• 한국콘텐츠학회논문지
• /
• 제14권8호
• /
• pp.277-286
• /
• 2014

본 연구의 목적은 국민건강보험 가입자의 건강보험에 대한 인식수준과 만족도와의 관계를 확인하는 연구이다. 자료의 분석은 SPSS/WIN 14.0 프로그램을 이용하여 기술통계, $X^2$검정, 독립표본 T검정과 일원배치 분산분석(ANOVA)을 실시하였으며, 연구결과는 다음과 같다. 국민건강보험제도에 대한 인식수준과 만족도 관계에서는 국민건강보험의 보장 수준이 높다고 생각하는 집단, 자신이 내고 있는 국민건강보험료를 알고 있는 집단, 평소 국민건강보험에 대한 생각이 긍정적인 집단, 국민건강보험료 부담이 공평하다고 느끼는 집단이 국민건강보험 제도에 대한 만족도가 통계적으로 유의하게 높게 나타났다. 또한 물가인상과 비교한 보험료 인상 수준이 높을수록, 국민건강보험료 부담이 가계에 부담이 더하다고 느낄수록 국민건강보험 제도에 대한 만족도는 통계적으로 유의하게 낮게 나타났다. 본 연구는 국민건강보험에 대한 세부적인 인식수준을 파악하고 이와 국민건강보험제도 만족도의 관계를 확인하였다. 이 결과는 건강보험제도를 다수의 국민이 만족할 수 있는 방향으로 재설정하는데 기초자료를 제공해줄 수 있을 것으로 사료된다.

• Journal of Preventive Medicine and Public Health
• /
• 제31권3호
• /
• pp.471-480
• /
• 1998

This study was undertaken in order to estimate the accuracy of disease code of the Korean National Medical Insurance Data and disease the characteristics related to the accuracy. To accomplish these objectives, 2,431 cases coded as notifiable acute communicable diseases (NACD) were randomly selected from 1994 National Medical Insurance data file and family medicine specialists reviewed the medical records to confirm the diagnostic accuracy and investigate the related factors. Major findings obtained from this study are as follows : 1. The accuracy rate of disease code of NACD in National Medical Insurance data was very low, 10.1% (95% C.I. : 8.8-11.4). 2. The reasons of inaccuracy in disease code were 1) claiming process related administrative error by physician and non-physician personnel in medical institutions (41.0%), 2) input error of claims data by key punchers of National Medical Insurer (31.3%) and 3) diagnostic error by physicians (21.7%). 3. Characteristics significantly related with lowering the accuracy of disease code were location and level of the medical institutions in multiple logistic regression analysis. Medical institutions in Seoul showed lower accuracy than those in Kyonngi, and so did general hospitals, hospitals and clinics than tertiary hospitals. Physician related characteristics significantly lowering disease code accuracy of insurance data were sex, age group and specialty. Male physicians showed significantly lower accuracy than female physicians; thirties and fortieg age group also showed significantly lower accuracy than twenties, and so did general physicians and other specialists than internal medicine/pediatric specialists. This study strongly suggests that a series of policies like 1) establishment of peer review organization of National Medical Insurance data, 2) prompt nation-wide expansion of computerized claiming network of National Medical Insurance and 3) establishment and distribution of objective diagnostic criteria to physicians are necessary to set up a national disease surveillance system utilizing National Medical Insurance claims data.

• 한국치위생학회지
• /
• 제17권3호
• /
• pp.355-368
• /
• 2017

Objectives: The purpose of this study was to examine the recognition about scaling after health insurance benefit business for scaling by national health insurance corporation for the general public. Methods: In order to examine the recognition about scaling after health insurance benefit business for scaling by national health insurance corporation for the general public, study subjects were selected from those who are over 20 years old, living in Seoul and Gyeonggi province since December 2016. Among 300 selected subjects, data of 279 subjects were used for the analysis which is 93% of selected data, except 21 data with insufficient responses. Results: Results of examined factors affecting the recognition about scaling after health insurance benefit business for scaling by national health insurance corporation for the general public show that the recognition about scaling after national health insurance benefit is affected by female (p<0.05), past smoker (p<0.01), exercise more than 3 times a week (p<0.05) and 1-2 times a month (p<0.001) in order. Conclusions: It is necessary to prepare a plan to properly inform the national health insurance benefit for dental scaling and to raise the recognition about the necessity of scaling.

• Journal of the Korean Data and Information Science Society
• /
• 제27권5호
• /
• pp.1337-1347
• /
• 2016

본 연구는 생명보험사의 핵심 영업채널의 역할을 하고 있는 보험설계사들에 대한 설문을 바탕으로 보험설계사들의 이직횟수에 영향을 주는 요인을 찾고자 한다. 반응변수 이직횟수는 계수자료 (count data)이기에 일반화선형모형의 하나인 포아송회귀모형을 통해 분석된다. 현 조직에서의 보험설계사 근무경력은 보험설계사의 이직횟수에 직접적인 영향을 주는 변수로 본 연구모형에서는 통제변수로 설정되었다. 포아송회귀모형 적합결과, 보험설계사 이직의 횟수에 가장 큰 영향을 주는 요인은 현재 속한 회사 (대리점)으로 나타났으며, 다음으로 연령, 보험설계사로 입사하게 된 동기, 월평균 소득, 월평균 신계약건수, 최종학력 순으로 나타났다. 보험설계사가 현재의 속한 조직이 대형생보사이면 이직의 횟수가 가장 낮고, GA (general agent, 독립대리점) 소속이면 이직의 횟수가 높아지는 경향을 보이고 있다. 연령은 적을수록 이직의 횟수는 증가하고 연령이 많을수록 이직의 횟수는 작아짐을 보여주었다. 보험설계사로 입사하게 된 동기는 친구, 친척, 가족 등 지인의 추천과 동료FP, 소장, 지점장 등의 권유이면 이직의 횟수는 작게 나타났고 단순한 경제적 수입의 니즈와 능력과 적성이 부합의 자발적인 경우는 오히려 이직의 횟수는 높게 나타났다.

• 대한한의학회지
• /
• 제28권3호통권71호
• /
• pp.244-260
• /
• 2007

Objectives : The purpose of this study was to provide lawmakers with basic data for the purpose of establishing a policy on health insurance for packed herbal medicine. Methods : To properly execute an insurance system for packed herbal medicine, we surveyed the following questions from May 1st to June 15th, 2006: (1)the way to pay the insurance benefits (2)specific impression (disease) names as related to insurance (3)the range of insurance coverage. We obtained answers from 304 Korea traditional doctors. Results : 89.4% respondents were agreed on execution of health insurance for packed herbal medicine. 93.86% respondents answered that the way to pay insurance benefits and the range of insurance coverage have to be changed properly. Most respondents answered that the coverage should be based on a specific disease being treated, not the current symptoms method which relates to the prescription. The execution of health insurance for packed herbal medicine is expected to increase the number of patients and make the Korean medical system more popular. Conclusion : The findings are expected to make it easier for the general public to get treatment by providing basic data with policy makers that will cover packed herbal medicine in insurance. Also, a proper Korea traditional health insurance program should be set up as soon as possible to widen the choice of medicine for the general public.

• 응용통계연구
• /
• 제31권6호
• /
• pp.771-783
• /
• 2018

최근에 생명보험 산업은 보험계약의 장기 연장에 영향을 미치는 다양한 요인들에 관심을 두고 있다. 예를 들어 모집 설계사의 장기간 고객관리의 필요성, 상품상담, 투자측면의 개선 등이다. 따라서 본 연구에서는 우리나라 생명보험사의 장기계약을 유지하는 중요한 요인들을 조사하고자 한다. 이를 위해 우리나라의 모 생명보험사의 2011년 1월 1일부터 2016년 12월 31일까지의 계약건의 내용에 대한 데이터를 사용하였다. 본 논문에서는 이러한 데이터를 사용하여 벌점화 콕스 비례위험모형 접근법을 통해 계약유지기간에 중요한 영향을 미치는 변수를 선택하는 방법을 제시한다. 분석결과 설계사의 변경 유무, 연금 상품군, 그리고 안정적 투자성향과 같은 세 가지 변수가 계약건 유지에 주요한 요인으로 선택되었다.

• 보건행정학회지
• /
• 제26권1호
• /
• pp.71-78
• /
• 2016

The value of using health insurance claim database is continuously rising in healthcare research. In studies where comorbidities act as a confounder, comorbidity adjustment holds importance. Yet researchers are faced with a myriad of options without sufficient information on how to appropriately adjust comorbidity. The purpose of this study is to assist in selecting an appropriate index, look back period, and data range for comorbidity adjustment. No consensus has been formed regarding the appropriate index, look back period and data range in comorbidity adjustment. This study recommends the Charlson comorbidity index be selected when predicting the outcome such as mortality, and the Elixhauser's comorbidity measures be selected when analyzing the relations between various comorbidities and outcomes. A longer look back period and inclusion of all diagnoses of both inpatient and outpatient data led to increased prevalence of comorbidities, but contributed little to model performance. Limited data range, such as the inclusion of primary diagnoses only, may complement limitations of the health insurance claim database, but could miss important comorbidities. This study suggests that all diagnoses of both inpatients and outpatients data, excluding rule-out diagnosis, be observed for at least 1 year look back period prior to the index date. The comorbidity index, look back period, and data range must be considered for comorbidity adjustment. To provide better guidance to researchers, follow-up studies should be conducted using the three factors based on specific diseases and surgeries.

• 융합정보논문지
• /
• 제9권9호
• /
• pp.195-200
• /
• 2019

국민건강보험 청구자료는 급여 지급을 위한 자료로 질환에 대한 유병 및 발생자료는 아니므로 보건학적 연구 자료로 활용하기 위해서는 진료에피소드개념을 적용하여 재가공이 필요하다. 따라서 건강보험 청구자료의 보건학적 연구 자료로 활용하기 위한 시범적 진료에피소드 자료를 구축하는 것이 목적이다. 본 연구에서는 무진료기간을 퇴원한 당일 입원한 경우 월 단위 분리청구를 보정하기 위해 0으로 정의하였다. 서울지역에 한하여 호흡기계 질환(ICD10: J00-J99)및 심혈관계 질환(ICD10: I00-I99) 발생의 진료개시일부터 입원 이후 재입원까지 경향을 확인하였다. 무진료기간이 0일 일 때 자료 감소율은 건강보험청구자료의 월 단위 분리청구건으로 인한 것으로 판단된다. 또한 의료기간 종별에 따라 월 단위 분리청구 경향 차이가 있는 것으로 확인 하였다. 본 연구를 통해 구축된 시범적 진료에피소드자료는 기초적 역학정보를 산출하는 자료처리 기법으로 이용될 수 있을 것이다.

• 통상정보연구
• /
• 제9권1호
• /
• pp.169-186
• /
• 2007

The purpose of this study analyzes laying stress on Japan example that background of electronic issue of international meritime insurance policy is what, and is marched in some degree present. and this study presented what hereafter subject of electronic insurance plice is. The this paper is to study the current situations of trade financial EDI in Japan and problems in application of marine insurance contracts. The subject of electronic marine policy issue is as following in trade financing EDI. (1) application of electronic document in claim demand. (2) standardization of various documents and insurance plice data. (3) insurance compensation document that become Jeonjahwa in insurance accident settlement. (4) maritime Insurance policy agreement's establishment. (5) when is monopolized to third party, realization of electronic maritime insurance policy offer.

• 가정과삶의질연구
• /
• 제23권6호
• /
• pp.133-144
• /
• 2005

The Objective of this study was to investigate the consumer attitude and purchase willingness of internet insurance. Data were collected from 412 adult consumers who had bought car insurance at least once. Results showed that respondents have positive as well as negative attitude toward internet insurance. The best thing of internet insurance seems tn be the low rate of insurance premium while the worst thing seems to be the risk of personal information disclosure. However, about two thirds of respondents answered that they were willing to purchase internet insurance if the insurance premium were discounted more than $25\%$ of what they paid offline. The more consumer attitude was positive, the more consumers were willing to purchase internet insurance. In general, consumer attitude and purchase willingness of internet insurance vary with consumers' demographic and socio-economic characteristics.