• 한국정보통신학회논문지
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• 제13권3호
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• pp.556-563
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• 2009

MIP의 확장 버전인 HMIP는 동일 지역 내에서 이동할 경우 외부 시그널링을 줄일 수 있다. 그러나 다른 MAP 영역으로 이동하는 매크로 핸드오버일 경우 바인딩 갱신을 위한 많은 시그널링으로 인해 전송 지연과 패킷 손실이 발생한다. 이를 해결하기 위해 계층적 구조에서 주소 보장과 선택적 버퍼링을 이용한 핸드오버를 제안한다. 이 방식은 매크로 핸드오버가 발생할 때 패킷 손실과 전송 지연을 줄이고 QoS가 높은 트래픽이나 실시간 멀티미디어 트래픽의 전송에 우수한 성능을 제공한다. 시뮬레이션 결과는 제안하는 핸드오버가 기존 핸드오버보다 전송 지연과 패킷 손실에 대하여 크게 감소함을 보였다.

• 한국정보통신학회논문지
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• 제11권9호
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• pp.1764-1770
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• 2007

경로 최적화를 기본으로 하는 MIPv6의 바인딩 갱신은 MN에게 시그널링 트래픽 증가, 패킷 손실 및 지연 등의 문제점을 유발시킨다. HMIPv6는 MAP이라는 프로토콜 요소를 도입하여 지역적 핸드오버 수행 과정에서 시그널링을 감소시켜 MIPv6의 문제점을 보완했다. 그러나 HMIPv6의 매크로 이동은 MIPv6과 동일하기 때문에 여전히 문제점이 있다. 본 논문은 주소보장 정책을 이용한 HMIPv6를 제안한다. 매크로 핸드오버가 발생하기 전 MAP에서 미리 LCoA와 RCoA를 구성하고, 핸드오버가 발생하면 MN이 외부 네트워크에서 등록한 후 사용할 수 있게 한다. 이를 위해 주소보장 정책을 지원하도록 MAP을 구성하고 핸드오버 수행 과정에서 BU 메시지를 전송함으로써 핸드오버 수행과 패킷 손실에 대한 성능을 향상시킨다. 시뮬레이션결과는 제안하는 기법이 HMIPv6에 비하여 약 33%의 핸드오버 수행시간 단축시키며 FMIPv6에 비하여 22%의 패킷 손실을 줄일 수 있음을 나타낸다.

• 무역상무연구
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• 제61권
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• pp.139-163
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• 2014

Recently with making of 'The Consumer Insurance (Disclosure and Representations) Act 2012(hereunder CIA)', the UK revised the duty of disclosure especially with the consumer insurance contract. According to the CIA, if the misrepresentation was careless, the insurer may have the three options based upon what the insurer would have done had the consumer taken care to answer the question accurately; a compensatory remedy, avoidance of the insurance contract or, amendment of the contract. I realized that the establishment of CIA has been exposed to pro-actively relieve the breach of Warranty and Disclosure, Representations as far as required by the Global Insurance market. It was found that it is expected to bring significant changes in UK Insurance Act system of the 21st century, and prepares competition from neighboring countries. On the other hand, in the common law system, countries under MIA(1906) are trying to address the breach of warranty and Disclosure, Representations, except the UK cannot completely adhere with a positive attitude.

• 의료법학
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• 제13권2호
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• pp.45-72
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• 2012

The National Health Insurance Corporation has been retrieving from health care providers the payments made to them by insured patients as a result of the health care providers' arbitrary denial of coverage under the National Health Insurance, and has been disbursing such retrieved monies back to the patients, pursuant to Article 57, Sections 1 and 4 of the National Health Insurance Act. However, such practice is an application of the law that lacks legal exactitude. Another problem with such practice is that there is no legal provision under any laws or notices that expressly prohibits arbitrary denial of coverage. A legislative solution, therefore, is called for to address these issues.

• Journal of Chest Surgery
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• 제49권sup1호
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• pp.14-19
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• 2016

Background: This study uses the relevance index to understand the condition of regional medical service use for cardiovascular surgery and to identify the medical service use imbalance between regions. Methods: This study calculated the relevance index of 16 metropolitan cities and provinces using resident registration address data from the Ministry of Government Administration and Home Affairs and the 2010-2014 health insurance, medical care assistance, and medical benefits claims data from the Health Insurance Review and Assessment Service. We identified developments over the 5-year time period and analyzed the level of regional imbalance regarding cardiovascular surgery through the relative comparison of relevance indexes between cardiovascular and other types of surgery. Results: The relevance index was high in large cities such as Seoul, Daegu, and Gwangju, but low in regions that were geographically far from the capital area, such as the Gangwon and Jeju areas. Relevance indexes also fell as the years passed. Cardiovascular surgery has a relatively low relevance index compared to key types of surgery of other fields, such as neurosurgery and colorectal surgery. Conclusion: This study identified medical service use imbalance between regions for cardiovascular surgery. Results of this study demonstrate the need for political intervention to enhance the accessibility of necessary special treatment, such as cardiovascular surgery.

• 한국응급구조학회지
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• 제24권1호
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• pp.25-36
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• 2020

Purpose: We analyzed the characteristics and differences in patients' medical benefits and health insurance based on disease severity classification. Methods: We examined 29,139 patients who visited the emergency medical center of K Hospital from January 1,2016 to December 31, 2016. Survey items included the Korean Triage and Acuity Scale (KTAS) classification of emergency and non-emergency situations ratio and type of insurance. Results: According to KTAS classification, 76.2% of patients exhibited an emergency condition and 23.8% exhibited a non-emergency condition. Emergency patients exhibited more trauma than non-emergency patients. According to the type of insurance coverage, the duration of stay in the emergency room was longer for patients with medical care than for patients with health insurance. Additionally, 119 ambulances use was significantly higher among patients with medical care. Conclusion: Policy discussions should address alternative ways to replace the 119 ambulances used by patients in this study. Additionally, health care administrators should identify alternative care agencies as potential alternatives to emergency room visits.

• 보건행정학회지
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• 제30권2호
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• pp.253-262
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• 2020

Background: The public health care system of a country is shaped and driven by its historical background as well as social, economic, and cultural structures. This study sheds light on the unique features, strengths, and weaknesses of the health insurance systems of South Korea (Korea) and Peru. Methods: The capacity mapping tool was used to explore the Korean and Peruvian population and geographical structures; health insurance laws, regulations, and policies; payment systems; eligibility and contribution collection; and long-term care insurance. Results: The study found that the Korean government took the lead in integrating multiple insurers into a single-payer system in an effort to reinforce and stabilize its health insurance system in 2000. Peru has been developed mixed model such based on taxes and contributions, to address a gap between different social classes. Peruvian government developed a two-axis system, one for low-income earners, financed by taxes, and another financed by contributions paid by workers and government officials in the formal sector. Peru has introduced many variations to its fee payment and insurer systems, target population, and coverage scope, and maintains its health insurance system accordingly to this day. Conclusion: The current study provides observation of the Health Insurance System in two different countries and helps to understand possible ways to improve the health insurance system in both countries. Based on this study, Peru will be able to see how its system differs from Korea's and benefit from the related policy implications.

• 한국인터넷방송통신학회논문지
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• 제16권2호
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• pp.1-8
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• 2016

정보통신기술의 발달 및 인터넷 이용의 활성화로 간편결제 등 금융과 정보통신기술의 융합된 핀테크 산업이 활성화 되고 있다. 하지만 현재 법규 상 금융사고 발생 시 금융회사, 핀테크 업체와 소비자 간의 책임이 모호하고 금융기관 또는 전자금융업자가 손해배상을 해야 하는 경우 전자금융거래법 제정('06년) 당시 지정된 전자금융사고 책임이행 보험 가입 최저한도와 현재 전자금융거래 규모, 사고 발생 추이, 보안 투자 규모 등을 비교했을 때 현실적으로 적정하다고 보기 어렵다. 이에 본 논문에서는 국내 금융사고의 현황과 사후처리를 파악하고 현재 사이버 배상책임보험의 한계와 변경 필요성을 지적하고자 한다.

• Journal of Preventive Medicine and Public Health
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• 제57권1호
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• pp.1-7
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• 2024

Objectives: Adjusting for potential confounders is crucial for producing valuable evidence in outcome studies. Although numerous studies have been published using the Korea National Health Insurance Claim Database, no study has critically reviewed the methods used to adjust for confounders. This study aimed to review these studies and suggest methods and applications to adjust for confounders. Methods: We conducted a literature search of electronic databases, including PubMed and Embase, from January 1, 2021 to December 31, 2022. In total, 278 studies were retrieved. Eligibility criteria were published in English and outcome studies. A literature search and article screening were independently performed by 2 authors and finally, 173 of 278 studies were included. Results: Thirty-nine studies used matching at the study design stage, and 171 adjusted for confounders using regression analysis or propensity scores at the analysis stage. Of these, 125 conducted regression analyses based on the study questions. Propensity score matching was the most common method involving propensity scores. A total of 171 studies included age and/or sex as confounders. Comorbidities and healthcare utilization, including medications and procedures, were used as confounders in 146 and 82 studies, respectively. Conclusions: This is the first review to address the methods and applications used to adjust for confounders in recently published studies. Our results indicate that all studies adjusted for confounders with appropriate study designs and statistical methodologies; however, a thorough understanding and careful application of confounding variables are required to avoid erroneous results.

• 디지털융복합연구
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• 제14권4호
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• pp.231-237
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• 2016

실손의료보험은 국민건강보험이 보장하지 않는 부분을 지원함으로써 보장성을 강화시키는 기능을 수행하고 있다. 그러나 까다로운 운영체계 및 절차로 보험가입자의 의료실손금액 청구가 어려운 실정이다. 이러한 현상을 해소하기 위하여 보험가입자가 진료비를 요양기관에 지급한 후 청구서류를 작성하여 보험금을 청구하는 체계로 운영(상환제)하고 있다. 그러나 상환제 운영도 여전히 보험가입자의 권익보호가 어렵고, 번거로운 청구 절차로 소액보험금의 청구를 포기하는 상황이다. 그래서 보험가입자의 편리와 운영의 간소화를 위하여 개인정보 은닉기술, 본인인증기술, e-page safer 기술 기반 증명서 발급에서 공인전자주소(#-mail)를 활용한 보험료 청구까지 한번에 처리할 수 있는 원스톱 보험 청구 시스템을 적용하였다. 이렇게 개발된 시스템은 번거로운 청구절차를 간소화함으로써 보험 청구율이 높아져 의료비의 부담을 줄일 수 있을 것이다.