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Table 1

Relative Value Scale and Fee Schedule for Nurse-midwife's Delivery Service^*

^*This table was produced by transforming and calculating the data from Health Insurance Review & Assessment Service (2008); ^†Midwife fee=RVS×CF. RVS=relative value scale; KRW=Korean won.

Table 2

Estimates of Optimal Fees for Nurse-midwife's Clinic by SGR model

^*Data from national health insurance statistical yearbook (National Health Insurance Corporation, 2008); ^†Data from macroeconomic indicator (KNSO, 2008); ^‡Optimal fee increase rate=(1+PAF)×(1+MEI)-1; ^§CF (conversion factor)=80.7×(1+PAF)×(1+MEI); ^∥As of 2009, the actual value of conversion factor for nurse-midwife' clinic is 88.2 in the national health insurance.

SGR=sustainable growth rate; GDP=gross domestic product.

Table 3

Actual vs Optimal Conversion Factor for Nurse-midwife's Clinic by SGR model

SGR=sustainable growth rate; CF=conversion factor.

Table 4

Optimal Conversion Factor for Nurse-midwife's Clinic by Cost Analysis

^*R₁ indicates revenue from health insurance and R₂ from non-insurance services; ^†C₁ indicates cost from health insurance and C₂ from non-insurance services; ^‡The actual values of conversion factor for nurse-midwife' service in the national health insurance are 80.7 and 88.2 in 2008 and 2009, respectively.

CF=conversion factor.

Figure & Data

REFERENCES

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