• 제목/요약/키워드: Insurance Accounting

검색결과 69건 처리시간 0.023초

입원 환자 표본 개발에 관한 연구: 국민건강보험 청구자료를 중심으로 (Developing the Inpatient Sample for the National Health Insurance Claims Data)

  • 김록영;사공진;김윤;김세라;김수경;최병호;정형선;이태림
    • 보건행정학회지
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    • 제23권2호
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    • pp.152-161
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    • 2013
  • Korea has a single National Health Insurance program and all citizens are covered under this program, accounting 97% of the population, approximately 50 million people. Claims submitted by Health care providers are reviewed by Health Insurance Review and Assessment (HIRA) for the reimbursement. HIRA database contains not only individual beneficiary's information, but also healthcare service information such as diagnosis, procedures, prescriptions and tests for them. HRA database has gained attention as importance source for research due to its rich healthcare information and the demand of HIRA database has increased. Due to its tremendous size, however, researchers have had problems in accessing the database to conduct research. To meet this demand, we conducted a study to develop the inpatient sample data from HIRA database for research. This study has two purposes: 1) to determine a needed sample size; 2) to test reliability and validity of the sample data. We determined an adequate sample size to ensure representativeness and generality with additional consideration for convenience of calculation. The minimum sample size was 729,904 for the generality, and 488,861 for representativeness. After considering the convenience of calculation, our final sample size was 13% of the population, which was about 7.7 million beneficiaries. Age (5 years interval) and gender were used as stratification variables for sampling. In order to examine whether this sample data appropriately reflect population, we tested the reliability and validity of the sample data. From the sample data, we computed average expenditure of total claims per inpatient for 2011, frequency of top 30 disease, estimation of the number of stroke patients from the sample data, and then compared them to those from the population. Results confirmed reliability and validity of the sample data.

Modelling of Public Financial Security and Budget Policy Effects

  • Zaichko, Iryna;Vysotska, Maryna;Miakyshevska, Olena;Kosmidailo, Inna;Osadchuk, Nataliia
    • International Journal of Computer Science & Network Security
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    • 제21권9호
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    • pp.239-246
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    • 2021
  • This article substantiates the scientific provisions for modelling the level of Ukraine's public financial security taking into account the impact of budget policy, in the process of which identified indicators of budget policy that significantly affect the public financial security and the factors of budget policy based on regression analysis do not interact closely with each other. A seven-factor regression equation is constructed, which is statistically significant, reliable, economically logical, and devoid of autocorrelation. The objective function of maximizing the level of public financial security is constructed and strategic guidelines of budget policy in the context of Ukraine's public financial security are developed, in particular: optimization of the structure of budget revenues through the expansion of the resource base; reduction of the budget deficit while ensuring faster growth rates of state and local budget revenues compared to their expenditures; optimization of debt serviced from the budget through raising funds from the sale of domestic government bonds, mainly on a long-term basis; minimization of budgetary risks and existing threats to the public financial security by ensuring long-term stability of budgets etc.

환경책임보험 배출 물질 정산의 표준화 필요성 및 산출방법 표준화 (Necessity of Standardization and Standardized Method for Substances Accounting of Environmental Liability Insurance)

  • 박명남;김창완;신동일
    • 한국가스학회지
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    • 제22권5호
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    • pp.1-17
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    • 2018
  • 태안반도 원유 유출사고, 구미 불산누출사고 등 2000년 전후로 하여 환경관련 사건과 사고가 빈번히 발생하고 있다. 이러한 환경오염사고를 계기로 선제적 대응 방안이 필요하다는 사회적 공감대가 형성되어 2014년 환경오염피해 배상책임 및 구제에 관한 법률이 제정되고, 2016년 1월부터 시행되고 있다. 이에 따라 도입된 환경책임보험제도는 국내 보험산업계에서 환경위험을 관리하는 새로운 보험모델의 표준화 정립을 통해 관리될 필요가 있다. 지금까지 보험산업에서 표준화에 대한 노력은 다양한 위험 유형의 보장성 보험모델들의 출현에 따라 진행되어 왔다. 이에 따라 본 연구에서는 지식 기반 서비스 중의 하나인 보험 영역에서 기업에 의해 발생 가능한 대기, 수질, 화학, 폐기물, 해양, 토양 등의 환경오염 발생에 대해 6가지 보장 매체에 관한 검증 자료를 의미적 상호운용이 가능한 온톨로지를 통해 표현하였으며, 사업장의 인허가를 토대로 보험 가입 매체 간의 관계를 추론하여 보험모델을 설계하고 제시하였다. 각 사업장 담당자에 의한 물질량 정산 과정과 검증자를 통한 정산결과의 편차를 줄이기 위해, 추상적인 개념을 흐름도로 객관화, 구체화 하였으며, 해마다 많은 비용과 소모되는 자원을 줄이기 위해 온톨로지 기반의 의사결정지원 시스템의 향후 구축 방안을 제시하고 일부 구현 하였다. 이를 통해 물질량 검증 기준을 표준화함으로써 오류를 최소화하고, 검증에 소요되는 시간과 자원을 감소시킬 수 있을 것으로 기대된다.

임상병리과의 활동기준원가 관리 적용에 관한 연구 (The Study on Application of Activity-Based Costing System on the Department of Clinical Pathology)

  • 정수경;정기선;최황규;류규수
    • 한국병원경영학회지
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    • 제5권1호
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    • pp.129-155
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    • 2000
  • This empirical study, activity-based costing, a newly introduced approach that has proved to be an improvement over the conventional costing system in product or service costing, is applied at department of clinical pathology in K university hospital. The study subjects were 233 test procedures done in clinical laboratory of K university hospital. Activity analysis was done by interview, questionnaires, and time study, and the amount of resources consumed by each activity and their costs are then traced and applied to the laboratory tests. The main purpose of this study were to compare the test costs of activity-bases costing with those of conventional costing, and test fees of medical insurance, and to provide accurate cost informations for the decision makers of hospital. The major findings of this study were as belows. 1. The cost drivers for application of activity-based costing at clinical laboratory were cases of sample collection, case of specimen, cases of test, and volume-related allocation bases such as direct labor hours and total revenue of each test. 2. The profits of each clinical laboratory fields analyzed by conventional costing were different from the profits analyzed by activity-based costing, especially in the field of Urinalysis(approximately over estimated 750%). 3. The standard full costs by conventional costing were quite different from the costs computed by using activity-based costing, and the difference is most significant with the tests of long labor time. 4. From the comparison between costs computed by using activity-based costing and medical insurance fees, some test fees were significantly lower than the costs, especially in the non-automated fields. As described in this study, activity-based costing provides more accurate cost information than does conventional costing system. The former approach is especially important in the health care industry including hospitals in which planning and controlling the costs services provided are the key to maintaining a healthy financial status for the organization. Despite the contribution of activity-based costing the economic as well as technical feasibilities of implementing such a cost accounting system in an organization must be evaluated. In the development of activity-based costing systems, an activity analysis has to be conducted to identify activities that consume resources. This involves a detailed study of the organization's logistics and accounting information systems, and it is an expensive project in itself. Besides, it can be quite difficult and time consuming to identify and trace resource consumption to a specific activity. Thus the activity-based costing system should be implemented only when the decrease in cost of error far exceeds the increase in cost of measurement. By combining activity-based costing with standard costing, health care administrators can better plan and control the costs of health services provided while ensuring that the organization's bottom line is healthy.

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노인장기요양보험제도에서의 방문물리치료 도입에 대한 노인요양시설 물리치료사의 인식조사연구 (Research for the Inclusion of Home-Based Physical Therapy in Long-Term Care Insurance System of Physical Therapists in Elderly Care Facilities)

  • 이광재;노정석
    • 한국콘텐츠학회논문지
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    • 제11권11호
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    • pp.231-240
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    • 2011
  • 본 연구는 앞으로의 노인장기요양보험 서비스의 확대 시 우선적인으로 방문물리치료 서비스 도입의 기초자료를 제공하는데 그 목적이 있으며 그를 위해 노인장기요양보험 하에서 물리치료 서비스를 제공하고 있는 노인시설 물리치료사들의 제도에 대한 인식조사를 실시하였다. 그 결과 노인장기요양보험에 대한 인지도는 88.1%로 높았으며 필요성에서도 높았지만 40세 이상에서 절대 필요하다는 응답이 60.3%로 더 높았다. 또한 수가는 방문간호를 기준으로 높게 책정해야 한다는 의견이 59.7% 가장 높았다. 방문물리치료서비스 중 가장 중요한 치료접근으로는 일상생활 지도가 40%로 가장 높았고, 서비스 주체로는 방문간호센터처럼 방문재활센터로 해야 한다는 의견이 69.4%를 차지했다. 방문물리치료 시행에 따른 기대효과는 50점 만점에 전체 평균 41.44점으로 나타났으며 특히 40세 이상에서 42.48점으로 나타나 전체적인 기대효과가 높은 것으로 나타났다.

경영수업을 위한 역량육성형 교수법 개발 (Development of Teaching Methods for Competency Development in Business Class)

  • 성행남
    • 디지털산업정보학회논문지
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    • 제13권3호
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    • pp.83-104
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    • 2017
  • It is the approach of development of teaching methods for competency development in business class. This study distinguishes areas that can be commonly applied to many business subjects. And we derive core competencies from the basic skills of NCS. The results of this study are as follows. First, we have established an opportunity to distinguish the subject field of business administration(personnel/organization/strategy, production/operation management, marketing, financial/finance/insurance, accounting, MIS). Second, we have proposed guidelines for the setting of the each subject goals and the setting of the professor's competency. Third, we have summarized teaching method which are studied as valid in business class(lecture method, problem based learning method, action learning teaching method, and management simulation teaching method) and we suggested how to apply teaching methods to the each subject.

요양병원의 성장과 운영상의 주요 이슈 (Key Issues on Long-Term Care Hospitals in Korea)

  • 오은환
    • 보건행정학회지
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    • 제28권3호
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    • pp.257-262
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    • 2018
  • This study reviews the advent of long-term care (LTC) hospitals and its key issues in Korea. For analysis, enforcement ordinances and enforcement rules related to LTC hospitals were reviewed. Official statistic data were used for quantitative analysis and Organization for Economic Cooperation and Development data were utilized for comparative analysis. Various references and expert interviews were conducted for status analysis. As of 2016, the number of LTC hospitals was 1,386 and the number of beds were 246,373. It showed the trend of increasing medical care costs and the cost of care at LTC hospitals increasing from 998.8 billion Korean won in 2008 to 4,745.6 billion Korean won in 2016, accounting for 7.3% of the total National Health Insurance expenditure. From the societal perspective, several issues were pointed out within the current health care system related to LTC hospitals: establishment of roles, concerns about the increase in medical expenses, and the quality of medical personnel.

건설업 안전관리 효과분석에 관한 실증적 연구 (An Analysis of Safety Control Effectiveness in Construction)

  • 갈원모;손기상;채준석
    • 한국안전학회지
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    • 제11권1호
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    • pp.121-128
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    • 1996
  • Estimating the cost of injuries and "accidents" to an organization is very important to figure out about how much well each organization has run his company and how much efficiently he has got the results using a certain amount of the expense for safety. Despite the potential usefulness to management of information as to the cost of a company's "accidents", it is not customary accounting practice to make these data available. Of the two general kinds of costs forced on a company by its occupational injuries and "accidents", the insurance cost and uninsured cost, -the former is by far the easier to find out. But actually, this uninsured cost should be figured out at each company. Authors have designed the generalized model to figure out the above problem costs to establish its efficient safety control. One construction company has been a pilot for this study. It is found that efficient safety control cost should be 1.2%~l.3% of total selling amount by analyzing actual data for three years.g actual data for three years.

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우리나라의 해외취업선사의 발전방안 (Some Considerations for Development of Ship Management Companies in Korea)

  • 이태우;박용섭;김재봉
    • 한국항해항만학회:학술대회논문집
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    • 한국항해항만학회 1991년도 하계학술발표회 한국항해학회
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    • pp.21-36
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    • 1991
  • The main function of most ship management companies in Korea has been crew manning for foreign shipowners i.e. limited management whereas those in Norway. U, K Hong Kong Singapore and etc. have been largely involved in full management which includes ship operation maintenance and repairs chartering financial administration accounting insurance etc not to mention crew manning The shortage of supply of seamen caused by deindustrialisation and increasing GNP tends to deteriorate the profitability of ship management companies in Korea. In these circumstances they may have to expand their present business to full management in order to continue to be going concerns, This paper evaluates the roles and performances of ship management companies in Korean shipping sector during the last three decades and suggests some ideas in order to develop them identifying major barriers against their development and analysing business activities of ship management companies in advanced maritime countries.

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