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[韩国的一项新医疗政策 第二部分:国民健康保险对腹部超声和磁共振成像检查覆盖范围的扩大]

[A New Health Care Policy in Korea Part 2: Expansion of Coverage by National Health Insurance on the Abdominal Ultrasound and MRI].

作者信息

Jang Min Jae, Park Seong Jin

出版信息

Taehan Yongsang Uihakhoe Chi. 2020 Sep;81(5):1069-1082. doi: 10.3348/jksr.2020.0127. Epub 2020 Sep 28.

Abstract

Coverage by National Health Insurance (NHI) was expanded in the abdominal imaging area as follows: upper abdominal ultrasound on April 1, 2018, lower abdominal ultrasound on February 1, 2019, and abdominal MRI on November 1, 2019. Many patients can benefit from the expansion of NHI coverage. Newly included diseases for NHI coverage includes liver cirrhosis, gallbladder polyps, hepatic adenoma/dysplastic nodules, pancreatic cysts, autoimmune pancreatitis and bile duct stone disease. However, the expansion of coverage made each examination more complex, including indications, follow-up strategy, the number of examination per patients, the standard images to be acquired, and the standard forms of the radiological report. Therefore, more careful consideration is mandatory when an abdominal imaging examination is prescribed and conducted.

摘要

国民健康保险(NHI)在腹部成像领域的覆盖范围扩大如下:2018年4月1日起覆盖上腹部超声,2019年2月1日起覆盖下腹部超声,2019年11月1日起覆盖腹部MRI。许多患者可从NHI覆盖范围的扩大中受益。NHI新纳入的覆盖疾病包括肝硬化、胆囊息肉、肝腺瘤/发育异常结节、胰腺囊肿、自身免疫性胰腺炎和胆管结石病。然而,覆盖范围的扩大使每次检查变得更加复杂,包括适应症、随访策略、每位患者的检查次数、要获取的标准图像以及放射学报告的标准格式。因此,在开具和进行腹部成像检查时必须更加谨慎地考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6486/9431876/8af955f3a466/jksr-81-1069-g001.jpg

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