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Korean Experiment for the Unification of Multiple Health Insurers : A Road to Success or Failure (한국 의료보험의 통합일원화 : 성패의 갈림길)

  • 김병익
    • Health Policy and Management
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    • v.10 no.3
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    • pp.108-128
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    • 2000
  • The Korean government has implemented the policy for merging 141 health insurers into Korean Unified Health Insurer (KUHI) in July of 2000. The unification of multiple insurers will definitely effect the stability of financial management, equity of premium burdens and efficiency of administrative management. However, it is difficult to predict what forms the far-reaching effects of the unification would take. Thus, pursuing the unification may be express as a huge policy experiment. In order to lead the unification, which lies on a crossroad between success and failure, to the road of success, we need to infer the problems and obstacles predicted in the step-wise processes of merging organizations, finances and the systems of computing premium, and come up with the effective means to maintain the stability of financial management, to improve the equity of premium burdens and to increase the efficiency of administrative management. Thus, I first described the changes of the Korean medical insurance system, and analyzed the performances of self-employed medical insurance 1 year after the integration of societies in October of 1998. At the base of examining the stability of financial management, equity of premium burdens and efficiency of administrative management, I predicted the problems and obstacles that could occur after the unification of the multiple medical insurers, and proposed a few ways of leading the unification of the multiple medical insurers in Korea to success. The most worried factor is that insurance finance would become unstable since the expansion of premium revenues is not easy because raising the premium for all Koreans is to be difficult. In addition, the unification of insurance finance could weaken the insurer's efforts for declaring real incomes of the self-employed and increasing the collection rate of premiums from them. This weakening would be the decisive factor of lowering the equity of premium contributions between the self-employed and employees. And bureaucratization and rigidity that are unavoidable in a gigantic unified organization could lower the efficiency of administrative management. Furthermore, by having 3 labor unions in the unified organization, it is possible to experience frequent difficulties and discords among the unions and between the unions and organization. Thus, when smooth pursuing of the unification of multiple insurers gets difficult, the social expenses derived from the failure would eventually end up on all Koreans. The unification is to be performed after coming up with the ways to eradicate these worries, so that the unification of multiple insurers would step onto the road of success.

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Development of the Performance Measurement Model of Electronic Medical Record System - Focused on Balanced Score Card - (균형성과표를 활용한 전자의무기록시스템의 성과측정 모형개발)

  • Lee, Kyung Hee;Kim, Young Hoon;Boo, Yoo Kyung
    • Korea Journal of Hospital Management
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    • v.21 no.4
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    • pp.1-12
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    • 2016
  • The purpose of this study are suggest to performance measurement model of Electronic Medical Record(EMR) and Key Performance Index(KPI). For data collection, 665 questionnaires were distributed to medical record administrators and insurance reviewers at 31 hospitals, and 580 questionnaires were collected(collection rate: 87.2%). Regarding methodology, Critical Success Factor(CSF) and index of the information system were derived based on previous studies, and these were set as performance measurement factors of EMR system. The performance measurement factors were constructed by perspective using BSC, and analysis on causal relationship between factors was conducted. A model of causal relationship was established, and performance measurement model of EMR system was proposed through model validation. Analysis on causal relationship between performance management factors revealed that utility cognition of the learning & growth perspective factor had causal relationship with job efficiency(${\beta}=0.20$) and decision support(${\beta}=0.66$) of the internal process perspective factors, and security had causal relationship with system satisfaction(${\beta}=0.31$) of the customer perspective factor. System quality had causal relationship with job efficiency(${\beta}=0.66$) and decision support(${\beta}=0.76$) of the internal process perspective factors, all of which were statistically significant(P<0.01). Job efficiency of the internal process perspective had causal relationship with system satisfaction(${\beta}=0.43$), and decision support had causal relationship with decision support satisfaction(${\beta}=0.91$) and job satisfaction (${\beta}=0.74$), all of which were statistically significant(P<0.01). System satisfaction of the customer perspective had causal relationship with job satisfaction(${\beta}=0.12$), job satisfaction had causal relationship with cost reduction(${\beta}=0.53$) of the financial perspective, and decision support satisfaction had causal relationship with productivity improvement(${\beta}=0.40$)of the financial perspective(P<0.01). Also, cost reduction of the financial perspective had causal relationship with productivity improvement(${\beta}=0.37$), all which were statistically significant(P<0.05). Suitability index verification of the performance measurement model whose causal relationship was found to be statistically significant revealed that $X^2/df=2.875$, RMR=0.036, GFI=0.831, AGFI=0.810, CFI=0.887, NFI=0.838, IFI=0.888, RMSEA=0.057, PNFI=0.781, and PCFI=0.827, all of which were in suitable levels. In conclusion, the performance measurement indices of EMR system include utility cognition, security, and system quality of the learning & growth perspective, decision support and job efficiency of the internal process perspective, system satisfaction, decision support satisfaction, and job satisfaction of the customer perspective, and productivity improvement and cost reduction of the financial perspective. In this study, it is expected that the performance measurement indices and model of EMR system which are suggested by the author, will be a measurement tool available for system performance measurement of EMR system in medical institutions.

Study on Management Plan of the Financial Supervisory Service According to Increase of Risk of Household Debts (중소형증권사 Project-Financing 우발채무 확대에 따른 금융감독원 관리방안에 관한 연구)

  • Lee, YunHong
    • Korean Journal of Construction Engineering and Management
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    • v.19 no.4
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    • pp.21-33
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    • 2018
  • In 2018, the real estate markets have hardly been transacted according to the government's tight regulations of real estates, and have the high possibility to reach a low hit due to the hike of loan interest rates following the U. S rise of base money rate. The key profits for the large construction companies mainly come from the overseas plant projects and the domestic non-governmental construction projects. They suffered a lot such as the lowering of their credit ratings due to the large losses caused by the frquent design changes and work delay. Even in the domestic non-governmental construction projects, the general business risks are on the rise due to the property marketing moving over to the decreasing phase. The small and medium sized security companies has realized a lot of operaring profits as they participated in the PF market to make up for the losses in the securities trading business. But, now as the housing market is not so good around the nation except Seoul and the financial states of large construction companies are not good enough, they can face the liquidity crisis if there happens the problems in the PF backed securities which they have handled. As Korean economy experienced the crisis in the savings banks before, it is recommended that Financial Supervisory Service proposes the preemptive control method and supervision direction to overcome the crisis.

Analysis of Factors of IRRs and Spread on Korea's BTO Projects (우리나라 민간투자사업의 수익률과 가산금리의 결정요인 분석)

  • Ju, Jae-Hong;Ha, Heon-Gu;Park, Dong-Gyu
    • Journal of Korean Society of Transportation
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    • v.28 no.2
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    • pp.135-150
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    • 2010
  • This paper focuses on finding out which covenants are different among the concession agreements of Korean BTO projects and how these influenced IRR(Internal Rate of Return). That is, to figure out the political and economical determinants of IRR by analyzing the concession agreements which are the basic contract of implementing projects. As IRR is an index of profitability, so spread is an indicator of risk to collect debts. That's the reason why the analysis of spread is included. For the empirical analysis, the data of concession agreements for 75 projects and financial models are used. These 75 concession agreements are contracted from 1995 to 2008. The dependent variables are after tax nominal IRR and the spread of long term interest rates of 75 BTO projects. The independent variables are project's proceeding factors, the feasibility variables, the variables related to financial character and the variables related to covenants or the government's policy. The analysis shows that IRR has been influenced by the equity level of financial investors, the national government managed projects, the projects with minimum revenue guarantee (MRG), etc. And the equity level of financial investors, the national government managed projects and the implementation of supplementary project have an effect on spread also.

A Study on the Use of Mobile Payment Service by Korean Youth (우리나라 청소년들의 모바일 간편 결제서비스 이용에 관한 연구)

  • Moon, Jae-Young
    • The Journal of the Korea Contents Association
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    • v.20 no.12
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    • pp.492-497
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    • 2020
  • Today, banks around the world are making great efforts to adapt to the rapidly changing internal and external environment changes caused by the development of IT technology and to gain a competitive advantage in the market. In particular, in line with the rapid growth of smartphone usage, financial services are also provided in a variety of ways using Fintech, and one of the fastest growing areas is mobile simple payment. Mobile payment service is a financial service that pays the purchase price using a portable mobile device. As fintech, a convergence of financial services and information technology, it is recently used not only in financial services, but also in various industries. It is used in all fields where payment functions such as distribution are available. In the case of mobile cards, it shows that the usage rate of people in their 20s and 30s is increasing very much, so it can be said that the use of mobile payment services will continue to increase in the coming future. We know that simple payments are being used. However, it can be said that the research on the use of mobile payment services by these teenagers is somewhat incomplete. Therefore, this study investigated what factors are important for Korean teenagers to use mobile payment services. As a result, among the five hypotheses presented in this study, all hypotheses were adopted except for , which states that cash usage habits have no effect on innovation.

Study on the FinTech activation plan: The U.S., China, and Korea's Regulations (핀테크 활성화 방안 연구: 미국, 중국, 한국의 규제 현황 중심으로)

  • Kim, Sang-Won;Im, Seokjin
    • Journal of Industrial Convergence
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    • v.19 no.4
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    • pp.29-35
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    • 2021
  • Fintech, a new form of financial industry that converges IT, is developing rapidly in developed countries such as the US and China. The U.S. and China lowered barriers to entry through deregulation to develop and expand the fintech industry, and, for example, encouraged startup companies to incorporate various ideas through negative regulations that are more relaxed or do not apply regulations for a certain period of time. The U.S. and China did not apply existing financial regulations to the fintech industry, providing an environment where fintech startups could grow more easily. Currently, in Korea, fintech technologies such as 'Samsung Pay', 'Toss' and 'Kakao Pay' have been developed and are being activated, and also their scale is expanding. Although various systems are being reorganized and regulated for the development of Fintech, Fintech's growth rate is slow due to unfriendly and unopened regulations in the financial sector and various markets. This paper examines the status of fintech, focusing on advanced fintech and Korea, and examines fintech-related regulations that hinder the development of the fintech industry. We propose a more flexible way of easing excessive regulation in the financial sector, such as post-regulation.

Pregnancy, Abortion and Delivery Rates for Korean Teenagers (한국 10대 여성의 임신, 인공유산 및 출산 경험 실태)

  • Park, Young-Joo;Ku, Pyoung-Sahm;Hong, Myung-Ho;Kim, Tak;Shin, Jae-Chul;Lee, Chan;Moon, Joon;Oh, Min-Jung
    • Journal of Korean Academy of Nursing
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    • v.28 no.3
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    • pp.573-582
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    • 1998
  • The purpose of this study was to investigate pregnancy, abortion and delivery rates among Korean teenagers. The subjects of this study were 11,433 teenagers aged 13-19 years in Seoul, Pusan, Taegu, Kwangju, Incheon, Taejeon and Ansan, Korea. Data were collected from Feb. 1994 to May 1995, 16 months, by schoolnurses or the researchers. The results showed pregnancy rate was 7.2 per 1,000 teenagers, the abortion rate was 4.3 per 1,000 teenagers, and the delivery rate was 1.2 per 1,000 teenagers. In the pregnancy experience, the main factors related to teenage pregnancy were love or marriage engagement. In the abortion experience, 53.9% of teenagers had had more than two abortion experiences, 38.1% midtrimester abortion, 22% complications after abortion, 36.0% sexual activity after abortion and 86.7% the financial support from partners or friends for abortion. In the delivery experience, 64.3% of teenagers delivered with no prenatal care and 42.9% had a delay in realizing they were pregnant. Fifty percent were delivered by non-professionals in non-medical institutions.

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Influence of tuition and scholarship on the stop-out rate: An empirical analysis using panel regression model (등록금 및 장학금이 대학생 휴학률에 미치는 영향: 패널회귀모형을 이용한 실증분석)

  • Yang, Hoseok;Choi, Jae-Seok;Han, Jun-Tae;Jeong, Jina
    • Journal of the Korean Data and Information Science Society
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    • v.26 no.3
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    • pp.631-638
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    • 2015
  • In this paper, we configured the panel data of four years using the information of Higher Education In Korea (2010~2013) and studied the influence of tuition and scholarships on the stop-out rate of national university and private university separately through a panel analysis. Three models are implemented considering various variables suck as faculty-student ratios, employment rate, per pupil expenditure, average tuition, and per pupil scholarship. This study showed that the lower net tuition and the higher per pupil off-campus scholarship lowered the stop-out rate at national universities and the lower tuition and the higher per pupil scholarship lowered the stop-out rate at private universities.

Economic Evaluation Method Based on Rate of Return for Multiple Investment Alternatives (다수의 투자대안들에 대한 수익률 기준의 경제성 평가방법)

  • Kim, Jin Wook
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.42 no.1
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    • pp.137-142
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    • 2019
  • There are two methods for evaluating two or more mutually exclusive projects. One is a total investment approach and the other is an incremental investment approach. The former can rank projects by the criterion of the net present value, but the latter can't do it. An incremental investment approach is only possible when all pairwise alternatives are compared. Thus an incremental investment approach is superior in ranking them over an incremental investment approach. To do so, a principle of comparison must be established. Comparisons of profitability are reasonable when operating the same amount of investment over the same period of time. One principle is that all projects are invested in the largest of the projects. Another principle is that all projects are invested during the longest project life of the projects. In this paper, even if the principle is followed, it will be shown that the external rate of return fails to rank them. However, the productive rate of return criterion would prove to be able to rank them like the net present value standard, provided that the principle of comparison is kept. In addition, rate of returns can be assessed so that all mutually exclusive projects can be compared at once, such as on the criterion of the net present value. That is, it can be also compared with many other returns, such as the profit rates on financial investments or real investments.

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

  • Jung Hoon Kim;Heenyun Kim;Yongseok Choi;Hyoung Sun Jeong
    • Health Policy and Management
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    • v.33 no.1
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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.