• 제목/요약/키워드: Burden Value

검색결과 275건 처리시간 0.023초

국민의료비 지출수준과 연관요인 분석: OECD 국가를 중심으로 (Analysis on the Level of National Health Expenditure and Associated Factors in the OECD Countries)

  • 박인화
    • 보건행정학회지
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    • 제22권4호
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    • pp.538-560
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    • 2012
  • This study tried to find out the level of national health expenditure and associated factors in the OECD countries and then to derive lessons for Korea's health financing based on the cross-national comparison. As a result, Korea's health expenditure in 2010(7.1% of GDP) accounted for 74.7 percent of the OECD average and ranked as countries to spend less on health. At the same time, the socio-economic indicators such as GDP per capita, elderly population ratio and the total tax revenue to GDP also remained between 72 ~ 82 percent of the OECD average. The public share of health financing(58.2%) was relatively lower than those of other countries. However the health expenditure and the public share have grown 1.9 ~ 2.4 times higher than the OECD average over the past decade. According to the quantitative analysis, countries with relatively high income and elderly population turned out to have high health expenditure. Whereas, an inverse relationship was found between the total health expenditure and the public funding. It was estimated that the value of national health expenditure to GDP decreases 0.083 when the rate of public funding increases 1 percent point. Further, the share of public funding was affected positively by the total tax burden. Based on these findings, this study suggests that the sustainable spending on health and alleviating households' direct burden could be ensured by enhancing the share of public funding along with adjusting the tax burden of the people.

Excell 프로그램을 통한 치료선량(M. U) 계산 (Monitor Unit calculation through Excell program)

  • 임광채;조은주;조선행
    • 대한방사선치료학회지
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    • 제11권1호
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    • pp.28-32
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    • 1999
  • Verifying the treatment value(Monitor Unit) unnecessarily involves too many simple and repetitive calculation processes, that is, individual computation process using the data(PDD value, Scp Factor, SSD Factor, Tray Factor) on the data book. We intend to minimize the time required to check the Monitor Unit through computerized calculation. Using $^{\ast}(multiplication)$, /(division), +(sum), if function, among others, which are present in the Excell program, MS office program, the Monitor Unit was obtainable through A/P value, Scp Factor and PDD value, Wedge Factor. From the verification of the computations of Monitor Unit for 60 patients previously treated, we were able to obtain an error rate of ${\pm}0.028MU$. Computerized calculation of the Monitor Unit could save the burden of Technologist.

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입원환자의 비공식적 의료비용 부담에 관한 연구 (A Study on the Informal Cost Burden of the Patients Admitted to the Hospital)

  • 한미현
    • 간호행정학회지
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    • 제7권1호
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    • pp.5-14
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    • 2001
  • To estimate total burden of hospital admission over patient of gamily, we need to know the unofficial private expenses in addition to explicit hospital admission fees. This study was conducted from June 29, 2,000 to August 10, 2,000. Subjects were 104 patient at university hospital located at chungnam province. After thorough explanation of purpose and procedures, notebooks are given to each patient or guardian. They are requested to recorded all relevant expenditures occurred during hospital stay. Incomplete records were filled-up by direct personal contact or phones. Datas were summarized and analyzed using SAS statistical package. P-value less than 0.05 was considered significant. The results of the study are as follows: 1. In 96.1% of the patient, guardians stayed at hospital to take care of patients. In 38,8% one of the family members get work-leave or temporary resting from job. Average date of leave was 7.5days. 2. Average informal cost burden per patient was 204,467 won (14,330 won${\sim}$1,594,870 won). Average hospital cost paid by the patient was 1,061,807 won. The ratio of informal cost burden to hospital cost paid by the patient was 0.327. 3. According to the regression analysis, the relevant factors affection informal cost burdens were distance from home to hospital(p=0.018), and duration of hospitalization(p=0.0001). 4. Informal cost burden was composed of expenses for personal expense of care giver (126, 720 won/patient), meal (86,924 won/patient), transportation (77,648 won/patient), necessaries of life (18,789 won/patient), tests and treatments not covered by insurance (17,289 won/patient), medical supplies not covered by insurance (15,280 won/patient), treat for visitors (14,757 won/patient), TV coin (8,247 won/patient), and others (7,582 won/patient). In addition to the hospital cost paid by the patient for hospital admission, the informal cost burdens should be recognised explicitly because it is not small. Significant proportion of informal cost burden is composed of care-giver's personal expense, transportation, meal. It is suggested that some polices are to be devised and implemented enabling that this portion of informal expenses be directed to formal professional nursing care. Thus we can improve the quality of care and decrease discomfort of patient's relatives.

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부가가치세 부담의 역진성과 과세형평성에 대한 연구 (A Study on Regressiveness of the VAT Burden and Tax Equity)

  • 채병완;이성주
    • 벤처혁신연구
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    • 제3권1호
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    • pp.165-182
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    • 2020
  • 본 연구는 간접세인 부가가치세가 지니고 있는 조세부담의 역진성 완화방안과 급격하게 증가하는 사회복지 재원 등 공공재원의 확보 문제를 검토하고, 각 대안에 대한 실질적인 도입 방안을 제시하고자 한다. 부가가치세는 간접세이며, 일반소비세로서 모든 재화와 용역의 공급에 대하여 최종소비자가 조세부담을 함으로서 소득을 세원으로 하는 조세와 비교할 때 경제적 효율성을 지니고 있다. 그러나 조세부담의 역진성으로 인해 공평과세에 있어서는 부적합한 조세라고 보고 있다. 우리나라의 경우 부가가치세율 인상의 경제적 효과는 매우 크기 때문에 부가가치세율의 인상은 쉽지 않다. 그러나 장기적으로는 경제, 사회, 환경 및 에너지, 노령화 등의 문제와 관련하여 부가가치세율의 인상 가능성이 높다고 판단된다. 그러므로 향후 부가가치세율 인상의 논의가 이루어지는 경우 반드시 조세부담의 역진성 문제에 대해 다각도의 정책대안들이 모색되어야만 한다. 이에 본 연구에서는 현행 부가가치세가 가지고 있는 조세부담의 역진성을 파악하고 이를 기초로 정책적 대안들을 제시하고자 하였다. 첫째, 역진성을 완화하기 위해 도입된 면세제도의 적절한 조정과 면세품목 확대와 함께 개별소비세 품목의 조정도 이루어져야 한다. 따라서 둘째, 소득수준 향상과 사회적 배려를 고려하여 면세품목에 대한 조정이 이루어져야할 것이다. 셋째, 실질적인 고소득층의 고가 재화 및 용역의 소비에 대해 세율을 인상 조정함으로써 역진성의 완화를 도모해야 한다. 마지막으로 부가가치세의 특징 중 조세전가의 원리를 심각하게 훼손하고 있는 간이과세제도의 정비가 이루어져야할 것이다.

한국인의 간과 콩팥조직 내 수은 함유량의 참고치 (Reference Value of Mercury in Liver and Kidney of Korean)

  • 최병선;박영주;권일훈;홍연표;박정덕
    • Environmental Analysis Health and Toxicology
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    • 제17권2호
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    • pp.109-115
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    • 2002
  • This study was conducted to investigate the reference value of mercury (Hg) in liver and kidney of Korean population. The mercury concentration in 244‘sudden and unexpected death’autopsies (male: 180, female: 64) aged from 0 to 87 years was analyzed. The concentration of mercury was measured by atomic absorption spectrophotometer (Perkin-Elmer Model 5100) with mercury/hydride generating system (FIAS 400). The contents of mercury in liver and kidney fitted well the log-normal distribution rather than normal distribution. Geometric mean concentration of mercury in liver and kidney was 0.115 $\mu\textrm{g}$/g wet weight and 0.149 $\mu\textrm{g}$/g wet weight, respectively. Geometric mean concentration of mercury in female was higher than in male (p < 0.01). The mercury content in liver and kidney increased with age up to the forties and slightly decreased there-after. The regression model of mercury deposit in liver and kidney by age was predicted as the following equation : Log LHg : -1.0576+0.0045$.$Age-0.0001$.$Age$^2$+0.0873$.$Sex, Log KHg = -1.0576+0.0152$.$Age-0.0002$.$Age$^2$+0.1935$.$Sex. The liver burden of mercury was estimated to be 158.3∼161.3 $\mu\textrm{g}$ in male and 163.0∼166.9 $\mu\textrm{g}$ in female. The kidney burden of mercury was estimated to be 42.0∼42.9 $\mu\textrm{g}$ in male and 55.5∼57.1 $\mu\textrm{g}$ in female.

지역사회 통합 케어서비스 방안 마련을 위한 시립병원 입원환자의 동반질환 분포와 재원일수 및 진료비와의 관련성 (Relationship between the Distribution of Comorbidity and Length of Stay and Medical Cost for Planning Integrated Community Care Services among Inpatients at a Seoul Municipal Hospital)

  • 김재현;노진원;이윤환;소예경;홍현석
    • 보건행정학회지
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    • 제29권4호
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    • pp.445-453
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    • 2019
  • Background: This study is to investigate the association between the distribution of multimorbidity and length of stay and medical expenses among inpatients in a municipal hospital to achieve an integrated care setting. Methods: We used the exploratory factor analysis and the generalized estimating equation model to analyze the data from patients living in the northeast region of Seoul, who were hospitalized from January 2017 to December 2017 in a municipal hospital. Results: As a result of the factor analysis, seven types of multiple chronic diseases were classified. Among the elderly patients admitted to municipal hospitals, the burden of medical expenses was mainly influenced by the length of stay (B=310,719, p-value <0.0001), not the type of disease (all not significant). Length of stay were mainly due to psychiatric illness (factor 1: B=4.323, p-value <0.0001) related to the brain and metabolic diseases (factor 2: B=2.364, p-value=0.003). Conclusion: This study showed that the medical expenses of the elderly patients were largely due to prolonged hospitalization, not multimorbidity. Therefore, it is necessary to develop an integrated care paradigm strategy cope with the multimorbidity of the elderly in the community and to alleviate the socio-economic burden.

VE/LCC 기법을 활용한 차수공법 선정사례 연구 (A case study on the selection process of cutoff wall for ground-water using VE/LCC analysis)

  • 조용완;장준호;김진만;하재인
    • 기술발표회
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    • 통권2006호
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    • pp.279-291
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    • 2006
  • This study shows decision-making process for selection of cutoff wall on a wastewater treatment project. There are 10 different cut-off wall methods So, we examine the site to gather information for find appropriate methods. After using that information, 10 cutoff wall methods are reviewed for analysis. Through brainstorming, four alternatives are selected for design VE item. Following the standard VE process, we established performance criteria and evaluated function score(F) using questionnaire. The questionnaires, brainstorming and AHP method for weighting on performance criteria and evaluate function score increased the reliability of this selection process. Water Jet method, one of four methods, has the best function score(F=92.71) and the lease construction cost(as cost index 1,000). The value score also highest as 92.7, so we select the method. The result is value innovation type In addition, the authors try to calculate the environmental burden in selection process using LCA. We cannot conduct the full LCA as defined ISO, so perform Simple LCA In LCA result, the cut-off grouting has the least environmental burden as index 9.09E+01 and Water Jet method has following as the second. To selection best method to specific area and purpose, design VE/LCG process used as useful tool and it is needed to develop integrated method that evaluate VEILCC and LCA as one-set process.

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가임여성의 출산.양육에 대한 인식 (Recognition on the Birth.Bringing-up of Fertile-Women)

  • 공태현;임정도
    • 보건의료산업학회지
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    • 제5권3호
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    • pp.41-52
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    • 2011
  • This study is to identify the related factors for birth bringing-up from 544 women from 20s to 40s who can be pregnant residing in Busan in order to explore the method for birth encouragement in the midst of the low birth reality in Korea. It was revealed from the research result that the married women who have a birth plan recognize the marriage and the value of the children more importantly than the economical burden. In addition, it was known that the wished number of the children for unmarried women was influenced most greatly by the marriage and the value of the children. The expectation of the institutional supporting for the birth encouragement was the consideration for the time of bringing up and support to returning to the labor market after the birth.

O2O 서비스의 사용의도에 영향을 미치는 요인에 관한 연구 (A Study on the Factors Affecting the Intention to Use O2O Services)

  • 정유진;송용욱
    • 한국IT서비스학회지
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    • 제15권4호
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    • pp.125-151
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    • 2016
  • In recent years, O2O (Online to Offline) services get a lot of attention to improve the trust in online shopping and minimize the inconvenience and the cost burden in offline shopping as the number of consumers, who do not show concern about the purchase platform like online or offline, increases. Even though the services have been getting the spotlight as a strong business platform for next generation commerce, there have been only a few studies on the O2O services. The purpose of this research is to investigate the factors which affect the consumer's intention to use location-based O2O services. The study is based on VAM (Value-based Adoption Model) which is able to analyze those factors from the aspects of benefit and sacrifice. We used the partial least squares (PLS) method for empirical analysis, and the result shows that contextual offers, instant connectivity, webrooming and economic efficiency, which fall under the benefit, affect perceived value positively while annoyance and face consciousness, which fall under the sacrifice, do not affect perceived value significantly. In addition, contextual offers and instant connectivity affect trust positively. Location accuracy, which falls under the benefit of location-based O2O service, do not significantly affect perceived value and trust while security risk affects trust and use intention negatively. It appears that trust affects perceived value and use intention positively.

대형 공공 일괄입찰사업의 낙찰자 선정방식에 관한 연구 (Contractor Selection Method for Public Design-Build Projects)

  • 정대원;구교진;현창택
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2006년도 춘계학술논문 발표대회 제6권1호
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    • pp.119-124
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    • 2006
  • Design-Build, one contractor is responsible for both the design and construction, has become more popular since the government framed the policy on how to activate the design-build projects in 1996. The reality is, however, there are many problems encounted on Contractor Selection Method for Public Design-Build Projects. The purpose of this paper is to improve the problems, no way to meet the goal(value) the owners expect from the design-build projects, for instance, not fully reflecting the characteristics of projects and owners intention, not systematical enough to judge if bidders could carry out the contract. This study will insist we introduce Best Value Procurement, which is being commonly used in some advanced countries recently, so that we would properly select the contractor suitable for Best Value concept which totally depends on the owners, types of work and specified conditions. Furthermore, by passing through the Two-Step Procedures following Pre-qualification in Best Value Procurement, we expect it lighten the bidders' burden for proposal and the owners' complicate bid administration.

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