Abstract:
The efficiency of the reimbursement for initial damages in the inpatient care setting according to the Protection for Motor Vehicle Accident Victims Act at King Chulalongkorn Memorial Hospital was assessed during one year since October, 1998 to September, 1999. The outcome measurement in this study was proportion of cases reimbursed, proportion of damages reimbursed and factors affecting the efficiency such as organizational factors, patient factors and legal outcomes. Study revealed that proportion of cases to be reimbursed from insurance company and proportion of damages to be reimbursed was 0.57. Incomplete evidences were the main problem for the injured patient for reimbursing the damages. There were various types of payment to return to the hospital ; such as insurance payment, cash, debt, social security and welfare. Total amount of medical expense for 280 patients were 2,690,083 baht. Source of payment were insurance company (1,544,544 baht), cash (568,724 baht), social security (19,452 baht), and other source (162,052 baht). Total amount of medical expense that the injured patient got debt to the hospital was 395,310 baht. Knowledge of the staff taking care an injured patient kad middle score of knowledge according to the law. The motivation level of these staff indicated medium level. The component of work motivation was achievement (mean = 3.87), motivation of power (3.87), affiliation (mean = 3.78), security (mean = 3.33) and status (mean = 3.27)
