• Journal of Preventive Medicine and Public Health
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• 제44권1호
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• pp.48-55
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• 2011

Objectives: The purpose of this study was to examine the impact of Diagnosis-Related Group (DRG)-based payment on the length of stay and the number of outpatient visits after discharge in for patients who had undergone caesarean section. Methods: This study used the health insurance data of the patients in health care facilities that were paid by the Fee-For-Service (FFS) in 2001-2004, but they participated in the DRG payment system in 2005-2007. In order to examine the net effects of DRG payment, the Difference-In-Differences (DID) method was adopted to observe the difference in health care utilization before and after the participation in the DRG payment system. The dependent variables of the regression model were the length of stay and number of outpatient visits after discharge, and the explanatory variables included the characteristics of the patients and the health care facilities. Results: The length of stay in DRG-paid health care facilities was greater than that in the FFS-paid ones. Yet, DRG payment has no statistically significant effect on the number of outpatient visits after discharge. Conclusions: The results of this study that DRG payment was not effective in reducing the length of stay can be related to the nature of voluntary participation in the DRG system. Only those health care facilities that are already efficient in terms of the length of stay or that can benefit from the DRG payment may decide to participate in the program.

• 보건행정학회지
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• 제31권2호
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• pp.180-187
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• 2021

Background: This study analyzed the effect of applying the diagnosis-related group (DRG)-based payment system, which was implemented in July 2012 for hospitals and clinics nationwide, on the cesarean section rate. Methods: The subjects of the study were divided into new groups that participated in the payment system after July 2012 and maintenance groups that participated in the payment system before July 2012. As an analysis method, a difference-in-difference analysis, which is a quasi-experimental design, was used. The risk-adjusted cesarean section rate was used as a dependent variable. Results: Seven risk factors (malpresentation of fetus, eclampsia, multiple pregnancies, problems in the placenta, previous Cesarean section, cephalopelvic disproportion, problems in amniotic fluid) were included in the final risk-adjustment model, and found to have a statistically significant relationship with the cesarean section rate. Results showed that the risk-adjusted cesarean section rate increased significantly in new groups after the application of the DRG-based payment system. Conclusion: Study results provided policy implications for the reorganization of the DRG-based system should that reflects the demands of obstetricians, such as organizing a consultative body with obstetricians and establishing a reasonable fee.

• 경영과정보연구
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• 제32권2호
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• pp.47-58
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• 2013

본 연구는 부산에 소재하는 한 대학병원의 건강검진센터에서 건강검진을 받은 이용자들의 검진금액에 대해 성별, 연령별, 지역별로 차이가 있는지를 분석하였으며 그 결과는 다음과 같이 요약할 수 있다. 첫째, 성별 분석의 경우 남성과 여성간의 검진금액에는 차이가 없는 것으로 나타났다. 둘째, 연령별 분석의 경우 50 60대의 연령군이 건강검진을 위해 가장 많은 금액을 지불하고 있는 것으로 나타났으며, 사후 검증과 집단별 검증을 추가로 한 결과 30대 미만과 30대 그리고 60대와 70대 이상의 연령군을 제외한 연령군에서 유의적인 차이를 보였으며, 집단별로는 40대 미만집단, 40대 집단 50대 이상 집단의 3개 집단 간 유의적이 차이를 보여 검진금액에 대한 연령집단군별 차이가 있는 것으로 나타났다. 셋째, 검진금액에 대한 지역별 차이분석에 대한 사후 검증 결과 부산과 울산 경남 지역만 통계적으로 유의한 차이를 보여주었을 뿐 나머지 지역 간에는 통계적으로 유의한 차이를 제시하지 못하였다. 이러한 연구 결과는 의료기관의 건강검진 센터의 효율적 운영에 대한 기초적 정보를 제공할 수 있을 것이다.

• 통상정보연구
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• 제6권1호
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• pp.25-50
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• 2004

This study attempts to find out what kind of service quality is considered important by customers in using the Internet shopping mall and suggests the way to activate the customer relationship. The findings based on empirical analysis are shown here. First, empirical analysis of the contextual factors such as gender, education, and experience levels, shows that what customers perceive as most important in the product purchase is security in terms of the payment and personal information service. The second important service quality factor perceived by customers is responsiveness, particularly the rapidity and accuracy of response to their needs and wants. The customers also considered price, quality and diversity of the product as being important. Furthermore, there is no big difference among other service quality factors. Second, in the different gender context, there is no significant difference between the genders. However, the male group shows an even distribution of factors valued in the service quality, whereas female respondents placed stronger emphases on particular aspects of service, such as security, response, reliability and product quality. Third, in the context of different education level, the payment method between graduates and non-graduates has a significant difference. That is, the non-graduates prefer the credit card and saving through ATM, while the graduates use dual payment method using credit card and another payment method together. Therefore, the various payment methods should be considered according to the customer type, namely graduates or non-graduates. Fourth, in the context of different experience level, the result of the empirical analysis of the factors of the service quality shows no great difference between experienced and inexperienced customers. Both types of customer perceive security as the most important. To sum up, the service quality perceived by the customers of Internet shopping malls is empirically analyzed in different contexts such as gender, education, and experience. Then, the device for the customer relationship activation is suggested. It can be utilized as a guideline for the continuing diffusion of the Internet shopping mall, giving it a competitive advantage against other companies.

• 디지털산업정보학회논문지
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• 제12권3호
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• pp.259-271
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• 2016

This study develops an extended model to predict customer satisfaction in easy payment systems based on information systems success model. Our data was collected from easy payment systems users and analyzed using PLS. This study selected four variables as easy payment systems characteristics(convenience, variety, security, speed) along with gender being used as a moderating variable. The results showed that convenience and security are turned out to affect customer satisfaction. Additionally, the test of difference in gender revealed that with respect to gender, moderating effects exist in security and speed. This implies that this study can provide different promotion strategies according to gender. Overall, the proposed model could be used to predict customers' willingness to pay on the easy payment systems.

• 국제학술발표논문집
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• The 3th International Conference on Construction Engineering and Project Management
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• pp.692-699
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• 2009

In China, the Reform-Open policy was executed in 1978. During the following 30 years, the economic regime in China had been changed to a socialist market economy from a socialist planned economy, and the construction industry in China has been achieved high economic growth. However, as the construction project increasing, a lot of problems which affect the construction expense payment occur. And it is a fact that the construction expense payment disputes have become a serious problem now. Therefore, it is necessary to discuss the problem of Chinese construction expense payment. In this paper, we would like to clarify the difference of the legislation of construction expense payment between China and Taiwan Region.

• 가정과삶의질연구
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• 제25권2호
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• pp.13-21
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• 2007

This study investigates the effect of related variables (types of job, term of employment, working time, job satisfaction, payment satisfaction and, working stress) on the sense of hopelessness felt by married males. The study was conducted on 237 male employees residing in Busan, and measurement devices for study were job-related variables, working stress and hopelessness scale. The study used SPSS 12.0 program to analyze data, and conducted item analysis and reliability test for measure establishment. Average, Standard deviation, one-way ANOVA, scheffe-test, Pearson correlation, and path analysis through regression analysis were conducted pertaining to research subject. The result of this study is as follows; First, working stress has significant difference upon types or working, term of employment and job satisfaction. Office workers relatively have longer term of employment and workers who are less satisfied with job suffer from more working stress. Second, hopelessness has significant difference upon term of employment, job satisfaction and payment satisfaction among job-related variables. Thus, hopelessness is relatively less when term of employment is shorter and job satisfaction and payment satisfaction is higher. Third, variables which affect directly to working stress and hopelessness are term of employment $(\beta=.245)$, payment satisfaction $(\beta=-.182)$ and working stress $(\beta=.189)$, and types of job, term of employment and job satisfaction influences hopelessness indirectly through working stress. In conclusion, workers are more negative when term of employment is longer, payment satisfaction is less and working stress is higher. Moreover, longer term of employment and less job satisfaction contribute to higher working stress and eventually influence hopelessness. Term of employment affects the most to hopelessness $(\beta=.274)$, and it is followed by working stress $(\beta=.189)$ and payment satisfaction $(\beta=-.182)$.

• 보건행정학회지
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• 제29권2호
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• pp.130-137
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• 2019

The fee-for-service system is used as the main payment system for health care providers in Korea. It has been argued that it can't reflect differences in the medical practice costs across regions because the fee schedule is calculated based on the average cost. So, some researchers and providers have disputed that there is need for adopting geographic practice cost index (GPCI) used in the United States for the Medicare program for the elderly to the fee-for-service payment system. This study performed to identify whether the difference in the practice costs among regions exists or not and to examine the feasibility of applying GPCI to Korea payment system. For this purpose, we calculated modified-GPCI and examined considerations to introduce GPCI in Korea. First we identified available data to calculate GPCI. Second, we made applicable GPCI equations to Korea payment system and computed it based on four types of regions (metropolitan, urban, suburban, and rural). We also categorize the regions based on the availability of the medical resources and the capability of utilizing them. As a result, we found that there wasn't any significant difference in the GPCI by regional types in general, but the indices of rural areas (0.91-0.98) was relatively low compared to the indices of other regions (0.96-1.07). Considering the need to use GPCI floor, the pros and cons of using GPCI, and the concern of the regional imbalance of resources, the introduction of GPCI needs to be carefully considered.

• 보건행정학회지
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• 제14권2호
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• pp.78-98
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• 2004

The purpose of this study was to categorize the contribution evasion and develop the expected models for contribution arrears in National Health Care System. The modified logistic regression model in non-payments was used as logistic regression model based on the statistical method. By using this model, we arranged non-payment types and typical branches those are appeared by statistical technique. First fact, sex and age branches those are able to take a part in economy had effect mostly. Also they had difference in non-payment probability by existence of their incomes and property. Especially people who didn't have their own house and car were appeared in high non-payment probability, disease and reduction characteristic(rare diseases, reduction of seniors, handicaps, numbers of medical treatments) didn't effect much in probability. The reason for some characteristic of non-payment which is higher than the correct threshold value of Logistic Regression Model (a suggested model for predicting non-payment)'s distribution of probability was mostly moral hazard. Living difficulty was the bigger reason for non-payment, but moral slackening was the bigger reason for non-payment. But it is careless to decide that moral hazard is just the reason, there is a necessity to examine on the side of sociology based in family. By the reason, the member's non-payment reason can be classified by economy, population, and psychology, but there was a comprehension that losing of work desire could be one reason. So we analyzed informations for composition of family of members. In conclusion, we grasped that family conflict makes non-payment and conversion of member in the National Basic Livelihood Protection System difficult.

• Journal of Korea Trade
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• 제27권2호
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• pp.1-21
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• 2023

Purpose - The bank payment obligation is a transaction method that combines the certainty of L/C transactions with the speed of remittance payments, so the main purpose of this study is to highlight the superiority of bank payment obligation, noting the difference between bank payment obligation and L/C transactions. In addition, we would like to examine how bank payment obligations can actually be applied to support various valuable proposals such as post-shipment and post-shipment finance according to the payment process.. Design/methodology - This study focused on literature based on data from ICC and SWIFT along with previous domestic and international studies. In terms of a research method, a literature review was adopted with electronic trade-related books and journals and policy-related reports from international trade-related agencies. Findings - Unlike L/C transaction, BPO transaction verify the data inquiry process based only on the combination result of the established baseline and dataset. Accordingly, it is superior to L/C transaction in that there is no confrontation between the parties over the results of the inquiry, and clear transactions are possible according to the principle of proof after prepayment. In addition, unlike credit transactions, data inconsistency acceptance procedures confirm payment obligations in consideration of importers' intentions. As a result, as long as trade documents are in the hands of exporting countries, flexible document disposition is possible in response to the situation after payment, which is more advantageous than L/C transaction. Originality/value - Specifically, from the importer's point of view, BPO transactions have the advantage of reducing the manpower required to prepare and review trade documents and processing transaction negotiations with exporters advantageously due to the strength of payment obligations. From the perspective of the exporter, it has the advantage of enabling rapid recovery of trade payments and reducing the risk of importer's cancellation of transactions or content change. From the perspective of participating banks, it is possible to strengthen relations with importer and obtain high commission income by increasing the role of bank reduced by reducing L/C transaction.