• Title/Summary/Keyword: 지불가능성

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The Conflict over the Separation of Prescribing and Dispensing Practice (SPDP) in Korea: A Bargaining Perspective (의약분업을 둘러싼 갈등 : 협상론의 관점에서)

  • Lee, Kyung-Won;Kim, Joung-Hwa;T. K. Ahn
    • Health Policy and Management
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    • v.12 no.4
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    • pp.91-113
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    • 2002
  • We report and analyze the Korean physicians' recent general strike over the implementation of the Separation of Prescribing and Dispensing Practice (SPDP) in which more than 18,000 private clinics and 280 hospitals participated. Utilizing game-theoretic models of bargaining we explain why the Korean physicians were so successful in organizing intense collective action against the government and securing very favorable policy outcomes. In particular, we highlight the role of distributional conflict among social actors in shaping the details of institutional reform. The introduction of the SPDP was a necessary first step in the overall reform of health care system in Korea. However, the SPDP was perceived to be a serious threat to the economic viability of their profession by the vast majority of Korean physicians who had long been relied on the profits from selling medicines to compensate for the loss of income due to the low service fee under the previous health care system. The strong political coalition among heterogeneous physicians enabled them to organize an intense form of collective action, the general strike. Thus, physicians were successful not only in dragging the government to a bargaining table, but also winning in the bargaining and securing an outcome vastly favorable to them. On the other hand, the lack of an overall reform plan in the health care policy area, especially the finance of the National Health Insurance and the need for maintaining an image as a successful reform initiator, motivated the government to reach a quick resolution with the striking physicians.

The Function of Strategic Purchasing and Its Application to the Korean National Health Insurance System (의료보장제도 운영에 있어서 전략적 구매의 개념과 한국 제도에의 적용)

  • Kim, Duck-Ho;Chung, Seol Hee
    • The Journal of the Korea Contents Association
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    • v.18 no.1
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    • pp.504-516
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    • 2018
  • Many countries have tried to reform financing systems toward UHC and paid attention to the function of strategic purchasing. This study was performed to examine theoretical foundations and the function of strategic purchasing. And we examined the functions of strategic purchasing in Korea based on the framework proposed by Preker(2005). For this purpose, we reviewed literature related to purchasing. we defined the strategic purchasing as strategic activities to provide health care services people need within a given budget, which is carried out by certain organizations, purchasing organizations. These activities include selecting appropriate providers, designing and operating the payment system, setting the price, and determining the target populations and their needs etc. The relationships among government, purchasers and healthcare providers can be explained by the principal-agent theory. In addition to Preker's framework, we emphasized the importance of the infrastructure such as decision making support systems, information systems, health care resource management systems, or expenditure monitoring systems. The National Health Insurance Service and the Health Insurance Review & Assessment Service play major roles in performing strategic purchasing.

Cost Allocation of River Water Quality Management Considering Development in Upper Basin and Total Pollution Load Management System (상류지역 개발과 오염총량관리제를 고려한 하천수질관리 비용분담 방안)

  • Yeo, Kyu-Dong;Kim, Gil-Ho;Jung, Young-Hun;Lee, Sang-Won
    • Proceedings of the Korea Water Resources Association Conference
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    • 2012.05a
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    • pp.822-822
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    • 2012
  • 본 연구는 상류의 개발행위와 더불어 현재 수질관리의 기준이 되는 오염총량관리제를 대상으로 '규모의 경제'의 논리를 따른다는 가정 하에, 지자체간에 협조를 통해 비용을 절감하여 서로 혜택을 볼 수 있도록 상 하류 지자체와 중앙정부 등 관련 당사자들 간의 비용배분 방안을 도출하는 것을 목적으로 하였다. 이를 위해서 광주광역시에 위치한 평동산업단지와 영본B, 영본C를 대상으로 광주, 전남, 중앙정부를 이해당사자로 하여 협조적 상황 하에서 대상 비용배분 문제를 정의하였고, 협조적 게임이론에 근거한 SCRB법 및 샤플리법을 적용하여 비용배분 결과를 제시하였다. 우선 광주와 전남이 각각 삭감해야 할 오염량을 산정하고, 해당 삭감량 만큼 처리하기 위한 하수처리시설의 규모를 설정하였다. 또한 하수처리시설의 건설비와 하수관거 공사비, 유지관리비를 산정하였으며, 하수처리시설의 내용연수인 20년간의 총비용을 2010년 현재가치 기준으로 산정하였다. 상 하류 지자체가 공동으로 대처할 경우 20년간 총비용은 416,311.8 백만원, 개별로 대처할 경우 464,439.6 백만원이며, 공동 대처가 42,359.3 백만원이 절감되므로 양 지자체 모두 협조적 게임에 응할 기본배경은 성립되었다. SCRB법에 의한 지자체별 비용배분율을 산정 결과, 광주 74.24%, 전남 25.76%로 산정되었으며, 2001~2010년 하수도 세입현황을 기준으로 중앙정부의 지원 비율은 10년간 최소 23.98%, 평균 29.22%, 최대 34.17%로, 각각의 비율별로 중앙정부, 광주, 전남의 비용분담액을 도출하였다. 본 논문에서는 개략적으로 비용을 산정하였으나 오염총량관리 사업은 막대한 예산을 필요로 하기 때문에 실제로 두 지자체가 협조하여 비용배분을 하게 된다면 하수처리시설의 수질개선효과, 하수처리시설 위치선정, 사업비용 등을 세밀하게 분석해야 할 것이다. 본 논문은 오염총량관리제에서 제시하는 목표수질을 대상으로 하였으나, 지자체의 정책에 따라 친수활동 증대와 생태 자연환경 개선 등과 같은 수질개선에 따른 간접적인 효과를 고려하여 오염 총량관리제의 목표수질보다 더 나은 수질을 원할 수도 있을 것이다. 협조적 게임의 상황을 복잡하게 하여 해결 가능성이 낮아질 수 있으나, 수질개선에 의한 다양한 효과를 편익으로 산정할 수 있다면 이를 협조적 게임에 적용하여 전반적인 수질개선에 대한 지자체의 적극적 활동을 유도할 수도 있을 것이다.

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The Adoption of a Greenway System for Enhancing the of Open Space in Urban Areas : The Case of City of Taegu (도시자연녹지(都市自然綠地)의 이용실태(利用實態)와 효율적(效率的) 활용방안(活用方案)을 위한 Greenway 시스템 도입(導入)에 관한 연구(硏究) : 대구광역시(大邱廣域市)를 중심(中心)으로)

  • Lee, Ju-Hee;Han, Sang-Yoel;Kim, Bum-Su;Suh, Eung-Chul
    • Journal of Korean Society of Forest Science
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    • v.89 no.5
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    • pp.576-584
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    • 2000
  • The term 'greenways' is a fairly new one. The term greenways refer to linear corridors which set aside pieces of nature. The objective of this study was to find out the feasibility of developing greenways in Taegu. Sample of 446 trail users were asked to describe their use patterns and as well as their perceptions of the benefits and problems associated with trails through on-site interviews conducted during the months of July and August of 1999. Trail users in Taegu were predominately male(61%) and over half of the respondents used private vehicle to access to the study areas as compared to 2% of respondents used bicycle. Trail users responded that health & fitness and open space preservation were the two most important benefits, and the provision of trail access to disabled persons was ranked last. As problems at study areas, lack of interpretive information was the biggest problem followed by lack of drinking water, poor trail marking/signs and not enough information. Most(94.1%) of the trail users surveyed indicated that they would support greenways development and 96.8% of respondent would use after greenways development. Willingness to pay for developing greenways was assessed with hypothetical scenario. Average willingness to pay in the survey was 10,200 won as a tax. The development/application of greenways in Taegu would work best when establish a network of trails with environmentally sensitive manner.

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A Study on the Effect of Experience-specificity and Uncertainty on Choice in Experiential Products -From Transaction Cost Perspective- (경험재 거래의 경험특유성, 불확실성이 선택에 주는 영향에 관한 연구 -거래비용적 관점에서-)

  • Jeong, Yun-Hee;Park, JI-Yeon
    • Journal of Convergence for Information Technology
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    • v.9 no.4
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    • pp.152-159
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    • 2019
  • The purpose of this study is to investigate the effect of transaction characteristics on transaction cost and choice intention by applying transaction cost theory to experiential product. Experience-specificity, transaction uncertainty, and personal uncertainty are proposed to reflect the characteristics of experiential products, and the effects of these variables on transaction costs and transaction costs are assumed to have an influence on the choice intention. The results of this study are summarized as follows. First, experience-specificity(site, physical equipment, knowledge skill, temporal), transactional uncertainty(product-, process-), personal uncertainty (preference-, and situation-) have a significant positive effect on transaction cost. Second, transaction costs (search, comparison, examination, negotiation, payment, delivery) have a significant negative effect on the choice intention of the experiential product. The results of this study show that the increase of transaction costs can reduce the choice of experiential products and the strategic consideration of experience specificity, transaction uncertainty and individual uncertainty are required to reduce transaction costs. In addition, experiential products lacked access from a transactional and cost-based point of view, and this study contributes theoretically by compensating for the lack.

Analyzing the Online Game User's Game Item Transacting Behaviors by Using Fuzzy Logic Agent-Based Modeling Simulation (온라인 게임 사용자의 게임 아이템 거래 행동 특성 분석을 위한 퍼지논리 에이전트 기반 모델링 시뮬레이션)

  • Min Kyeong Kim;Kun Chang Lee
    • Information Systems Review
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    • v.23 no.1
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    • pp.1-22
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    • 2021
  • This study aims to analyze online game user's game items transacting behaviors for the two game genres such as MMORPG and sports game. For the sake of conducting the analysis, we adopted a fuzzy logic agent-based modeling. In the online game fields, game items transactions are crucial to game company's profitability. However, there are lack of previous studies investigating the online game user's game items transacting activities. Since many factors need to be addressed in a complicated way, ABM (agent-based modeling) simulation mechanism is adopted. Besides, a fuzzy logic is also considered due to the fact that a number of uncertainties and ambiguities exist with respect to online game user's complex behaviors in transacting game items. Simulation results from applying the fuzzy logic ABM method revealed that MMORPG game users are motivated to pay expensive price for high-performance game items, while sports game users tend to transact game items within a reasonable price range. We could conclude that the proposed fuzzy logic ABM simulation mechanism proved to be very useful in organizing an effective strategy for online game items management and customers retention.

The Association Between Accounting Conservatism and Corporate Investment Expenditure in Korean Listed Firms During the Global Financial Crisis (글로벌 금융위기가 한국 기업의 투자지출에 미치는 영향에 대한 실증적 분석: 회계보수주의를 중심으로)

  • Kim, Byoung Ho
    • International Area Studies Review
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    • v.22 no.3
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    • pp.121-148
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    • 2018
  • This paper examines the role of accounting conservatism on investment expenditure for non-financial Korean listed firms around the 2007-2008 global financial crisis using a differences-in-differences design. Specifically, this paper examines the association between an ex ante classification of firms by their level of accounting conservatism prior to the credit crisis and the ex post magnitude of the decline in investment. Consistent with prior literature, this study found that firms experienced a decline in their investment when hit by the financial crisis (Campello et al. 2010). And also this study found that firms with more conservative financial reporting experienced a smaller decline in investment activity following the financial crisis than did firms with less conservative financial reporting. Together, the results suggest that negative shocks to the supply of external finance hampers firm-level investment and that conservative financial reporting can lessen the sensitivity of firms' investment to such negative shocks. Next, this study shows that the magnitude of our findings is greater for firms more likely to suffer from underinvestment (as opposed to overinvestment). Firms that are financially constrained or have greater demand for external finance are more likely to experience underinvestment. Consistent with the predictions, this study finds stronger benefits of conservatism for firms that face relatively greater costs in raising external capital (i.e., financially constrained firms) or that have a relatively greater need to do so (i.e., firms that lack internal financial resources). This study also finds that the role for conservatism is greater in firms with a higher level of information asymmetry, consistent with the notion that conservatism mitigates financing frictions arising from information problems.

A Study on the Retransmission Consent and Arbitration for the Retransmission of Terrestrial Broadcasting Signal in Japan (지상파채널의 재전송 동의와 중재 기준에 관한 연구 - 일본의 사례분석을 중심으로)

  • Kim, Kyung-Hwan
    • Korean journal of communication and information
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    • v.48
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    • pp.46-62
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    • 2009
  • The current study attempted to review the standards of retransmisison consent and arbitration for the terrestrial broadcasting signal. The standards are based upon the principles encouraged by the MIAC(Ministry of Internal Affairs and Communications). It has been criticized that the standards of judgement for the retransimission consent and arbitration are ambiguous and arbitrary in Japan. In 2009, MIAC announced five decisions regarding the retransmission of over-the-air. The result of the current study found that the regulations of compulsory over-the-air signal retransmission have been sustained until now. The retransmission policy of the Japan government based upon three principles; localism, proper cause and copyright act. The judgment is dependent on the intrepretation of MIAC's standard about these three principles.

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A Study on Responses of the Korean kidnapping Terror in overseas (한국인 해외인질납치테러 대응방안)

  • Jeong, Joon-Sik;Kim, Won-Ki
    • Korean Security Journal
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    • no.20
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    • pp.339-363
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    • 2009
  • The 9.11 demonstrated that terrorist attack could be more serious problem than the war in our modern life. No countries in the world have evaded being a target for terrorists today. As well as South Korea, the whole world must share attentions and responsibilities for fighting against the terrorism. Since the international terrorist groups have expanded their targets from Western countries to Koreans, civilian hostages are no longer other's affair; it became a serious threat to public. Increased Korean investment, trade, missionary, and travel overseas also expanded activity regions worldwide. It also result increased terrorist threats and possible abduction. The number of kidnapping crisis has increased since the terrorists use it as an effective method of sending a message. Piracy refers to a broad range of violent acts at sea, and has traditionally been regarded as common enemies. Piracy constitutes a great threat to the security of navigation as well as to the safety of vessels and crews. Lessons from hostage issues such as Korean hostage crisis in Somalia and Afghanistan show that it can cause criticism on moral issues if armed rescue missions fail or hostages are killed, so the governments and related corporations try to solve it by paying ransom. Terrorists and use these advantages in order to put a huge pressure on the governments. In this study we will look at essential characteristics and types of hostage abductions and recognition of national safety, lessons and solutions to previous Korean hostage cases in overseas. At the same time, it provides a guidelines of the direction in the fighting against terrorist groups and Piracy.

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A Study on the Actual Conditions of Denture Prosthodontics used by the Elderly Aged 65 or Older in Seoul (시술장소에 따른 65세 이상 노인의 의치보철 실태 조사연구)

  • Jung, Jung-Ock
    • Journal of dental hygiene science
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    • v.7 no.3
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    • pp.113-119
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    • 2007
  • This study attempts to find factors contributing to the use pattern of prosthetics by investigating the current condition of prosthetics for the aged of over 65 years old by place of practice. Among those of over 65 years old who live in Gangnam-gu, Seocho-gu, Seongbuk-gu, and Gwanak-gu of Seoul and use the apartment senior's center, those having prosthetics were selected as subjects of this study, and this study was conducted in forms of interview and record. Findings of this study are summarized as follows: First, in regard of the state of prosthetics and relevant symptoms in the mouth according to the place of prosthetics practice, there was significant difference in the questions except the medical benefit of prosthetics between unlicensed facilities and dental clinics and hospitals. Second, regarding difference in satisfaction according to the place of prosthetics practice, dental clinics and hospitals showed a higher level of aesthetic satisfaction than unlicensed facilities. For difference in satisfaction at pronunciation, chewing, pain, a sense of foreign body, and holding power, dental clinics and hospitals showed a higher level than unlicensed facilities, Third, after factor analysis on the perception factors of unlicensed treatment and dental treatment, unlicensed facilities showed the highest level of reliability, and then convenience, word of mouth, and modernity in order. Dental clinics and hospitals also showed the highest level of reliability, however, and then convenience, modernity, and word of mouth in order. Fourth, as a consequence of analyzing the factors to influence the use pattern of prosthetics, regarding residential pattern, there were higher possibilities to use dental clinics and hospitals when the subjects lived together with their children and in Gangnam, and the more were the number of pyeong for the residence, pocket money, medical expense, and property in their name, compared to unlicensed facilities. In conclusion, economic factors appear to be the most important factors in selecting facilities for denture prosthodontics. Therefore, it is important to ensure the denture prosthodontics for the elderly are reimbursable so that they can enjoy a healthier life.

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