• Title/Summary/Keyword: Contribution rate

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Impact of Complementary Private Health Insurance on Public Health Spending in Korea (실손형 민간의료보험의 도입이 국민건강보험 재정에 미치는 영향)

  • Huh, Soon-Im;Lee, Sang-Yi
    • Health Policy and Management
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    • v.17 no.2
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    • pp.1-17
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    • 2007
  • Limited coverage for health care services of National Health Insurance(NHI) in Korea has been ongoing policy issue but additional NHI financing through raising contribution or taxes in order to improve coverage faces substantial obstacles. Private health insurance(PHI) is often considered as an alternative financing source to improve coverage. Recent reform that attempted to stretch the role of PHI allowed life insurance companies to provide complementary PHI, indemnity plan which will pay for uncovered services by NHI and out-of-pocket spending for covered services. Although complementary PHI may relieve financial burden of patients, it may significantly raise NHI spending as well as total health expenditure since little out-of-pocket spending may increase utilization of health care. So far, there has not been enough discussion about concerns of potential adverse effect resulting from extended role of PHI. This study investigated potential increase of NHI spending followed by extension of complementary PHI through sensitivity analysis. The amount of NHI spending for services that would be covered by complementary PHI was calculated using 2005 NHI statistics and expected complementary PHI enrollment rate by age and sex. Expected utilization increases were obtained based on price elasticities$(-0.2{\sim}-0.5)$ from previous studies and expected coverage rate$(50{\sim}80%)$ of complementary PHI and then converted to monetary figures. Because coverage rate of complementary PHI has not been determined yet, we employed the sensitivity analysis using coverage rate of $50{\sim}80%$. Findings demonstrate that additional spending for health care services is expected to be $426{\sim}1,702$ billion won, corresponding amount payed by NHI $298{\sim}1,192$ billion won. In conclusion, since complementary PHI may raise NHI spending significantly, there should be an agreement whether this additional cost would be accountable and acceptable in our society. Potential inefficiency resulting from extended role of complementary PHI should be considered since public and private financing do not operate in isolation and there should be more discussion on proper role of PHI in Korea.

A Study on the Evaluation Method of Ecologically Fragmented Section for Restoration of the Riverine Ecobelt (수변생태벨트 구축을 위한 하천 단절구간 평가 방법에 관한 연구)

  • Kang, Hyeongsik;Lee, Young Sook;Jeon, Seung Hoon
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.31 no.4B
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    • pp.383-391
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    • 2011
  • In this study, an evaluation method was proposed to determine the restoration section in the riverine ecobelt project. The target river for this study is the Hongcheon river in Kangwon-do. The Hongcheon river of 96 km was divided longitudinally into subsections of 2 km. The analysis through map and aerial photograph as well as field surveys were performed in 48-sub-sections. The fragmentation items were classified into connectivity and ecological functionality. The connectivity fragmentation was also divided into two items: the area discontinuity of the land use and the line discontinuity of river bank and road. Also, the ecological functional fragmentation was evaluated by using the items of river channel, river bed, vegetation, and the obstruction of river flow. These items was modified from those in the previous literature. From map analyses and field surveys, the fragmentation score was kept with each items in 48 sub-sections of Hongcheon river. The fragmentation rate was made from the total score in each section. The results showed that sections from F1 to G2 was evaluated to have high rates of all connectivity and functionality fragmentation of 1st or 2nd rate. Other sections have high connectivity fragmentation of 2nd rate, but low functional fragmentation. Thus, these sections are evaluated to be excludible in restoration site. This study seems to make a contribution to evaluate the fragmented sections for the riverine ecobelt project.

Kinetic Studies on the Reaction of 4-Substituted-2,6-dinitrochlorobenzenes with Substituted Anilines in MeOH-MeCN Mixtures (MeOH-MeCN 혼합용매계에서 4-치환-2,6-이니트로 염화벤젠과 아닐린 치환체와의 반응에 대한 속도론적 연구)

  • Dae-Ho Kang;In-Sun Koo;Jong Gun Lee;Ikchoon Lee
    • Journal of the Korean Chemical Society
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    • v.29 no.6
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    • pp.565-574
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    • 1985
  • The rates of reaction between 4-substituted-2,6-dinitrochlorobenzenes with para-substituted anilines in methanol-acetonitrile mixtures were measured by conductometry. It was observed that the rate constant increases in the order of X = 4-$NO_2 {\gg}4-CN {\gg}4- CF_3$, where X is a substituent in the substrate. The rate constant also increases in the order of Y = p-O$CH_3{\gg}p- CH_3{\gg}H {\gg}p-Cl{\gg}m- NO_2$, where Y is a substituent in the aniline ring. Kinetic studies in the methanol-acetonitrile solvent system with various nucleophiles showed that the N-C bond forming step is making a great contribution to the overall second order rate constant. The electrophilic catalysis by methanol probably consists of the hydrogen bonding between alcoholic hydrogen and leaving chloride in the transition state. The nucleophilic catalysis by methanol may be ascribed to the formation of hydrogen bonds between alcoholic oxygen and hydrogens of amines in the transition state. All these experimental facts are supporting the operation of $S_N$Ar machanism with the second step being the rate determining. This mechanism can be successfully fitted to the PES model.

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Development of the Estimation Model on Daily Pollutant Loads for the Nakdong River Basin II. Application of the Model (낙동강 유역에 대한 일별 유달부하량 산정모델개발 II. 모델식의 활용)

  • Yoon, Young-Sam;Yu, Jae-Jeong;Kim, Moon-Soo;Lee, Hae-Jin;Lee, Jun-Bae;Yang, Sang-Yong
    • Journal of Environmental Science International
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    • v.16 no.3
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    • pp.333-345
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    • 2007
  • As analyzed the estimated values of the daily delivery loads from thirteen major side streams such as Naesung-river, Keumho-river, Hwang-river, Nam-river during five years (from 1999 to 2003), the daily BOD inflow into the main stream of Nakdong river in 2003 shows the highest quantity as 31.1 ton and the daily BOD inflows in 1999, 2000, 2001, and 2002 are 26.7 ton, 22.5 ton, 21.0 ton, 25.8 ton, respectively. The daily TN in-flow into the main stream of Nakdong river in 2003 shows also the highest quantity as 64.9 ton and the daily TN inflows in 1999, 2000, 2001, and 2002 are 55.19 ton, 46.27 ton, 39.5 ton, 53.38 ton, respectively. The daily TP inflow into the main stream of Nakdong river in 2003 shows the highest quantity as 2.70 ton likewise and the daily TP inflows in 1999, 2000, 2001, and 2002 are 2.17 ton, 1.87 ton, 1.60 ton, 2.10 ton, respectively The rate of BOD loads from each side main stream into the main stream of Nakdong river shows that the BOD loads of Keumho-river are the highest as the values range from 32.8 % (2002) ${\sim}$ 35.1 % (2003) and the BOD loads of Nam-river, Naesung-river, Hwang-river are high in the order named. The rate of TN loads to the main stream is also similar to the trend of BOD loads. The contribution of the TN loads of Geumho-river to the contamination of the main stream is also the highest having a range from 27.0 % (2002) to 28.8 % (1999) among the main side streams and the TN loads of Naesung-river, Nam-river, and Heachun-river are high in the order named. The rate of TP loads is quite different from the trend of BOD and TN loads. The TP rate of Keumho-river, however, is still the highest as ranging 58.6 % (2002) to 61.7 % (2003) and the river has the biggest portion (over 50%) of the entire pollution to the main stream of Nakdong river.

The effects of push factors on transition into self-employment across age groups - Focusing on push hypothesis and pull hypothesis - (경기변동이 자영업이행에 미치는 영향의 연령집단별 차이 -구축가설과 유인가설을 중심으로-)

  • Ji, Eun Jeong
    • Korean Journal of Social Welfare Studies
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    • v.43 no.2
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    • pp.141-178
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    • 2012
  • Although the rate of self-employment is high in Korean labor market and the rate gap between age groups is high, few studies have addressed on the effects of push factors on transition into self-employment across age groups. The goal of this research is to determine if push factors exert different effects on the self-employment decisions across age groups. There is interest in testing push hypothesis and pull hypothesis. The Korean Labor and Income Panel Study wave 6~11 is used to test this study's hypothesis. The main contribution of the paper is that in case of high unemployment, the probability of transition into self-employment increases. It is consistent with the push hypothesis. Many people are forced to become self-employed person due to the high rate of unemployment and limited occupational choice rather than the role of entrepreneurship. By age subgroup, the transition into self-employment of the ages of 30 and 49 is high. In addition, people at 40-49 years of age are more likely to become self-employed as a response of inadequate job opportunities. It provides the evidence that the self-employment is not a matter of special age group in that people in the 30 to 49 year old age group whose economic activities are vigorous move into marginalized labor market. Furthermore, it seems to be threatened the employment's stability of the prime age in that even people who are age 40-49 years of age are pushed into self-employment because of the recession.

Seasonal Variation of Contribution of Leaf-Litter Decomposition Rate in Soil Respiration in Temperate Deciduous Forest (토양호흡의 계절적 변이에 기여하는 리터의 분해속도)

  • Suh Sang-Uk;Min Youn-Kyung;Lee Jae-Seok
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.7 no.1
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    • pp.57-65
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    • 2005
  • In a forest ecosystem, the major source of soil carbon input is from litterfall and its decomposition. To understand the effect of litterfall and litter decomposition on seasonal variation of soil respiration and litter decomposition rates were measured in temperate deciduous forest in Korea. Annual litterfall collected from litter trap (1m x 1m) were 147.5 ± 8.2g Cm/sup -2/ yr/sup -1/ in 2003. About 47% of litterfall were Quercus serrata leaf followed by Carpinus laxiflora leaf (27 %), Carpinus cordata leaf (7 %), and others, such as other leaf, bark, branch, and acorn, were 20%. The decomposition rate was the highest in C. cordata (33.03%, k = 0.46), followed by C. laxiflora (25.73%, k = 0.30), and Q. serrata (24.17%, k = 0.28). The continuous measurement of soil respiration from January 2004 to December 2004 was carried out using AOCC (Automatic Open-Closed multi-Chamber system). The annual soil respiration rate was 629.6g Cm/sup -2/ yr/sup -1/ and the litter decomposition was 30.0g Cm/sup -2/ yr/sup -1/. The portion of litter decomposition rate on soil respiration rate was about 5%. From January to February, when the soil respiration rate was the lowest, about 11 % of soil respiration (7.4 ± l.4g Cm/sup -2/ month/sup -1/) were effected by litter decomposition rate (0.8g Cm/sup -2/ month/sup -1/). The highest soil respiration rate (111.5 ± 16.2g Cm/sup -2/ month/sup -1/) and litter decomposition rate (11.4g Cm/sup -2/ month/sup -1/) were showed in July to August. According to the regression analysis between soil respiration rate and litter decomposition, the soil respiration rate were related to litter decomposition with the correlations (r = 0.63).

Developing a Diary Designed for Woman Farmer's Time Use to Prove Farm Work (여성농업인의 농업활동 증명을 위한 생활일지 개발)

  • Lee, Jin-Young;Gim, Gyung-Mee;Choi, Yoon-Ji;Kim, Jeong-Seop
    • Journal of Agricultural Extension & Community Development
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    • v.12 no.2
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    • pp.137-150
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    • 2005
  • Although the rate of women farmer's participation in agricultural activities have been increased upto 52.7 % as of year 2003, Korean society has not fully recognized their roles in rural society. According to the agricultural basic law, most of rural women were engaged in agriculture as full time job, however, only about 11% of them could have supporting evidence of themselves as farmer having legal right. If women farmers faced some unexpected things such as a traffic accident, insurance company would not reward them as farmers unless they provide written proof of their job as farm worker or farm owner. Based on lawyer's legal advice, the authors developed a diary called "Saenghwalilji", a daily diary based on their time use and bookkeeping to prove the fact of their contribution to income generation of the farm. After examination of the diary, 18 persons out of 29 volunteers kept two types of dairy for the period of two weeks, and they reported it was very useful. Finally the better one of two was selected after reflecting the suggestions from the respondents. The "Saenghwalilji", will be very useful proof of women farmer's contribution to income, at the same time improving their farm management through better use of daily life time.

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The Effects of Rotational Correlation Time of Paramagnetic Contrast Agents on Relaxation Enhancement: Partial Binding to Macromolecules (거대분자에 부분적으로 결합한 상자성 자기공명 조영제의 회전속도가 이완증강에 미치는 영향)

  • 장용민
    • Investigative Magnetic Resonance Imaging
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    • v.3 no.2
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    • pp.159-166
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    • 1999
  • Purpose : To evaluate the effect of rotational correlation time (${\tau}_R$) and the possible related changes of other parameters, ${\tau}_M,{\;}{\tau}_S,{\;}and{\;}(\tau}_V$ of gadolinium (Gd) chelate on T1 relaxation enhancement in two pool model. Materials and Methods : The NMRD (Nuclear Magnetic Relaxation Dispersion) profiles were simulated from 0.02 MHz to 800 MHz proton Larmor frequency for different values of rotational correlation times based on Solomon-Bloembergen equation for inner-sphere relaxation enhancement. To include both unbound pool (pool A) and bound pool (pool B), the relaxivity was divided by contribution from unbound pool and bound pool. The rotational correlation time for pool A was fixed at the value of 0.1 ns, which is a typical value for low molecular weight complexes such as Gd-DTPA in solution and ${\tau}_R$ for pool B was changed from 0.1 ns to 20 ns to allow the slower rotation by binding to macromolecule. The fractional factor of was also adjusted from 0 to 1.0 to simulate different binding ratios to macromolecule. Since the binding of Gd-chelate to macromolecule cab alter the electronic environment of Gd ion and also the degree of bulk water access to hydration site of Gd-chelate, the effects of these parameters were also included. Results : The result shows that low field profiles, ranged from 0.02 to 40 MHz, and dominated by contribution from bound pool, which is bound to macromolecule regardless of binding ratios. In addition, as more Gd-chelate bound to macromolecule, sharp increase of relaxivity at higher field occurs. The NMRD profiles for different values of ${\tau}_S$ show the enormous increase of low field profile whereas relaxivity at high field is not affected by ${\tau}_S$. On the other hand, the change in ${\tau}$V does not affect low field profile but strongly in fluences on both inflection fie이 and the maximum relaxivity value. The results shows a fluences on both inflection field and the maximum relaxivity value. The results shows a parabolic dependence of relaxivity on ${\tau}_M$. Conclusion : Binding of Gd-chelate to a macromolecule causes slower rotational tumbling of Gd-chelate and would result in relaxation enhancement, especially in clinical imaging field. However, binding to macromolecule can change water enchange rate (${\tau}_M$) and electronic relaxation ($T_le$) vis structural deformation of electron environment and the access of bulk water to hydration site of metal-chelate. The clinical utilities of Gd-chelate bound to macromolecule are the less dose requirement, the tissue specificity, and the better perfusion and intravascular agents.

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Analysis of Air Temperature Factors Related to Difference of Fruit Characteristics According to Cultivating Areas of Persimmon (Diospyros kaki Thunb.) (감 재배지 간 과실 품질 차이에 관계한 기온요인 분석)

  • Kim, Ho-Cheol;Jeon, Kyung-Soo;Kim, Tae-Choon
    • Journal of Bio-Environment Control
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    • v.17 no.2
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    • pp.124-131
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    • 2008
  • To investigate main air temperature factors correlated to difference of fruit characteristics according to cultivating areas, fruit and air temperature characteristics of eight cultivating areas of 'Fuyu' persimmon were analyzed by principle components and multiple regression analysis. The first principal components extracted from 16 air temperature factors was annual mean temperature, mean temperature during October, annual mean minimum extreme temperature, mean temperature during growing period, and so forth. The second principal components was mean temperature during May and June and so forth. And cumulative contribution was 91.4%. The five of eight cultivating area had clearly the difference of main factors or the correlated direction among cultivating areas. In multiple regression analysis between the extracted main factors and fruit characteristics, fruit hight were highly correlated with mean temperature during growing period ($X_8$) and cumulative temperature ($X_6$), and the regression equation was $Y=150.55-5.375X_8+ 0.014X_6(r^2=0.843)$. Also this regression equation was affected by mean minimum temperature during growing period, cumulative temperature, and mean temperature during August. Fruit diameter was negatively correlated with mean temperature during growing period, flesh browning rate and Hunter a value of peel color were positively correlated with mean minimum temperature during growing period and annual minimum air temperature, respectively.

Experimental Studies of the Short-Term Fluctuations of Net Photosynthesis Rate of Norway Spruce Needles under Field Conditions (야외조건하(野外條件下)에서 독일가문비(Picea abies Karst) 침엽(針葉)의 순(純) 광합성률(光合成率)의 단기(短期) 변화(變化)에 대한 실험적(實驗的) 연구(硏究))

  • Bolondinsky, V.;Oltchev, A.;Jin, Hyun O.;Joo, Yeong Teuk;Chung, Dong Jun
    • Journal of Korean Society of Forest Science
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    • v.88 no.1
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    • pp.38-46
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    • 1999
  • Canopy structure conductances of a Norway spruce forest in the Solling Hills(Central Germany) and Central Forest Biosphere Reserve(320km to the north-west from Moscow) were derived from LE(latent heat flux) and H(sensible heat flux) fluxes measured(by Eddy correlation technique and energy balance method) and modelled(by one dimensional non-steady-state) SVAT(soil-vegetation-atmosphere-transfer) model(SLODSVAT) using a rearranged Penman-Monteith equation("Big-leaf" approximation) during June 1996. They were compared with canopy stomatal conductances estimated by consecutive intergrating the stomatal conductance of individual needles over the whole canopy("bottom-up" approach) using SLODSVAT model. The result indicate a significant difference between the canopy surface conductances derived from measured and modelled fluxes("top-down" approach) and the stomatal conductances modelled by the SLODSVAT("bottom-up" approach). This difference was influenced by some nonphysiological factors within the forest canopy(e.g. aerodynamic and boundary layer resistances, radiation budget, evapotranspiration from the forest understorey). In general, canopy surface conductances derived from measured and modelled fluxes exceeded canopy stomatal conductance during the whole modelled period, The contribution of the understorey's evapotranspiration to the total forest evapotranspiration was small (up to 5-9% of the total LE flux) and was not depended on total radiation balance of forest canopy. Ignoring contribution of the understorey's evapotranspiration resulted in an overestimation of the canopy surface conductance for a spruce forest up to 2mm/s(about 10-15%).

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