• 제목/요약/키워드: Capacity Payment

검색결과 38건 처리시간 0.029초

Measuring Out-of-pocket Payment, Catastrophic Health Expenditure and the Related Socioeconomic Inequality in Peru: A Comparison Between 2008 and 2017

  • Hernandez-Vasquez, Akram;Rojas-Roque, Carlos;Vargas-Fernandez, Rodrigo;Rosselli, Diego
    • Journal of Preventive Medicine and Public Health
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    • 제53권4호
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    • pp.266-274
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    • 2020
  • Objectives: Describe out-of-pocket payment (OOP) and the proportion of Peruvian households with catastrophic health expenditure (CHE) and evaluate changes in socioeconomic inequalities in CHE between 2008 and 2017. Methods: We used data from the 2008 and 2017 National Household Surveys on Living and Poverty Conditions (ENAHO in Spanish), which are based on probabilistic stratified, multistage and independent sampling of areas. OOP was converted into constant dollars of 2017. A household with CHE was assumed when the proportion between OOP and payment capacity was ≥0.40. OOP was described by median and interquartile range while CHE was described by weighted proportions and 95% confidence intervals (CIs). To estimate the socioeconomic inequality in CHE we computed the Erreygers concentration index. Results: The median OOP reduced from 205.8 US dollars to 158.7 US dollars between 2008 and 2017. The proportion of CHE decreased from 4.9% (95% CI, 4.5 to 5.2) in 2008 to 3.7% (95% CI, 3.4 to 4.0) in 2017. Comparison of socioeconomic inequality of CHE showed no differences between 2008 and 2017, except for rural households in which CHE was less concentrated in richer households (p<0.05) and in households located on the rest of the coast, showing an increase in the concentration of CHE in richer households (p<0.05). Conclusions: Although OOP and CHE reduced between 2008 and 2017, there is still socioeconomic inequality in the burden of CHE across different subpopulations. To reverse this situation, access to health resources and health services should be promoted and guaranteed to all populations.

가상 세계를 위한 효과적인 수익 모델 연구 - 생활형 가상 세계에서 게임 내 자산 판매 방식을 중심으로 - (A Study on Effective Revenue Model for Virtual World - Focusing on Payment Method of In-Game Assets in Social Virtual World)

  • 김하정;오규환
    • 한국게임학회 논문지
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    • 제8권4호
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    • pp.29-43
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    • 2008
  • 가상 세계(Virtual World)는 다수의 플레이어들이 자신을 표현하는 아바타를 통해 한 공간에서 다양한 상호작용을 경험하는 사이버 게임 공간이다. 외국을 중심으로 활발하게 개발 중인 가상 세계는 전 세계적으로 앞으로도 지속적으로 성장할 것으로 기대 된다. 이러한 가상 세계는 가입자들이 가상공간을 무료로 접근하고 가상공간에서의 활동에 대해 과금을 하는 방식이 보편화될 것으로 예상된다. 그러나 대부분의 가상 세계가 2000년 초부터 서비스가 시작되어 가상 세계의 수익 모델에 관한 연구는 초기 단계에 불과하다. 한국의 경우 게임을 무료로 즐기면서 게임 내 아이템 판매 등을 통해 수익을 창출하는 방식에 대한 수많은 시도가 진행되고 있다. 본 논문에서는 한국 온라인 게임의 수익 모델과 외국에서 상업적으로 성공을 거둔 가상 세계의 수익 모델을 분석하여 게임 내 자산 판매 방식을 중심으로 생활형 가상 세계를 위한 효과적인 수익 모델을 제안한다. 이 논문에서 제안하는 게임 내 자산 판매를 통한 수익 모델의 가이드라인은 생활형 가상 세계의 효과적인 수익 창출에 기여할 것으로 예상된다.

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빙축열 시스템과 흡수식 냉온수기 공조 방식의 경제성 분석 (An Economic Analysis of Ice Thermal Storage and Absorption Chiller-Heater Systems)

  • 임현우;김영일;김강산;강용태
    • 대한설비공학회:학술대회논문집
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    • 대한설비공학회 2009년도 하계학술발표대회 논문집
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    • pp.218-223
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    • 2009
  • Cost related to building equipment accounts for about 85% of the life cycle cost of buildings. Therefore proper selection of air-conditioning system is important for reducing the overall cost of buildings. In this study, large capacity ice thermal storage and absorption chiller-heater for air-conditioning a building with a floor area of $9,900\;m^2$ are compared economically. For easy input and analysis, an Ms Excel VBA program has been developed. To consider all the factors of initial and operation costs effectively, an annual equal payment method is proposed. Under the assumptions made in this study, overall cost of an absorption chiller-heater is less than that of an ice thermal storage, but this is not absolute and different outcome may result if different assumptions are made. This study is useful for those who are interested in choosing an economical air-conditioning system for large-size buildings with simple calculations.

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기회비용에 의한 운전예비력의 경제적 가치 평가 (Economic value evaluation of operating reserve based on opportunity cost)

  • 윤용범;이재걸;안남성
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2005년도 제36회 하계학술대회 논문집 A
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    • pp.751-753
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    • 2005
  • In this raper, Economic value of reserve margin i.i presented by opportunity cost for Korean power system, and the level of compensation for spinning reserve that is necessary to operate power system stably is proposed. The generator that is giving up for opportunity to participate in energy market must take opportunity cost. it is relative to not only whole demand level but also marginal cost of each resource. In this paper, assume that all resource in Korea is equivalent to six generator for simulation. and we evaluate value of reserve in the time of high demand and low demand. Also we propose the way to improve a evaluation method by examine relationship between capacity payment and value of reserve.

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용량요금과 예비전력 기본요금 분석을 통한 전력공급지장비용 유도 (Estimating electricity outage costs using demand charge of stand-by service and Capacity payment in Korea)

  • 정영범;박민혁;마삼선;윤용범
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2007년도 제38회 하계학술대회
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    • pp.117-118
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    • 2007
  • 정전비용 또는 전력공급지장비용은 평가방식이 다양하고 나라마다 그 결과값도 다양하여 범위가 상당이 크기 때문에 적합한 공급지장비용을 결정하는 것은 굉장히 어렵다. 하지만 전력공급시스템마다의 각각의 특성에 맞는 방식을 찾는 노력은 필요하다고 할 수 있다. 본 논문에서는 전력공급지장비용을 회피하기위한 국가적 전력공급시스템 측면에서의 전력공급비용을 수용가가 전력시장에서의 공급지장의 대안으로 지불할 의사가 이미 내포된 비용으로 평가하여, 발전설비와 전력수송경로 측면을 연결하여 용량요금과 예비전력 기본요금 분석을 통해 공급지장비용을 분석하였다.

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낙동강 수계에서 제사방적제조 업체에 대한 공정별 원단위산정 및 분석 (Unit Mass Estimation and Analysis from Textile Spinning/Weaving Manufacturing Facility Nearby Nakdong River Basin)

  • 이홍신;손건태;구정은;콘분락사;이홍태;이승환
    • 상하수도학회지
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    • 제22권5호
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    • pp.541-550
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    • 2008
  • In this investigative study, the unit mass discharge for the major water quality parameters such as flowrate, SS, BOD, CODmn, CODcr, TN, TP from textile spinning/weaving industry nearby Nakdong river basin was estimated. To represent the respective industries, three companies from hundreds of textile spinning/weaving industries located in Nakdong river basin was carefully selected based on its manufacturing goods, flowrate and location for the estimation of unit mass discharge based on unit operation and process. There was a drastic decrease of unit mass discharge estimation between influents and effluents of water quality parameters, which represents the removal capacity of wastewater treatment plant. With the advent of new regulation on the imposed payment proportional to the total amount of pollutants discharge into the water body, the concept of cleaner production technology should be employed in the unit operation/process in wastewater treatment plant as well as textile manufacturing procedure to minimize the levy on the pollutants discharge. Unit mass discharge estimations of unit process (estimated in this study) in major water quality parameters (SS, BOD, COD, TN and TP) based on land were similar to those of composite process (estimated by National Institute of Environmental Research). But the unit mass discharge estimations of unit process in BOD and CODmn based on total sale were much higher than those of composite one while in SS, TN and TP similar to each other. For the detailed estimation of the imposed payment, unit mass estimation based on unit process should be further emphasized.

근로시간 단축에 따른 병원경영 영향 분석 (The Effect of Working Time Reduction in Hospital Management)

  • 조우현;이선미;이학선;구본석;박찬근;권순창
    • 한국병원경영학회지
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    • 제9권1호
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    • pp.46-65
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    • 2004
  • The study was designed to investigate what effect of working time reduction which will be gradually expanded to corporate size from June, 2004 could give to medical industries, and to provide basic information for hospitals and government to prepare the policy. 276 hospitals were surveyed about medical service income and manpower realities during the first half of 2003, using a structured survey tool. Response rate was 8% and 20 hospitals were finally analyzed. The effect of working time reduction in hospital management was different to the size of hospitals and the alternative. Income to existing service income was decreased by $2.2{\sim}4.6%$ in tertiary hospitals, by $3.2{\sim}5.7%$ in general hospitals with more than 300 beds, and by $3.7{\sim}6.0%$ in general hospitals with less than 300 beds. In preparation against such decrease in income, government is required to raise insurance payment, to calculate added service charge for day-off on Saturday forenoon, to retain emergency care payment, to expand emergency care facilities, to secure duty doctors, and to support middle and small sized hospitals. Hospitals are required to give self improving efforts such as fortifying of weekday care, development of weekend care program, strengthening of care capacity and function of emergency care center, and making manpower operation efficient.

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Comparison of the Health Insurance Systems of South Korea and Peru

  • Kim, Yanghee;Tantalean-Del-Aguila, Martin;Dronina, Yuliya;Nam, Eun Woo
    • 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.

한국 전력시장에서의 가스터빈(GT) 발전기 경쟁력 및 시장 미진입 적정성 분석 (Analysis of Gas Turbine Competitiveness and Adequacy of Electricity Market Signal in Korea)

  • 김은환;박용기;박종배;노재형
    • 전기학회논문지
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    • 제66권8호
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    • pp.1172-1180
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    • 2017
  • This study analyzed competition in peak load plants between CCGT and GT instead of competition between base and peak load plants like in previous studies. In common overseas power markets, CCGT and GT claim certain market shares as peak load plants with the latter boasting a high utilization rate as reserve plants. In South Korea, however, there has been no introduction of GT in the market that opened in 2001 with no analysis cases of GT's economy as a peak load plant. The current power market of South Korea is run on the cost-based pool, which allows for no price spikes. Since the capacity payment criteria for compensations for missing money are set based on GT generators, the power market uses GT generators as marginal plants. The purposes of this study were to analyze the competitive edge of GT generators as peak load plants in the domestic power market of South Korea and identify the causes of GT's failure in market entry, thus assessing the adequacy of market signals in the domestic power market.

법을 통한 인터넷 건강정보 관리 방안 (Legal Measures for Handling Internet Health Information)

  • 서미경
    • 보건교육건강증진학회지
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    • 제20권1호
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    • pp.61-76
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    • 2003
  • As people get broader access to health information through the internet, there is a greater need for measure to maximize the social advantages of the internet and to minimize negative side-effects. With this concern, this paper classifies internet health information services sites into : on-line supply of health information, on-line consultation, on-line diagnosis, and on-line sales. As well this paper analyzes domestic laws supporting and/or regulating these services. The efficient provision of internet health services requires comprehensive laws on individual privacy protection, prevention and handling of medical accidents, an electronic prescription form for internet diagnosis, electronic signing, payment for medical expenses, qualifications for internet medical practitioners. Additional laws are required to establish internet pharmacies and internet health goods stores. These new laws can be prepared either separately or through revision of existing laws governing medical practice, pharmacies, and public health promotion. However, as the legal control by the government on cyber processes and entities has a fairly minimal effect, consumers should be encouraged to improve their own capacity for wisely using internet health services and health-service providers should be encouraged to promote voluntary supervision and control of their own services and practices.