• 한국건설관리학회논문집
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• 제7권6호
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• pp.193-201
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• 2006

건설신기술제도는 1990년도부터 15년간 운영되면서 2004년말 기준 443건이 신기술로 지정되었고, 신기술이 현장에 약 20,000회 이상 활용되는 등 정착단계에 접어들었다. 그러나, 건설신기술의 기술사용료 지급기준이 마련되어 있지 못해, 발주기관별, 신기술항목별로 기술료가 상이하고, 지급절차 및 기준이 없어 혼란을 야기하고 있는 실정이다. 따라서, 본 연구는 건설신기술의 기술사용료 현황 및 문제점을 비교 분석한 결과를 토대로, 향후 건설신기술 사용료의 개선방향을 다각적인 측면으로 제시하고자 한다. 특히, 본 연구는 신기술 사용료 지급기준을 제시하고, 신기술 보호 취지 아래 조사가(공사예정가격)를 기준으로 기술사용요율$({\alpha})$을 정하는 방안을 제안하였다. 이러한 건설신기술이 건설현장에 많이 활용 보급되기 위해서는 우수한 신기술을 지정하는 것도 중요하지만, 지정된 신기술을 건설현장에 활용될 수 있도록 신기술 사용료 지급기준을 마련하는 것이 무엇보다도 필요하다.

• 보건행정학회지
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• 제9권1호
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• pp.156-177
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• 1999

The current method of rate adjustment for inflation is based on the evaluation of the financial performance of hospitals. The method has the disadvantage such as too complicated, expensive process as well as low reliability. This study, therefore, develops the 'Korean Medical Insurance Economic Index(MIEI)' as a new model for the rate adjustment with the use of the macro economic indices. In addition, we calculate the 1992∼1998 rate adjustment with the MIEI, and examines the validity of the MIEI by comparing with the conventional method. Medical costs are classified into nine categories : physician salaries, nurse·pharmacist·medical technician salaries, assistants & others salaries, material cost(by imports), material cost(by domestics), depreciation & rent paid(by imports), depreciation & rent paid(by domestics), power utilities, other administrative costs. Then the category weight which is the ratio of category in the total cost is calculated. Macro economic indices are selected for each cost category in order to reflect the concept of the each cost category and inflation during the year of 1992∼1998. Finally MIEI which integrate all category according to the category weight and selected macro indices is calculated. The mean of hospital MIEI which weighting by amount paid by insurers was cacluated. The result from the application of empirical data to the MIEI model is very similar to that of the current method. Furthermore, this method is very simple and also easy to get social consensus. This MIEI model can be replaced the current method based on the analysis of the financial performance for the adjustment of medical fees.

• 보건행정학회지
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• 제20권1호
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• pp.19-36
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• 2010

Fee for long-term care insurance in Korea are determined in proportion to resources utilized according to severity rather than based on categorization of beneficiaries in consideration of the characteristics of resource utilization. This adoption is based on the assumption that as beneficiaries of long-term care insurance, characteristically, demands social services rather than needs medical treatments, the characteristics of beneficiaries and the quality of utilized resources are comparatively homogenous. Therefore, the proposition is that the size of resource consumed by beneficiaries in the same grade is identical. However, even in the same grade, the level of utilized resources is different depending on the characteristic of beneficiaries. In this regard, this study is to examine whether there are differences in the volumes of utilized resources depending on the characteristics of beneficiaries even in the same grade. We analyzed time study data for 2003, 2005, 2006 which conducted by the Korea Institute for Health and Social Affairs. To look at differences in the volumes of utilized resources, we identified characteristics of beneficiaries that influence utilized resource volumes and categorized services provided by facilities into the rehabilitation treatment category, the problematic behavior category, and the physical malfunction category. Then, we examined each service in consideration of service difficulty levels and wage weights. The result of examination showed that differences in utilized resource volumes exist in all three grades depending on the characteristics of beneficiaries. Especially, in the first grade with a high level of seriousness, utilized resource volumes were different for those three service categories and the problematic behaviour category considered dementia was found to consume the largest volume of resources. Moreover, there was the inversion phenomenon of utilized resources volumes between the grades. This result indicates that utilized resource volumes are different even in the same grade depending on the characteristics of beneficiaries and it is required to consider case-mix for reflection of the volumes of utilized resources depending on the characteristics of beneficiaries.

• 보건행정학회지
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• 제30권3호
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• pp.418-429
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• 2020

Background: This study aims to analyze the cost and the length of stay (LOS) of acute myocardial infarction (AMI) patients with coronary artery stenting according to the characteristics of individuals and institutions. Methods: The data was collected from Korean National Health Insurance Service's customized database in 2010 and 2015. Chi-square test, t-test, analysis of variance, and multilevel analysis were performed. Results: The intraclass correlation coefficients for cost were 7.02% in 2010, 5.61% in 2015 and for LOS were 3.17%, 1.40%, respectively. The average costs were 9,067,000 won in 2010 and 9,889,000 won in 2015 (p<0.0001). However, the cost in 2015 was lower than the cost applying increased fee. The costs increased in aged 50-59 years, 60-69 years, and aged ≥70 years versus in aged under 49 years. The cost was higher in Charlson comorbidity index (CCI) 3 to 4 and ≥5 than in CCI 0. The costs were lower in male, medical aid recipients, metropolises, and local hospitals in other regions in 2010. LOS decreased from 8.1 days in 2010 to 7.4 days in 2015. It decreased in male, high income group, and the group of admission via emergency room. However, it increased in higher ages and medical aid recipients, and it also increased when CCI rose. The Internal Herfindahl Index was related to LOS in 2010. Conclusion: The variation of hospital level was small compared to the patient level. Therefore, it is important to implement applicable policies at the patient level in order to reduce cost and LOS of AMI patients.

• 해양환경안전학회지
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• 제13권4호
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• pp.37-42
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• 2007

위험 유해물질(HNS)의 오염사고에 대한 대비 대응 및 협력에 관한 의정서(OPRE-HNS 의정서)가 2007년 6월에 국제적으로 발효됨에 따라, 동 의정서 가입시 직 간접적으로 관련 있는 산업계의 범위와 의정서 의무이행사항에 대한 범위를 설정하고 이들 산업계에 미치는 영향에 대하여 정성적으로 분석하였다. HNS를 운송하는 선사를 포함한 해운산업계는 정부의 승인을 받은 오염사고비상계획서를 비치하고 승조원에 대한 방제교육 훈련을 실시해야 하는 부담이 있으나 보험금 부담 감소의 효과가 있다. 정유 및 석유화학산업계는 HNS 방제기자재, 방제장비 등의 확보 비치 및 관리자에 대한 HNS 방제 교육 훈련 등의 비용부담이 발생하나 사고예방 및 신속한 사고처리로 인한 피해복구비용 절감과 HNS 협약 분담금 부담이 감소하며 대외 이미지가 향상되는 실익이 있다. 또한, 간접적으로 영향을 받는 환경 안전산업계, 화학산업계, 과학 기술산업계 및 교육 훈련산업분야는 방제장비 및 약제개발과 신규 교육프로그램 개설 등의 비용부담이 일부 있으나 향후 수입대체 및 수출증대 효과가 있을 것으로 예상된다.

• 한국물환경학회지
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• 제25권1호
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• pp.58-68
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• 2009

Low impact development (LID) technique is relatively new concept to reduce surface runoff and pollutant loading from land cover by attempting to match predevelopment condition with various integrated management practices (IMPs). In this study, computational model for designing and evaluating LID, named LIDMOD, was developed based on SCS-CN method and applied at Andong bus terminal to evaluate LID applicapability and design retention/detention area for volume or peak flow control. LIDMOD simulated with 21 years simulation period that yearly surface runoff by post-development without LID was significantly higher than that with LID showing about 2.8 times and LID could reduce efficiently yearly surface runoff with 75% reduction of increased runoff by conventional post development. LIDMOD designed detention area for volume/peak flow control with 20.2% of total area by hybrid design. LID can also efficiently reduce pollutant load from land cover. Pollutant loads from post-development without LID was much higher than those from pre-development with showing 37 times for BOD, 2 times for TN, and 9 times for TP. Pollutant loads from post-development with LID represented about 57% of those without LID. Increasing groundwater recharge reducing cooling and heating fee, creating green refuge at building area can be considered as additional benefits of LID. At the point of reducing runoff and pollutant load, LID might be important technique for Korean TMDL and LIDMOD can be useful tool to calculate unit load for the case of LID application.

• 한국콘텐츠학회논문지
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• 제14권10호
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• pp.112-123
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• 2014

본 논문은 천안시 공무원들의 인식조사를 통해 지방자치단체의 재정건전성 확보방안을 마련하는데 목적이 있다. 선행연구를 분석해본 결과, 지방정부의 재정건전성은 자치단체를 둘러싸고 있는 사회, 경제, 인구, 정치 등 다양한 요인들에 의해 복합적으로 영향을 받고 있음을 발견하였다. 본 연구는 이러한 논의를 바탕으로 자치단체의 재정실태관련 지표, 재정건전성 관련 지표, 재정건전성을 높이기 위한 지표를 도출했다. 천안시의 재정 건전성을 확보하기 위해서는 재정운영의 효율성을 높여야 한다. 재정운영 효율성을 높이기 위해서는 지역주민의 재정감시 및 통제 장치 마련, 투자심사분석제도 활성화 등이 필요하다. 또한 효율적인 채무관리를 위해서는 자치단체의 자율적인 통제기능이 강화되어야 한다. 지방 재정의 확충을 위해 국고보조사업의 지방비 부담을 인하해야하며, 사용료 요율의 현실화가 필요하다. 지방재정운영의 발전은 중앙정부, 지방정부, 지역주민의 연계망 속에서 자율과 통제의 조화 통해 이루어져야 한다. 또한 계획수립-자원배분-평가-환류시스템을 체계적으로 구축하여 재원이 실질적으로 주민복지향상 및 지역개발투자에 배분될 수 있도록 해야 한다.

• 한국치위생학회지
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• 제12권3호
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• pp.503-511
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• 2012

Objectives : This research seeks to present the data needed for the development of coping strategy, following medical market opening by identifying dental hygienists' perspective and coping measures towards the opening. Methods : One hundred eighty-eight dental hygienists were targeted to identify their level of perception towards medical market opening, attitude towards medical market opening, question of whether they agree or not with the opening and reasons, and coping measures and benefits of the medical market opening. t-test, chi-square test and cross-tabulation analysis were used for the analysis Results : First, team leaders are more aware of the medical market opening and hold greater sense of crisis towards opening compared to the rank and file. Second, the reasons cited for agreeing with the medical market opening included improvement of medical services' quality and diversification of services. As for the reasons for disagreeing, they cited the increase medical expenses paid by public. Third, limitation of the hospital management technique was cited the most when it comes to the scope of Korean hospitals' management crisis, followed by the limitations of the diagnosis procedure, limitations of the medical services, limitations of the medical techniques and increase in the number of large hospitals, in the order cited. Fourth, team leaders perceive greater need to seek coping measures from the aspect of realizing medical insurance fee from the policy development, service and system level aspects when it comes to the coping measures depending on their ranks. Conclusions : Therefore, Dental Hygienist has a comparatively low awareness of medical market opening, coping measures need to be explored to cope with the medical market opening by ensuring the dissemination of accurate knowledge through the education on the fees for dental hygienist and seminars in relation to the medical market opening.

• 보건행정학회지
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• 제9권2호
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• pp.95-117
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• 1999

The purposes of the study was to analysis the factors on the physicians' indemnity experience and indemnity on malpractice. Data was collected from mail interview for the physicians from August, to October in 1996. Questions were asked to the physician who selected with random sample(n=8.338) about the opinion of malpractice insurance. experience that he(she) have requested the indemnity from patience. context of experienced indemnity and demographic characteristics of physician and patience. Response rate is 37.5%(n=3,124). This study was analyzed in two levels' the first. influential factors on whether physician has experience of indemnity and the second. influential factors of indemnity among physicians who had experienced the indemnity. The major findings were as follows : 1. Logistic regression on whether physicians had experience of indemnity request was conducted. And it indicated that statistically meaningful variables of model 1 (about all physicians) were department of surgery, physicians who have intention of insurance fee, physician age and income, physicians who owned the hospitals and statistically meaningful variables of model 11 (about physicians who owned the hospital) were department of surgery and internal treatment. 2. Multiple regression on the influential factors on indemnity was conducted. And it showed that statistically meaningful variables in model 1 were method of malpractice quarrel(physician association), whether physician had malpractice, whether suit succeeded, physician age, average practice time and income and whether physician owned the hospital and statistically meaningful variables of model 11 were whether physician had malpractice, number of outpatient, number of beds. As the conclusion, the thesis was examined about the variables related with experience of indemnity and cost of malpractice. But in order to prevent malpractice and promote medical quality, the reasonable system to solve a malpractice have to settle and cost estimation on malpractice is essential. Therefore an advanced research is progressed with methodology to decide the indemnity bases.

• 한국건설관리학회논문집
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• 제12권3호
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• pp.53-61
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• 2011

정부는 1990년대 대형건축물의 붕괴사고가 잇따르고 건축물의 사고로 인한 인적, 물적 손해에 대한 보전책이 불충분하다는 지적에 따라 '국가계약법'상에 일정규모 이상의 용역이나 건설공사에 대하여 의무보험에 가입하도록 하였다. 특히 2002년에 설계 및 감리 등의 기술용역 분야를 위한 보증제도가 도입된 후 여러 운영상의 문제점이 표출되고 있으나 이에 대한 구체적인 현황 분석 및 개선방안을 마련하기 위한 연구는 매우 미흡한 상황이다. 본 논문은 델파이 방법을 사용하여 기술용역 보증제도와 관련된 주요 제도 및 운영상의 문제점을 도출하고 이에 대해서 주요 보증시장 참가자인 발주청, 용역사, 보험사의 보험업무 실무담당자를 대상으로 설문조사를 실시하여 개선방안을 도출하였다. 주요 정책적 대안으로는 신용평가에 근간을 둔 보증한도의 조정, 비효율적인 연대보증인 제도의 폐지, 제3자 인적손해의 담보범위 포함과 보험가입금액의 상향, 보험 기간의 연장 및 기타 제도정비사항을 제시하였다. 제안된 개선방안들에 대한 이해당사자간에 공감대 형성은 국내 건설 산업계의 건전한 발전으로 이어질 것으로 기대해본다.