Practice and Collective Effective Dose Estimation, Journal of Radiological Science and Technology, 33(3), 231-237, 2010
  14. J Park, MY Lee, KT Kim: A Development of Indicators to Decide Replacement Priority for Medical Equipment in Hospital, JKORMS, 37(4), 161-180, 2012 https://doi.org/10.7737/JKORMS.2012.37.4.161