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비급여 진료비 확인 제도의 심사 대상 및 범위 연구

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Type
Research report
Author(s)
이상영여나금이재은문석준
Issued Date
2021-12
Publisher
건강보험심사평가원
URI
https://repository.hira.or.kr/handle/2019.oak/3221
Table Of Contents
제1장 서 론 ·············································································································1
제1절 연구 배경 및 필요성 ·······································································································3
제2절 연구 목적 및 방법 ········································································································11

제2장 비급여 진료비 확인제도 개요 ·····································································13
제1절 제도 개요 ······················································································································15
제2절 제도 추진경과 ···············································································································19
제3절 제도 운영을 위한 법적 근거 ························································································23

제3장 비급여 진료비 확인제도 관련 여건 변화 ····················································29
제1절 비급여 진료비 확인에 대한 국민의 요구 증대 ·····························································31
제2절 긴급 의료지원에서의 비급여 진료비 확인 ····································································33
제3절 비급여 관리체계 강화 ···································································································36

제4장 비급여 진료비 확인제도 운영 성과 평가 ····················································41
제1절 비급여 진료비 확인제도에 대한 국민 인식도 ·······························································43
제2절 비급여 진료비 확인제도 운영 성과 ··············································································46

제5장 비급여 진료비 확인 대상 및 범위 ······························································57
제1절 현행 법령 및 비급여 진료비 확인 범위 ·······································································59
제2절 판례 및 해석·내부지침 검토 ························································································65
제3절 대상 및 범위 관련 주요쟁점 검토 ··············································································76
제4절 법체계 개선방안 ············································································································85

제6장 비급여 진료비 확인제도 개선 및 활용방안 ················································93
제1절 검토방향 ························································································································95
제2절 제도 내실화 및 연계·활용 방안 ···················································································98
제3절 결론 및 제언 ··············································································································110

[부록] 비급여 진료비 확인제도 판례 목록 ··························································113
Publisher
건강보험심사평가원
Location
KOR
Citation
이상영. (2021-12). 비급여 진료비 확인 제도의 심사 대상 및 범위 연구.
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