• 제목/요약/키워드: Non-payment

검색결과 218건 처리시간 0.024초

한방외래의료 이용의 사회경제적 결정요인 연구: 의료패널자료를 이용한 고정효과모형과 합동 Ordinary Least Square 모형의 비교 (Socioeconomic Determinants of Korean Medicine Ambulatory Services: Comparing Panel Fixed Effect Model with Pooled Ordinary Least Square)

  • 박민정;권순만
    • 보건행정학회지
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    • 제24권1호
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    • pp.47-55
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    • 2014
  • Background: Korea is considered to have an integrative health system where both western medicine and Korean (traditional) medicine are officially recognized and provided. Although Korean medicine has been covered by National Health Insurance over 20 years, equity in the utilization of Korean medical care has rarely been examined. Methods: We examined medical care utilization and expenditure of outpatient Korean medicine using panel fixed effects model to remove selection bias. Then we compared it with pooled ordinary least square (OLS) model. This study used Korea Health Panel data, which provides accurate information on out-of-pocket health care payment, including non-covered medical services. Results: Principal findings indicate that the frequency of the utilization of Korean medicine is related with unobservable individual choices different from western medicine, so the panel fixed effect model is appropriate. But pooled OLS model is better fitted for the expenditure of Korean medicine, after controlling for western medical care expenditure. After adjusting for the selection bias, socioeconomic status (income, education) was significantly associated with the expenditure of Korean medicine, but not with the frequency of the utilization of Korean medicine. Conclusion: This study shows that expenditure of Korean medicine utilization is inequitable across socioeconomic groups, which implies that health insurance coverage of Korean medicine is not sufficient.

1995년 실시된 도시지역조합의 농어촌지역조합의 통합 이후 나타난 변화에 관한 연구: 통합의료보험을 위한 정책제언 (A Study on the Effect of the 1995 Merger of Some Rural and Urban Regional Health Insurance Societies: Policy Implications for the Merger Plan of the Entire Health Insurance Programs)

  • 유태균
    • 한국사회복지학
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    • 제37권
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    • pp.307-326
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    • 1999
  • 본 연구에서는 지난 1995년 실시된 도시지역의료보험조합과 농어촌지역의료보험의 통합 이후 나타난 조합재정 및 피보험자들의 의료서비스 이용강도에 있어서의 변화를 분석함으로써 지난 1998년 10월 실시된 지역의료보험과 공무원 교직원의료보험의 통합과, 더 나아가서는 오는 2000년 시행 예정에 있는 전체 의료보험통합으로 인해 나타날 수 있는 변화를 예측하는데 필요한 기초자료를 제공하고자 시도했다. 분석결과, 1995년 실시된 통합이 조합의 총지출 증가율 및 보험급여비 증가율에 변화를 가져왔다고 볼만한 결과는 발견할 수는 없었다. 또한 입원 및 외래진료 수진률과 건당진료비로 정의되는 의료서비스 이용강도에 있어서도 통합에서 비롯된 것이라 볼 수 있을 만한 뚜렷한 변화는 나타나지 않았다. 반면, 1995년의 통합이 조합의 평균관리운영비 증가율을 감소시키는 결과를 가져왔음을 발견할 수 있었다. 이러한 연구 결과가 갖는 정책적 함의에 대한 논의와 함께 앞으로의 의료보험통합을 위한 몇 가지 제언을 시도하였다.

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온라인 소액결제 시스템에서 금융정보 보호를 위한 스마트카드 기반의 프로토콜 설계 (A Design of Protocol Based on Smartcard for Financial Information to Protect in E-payment System)

  • 이광형;박정효
    • 한국산학기술학회논문지
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    • 제14권11호
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    • pp.5872-5878
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    • 2013
  • 본 논문에서는 기존 온라인 소액결제 시스템의 취약점을 해결하고자 제안 시스템의 구매 요청은 유선망으로 사용자 인증 및 결제 승인 과정은 이동통신사망으로 수행하여 2 Channel 구조를 가지도록 설계하였고, 스마트카드와 스마트폰에 저장된 부분 인자값과 공인인증서의 비밀번호를 활용하여 소지하고 있다는 것과 알고 있는 것에 대한 2 Factor 인증을 지원한다. 또한 스마트카드에 공인인증서를 저장하여 보관상의 안정성을 향상시켰으며, 전자상거래에서 요구하는 가이드라인을 만족시키기 위해 기밀성, 무결성, 인증, 부인방지 등의 특성을 지원한다. 기존 시스템과의 비교 분석을 한 결과 제안 시스템의 효율성 측면에서는 기존 시스템과 큰 차이를 보이지 않았지만 안전성 측면에서는 다양한 위협 요소들에 대한 증명을 통해 안전함을 확인할 수 있었다.

국제물품매매에서 물품의 계약적합성에 관한 연구 (A Study on the Conformity of the Goods under International Sale)

  • 오현석
    • 무역상무연구
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    • 제66권
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    • pp.25-46
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    • 2015
  • The purpose of this paper is to provide a legal implication about conformity of goods in the international commercial transactions. There are so many legal relationship after the formation of contract. The most of important thing among the obligations of seller is to provide conformal goods which are of quantity, quality and description required by the contract and which are contained or packaged in the manner required by the contract. If seller violate above duties, seller take the warranty liability. However, CISG describe the conformity of the goods instead of the warranty as follows. First, CISG Art.35(1) states standards for determining whether goods delivered by the seller conform to the contract and Art.35(2) describes standards relating to the goods' quality, function and packaging that, while not mandatory, are presumed to be a part of sales contracts. Article 35(2) is comprised of four subparts. Two of the subparts (article 35(2) (a) and article 35(2)(d)) apply to all contracts unless the parties have agreed otherwise. Second, CISG Art.36 and 38 deals with the time at which a lack of conformity in the goods must have arisen in order for the seller to be liable for it. If seller lack of conformity becomes apparent only after that time, seller is liable for a lack of conformity existing when risk passed to the buyer. Third, CISG Art.49 describe that a buyer who claims that delivered goods do not conform to the contract has an obligation to give the seller notice of the lack of conformity. The most of important things about CISG articles and precedents is that buyer is aware of the lack of conformity and notice it to seller. Failure to satisfy the notice requirements of article 39 eliminates a buyer's defence, based on a lack of conformity in delivered goods, to a seller's claim for payment of the price. Consequently, parties of contract had better agree to the notifying times about lack of conformity. Also, If seller fined the non-conformity, seller has to notify this circumstance to the buyer within short period or agreed time.

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암 질환 대상 산정특례제도가 의료이용 및 의료비 부담 형평성에 미친 영향 (Effect of Expanding Benefit Coverage for Cancer Patients on Equity in Health Care Utilization and Catastrophic Expenditure)

  • 김지혜;김수진;권순만
    • 보건행정학회지
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    • 제24권3호
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    • pp.228-241
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    • 2014
  • Background: The purpose of this study is to evaluate the effect of health insurance coverage expansion for cancer patients on equity in health care utilization and catastrophic expenditure. Methods: To analyze the causal relationship between the policy to expand benefit coverage and the change in health care utilization and out-of-pocket payments of cancer patients, this study employed a difference-in-differences (DID) method. In the DID model, the change in health care utilization, such as health care expenditure, visit days and length of stay, of cancer patients was compared with that of liver disease patients, using Korea Health Panel Data in 2009 and 2010. Results: The policy of reducing cost sharing from 10% to 5% for cancer patients did not have significant effects on equity in health care utilization. The results of this study were different from those of the previous study that showed that the reduction of cost sharing from 20% to 10% significantly improved the equity in health care utilization of cancer patients. In addition, the result of catastrophic expenditures analysis showed the policy did not change the probability of catastrophic expenditures. Conclusion: The results of this study imply that payment for non-covered services account for high out-of-pocket payments, and the reduction in cost sharing for covered services alone may have a limited effect on total financial burden on patients.

국내 전력거래제도하에서 IGCC 사업성 확보를 위한 정책 제언 (A Study on the Feasibility of IGCC under the Korean Electricity Market)

  • 고경호
    • 한국수소및신에너지학회논문집
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    • 제22권1호
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    • pp.118-127
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    • 2011
  • An IGCC was evaluated as one of the next generation technologies that would be able to substitute for coal-fired power plants. According to "The 4th Basic Plan of Long-term Electricity Supply & Demand" which is developed by the Electricity Business Acts, the first IGCC will be operated at 2015. Like other new and renewable energy such as solar PV, Fuel cell, The IGCC is considered as non-competitive generation technology because it is not maturity technology. Before the commercial operation of an IGCC in our electricity market, its economic feasibility under the Korean electricity market, which is cost-based trading system, is studied to find out institutional support system. The results of feasibility summarized that under the current electricity trading system, if the IGCC is considered like a conventional plant such as nuclear or coal-fired power plants, it will not be expected that its investment will be recouped within life-time. The reason is that the availability of an IGCC will plummet since 2016 when several nuclear and coal-fired power plants will be constructed additionally. To ensure the reasonable return on investment (NPV>0 IRR>Discount rate), the availability of IGCC should be higher than 77%. To do so, the current electricity trading system is amended that the IGCC generator must be considered as renewable generators to set up Price Setting Schedule and it should be considered as pick load generators, not Genco's coal fired-generators, in the Settlement Payment.

Optimal Charging and Discharging for Multiple PHEVs with Demand Side Management in Vehicle-to-Building

  • Nguyen, Hung Khanh;Song, Ju Bin
    • Journal of Communications and Networks
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    • 제14권6호
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    • pp.662-671
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    • 2012
  • Plug-in hybrid electric vehicles (PHEVs) will be widely used in future transportation systems to reduce oil fuel consumption. Therefore, the electrical energy demand will be increased due to the charging of a large number of vehicles. Without intelligent control strategies, the charging process can easily overload the electricity grid at peak hours. In this paper, we consider a smart charging and discharging process for multiple PHEVs in a building's garage to optimize the energy consumption profile of the building. We formulate a centralized optimization problem in which the building controller or planner aims to minimize the square Euclidean distance between the instantaneous energy demand and the average demand of the building by controlling the charging and discharging schedules of PHEVs (or 'users'). The PHEVs' batteries will be charged during low-demand periods and discharged during high-demand periods in order to reduce the peak load of the building. In a decentralized system, we design an energy cost-sharing model and apply a non-cooperative approach to formulate an energy charging and discharging scheduling game, in which the players are the users, their strategies are the battery charging and discharging schedules, and the utility function of each user is defined as the negative total energy payment to the building. Based on the game theory setup, we also propose a distributed algorithm in which each PHEV independently selects its best strategy to maximize the utility function. The PHEVs update the building planner with their energy charging and discharging schedules. We also show that the PHEV owners will have an incentive to participate in the energy charging and discharging game. Simulation results verify that the proposed distributed algorithm will minimize the peak load and the total energy cost simultaneously.

타원곡선 암호를 이용한 PDA 기반의 신용카드 결제 프로토콜 설계 (A Design of Protocol for Credit Card Transaction on PDA Using ECC)

  • 유성진;김성열;윤천균;정일용
    • 정보처리학회논문지D
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    • 제10D권6호
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    • pp.1033-1040
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    • 2003
  • M-Commerce 에서 안전한 서비스를 제공하기 위해서는 보안 기능을 갖춘 결제 솔루션이 필수적이다. M-Commerce 를 이용하기 위한 사용자의 이동 단말기는 핸드폰, PDA, 스마트폰 등으로 다양화 되어가고 있으며, 이 중에서도 PDA의 인터페이스와 이동 접속은 기존 핸드폰의 유선 인터넷의 정보 의조도가 높은 단점을 극복할 수 있다. 본 논문에서는 타원곡선 암호를 이용하여 PDA 기반의 신용카드 결제 시스템을 설계하였다. 제안된 시스템의 SECURE CARD 모듈은 PDA 단말기 자체에 개인정보, 배송정보, 카드정보를 암호화하여 안전하게 저장함으로써 단말기의 정보입력시에 필요한 불편함을 제거하였다. 또한 프로토콜은 M-Commerce 에서 인증, 기밀성, 부인봉쇄 서비스 등의 보안기능을 제공하도록 설계되었다.

고확장성, 고가용성을 위한 ALTIBASETM LOG ANALYZER 기법에 관한 연구 (A Study on ALTIBASETM LOG ANALYZER method for highly scalable, high-availability)

  • 양형식;김선배
    • 디지털융복합연구
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    • 제12권5호
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    • pp.1-12
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    • 2014
  • 최근 인터넷 뱅킹, 전자결제, 전자상거래, 홈쇼핑, 증권 거래, 민원 업무 등 미션 크리티컬한 비즈니스가 증가함에 따라 무정지 서비스에 대한 요구가 높아지면서, 기존의 단일 데이터베이스에서 클러스터링, 이중화 기법 등에 관한 고가용성 기법에 관한 연구가 증가하고 있다. ALTIBASE$^{TM}$ Log Analyzer(이하 ALA)는 이중화 기법과는 별개로 Active Log를 기반으로 API를 제공하여, 이기종 또는 동일 기종간의 통신 및 확장성을 제공한다. 본 논문에서는 ALA를 사용하여 고가용성과 고확장성, 실시간 동기화 기능을 모두 만족시킬 수 있는 데이터베이스 시스템의 설계를 제시하고 ALA에 대한 성능평가를 하였다.

Cox 비례위험모형을 이용한 변액연금 해지율의 추정 (Estimation of lapse rate of variable annuities by using Cox proportional hazard model)

  • 김유미;이항석
    • Journal of the Korean Data and Information Science Society
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    • 제24권4호
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    • pp.723-736
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    • 2013
  • 해약율의 추정은 최근 보험제도의 변화 (국제회계기준의 도입에 따른 현금흐름방식의 가격산출체계 시행, 무해약환급금 보험상품의 판매 허용 등)에 따라 보험료의 결정과 손익분석 그리고 리스크 관리 등에 있어서 중요한 요소로 부각되고 있다. 특히, 변액연금은 최저보증옵션으로 인하여 보험계약자의 해약요소가 중요시되고 다른 보험 상품에 비해 복잡하므로 차별성 있는 통계모형의 선택과 분석이 필요하다. 기존의 해약률 연구는 실태분석 또는 회귀분석을 위주로 모형화하는 것에 초점이 맞추어져 있었으나 본 연구에서는 변액연금 계약과 관련된 여러 변수와 최저보증옵션을 반영하기 위하여 생존분석기법 중 하나인 Cox 비례위험모형을 이용하여 해지율을 추정하였다. 변액연금 해지율에 영향을 미치는 주요변수로는 납입방법, 보험료, 보험기간 대비 유지기간, 계약자적립금 대비 최소보증금, 계약자연령이 있으며 본 연구에서는 이에 관하여 분석해보았다.