• 보건행정학회지
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• 제22권2호
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• pp.263-274
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• 2012

This study describes the hypertensive patients characteristics associated with the health incentive point program, and develops and analyzes a simple predictive model of participation in the program. Based on the Incheon Chronic Disease Management System(iCDMS), a model program of community partnership for hypertensive or diabetic patients detection and follow-up since 2005 in Incheon metropolitan city, a cross-sectional design was used in this study. An effective 10.844 adults sample was divided into groups according to participation in the health incentive point program and continuing treatment, and individual and health characteristics among groups were compared. Furthermore, the predictors associated with participation in the program were identified by the logistic regression analysis. After the health incentive point program in iCDMS was introduced, the number of hypertensive patients participation in the program increased 23.9 times which is vastly high given the various programs were provided. There were statistically significant differences among the groups: age(p=0.000), treatment compliance(p=0.000), and blood pressure control at the last measurement(p=0.000), in particular, between participation group(GroupI, n=246) and non-participation group(GroupIII, n=10,408). Furthermore, age over 60 years(OR: 0.33), treatment compliance(OR: 3.49~3.78) and blood pressure controls(OR: 2.13~2.30) were statistically significant predictors associated with participation in the program, based on the logistic regression analysis with GroupI and GroupIII. To increase participation in the health incentive point program, variables such as age, treatment compliance and blood pressure controls are more concerned. And, high-risk patients and family members need targeted health incentive programs.

• 전기학회논문지
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• 제59권3호
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• pp.536-542
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• 2010

This paper presents an unique approach to scheme a demand response (DR) program in the electricity market from a customer-oriented perspective, which is based on the analytic hierarchy process (AHP). The proposed program has the objective to maintain the system reliability at the emergency period, and it is designed as an incentive-based program (IBP) considering Korea power systems with the cost-based generation pool (CBP). The DR program using AHP could represent the mutual importance degrees of load curtailment criteria from the viewpoint of different load-holders, thus customers' participation in this program is determined by the incentive payments corresponding the specific load curtailment conditions. A test system for the case study is used to demonstrate the usefulness and applicability of the proposed approach, and the load profiles with the proposed DR program and the required incentive payments are obtained. The results show not only the enhancement of system reliability but also the economic benefit within Pareto-improvement.

• 한국건설관리학회논문집
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• 제2권3호
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• pp.67-74
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• 2001

정부는 건설 CALS를 통해 건설업을 지식기반 정보산업으로 변화시켜 건설산업의 선진화 및 국제 경쟁력을 확보하기 위해 노력하고 있다. 그러나 제도적 저해요소와 경기침체로 인한 투자위축으로 민간건설업체의 건설 CALS사업 참여가 저조한 실정이다. 본 연구의 목적은 건설 CALS 체제의 조기구축 및 기반 확산을 위해 민간건설업체의 참여를 유도할 수 있는 혜택방안을 마련하는 것이다. 이를 위해 건설업체 정보화 기초현황 조사를 수행하여 국내 건설산업의 정보화수준을 파악하였다. 혜택의 차등적 적용을 위한 평가 카테고리를 정하고 파악된 정보화 수준과 현행법상의 혜택부여 가능성을 점검하여 경제적 혜택방안을 도출하였다.

• 한국IT서비스학회지
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• 제16권3호
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• pp.17-45
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• 2017

Health Information Exchange (HIE) is expected to improve the quality and efficiency of care by allowing providers online access to healthcare information generated by other providers at the point of care. However, the adoption of the technology in Korea has been slow since its pilot program in 2007~2010 at Seoul National University Bundang Hospital. The objective of this study was to survey stakeholders on the incentive program for the facilitation of HIE adoption. We surveyed 39 experts representing 6 categories of stakeholders-provider, insurer, government, information service firms, customers, and medical informatics experts for the interviews. Interview questions included program objectives, program participation requirements, incentive payment method, and administrative burden for program participation. Experts indicated that the quality of care was the most important value the program should aim to achieve through the HIE adoption. They suggested that the requirements and administrative burden for participation should be kept at minimum to recruit a large number of providers to the program, which is an indicator of program success. Experts were divided on the payment method whether the incentive should be paid as a part of the fee payment scheme operated by the National Health Insurance (NHI) or should be a payment made independent of the NHI. The source of the divide was conflict of interest among stakeholders as to who pays for the program, and the insurer and consumer groups were against the NHI taking the financial burden. It appeared to be the most significant factor for the successful program launching to resolve the gap in perceptions about benefits of the technology among stakeholders and to win the willingness to pay for the program.

• 에너지공학
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• 제11권4호
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• pp.342-349
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• 2002

본 논문은 캘리포니아 테스트를 이용하여 직접부하제어 프로그램의 적정 인센티브 수준 결정 방법을 제시한다. 대부분의 수요관리 프로그램의 경우 연간 혹은 수요관리 프로그램의 수명기간 동안 모든 고려 변수들이 상수로 주어지지만, 직접부하제어의 경우 연간 직접부하제어의 실행 회수 및 각 직접부하제어 실행 시간에 대하여 종속적인 값이 되기 때문에, 이러한 문제를 극복하고 직접부하제어의 경제성 평가에 효과적으로 적용하기 위해서 캘리포니아 테스트 방법론을 새롭게 정식화한다. 이 정식화를 사용하여 다양한 시나리오에 대한 사례연구를 수행하며, 현행 직접부하제어 프로그램의 인센티브 수준을 재검토하고 경쟁적 전력시장에서 직접부하제어 프로그램이 활성화될 수 있는 방안을 제안한다.

• 보건행정학회지
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• 제27권3호
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• pp.247-255
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• 2017

Background: South Korea has experienced problems with excessive pharmaceutical expenditures. In 2010, the South Korean government introduced an outpatient prescription incentive program to effectively manage pharmaceutical expenditures. Therefore, we examined the relationship between the outpatient prescription incentive program and pharmaceutical expenditures. Methods: We used data from the Korean National Health Insurance claims database, which included medical claims filed for 22,732 clinics from 2011-2014 to evaluate associated pharmaceutical expenditures. We performed multiple regression analysis and Poisson regression analysis using generalized estimating equation models to examine the associations between outpatient prescription incentives and the outcome variables. Results: The data used in this study consisted of 123,392 cases from 22,372 clinics (average 5.4 periods follow-up). Clinics that had received outpatient prescription incentives in the last period had better cost saving and Outpatient Prescribing Costliness Index (OPCI) (received: proportion of cost saving, ${\beta}=6.8179$; p-value < 0.0001; OPCI, ${\beta}=-0.0227$; p-value < 0.0001; reference = non-received). Moreover, these clinics had higher risk in the provision of outpatient prescription incentive (relative risk, 2.772; 95% confidence interval, 2.720 to 2.824). The associations were higher in clinics that had separate prescribing and dispensing programs, or had professional staff. Conclusion: The introduction of an outpatient prescription incentive program for clinics effectively managed problems with rapid increases of pharmaceutical expenditures in South Korea. However, the pharmaceutical expenditures still increased in spite of the positive impact of the outpatient prescription incentive program. Therefore, healthcare professionals and health policy makers should develop more effective alternatives (i.e., for clinics without separate prescribing and dispensing programs) based on our results.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2009년도 제40회 하계학술대회
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• pp.589_590
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• 2009

This paper presents a unique approach to scheme a demand response (DR) program in the electricity market from a customer-oriented perspective, which is based on the analytic hierarchy process (AHP). The proposed program is designed as an incentive-based program (IBP) considering Korea power systems with the cost-based generation pool (CBP). And the proposed DR program has the objective to maximize social welfare corresponding customers‘ participation and the constraints including incentive payments, the specific load curtailment conditions and reserve-margin criterion. A test system for the case study is used to demonstrate the usefulness and applicability of the proposed approach, and the load profiles with the proposed DR program are obtained. The results show not only the revenue attributable to the avoided costs but also enhancement of system reliability.

• 한국콘텐츠학회논문지
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• 제15권3호
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• pp.174-183
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• 2015

본 연구의 목적은 Incentive Spirometer를 이용한 심호흡이 시간경과에 따라 늑골골절 환자의 폐기능과 산소포화도에 미치는 효과를 알아보는 것이다. 연구대상은 G시 소재 일개 병원에 입원한 늑골골절 환자 25명으로 대상자들에게 Incentive Spirometer를 이용한 심호흡이 교육되었다. 자료수집은 2013년 6월부터 10월까지로 폐기능과 산소포화도는 Micro spirometer와 pulse oximeter를 사용하여 입원 시와 중재 1일, 2일, 3일, 4일, 5일, 6일 후에 측정되었다. 자료는 SPSS (Statistical Package for the Social Science) 21.0 version program을 이용하여 기술분석 및 repeated measure ANOVA으로 분석되었다. Incentive Spirometer를 이용한 심호흡을 적용한 후의 폐기능과 산소포화도는 시간이 경과함에 따라 증가하였다. 따라서 늑골골절 환자에게 지속적으로 수행하는 Incentive Spirometer 심호흡이 권장될 필요가 있다.

• 보건행정학회지
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• 제27권2호
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• pp.121-127
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• 2017

The effort to measure and improve the quality of healthcare is a common health policy issue worldwide. Korean Value Incentive Programme is one of that effort, but some concerns exist. Compared to pay for performance program in other countries, it measures healthcare quality with relatively narrow performance domain using a small number of clinical indicators. It was designed without involving hospitals and other key stakeholder, and program participation was mandated. Highest and lowest performers get bonus and penalty using relative ranking. As a suggestion for development, the direction for quality management at the national level should be given first. Therefore the philosophy or strategy for quality improvement should be reflected to the program. And various domains and indicators of healthcare quality should be developed with active communication with healthcare providers. The evaluation method is necessary to be changed to provide achievable goal to the healthcare providers and attract quality improvement.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2007년도 제38회 하계학술대회
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• pp.553-554
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• 2007

This paper proposes the method to increase the current direct load control program by inspecting the problems of the DLC program. In order to increase the number of the customers participating DLC program, a raise of the base incentive and the direct load control incentive is suggested based on the interruption cost of electric power considering the characteristics of kinds of load.