• 제목/요약/키워드: Management Fee

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대학 기숙사의 기숙사비 결정 요인에 관한 연구 (A Study on Boarding Fee Determinants of University Dormitory)

  • 이중식;유선종
    • 교육시설 논문지
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    • 제21권3호
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    • pp.29-36
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    • 2014
  • Properties of school foundation are divided into fundamental property for education and fundamental property for profit. As school sites and teachers used for educational and study activities of students, fundamental property for education includes practice sites, farms and support research attached facilities in addition to school facilities. According to the Clause 1 of Article 4 of the University Foundation and Management Regulation and the Attached Table 2 of the Same Regulation, dormitory is classified as property for education(non-profit). In other words, there is no need to create profit for dormitory management. It is supposed that there are little regional differences in construction cost of dormitory with general specifications. In this case, boarding fees of university dormitories should make no difference. This study analyzed boarding fees, depending on regional factors(Seoul, Gyeonggi-do, metropolitan cities and provinces), and depending on foundation subjects(national public university and private university), classes(four-year university and college) and principal schools-branch schools. The result of One-Way ANOVA showed that Seoul showed the highest average boarding fee and it was followed by Gyeonggi-do, metropolitan cities and provinces. Also, the average boarding fees of private universities and four-year universities were higher than national public universities and than colleges, respectively. In addition, branch school's boarding fee was higher than principal school's. Additionally, this study extracted a model using the hedonic model to see how various characteristics such as region, foundation subject and class influence the boarding fee. This study would serve as fundamental research on the boarding fee. Thus far, there have been difficulties in obtaining accurate data and analyzing boarding fees, since there is no open data about dormitories and it isn't mandatory to open it, but it is anticipated that this would be used as fundamental research for estimating and analyzing boarding fees of many universities in the future.

대학병원 의사의 진료비심사기준 준수행동 분석 (An Analysis of the Medical Fee Review Standards Observance Behavior of a Tertiary Care Hospital Medical Staffs)

  • 윤경일
    • 한국병원경영학회지
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    • 제12권2호
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    • pp.1-24
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    • 2007
  • The medical fee reimbursement denied by HIRA(Health Insurance Review Agency) amounted to about 1.2% of the total medical fee claim to HIRA for reimbursement. Most of the denials stem from the inappropriate prescriptions of medical staff violating the medical fee review standards issued by HIRA. Considering the significant impacts of the standards observance behavior on the hospitals' financial viability, we attempted to analyze the predisposition factors of medical staffs' review standards observance behavior. The TPB(Theory of Planned Behavior) was adopted as the theoretical framework of the analysis. Data were collected by administrating a survey on the concepts included in TPB model to the 187 medical staff of a tertiary care hospital. Of the 187 questionaries distributed, 150 were responded resulting 80.2% of response rate. The mean differences among the groups classified by age group, years of experience, medical specialty and gender were analysis using ANOVA. The relationships among the TPB concepts were analysed by applying the Structural Equations Modeling method. The TPB model consists of three exogenous concepts (attitude toward the behavior, subjective norm, and perceived behavioral control) and two endogenous concepts (intention and the behavior). The results of ANOVA indicated significant mean differences among the groups classified by the medical staff's age, years of experience, and medical specialty. The older and the more experienced had the higher mean of observance behavior score. The results of Structural Equations analysis showed that the subjective norm and perceived behavioral control had statistically significant influences on intention, but the influence of attitude to intention was not statistically significant. The influences of perceived behavioral control and intention on behavior were significant. Based on these results the theoretical and practical implications were discussed.

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해외사례 벤치마킹에 기반한 국내 CM 대가체계 개선 시사점 도출 (A Benchmarking Study on CM Fee Estimation)

  • 김상범;이정대;김재욱
    • 한국건설관리학회논문집
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    • 제9권1호
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    • pp.96-106
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    • 2008
  • 국내 CM은 2001년 건설산업기본법에 의해 개념과 범위가 정의된 후 지속적인 성장을 계속해 오고 있다. 하지만, 이러한 CM 제도에 기반한 성장에도 불구하고 국내에서의 CM 적용성과는 기대치에 비해 상대적으로 낮은 것으로 나타났다. 그 주요원인의 하나로 국내 CM제도가 책임감리에 비하여 업무범위가 넓지만, 대가기준은 책임감리에 비해 낮기 때문인 것으로 분석되었다. 따라서, 국내 CM 대가체계의 합리적인 기준을 정립하는 것이 시급할 것으로 판단된다. 본 연구에서는 CM 대가체계의 합리적인 기준을 마련하기 위하여 CMAA, ASCE, DOE, DOL 등의 다양한 해외사례 벤치마킹 연구를 통하여 국내 CM 대가체계를 비교하여 대가 상승요인을 추정하고 대가산정 개선방향을 제시하였다. 분석결과 대가수준은 해외에 비하여 현저하게 낮은 수준인 것으로 판단되었으며, 업무범위는 해외와 비교하여 그 폭이 좁으며 획일적인 구조를 가진 것으로 분석되었다. 따라서, 본 연구에서는 글로벌스탠다드에 따르는 국내 CM 대가체계를 개선하기 위하여 실비정액보수가산(Cost Plus Fixed Fee) 방식을 제시하고, 입 낙찰 전반에 걸친 CM 대가체계에 대한 기준(Framework)을 제시하였다.

적정간호수가 산정모형 개발을 위한 연구 (Development of a Nursing Fee Schedule Model)

  • 조소영;박정호
    • 대한간호학회지
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    • 제23권1호
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    • pp.68-89
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    • 1993
  • This study was conducted to develop a model of a fee schedule for nursing services.'Regardless of the demand for skilled and professional nursing service today, the Korean health insurance system does not furnish a chapter for the nursing service fee schedule. A nation-wide survey of hospital nursing service fee schedules was to provide practical and realistic data about how the variety of nursing services are being charged. From September 1990 to April 1991, data from the fee schedule used by twenty hospitals located in eight large cities which are designated large medical regions in the Korea Health Care and Patient Referral System were collected. Nursing services and the fees charged for them were analyzed. The nursing services were subjected to a secondary analysis with referrence to reports on “nursing services to be charged in Korea”. The total number of nursing services recommended by the literatures was 177 : finally 141 types of nursing services were selected by investigator as chargable nursing services. In addition, data on managerial characteristics of the hospitals were collected to discover influential variables for a nursing fee schedule model. Under the assumption that all the managerial characteristics of the hospitals influenced the fee schedule, the following model was tested : Fee of nursing services (C) = f(A₁, A₂, A₃, A₄, A/sub 5/, A/sub 6/, A/sub 7/, A/sub 8/,) When, A₁ = number of nurses A₂ = the first salary of a nurse educated in a four year A₃ = scale of nursing management division A₄ = location of the hospital A/sub 5/ = the type of hospital management (profit / non-profit) A/sub 6/ = number of hospital beds A/sub 7/ = years of hospital operation A/sub 8/ = number and kinds of clinical divisions The results showed that the model should be built as follows : C = f (A₁, A/sub 4/, A/sub 5/) Each nursing service was applied to the fee schedule with consideration for the professional level and time-taken to provide the services. Detailed fee schedules were presented in the related tables. Of the 141 kinds of nursing services, 24.8% were chargeble to the Korea Health Insurance, 32.6% of the nursing services were being paid directly by the patienty. The rest of nursing services (42.6%) were not being charged to any source. It was recommened that the Korea Health Insurance Reimbursement system should add a classification system for nursing services that can be used in the national health care program. Further study is needed about how to include 32.6% of the nursing services now being paid for directly by the patients in the health insurance system.

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A Study on the Institutional Improvements in the Operation and Management of Underground Shopping Malls

  • KIM, Gi-Pyoung;SEO, Jung Hwa;LEE, Yong-Kyu;LEE, Geun-Woo;YOO, Chang-Kwon
    • 융합경영연구
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    • 제10권1호
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    • pp.15-26
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    • 2022
  • Purpose: The purpose of this study is to analyze the method of calculating the usage fee, rent, and lease rights of public goods necessary for the operation and management of the underground shopping mall, and to suggest systematic improvement points for the operation of the underground shopping mall. Data and Methodology: First, ordinances and regulations related to common property were investigated. Second, previous studies were analyzed. A survey was conducted with five questions that conflict with the interests of underground shopping mall merchants among the ordinances and operating systems related to the current underground shopping malls' common property. Results: Underpass merchants wanted monthly payment for the use of common property, and merchant organizations wanted to limit the increase rate with the right to use. They asked for the property value due to donation to be excluded from the loan fee, they wanted to revise the Common Property Act on the transfer of lease rights, and they wanted to revise the loan contract renewal period. Conclusion: There is a need to improve the laws and systems for underground shopping malls, and it will have to be negotiated according to the opinions of the merchants gathered among them, and it will have to be implemented in stages in the long term.

지적측량수수료 산정 공정의 개선방안 (Improvement Plan for Cadastral Surveying Fee Calculation Process)

  • 홍성언
    • 한국산학기술학회논문지
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    • 제15권11호
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    • pp.6639-6645
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    • 2014
  • 본 연구에서는 지적측량수수료 종목들에 대한 산정 공정의 지적측량업무 전산환경 반영 정도를 분석해 이에 대한 문제점들을 도출하고, 현 지적측량업무 환경에 부합할 수 있는 공정의 개선방안을 제시하고자 하였다. 문제점 분석결과, 현재 지적측량수수료 공정은 관련 측량 수수료 산정공정과 비교할 경우 복잡성이 있는 것으로 분석되었다. 그리고 현행지적측량기술의 환경 변화나 디지털 지적관리 체계 전환에 따라 업무별 작업 공정이 개선되었음에도 불구하고 부분적으로 이를 반영하지 못하고 있는 것으로 나타났다. 이에 대한 개선방안에 대해 연구에서는 현재의 보편적인 9단계의 공정을 4단계의 공정으로 개선하는 단순화 방안을 제시하였다. 그리고 현지측량 전 후에 있어 전산파일에 의한 개선된 작업 공정이 적용될 수 있는 개선안을 제시하였다. 끝으로 전산환경에 적합하도록 도면작성 관련 업무의 공정을 4단계로 구분하고, 이에 부합하는 공정의 개선하는 방안을 제시하였다.

활동기준 원가분석을 통한 건강보험수가의 적정성 분석 (An Analysis on Appropriateness of Health Insurance Fee Using the Activity Based Costing(ABC) Approach)

  • 김한성;신현웅;차재영
    • 한국병원경영학회지
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    • 제20권3호
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    • pp.36-44
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    • 2015
  • The Activity Based Costing(ABC) means the process that makes clear how the actions and input resources have changed into service to calculate medical services costs. These days, the number of hospital which is using the ABC system is increasing to make their policy decision making efficient and run the hospitals more resonable. This study analyzes the unbalance in the level of health insurance service fee and the improvement plans based from 8 hospitals(ABC system) and 95 clinics(ABC survey). The cost recovery ratio has shown different levels according to each service type. A surgery service type recorded 76.8% and an evaluation & management service type is 84.6%, a treatment procedure type(85.8%), a function test type(91.6%) and health insurance fee even did not reach to the original cost. Meanwhile, a laboratory test type and imaging test type show high level of cost recovery ratio. they recorded 188.3% and 158.8%. Resultingly now of unbalance in the level of health insurance service fee accelerates supply of every test. so there is a need to make laboratory test type and imaging test type lower to keep balance with the surgery and medical service. These methods should be performed gradually with monitoring the unbalance fee ratio and for this, a panel medical institution have to be established for generalizations of studying result, fairness of selecting researching sample.

MRI 외부병원 판독 수가 인상의 효과 분석: 뇌 관련 자기공명영상을 중심으로 (An Analysis on the Effect of the Increase in the Fee of Magnetic Resonance Imaging Deciphering of the External Hospital: Focusing on the Brain Magnetic Resonance Imaging)

  • 김록영;사공진;조민호;위세아;이진용;김용규
    • 보건행정학회지
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    • 제31권3호
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    • pp.261-271
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    • 2021
  • Background: In 2018, the government increased the fee for the magnetic resonance imaging (MRI) image deciphering services of the external hospital to discourage the redundant MRI scan and to induce appropriate use of the MRI services. It is important to evaluate the effect of the policy to provide the basis for establishing other MRI-related policies. Methods: The healthcare data of the patients who had brain MRI scans were organized by episode and analyzed using the panel study in order to find out the effect of the MRI-related policy on the substitution effect and the medical expenses. Results: As a result of the increase in the fee of deciphering the MRI image, there has been an uplift in deciphering the MRI scan of the external hospital. It implies that more hospitals chose to use the MRI scan taken by other clinics or hospitals, rather than the MRI scan taken at their own facilities. Conclusion: The research results imply that a policy that facilitates the exchange of the medical image data between the hospitals is needed in order to establish an efficient management system of the healthcare resources. Such improvement is expected to reduce the social cost and contribute to the stability in the finance of national health insurance.

원격진료 보수지불체계 설정방향에 관한 연구 (Development of a Payment System for Telemedicine)

  • 염용권;명희봉;이윤태;김동욱;서원식;이관익
    • 보건행정학회지
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    • 제7권2호
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    • pp.65-88
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    • 1997
  • In Korea, telemedicine is still under the beginning stage, but we expect that the developing 'Information Highway' will make this technology more common place and more easily used in coming soon. Currently, three hospitals are providing telemedicine services with their subsidiary hospitals which are far away from their remote place. However, the fee schedule of telemedicine services are not well-settled down, of course not reimbursed through current health insurance system. This study aims to develop new payment system for medical services provided through telemedicaine system. To design appropriate fee schedule for telemedicine services, we, first, review the current insurance payment system and telemedicine system both in domestic and foreign countries focusing on its payment system. A framework of telemedicine payment system is proposed in following steps based on information we acquired from this stage. Second. We decide the span of cost items which should be covered by telemedicine payment scheme. In hear, we suggest payment method for telemedicine services should be designed as dual structure which are telemedicine fee that should be reimbursed through payment scheme and any costs related to capital investment that should not be covered by payment system. Which is, payment system for telemedicine services should cover only service-related costs and any costs related to capital investment should be generated through third party such as government, health insurance association, etc. Finally, we suggest new fee schedules for telemedicine services. The key issues on developing telemedicine fee schedules are related with the determination of appropriate additional rate($\alpha$). The reasonable additional rate($\alpha$) must determine through careful evaluation of any additional efforts(e. g. : additional work hours which are related to providing telemedicine services). This study shows the process of how to determine appropriate additional rate($\alpha$).

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다품목단일입찰 동시경매의 평형입찰전략과 기대이익 (Equilibrium Bidding Strategy and Expected Profit in the Multiple Unit Simultaneous Auctions)

  • 김여근;박순달
    • 한국경영과학회지
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    • 제11권2호
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    • pp.27-36
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    • 1986
  • This paper deals with four types of multiple unit simultaneous auctions such as the discriminating. uniform-price, lowest accepted-price, and progressive auctions. These auctions have been studied by Vickrey, Ortega-Reichert, Herris and Raviv and so forth. In this paper, their studies are extended to the case with a reserve price and an entry fee, and then the equilibrium bidding strategy are presented. Further, those are analyzed with respect to the change of a reserve price, an entry fee, and the number of bidders and objects.

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