J Korean Acad Oral Health.  2017 Mar;41(1):43-49. 10.11149/jkaoh.2017.41.1.43.

A study on the ecosystem of welfare technology using social economy: a case study of dental clinics in health welfare social cooperative

• Park Y
• Choi H
• Han DH
• Kang JH
• Ahn SH
• Ahn SH

• KMID: 2376038
• DOI: http://doi.org/10.11149/jkaoh.2017.41.1.43

Abstract

OBJECTIVES
In this study, we strived to determine the possibility of socioeconomic welfare in oral healthcare by analyzing the National Health Insurance (NHI) coverage rate. To date, efforts to realize the "social economy" of healthcare are active. While oral disease is common and chronic among Koreans, the rate of NHI coverage of dental clinics is substantially lower than that of the medical clinics.
METHODS
We defined the NHI coverage of dental clinics as a proxy for "social skills" to improve oral health problems. The data were collected through a comparative analysis of the NHI coverage of dental clinics and that of non-dental clinics, in health welfare social cooperatives.
RESULTS
The NHI coverage rate of the dental clinics in health welfare social cooperatives ranged from 0.97 to 2.62 times that of the non-dental clinics in health welfare social cooperatives.
CONCLUSIONS
In conclusion, responsible management is recommended for making health welfare social cooperatives meaningful as a social economy.

Keyword

Insurance coverage; National health insurance; Social medicine; Social welfare

MeSH Terms

Delivery of Health Care
Dental Clinics*
Ecosystem*
Humans
Insurance Coverage
National Health Programs
Oral Health
Proxy
Social Medicine
Social Welfare

Figure

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  Fig. 1 The number of medical cooperative by institutions in 2014.

Reference

1. The Change. Social Agenda, The Project in 2012, Social economy as a new power of the Korean economy [Internet]. cited 2016 Dec 22. Available from: http://thechange.kr/board/?mid=socialagendacolloquium&document_srl=6270.

2. Shin MH. A study of conceptualizing ‘social economy’ in the context of Korean society. J Korean Soc Trend Perspect. 2009; 75:11–46.

3. Jang WB. Alternative conceptualization of social economy: issues and tasks. Civ soc NGO. 2007; 5:11–43.

4. Song WJ. Technology aiming at solving the social problems: social technology. Seoul: Science and Technology Policy Institute;2011. p. 5–20.

5. Ministry of Health & Welfare. Korea Health Statistics 2014: Korea National Health and Nutrition Examination Survey (KNHANES VI-2). Sejong: Ministry of Health & Welfare;2015. p. 265.

6. Ministry of Health & Welfare. Korea Health Statistics 2014: Korea National Health and Nutrition Examination Survey (KNHANES VI-2). Sejong: Ministry of Health & Welfare;2015. p. 268.

7. Ministry of Health & Welfare. Korea Health Statistics 2014: Korea National Health and Nutrition Examination Survey (KNHANES VI-2). Sejong: Ministry of Health & Welfare;2015. p. 272.

8. Ministry of Health & Welfare. Korea Health Statistics 2014: Korea National Health and Nutrition Examination Survey (KNHANES VI-2). Sejong: Ministry of Health & Welfare;2015. p. 122.

9. Ministry of Health & Welfare. Korea Health Statistics 2014: Korea National Health and Nutrition Examination Survey (KNHANES VI-2). Sejong: Ministry of Health & Welfare;2015. p. 124–127.

10. Health Insurance Policy Research Institute. National Health Insurance Patient Medical Expense Survey 2014. Wonju: National Health Insurance Service;2015. p. 36.

11. Ahn E, Shin H. On decomposing the determinants of dental utilization inequalities. Stat Res. 2015; 20:140–159.

12. Kim BS, Kim HH. A Study on Practitioner's Involvement in Anseong Medical Cooperation: Focusing on Healthcare Practitioners in Early Days. J Korean Soc Welf Adm. 2005; 7:137–172.

13. Song YS. Healthy village made by ourseves-Incheon peace & health cooperative. People idea. 2009; 3:8–11.

14. Ministry of Health & Welfare. Announcement, Press Release, Exposure of 53 illegal clinics under the mask of healthy cooperative [Internet]. cited 2016 Dec 22. Available from: http://www.mohw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=9&CONT_SEQ=329032.

15. Kim JR, Paik NB, Lee YH. The Present Situation, Problems, Improving Plans about the Establishment and the Operation of a Medical Association - Mainly on the Violations of the Rules Regulating Medical Institute's Opening. Korean Soc Law Med. 2015; 16:227–261.

16. Korea Health Welfare Social Cooperative Federation. Membership status [Internet]. cited 2016 Dec 22. Available from: http://hwsocoop.or.kr/korea-association-of-health-and-welfare-and-socialcooperatives/union-status/page/3/?keyword&chains&area&select_search.

17. Healthy Health Welfare Social Cooperative. [Internet]. cited 2016 Dec 22. Available from: http://www.healthycoop.co.kr.

18. Mindle Health Welfare Social Cooperative. [Internet]. cited 2016 Dec 22. Available from: http://www.mindlle.org.

19. Seoul Health Welfare Social Cooperative. [Internet]. cited 2016 Dec 22. Available from: http://medcoop.org.

20. Siheung Hope Health Welfare Social Cooperative. [Internet]. cited 2016 Dec 22. Available from: http://www.shmedcoop.com/main/main.php.

21. Ansan Health Welfare Social Cooperative. [Internet]. cited 2016 Dec 22. Available from: http://www.asmedcoop.org/.

22. Ansung Health Welfare Social Cooperative. [Internet]. cited 2016 Dec 22. Available from: https://asmedcoop.or.kr:50007/main/as_stat_join.php.

23. Incheon Peace Health Welfare Social Cooperative. [Internet]. cited 2016 Dec 22. Available from: http://icmedcoop.or.kr/.

24. Together Health Welfare Social Cooperative. [Internet]. cited 2016 Dec 22. Available from: http://www.healthcoop.or.kr/.

25. Research Institute for Health Policy. Actual condition and improvement plan of medical coopertive. Seoul: Korea Medical Association;2015. p. 49–54.

26. Korean Statistical Information Service. Medical Care Institutions [Internet]. cited 2016 Dec 22. Available from: http://kosis.kr/statisticsList/statisticsList_01List.jsp?parentId=D.1;D1.2;D1C.3;350_35001.4;350_35001.5#SubCont.

27. Kim KA, Shine EK, Beak SS, Choi YS, Jung KT. A Study on Catastrophic User-Paid Expenditure Attributes for Patient in National Health Insurance. Korean J Health Econ Policy. 2011; 17:75–99.

28. International Co-operative Alliance. Co-operative identity, values & principles [Internet]. cited 2016 Dec 22. Available from: http://ica.coop/en/whats-co-op/co-operative-identity-values-principles.

29. Leem JH. Status and view of medical co-operative. Korean J Health Policy Adm. 2013; 5:391–398.

30. Synn JW. The Search for the Role of the Health Cooperatives in Reforming National Health Care System. Korean Soc Secur Stud. 2014; 30:151–182.

31. Cho BH. Health Promotion Concepts and Theories. J Korean Oncol Nurs. 2008; 8:Suppl 1. 9–20.