| Analysis of Changes in Relative Value Scale and Frequency of Surgery and Procedures in Surgery Departments Over the Past 18 Years: Secondary Publication |
Jae Hoon Cho1
, Sei Young Lee2, Seung Hoon Lee3, Seog-Kyun Mun2, Jung Hyun Chang4, Chan-Soon Park5
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1Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Konkuk University, Seoul, Korea
2Department of Otorhinolaryngology-Head and Neck Surgery, Chung-Ang University College of Medicine, Seoul, Korea
3Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Korea University College of Medicine, Seoul, Korea
4Department of Otolaryngology-Head and Neck Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Korea
5Department of Otorhinolaryngology-Head and Neck Surgery, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea |
| 최근 18년간 외과계 수술 및 처치 행위 항목 상대가치점수와 시행 빈도 변화 분석: 재출판본 |
| 조재훈1
, 이세영2, 이승훈3, 문석균2, 장정현4, 박찬순5
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1건국대학교 의과대학 이비인후과학교실
2중앙대학교 의과대학 이비인후과학교실
3고려대학교 의과대학 안산병원 이비인후-두경부외과학교실
4국민건강보험 일산병원 이비인후과학교실
5가톨릭대학교 의과대학 성빈센트병원 이비인후-두경부외과학교실 |
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Received: 28 July 2024; Revised: September 1, 2024 Accepted: 3 September 2024. Published online: 24 December 2024. |
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| ABSTRACT |
Background and Objectives
The purpose of this study was to compare and analyze the 18- year change in the relative value scale (RVS) in otolaryngology in relation to other surgical departments so as to help make future policy decisions.
Subjects and Method
Data on RVSs and addition rates, the deparments of main managed care, frequency of practice, and number of specialists were collected for all surgeries and procedures conducted in 2004, 2008, 2013, 2018, and 2022. Among these, an analysis was conducted for nine surgical departments. The number of surgeries and procedure items, the median value of the RVS, and the usage amount (i.e., RVS of all items multiplied by the frequency of surgeries and procedures) were calculated.
Results
Over the past 18 years, the increase in the number of surgeries, procedure items and RVS in otolaryngology has grown smaller than that in other surgical departments, and the usage has decreased very sharply; in essence, the usage per specialist has actually decreased compared to 18 years ago.
Conclusion
Compared to other departments, RVS in otorhinolaryngology has shown very little change over the past period of 18 years. It is necessary to reasonably increase the currently undervalued RVS in otorhinolaryngology, particularly focusing on surgeries and procedures. |
| Keywords:
Korea National Health Insuranceㆍ Otolaryngologyㆍ Relative value scaleㆍ Surgery |
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