• 제목/요약/키워드: Medical price cut

검색결과 4건 처리시간 0.036초

약가 인하 효력 발생 시점 차이에 따른 문제점과 그 해결방안 (Substantial Fairness in the Administrative and Judicial Process of Medicine Price Cut in Korea)

  • 박성민;이태진
    • 의료법학
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    • 제20권1호
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    • pp.25-43
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    • 2019
  • 약가 인하 처분은 국민건강보험법령에서 정하는 직권 조정 사유가 있는 경우에 한하여 행정절차법이나 국민건강보험법령에서 정하는 행정 절차에 따라 내려진다. 그런데 약사법상 허가특허연계제도에 따라 후발의약품의 판매 시점이 달라짐으로 인하여 또는 약가 인하 처분에 대한 집행정지 신청의 인용 또는 기각 결정, 행정절차법이나 국민건강보험법령에 따른 행정 절차 진행 기간에 따라 약가 인하의 효력 발생하는 시점이 늦어지거나 빨라질 수 있다. 약가 인하의 효력 발생 시점이 늦추어지면 그만큼 제약회사가 이익을 얻고 반대로 국민건강보험의 보험자가 손실을 입는다. 반대로 약가 인하의 효력 발생 시점이 빨라지면 그만큼 국민건강보험의 보험자가 이익을 얻고 반대로 제약회사는 손실을 입는다. 그런데 그 이익이나 손실이 사후적으로 볼 때 부당하다고 평가될 수 있는 경우가 있다. 약가 인하 처분 사유는 동일한데 약가 인하의 효력이 발생할 때까지의 절차에서 발생하는 사정으로 인하여 제약회사나 국민건강보험의 보험자가 망외의 이익(windfall)을 얻고 그로 인하여 반사적으로 국민건강보험의 보험자나 제약회사가 손실을 입는다면 부당하다. 본고에서는 그 문제를 분석하고 이에 대한 해결 방안을 모색한다.

가정간호: 위기와 전망 (Home care services: crisis and prospects)

  • 송종례
    • Perspectives in Nursing Science
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    • 제6권1호
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    • pp.55-65
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    • 2009
  • The Korean government introduced Home Care Services System to cut medical cost and make efficient use of limited medical resources because of increasing chronic diseases and the growing population of the elderly. The Korean government established measures to control the use of insurance services by restricting the number of nurse's visits to patient's home and by asking the patients to shoulder the transportation fee of nurses during the visit. Factors such as oversupply of hospital facilities, low price of home care services, high insurance coverage for hospital services and increased nuclear family set up resulted in the limited use of home care nursing services. The introduction of long-term care insurance in 2007 brought the decrease in the number of home care agencies and these agencies are facing a crisis today. The increase in chronic diseases and growing population of the elderly recently resulted in the need to control the high medical cost. Home care services for early discharge patients and chronic-severe disease patients will contribute in the reduction of medical cost at the same time improves the quality of patient's life. To catch up with the demands of the nation, accessibility to home care services should be improved and policies such as the expansion of home care services insurance coverage and promotion of establishing home care agencies should be considered.

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노인병원의 재원환자 1인당 일평균 원가 및 적정이윤 계산 (Calculation of the Costs and Optimal profits per Inpatient-day of the Geriatric Hospitals)

  • 황인경;김재선;최황규
    • 한국병원경영학회지
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    • 제8권4호
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    • pp.149-181
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    • 2003
  • It has been asserted that per diem payment system should be introduced, in place of the current fee-for-service system, for payment of the inpatient services of the geriatric hospitals, Based on the assentation, this study aims at calculating costs and profits per inpatient-day of the geriatric hospitals, and thereby at contributing to the managerial improvement from the both sides of the Government and the hospitals. Relevant data of the three months, May to August, 2002 were collected from the five geriatric hospitals, and per inpatient-day costs and profits were calculated for the three disease groups. Major results and conclusions are as follow : Firstly, total costs per insured inpatient-day of the geriatric hospitals are 65, 389 won for dementia (including optimal profit of 3,858 won), 69,730 won for stroke (including optimal profit of 4,117 won), and 70,085 won for other diseases (including optimal profit of 4,134 won). Secondly, the amount of the non-insured costs per inpatient-day occupies 34.5% of the total costs for dementia, 30.3% for stroke, and 30.1% for other diseases. Thirdly, the total amount of the per inpatient-day costs calculated including the optimal profits is, on the average, higher by 12% than the present price level calculated for the current fee-far-service system. This implies that the present price level should rise by 12% when the current fee-far-service payment system be maintained, and Finally, introduction of a sliding-scale payment system should be considered for the inpatient medical management fees for the length of stay over six months or more that are being cut in the claim examination process by the insurance corporation.

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Korean Customer Attitudes Towards SNS Shopping

  • Cho, Young-Sang;Heo, Jeong-Yoon;Youn, Myoung-Kil
    • 유통과학연구
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    • 제10권8호
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    • pp.7-14
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    • 2012
  • As a new format of retailing, social shopping on SNS has rapidly grown in recent. Although there is much literature associated with customer behaviours in the academic world, little attention has been paid to identifying the shopping patterns of SNS shoppers. This paper will, thus, identify how perceived value has an impact on the buying intention of SNS shoppers, after illustrating what kind of factor influences the formation process of perceived value in the Korean marketplace. Given that SNS shoppers are for the most part 20s as well as 30s, the authors handed out questionnaires to them. Furthermore, based on literature review results, the conceptualised research model was developed. Despite lack of literature, the authors developed five constructs like price reduction, quantity- and time-limited message, product ranges, information-sharing, and required number of shoppers. The researchers made a considerable effort to identify the relationship between research concepts and each variable, based on a few research analysis methods such as frequency analysis, the Varimax rotation technique used orthogonal rotation, Cronbach's Alpha, PCA (Principle Component Analysis), and the like. Amongst the 5 variables used to measure the degree of influences on the perceived value as a social shopping characteristic, it has been evident that price cut, required minimum shoppers, product variety, and information-sharing have a positive impact on the perceived value formation processes of SNS customers. Also, this research implies that SNS retailers can differentiate themselves from other retailers by differently using the above factors. From a practitioner's point of view, these factors should be strategically used to increase the social shopping opportunities of SNS users. It is, furthermore, evident that the perceived value formed by the above 4 factors have played an important role in the buying decision process of SNS customers. In a sense, whether customers are aware of higher price cut rates, information-sharing, required minimum shoppers, and product variety has a positive impact on making buying decisions. From a retailer's point of view, online shopping mall operators are able to use blog as well as twitter to improve the buying intention as a marketing tool of social network, because the business activities provided by social shopping retailers, like the rapid, accurate responses to customer requirements, the provision of a variety of information, and the communications between customers are closely related to buying intentions. There are a few research limitations to conduct this empirical research. It was not easy to review prior papers, due to its lack. In spite of the increasing number of SNS shoppers in Korea, little research attention has been paid to this kind of research topic by academicians, because buying products or services through SNS is in its infancy. With regard to research populations, it would be difficult to generalise the research findings in Korea, owing to unbalanced respondent distribution. Considering the above research limitations as well as the growth of social shopping, many authors should pay considerable attention to SNS-related issues in the future, and develop the more sophisticated criteria to measure the characteristics of SNS shoppers.

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