• 제목/요약/키워드: Claim Management

검색결과 340건 처리시간 0.021초

일부 치위생과 학생들의 신체의식과 신체존중감이 대인관계유능성에 미치는 영향 (The Effects of Body Consciousness and Body Esteem on Interpersonal Competence among Dental Hygiene Students)

  • 이지영;정미경
    • 대한치위생과학회지
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    • 제3권2호
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    • pp.67-77
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    • 2020
  • This study investigated the effects of body consciousness and body esteem on interpersonal competence. A structured questionnaire was distributed to 220 dental hygiene students during July 1-31, 2020. The findings show that the subjects scored means of 3.32±0.26, 3.33±0.53, and 3.49±0.45 out of 5 in body consciousness, body esteem, and interpersonal competence, respectively. There were negative correlations between body surveillance and body shame (r=-0.303, p<0.001), as well as between two subfactors of body consciousness. Body shame was positively correlated with subfactors of interpersonal competence such as relationship initiation (r=0.217, p<0.01), claim for displeasure (r=0.218, p<0.01), and conflict management (r=0.231, p<0.01). Under the category of body esteem, body function esteem had positive correlations with conflict management (r=0.293, p<0.01) and consideration for others (r=0.141, p<0.05). Body consciousness and body esteem had effects on interpersonal competence, with an explanatory power of 13.4%. Higher body consciousness (β=.16, p=0.016) and body esteem (β=.22, p=0.02) were associated with greater interpersonal competence. These findings demonstrate that college students' objectified body consciousness and body esteem have an impact on their interpersonal competence. This raises the need to develop and apply a program to help students have positive perceptions of their bodies and establish their own individuality and body images to enhance their interpersonal competence.

The Significance of Professional Subjectivity of a Specialist in Taking into Account Educational and Civilizational Changes in the Information Society

  • Podkovyroff, Tatiana Sonia Nanouchka;Golubenko, Natalya;Altanova, Alona;Shkodyn, Alona;Bielikova, Valentyna;Pasynchuk, Kateryna;Bida, Olena
    • International Journal of Computer Science & Network Security
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    • 제22권10호
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    • pp.83-90
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    • 2022
  • A forecast foresight of the conditions for the development of educational affairs in the Information Society of Ukraine is presented, taking into account changes in the technique, technologies, and the socio-social sphere. Unresolved problems in Ukraine regarding the modernization and improvement of the education system by means of informatization are highlighted. The need for further improvement of Ukrainian education by means of informatization is noted. Formulated the main goal of future education. The necessary conditions for the successful development of future education are highlighted. The role and place of the key figure of the teacher in the education of the future is determined. The article highlights the theoretical and philosophical foundations of professional subjectivity of the future specialist. Recently, the world's pedagogical thought has increasingly focused on how to build an educational process so that it brings a sense of happiness to all its participants. It is believed that this is a new management philosophy in general, although its origins are in ancient Greek sources, which claim that only a happy life has meaning and value. It is found out that the professional subjectivity of a specialist is an important professionally significant quality of the individual, which provides a purposeful and optimal implementation of their mental, personal resources for solving professional and life problems, which is manifested in the desire for self-definition, self-determination, self-regulation and self-improvement in professional activities taking into account the information society. The structure of this phenomenon is shown.

슬관절 전치환술 환자의 재원일수에 영향을 주는 요인 (Factors affecting the Length of Stay in Patients with Total Knee Arthroplasty)

  • 이혜승;김환희
    • 한국엔터테인먼트산업학회논문지
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    • 제14권6호
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    • pp.201-208
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    • 2020
  • 본 연구는 건강보험심사평가원의 청구 자료를 바탕으로 만65세 이상의 주진단이 무릎 관절증으로 슬관절 전치환술을 시행한 환자를 대상으로 의료기관 종별에 따라 재원일수에 영향을 주는 요인을 분석하였다. 연구결과 의료기관 종별에 따라 성별, 연령, 의료보장형태, 중증도, 거주지역 및 병상규모가 재원일수에 영향을 미치는 요인으로 분석되었다. 인구의 고령화로 인한 노인 인구의 증가와 이로 인한 노인 진료비 증가는 가계 및 국가 경제의 많은 부담으로 작용하는 시점에서 본 연구결과를 토대로 재원일수 단축효과와 함께 효율적인 병상운영을 도모해야 할 것이다. 뿐만 아니라 환자의 진료비 부담을 경감시키는 위한 체계적인 관리시스템을 도입하여 노인환자의 양질의 라이프케어를 위한 기초자료로 활용하는 데 본 연구의 의의가 있다.

제왕절개 분만율의 지역간 변이에 영향을 미치는 의료기관 특성요인 분석 -의료보험관리공단 대상자를 중심으로- (Analysis of Institutional Factors Influencing Regional Variations in the Cesarean Section Rate)

  • 안형식;권영대;이영성;김명기;김용익;신영수
    • 보건행정학회지
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    • 제1권1호
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    • pp.27-41
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    • 1991
  • The purpose of this study is to estimate cesarean section rate in Korea and analyze characteristics of health care institution which affect regional variation in the rate. We have searched vaginal and cesarean section deliveries among Diagnosis Related Group dat based upon insurance claim bills which have been submitted to Korean Insurance Corporation for two years since March, 1985. The results are as follows: 1. Out of all delivery cases of 87,500, cesarean section rate was 16.3% (14,299 cases). 2. Cesarean section rate varied according to size and ownership of health care institutions. In above 6- bed sized hospitals, the rate was at about 20% higher than small sized institutions, but rather in hospitals that have more than 500 beds, it was somewhat low. Classified by the hospital ownership, the rate was low at 18.4% in hospitals of religious organization and highest at private or corporate hospitals. 3. This study shows large regional variation in cesarean section rate; there are two times differences between region with the highest and lowest rate. Strongly related factors in that variation was the ownership of health care institution and urbanization variables. Low level of cesarean section rate in a region is explained by high proportion of delivery cases at institutions of religious organization and at insitutions in county level site. This result shows that apart from medical conditions of patients, indications of cesarean section differs from health care providers, and especially ownership of institution strongly affect them. Cesarean section rate in Korea is supposed to be at high level and development of utilization review programs to keep appropriate cesarean section rate is needed.

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The Impact of An Interaction between Product Quality and Perceived Risk on Seller Profit

  • Seung HUH
    • 융합경영연구
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    • 제11권2호
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    • pp.23-32
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    • 2023
  • Purpose: This study examines the effect of full information disclosure on seller profit when there exists information asymmetry between sellers and buyers, focusing on the risk averseness of buyers. By investigating the interaction between product quality and perceived risk through online sales data, we attempt to figure out the incentive structure of full information disclosure specifically when buyers are risk-averse, so that we can suggest more feasible information disclosure strategy to sellers. Research design, data and methodology: Our empirical model analyzes the sales data of collectible goods from a major online seller using Poisson regression. In our model, we have specifically considered risk-averseness of buyers by estimating the interaction effect between the product quality and perceived risk on seller profit, aiming for a more precise empirical analysis on sellers' incentive structure of full disclosure. Results: Our empirical analysis strongly supports the effect of interaction between product quality and perceived risk, showing that the incentive for full disclosure is much stronger when product quality is higher, and vice versa. Therefore, sellers are strongly encouraged to voluntarily reveal product weaknesses when their product quality is higher than average, while it is more profitable to hide any product defects when quality claim is lower than average. Conclusions: This study supports the related literature by confirming economic incentives for full disclosure, and also supplements and strengthens previous studies by presenting that the effect of interaction between product quality and perceived risk strongly affects seller profit. Our unique finding supports both mandatory disclosure and voluntary disclosure arguments and presents practical implications to marketing managers by suggesting that seller's incentive for revealing weaknesses depends on the level of seller's product quality.

지역별 회복기 재활 의료서비스 필요도 결정요인 분석 연구 (A Study on the Determinants of Convalescent Rehabilitation Medical Service Needs at Regional Level)

  • 김정훈;김희년;최용석;정형선
    • 보건행정학회지
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    • 제33권1호
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    • pp.40-54
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    • 2023
  • Background: Based on the increase in the needs for convalescent rehabilitation medical services in Korea, this study aims to calculate the needs for rehabilitation services and examine its determinants for 229 regions. Methods: Claim data from the Health Insurance Review and Assessment Service were used to estimate patients who need to receive rehabilitation services, and data from various sources were also used for analysis. The number of cases and incidence rates of hospitalization related to convalescent rehabilitation were calculated to estimate the needs for services by region, and the results were visualized via a map. Multivariate regression and fixed effects regression using panel data were performed to identify the determinants of regional variation of the incidence rate. Results: First, the incidence rate of rural areas such as Jeolla-do, Gyeongsang-do, and Chungcheong-do was higher than urban areas (metropolitan cities). Second, the population, proportion of the elder, medical aid recipients, financial independence, traffic deaths, smoking, diabetes rate, and medical infrastructure correlated significantly with the incidence rate. Third, 'rho' values which mean the fraction of variance due to individual terms in panel data regression models were 0.965 and 0.976, respectively. Conclusion: The incidence rate of hospitalizations was correlated with most independent variables in this study and there is a gap between urban and rural areas. These regional disparities are fixed in our society. An improved regional convalescent rehabilitation system is suggested to cover the entire area including rural areas with a high rate of aging.

추나 요법 건강보험 급여화에 따른 외래 청구 현황 및 의료이용 분석 (Analysis of Outpatient Claim Trends and Utilization According to Health Coverage for Chuna Manual Therapy)

  • 동재용;주진한;윤상헌
    • 한국병원경영학회지
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    • 제28권3호
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    • pp.47-57
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    • 2023
  • Purpose: Health expenditure and utilization of Korean medicine are increasing every year. Since Chuna Manual Therapy was covered by National Health Insurance in 2019, it is predicted that the usage of Chuna Manual Therapy would be also increasing. However, there are few studies about Chuna Manual Therapy using Korean National Health Insurance claims database. Therefore, we will investigate the utilization trend of outpatient's Chuna Manual Therapy using Korean National Health Insurance database and suggest political implications. Methodology: The Korean National Health Insurance claims database was used to identify outpatient's Chuna Manual Therapy usage spanning 4 years from 2019-2023 and the number of Chuna Manual Therapy claims were approximately 18.61 million. Findings: The number of Chuna Manual Therapy claims and patients, health expenditure of Chuna Manual Therapy have been increasing spanning 4 years among over 65 aged. In the case of female patients, the number of Chuna Manual Therapy claims was more than male patients and health spending related to Chuna Manual Therapy was also higher than male patients. Most patients visited Korean medicine clinics due to musculoskeletal diseases, and most claims were from rural regions. Practical Implication: Since Chuna Manual Therapy was covered by National Health Insurance in 2019, Utilization of Chuna Manual Therapy has been increased overall. In particular, Chuna Manual Therapy is mostly implemented in the elderly, Korean medicine clinics, and local areas, thus policy managers will need to consider this.

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임상간호사 분포에 영향을 미치는 요인 (Factors Affecting the Distribution of Practicing Nurses)

  • 박은태;김진현
    • 보건행정학회지
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    • 제34권1호
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    • pp.94-102
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    • 2024
  • 연구배경: 현행 간호인력정책이 간호사의 불균형 분포를 심화시킨다는 논란이 지속되고 있으나, 이를 확인한 연구는 매우 드물다. 이에 본 연구는 간호정책과 관련된 변수를 포함하여 지역수준에서 임상간호사 분포에 영향을 미치는 요인을 규명하고자 하였다. 방법: 2020년 기준 250개 시군구의 총 225,462명의 임상간호사 분포를 대상으로 분석하였다. 2020년 시군구별 국가통계자료를 수집하여 회귀분석을 실시하였다. 결과: 임상간호사 분포에 영향을 미치는 요인은 연간 입원일수, 간호간병통합서비스 병상 수, 공공보건의료기관 수, 상급종합병원 수, 종합병원 수 등으로 나타났다. 비수도권 지역에서는 간호학과 졸업생 수와 간호1, 2등급 기관 수도 임상간호사 분포에 영향을 미쳤다. 결론: 간호사 불균형 분포가 심화되지 않도록 간호간병통합서비스 병상의 확대 지역을 신중하게 결정해야 한다. 또한 간호사가 부족한 비수도권 지역을 중심으로 간호학과 학생을 늘리고, 비수도권 간호사의 임금과 근무환경을 우선적으로 개선해야 한다.

요양병원 장기입원에 대한 본인부담상한제 개편 영향 분석 (Impact of Adjusted Out-of-Pocket Maximum Rules of Long-stay Admissions in Long-Term Care Hospitals)

  • 구여정;임승지
    • 한국병원경영학회지
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    • 제29권2호
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    • pp.37-47
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    • 2024
  • Purpose: This study aimed to determine the effect of adjusted out-of-pocket maximum rules in the 'differential co-payment ceiling', which means having a higher burden of co-payment, that expanded to the entire ceiling level in long-stay admission patients in long-term care hospitals(LTCH). Methodology: We used health insurance claim data between January 1, 2022, and December 31, 2022 received from the National Health Insurance Service. The study populations were inpatients in long-term care hospitals more than 1 days during the study period. We performed the difference in characteristics of the LTCH patient of the differential and general ceiling by the chi-square test. We estimated the change of the population, cost, and co-payments per person under the assumption of restructuring. Finding: Based on adjusted out-of-pocket maximum rules in 2023, it was expected that the number of benefits decreases at the high-income level while increasing at the low-income level. The burden of health expenditure after reimbursement of co-payment ceiling, is expected to increase by 65.1% in the highest medical necessity, whereas the low medical necessity would decreases compared to 2022. Practical Implications: The results demonstrate that the current out-of-pocket maximum rules do not reflect the needs of medical necessity. This study suggested the need to reflect the medical necessity in LTCH on the out-of-pocket maximum rules in the future.

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해외 유망 건설상품의 기술 경쟁력 평가 (An Assessment of Technological Competitiveness in Core Products of Foreign Design & Construction markets)

  • 최석인;김상범;이영환;김우영;장현승
    • 한국건설관리학회논문집
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    • 제9권1호
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    • pp.107-117
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    • 2008
  • 국내 건설산업은 해외 시장에서 경쟁력을 높이기 위해 각종 R&D투자를 늘리고 있는 실정으로 본 연구에서는 국내 건설산업이 해외 건설시장에서 경쟁력을 보유하고 있는 대표 건설상품에 대한 경쟁력을 종합적이고 다각적으로 평가하였다. 이를 위하여 기존 연구에서 실시한 기업의 경쟁력과 기술수준을 평가한 자료를 근거로 기술수준을 측정할 기술수준지표와 기술수준 측정방법론을 선정하였으며, 기존연구에서 부족하였던 기술수준 및 기술경쟁력 평가의 심층성에 대한 보완 방안으로 해외 경쟁력 보유 상품을 선별한 후, 관련 업무 전문가를 대상으로 기술수준을 평가하였다. 전문가 대상 요소는 '기술경쟁력', '경영 및 지원 경쟁력'을 대상으로 실시하였으며 각 요소의 평가 점수를 통하여 선진국과의 경쟁력 보유여부를 평가하였다. 이러한 평가결과를 토대로 국내 건설 산업이 시장측면이나 기술측면에서 해외시장에서 경쟁이 가능한 유망 상품을 도출하고 국제경쟁력을 증대할 수 있는 방안에 대하여 연구를 진행하였다.