• 제목/요약/키워드: Payment Methods

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의원급 노인 외래 정률차등정책 효과분석 (The Effect of Changes in Medical Use by Changing Copayment of Elderly)

  • 나영균
    • 보건행정학회지
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    • 제30권2호
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    • pp.185-191
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    • 2020
  • Background: From January 2018, a policy was applied to differentially apply the co-payment for medical expenses of 15,000 won or more from 30% to 10%-30% for each medical fee. This policy lowers the burden on the medical use of the elderly, and it is necessary to analyze the effect of the policy by confirming changes in medical use and supply behavior after 2 years. Methods: The National Health Insurance Service's national medical use database was used. As for the analysis method, first, the medical use and medical supply behavior change over the age of 65 years were confirmed, and second, in order to check the net effect of the policy, the 66-year-old as the experimental group and the 63-year-old as the control group were selected as the control group. The propensity score matching was performed using the variables of age, living alone, income quartile, residence, disability, chronic disease, and co-morbid disease scores, and then it was analyzed using the difference in difference analysis method. Results: The share of the number of treatments under 15,000 won decreased from 37.0% in 2017 to 20.2% in 2018, while the share of the number of treatments under 15,001-20,000 won increased from 8.0% to 22.7%. It was confirmed that the reason for the increase in the cost of treatment per treatment was the result of the increase in the amount of physical therapy and examination. As a result of the policy effect, the burden of co-payment per person was reduced, and as a result, the number of hospital visits per person and the total medical cost per person increased. Conclusion: The self-pay rate differential policy reduced the burden of medical expenses for the elderly and confirmed the increase in medical use. However, the interpretation of the increase in medical use was not able to distinguish whether the unsatisfactory medical care was satisfied or the inducement demand. Efficient allocation of resources is a more important point in the future when the super-aged society is in front. It is necessary to prepare a plan to induce rational medical use within a range that does not impair the medical accessibility of the elderly.

농어촌 뉴타운 공공임대주택 관리 분석을 통한 농촌형 임대주택 관리방안에 관한 연구 (A Study on the Method of Rural Rental Housing Management by Analysis of Rural-Fishing New Town Rental Housing)

  • 박미란;박헌춘;김진욱;류연수
    • 한국농촌건축학회논문집
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    • 제17권3호
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    • pp.55-62
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    • 2015
  • Recently as return farmers has been increased rapidly, the introduction of a system of rental housing is being considerated in order to induce regional fixation. It was examined organizational management, business scope of rural type rental housing, management role, through the analysis about the management realities of the business of similar form Rural-Fishing New Town project. Jangseonggun and Hwasungun have maneged rental housing 280ho in Rural-Fishing New Town project. It is large village among Rural Rental Housing. And these counties have organized the complex on a large scale among the rental housing. Local governments have managed and operated directly, also these governments have two different methods for the co-management, and the way of making payment. Rental housing management services are divided into rental management, housing management, tenant management. Rental management services such as residents of recruitment, tenants and retreat, rent collection and the storage, management and leasing promotion of the cantilever, surveys of residents. Housing management services such as check of various facilities, maintenance and maintenance work, security and cleaning and daily facility management. Tenant management is life management in connection with housing welfare. In the rural type of rental housing, there are few cases to operate a management office. It is often supplied by rental housing to buy a house or vacant land within the existing village. In this case, by utilizing community facilities within the existing village instead of establishment of extra facilities,It doesn't need to make payment for maintenance fee. In the smaller complex than No. 20, it is self-managed by the tenants in order to reduce the administrative costs and specify the necessary municipal manager. Organization form can be maneged directly from local governments and part of for the management of the building can be employed a mixed management system to delegate management to private organizations such as non-profit organizations or neighborhood association. Tenant management helps people who move in a rental house live on stable circumstance in there area by connection with the program of life support.

건강보험과 의료급여 환자간의 정신요법 진료량 차이 비교 - 정신병원 입원환자를 대상으로 - (Comparing Difference of Volume of Psychiatric Treatments between the Patient with Health Insurance and Those with Medical Assistance - For Inpatients of Korean Psychiatric Hospitals -)

  • 이대희;박은철;남정모;이상규;이동한;유승흠
    • Journal of Preventive Medicine and Public Health
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    • 제36권1호
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    • pp.33-38
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    • 2003
  • Objectives : To assess the difference in the volume of psychiatric treatments provided to health insurance inpatients, compared with those on medical assistance(the medical aid program) Korean psychiatric hospitals, and to determine factors which affect the volume of the services. Methods : 21 psychiatrists, from 3 Korean psychiatric hospitals recorded the frequencies psychiatric treatments provided to inpatients in one week (February 18-24, 2002). The records of 329 patients were analyzed through t-tests, and random effectmixed model analyses to define the difference between the two groups, and to find other factors affecting the volume of service. Results : A significant difference in the volume of psychiatric treatments provided was observed between the health insurance and medical assistance groups. The variation in the volume of service between hospitals was prominent, and other factors (gender, agegroup, length of stay and mental disorder)were also found to be significant. The patients on medical assistance received only 70% of the psychiatric treatments of those on health insurance. Conclusions : More effort is required to improve the methods of payment to increase the level of fee scheduling for medical assistance. Further studies on the mechanisms causing these differences in the volume of service are required.

전자무역 확산을 위한 글로벌 인증시스템의 개선방안에 관한 연구 -아이덴트러스 인증시스템을 중심으로- (A Study on Improved Global Certification System for Global Electronic Trade Expansion -Based on the Identrus Certification System-)

  • 김학민;최승신
    • 통상정보연구
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    • 제6권2호
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    • pp.265-285
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    • 2004
  • The objective of this study has two folds. The first is to investigate current global certification system and the second is to suggest some possible solutions for expanding global e-trade networks. Both research and industrial communities recognize the importance of global certification problems in connection with global e-trade payment because global e-trade volume continue to grow. But not many research results have been reported to the communities in identifying some barriers against active global certification systems. This paper intents to suggest some possible solutions for improved global certification system and the results are summarized as follows: First, strict certification structure has to be relaxed by considering diverse mutual certification methods in global e-trade practice. This paper provides some comparative results about mutual certification methods among different nations. Second, numerous business models have to be derived such that they can be applied to other global certification applications than global e-trade. Third, global certified networks have to be expanded beyond mutual certification level. Once the certified structure among different nations have been established then diverse certified authority channels have to be implemented. Finally, since Korea has already established very good public certification infrastructure within the nation this platform has to be positioned in the center of global e-trade networks. This paper has of course to accept a critique such as this study provided limited results to generalized global e-trade certification model, and therefore empirical study for assessing robust model should be pursued in the future.

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병원 예약부도(No-show) 감소를 위한 예약관리 방안 (Reducing Appointment No-Shows in Hospitals)

  • 임지현;이상규;김태현;김지만
    • 한국병원경영학회지
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    • 제22권4호
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    • pp.50-60
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    • 2017
  • Purposes: The purpose of this study was to identify the preferred types of the hospital reservation cancellation management to help reduce the reservation cancellations. Methodology: This study sampled 327 outpatients or their guardians who had reserved a university hospital and a general hospital located in the southwestern part of Seoul, and the responses from 300 of them were used for the final analysis. The subjects' preferences of reservation cancellation management types were analyzed in reference to their demographic variables. The timing and frequency of pre-notification preferred by the subjects were examined. A multidimensional scaling methods and correspondence analysis was used to identify preference for management methods of no-show and type of reservation guide. Findings: As a result, 77.3% of the respondents were perceived that the reservation cancellation was a habit. The most preferred method of managing the reservation cancellation would be refusal to refund the reservation deposit (61.7%), followed by payment for cancellation (16.0%), limit of future reservations (16.0%) and penalty (6.3%) in their order. 186 of the subjects (62.0%) preferred the texting for prevention of reservation cancellations, and 102 of the subjects (34.0%) preferred the phone calls. The preferred timing and frequency of the SMS were twice 3 days before, once a day before and three times 7 days before, while the preferred timing and frequency of phone call was once a day before. Practical Implications: The no-show rate can be improved by enhancing SMS pre-notification and by improving afterwards telephone counseling. For other factors, it needs to study on the service differentiation with the characteristics of each patient group.

지각된 화장품 브랜드 앱의 특성이 지속적 사용의도에 미치는 영향에 관한 연구 - 고객만족의 매개효과와 관여도의 조절효과를 중심으로- (A Study on the Impact of Perceived Cosmetic Brand App on Continuous Usage Intention - Meditating Effect of Customer Satisfaction and Moderating Effect of Involvement -)

  • 조가;김영길;김연성
    • 품질경영학회지
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    • 제47권2호
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    • pp.237-254
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    • 2019
  • Purpose: The purpose of this study is to analyze correlation of perceived cosmetics brand apps attributes and use intentions, mediating role of customer satisfaction, and relationship between customer satisfaction and continuous usage intention. Then provide basic data for development management strategy of beauty industry and enhancement of competitiveness corresponding to smart era. Methods: The questionnaires were surveyed by an online company(EMBRAIN). After data collection, frequency analysis was performed on the general attributes of questionnaire survey using SPSS 22.0, and data conclusions were derived by verifying reliability and validity of data and hypotheses. Results: First, perceived cosmetic brand app attributes have a positive effect on customer satisfaction, Second, perceived cosmetic brand app attributes have a positive effect on continuous usage intention. Third, customer satisfaction was found to have a mediating role in the effect of perceived cosmetic brand app attributes on continuous usage intention. Fourth, involvement proved to control the relationship between perceived cosmetic brand app attributes perceived interactivity and customer satisfaction. Finally, Involvement has proven to control the relationship between cosmetic brand app attributes perceived interactivity and continuous usage intention. Conclusion: Consumers buying products from cosmetics brand apps will be more likely to use cosmetics brand apps if they feel comfortable with calculation process, search, booking confirmation and payment methods.

Cost-Effectiveness Analysis of Cervical Anterior Fusion and Cervical Artificial Disc Replacement in the Korean Medical System

  • Lee, Hyosang;Kim, Ui Chul;Oh, Jae Keun;Kim, Taehyun;Park, Sohee;Ha, Yoon
    • Journal of Korean Neurosurgical Society
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    • 제62권1호
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    • pp.83-89
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    • 2019
  • Objective : This study is a retrospective cost-benefit analysis of cervical anterior interbody fusion and cervical artificial disc replacement, which are the main surgical methods to treat degenerative cervical disc disease. Methods : We analyzed 156 patients who underwent anterior cervical disc fusion and cervical artificial disc replacement from January 1, 2008 to December 31, 2009, diagnosed with degenerative cervical disc disorder. In this study, the costs and benefits were analyzed by using quality adjusted life year (QALY) as the outcome index for patients undergoing surgery, and a Markov model was used for the analysis. Only direct medical costs were included in the analysis; indirect medical costs were excluded. Data were analyzed with TreeAge Pro $2015^{TM}$ (TreeAge Software, Inc, Williamstown, MA, USA). Results : Patients who underwent cervical anterior fusion had a total cost of KRW 2501807/USD 2357 over 5 years and obtained a utility of 3.72 QALY. Patients who underwent cervical artificial disc replacement received 4.18 QALY for a total of KRW 3685949/USD 3473 over 5 years. The cumulative cost-effectiveness ratio of cervical spine replacement surgery was KRW 2549511/QALY (USD 2402/QALY), which was lower than the general Korean payment standard. Conclusion : Both cervical anterior fusion and cervical artificial disc replacement are cost-effective treatments for patients with degenerative cervical disc disease. Cervical artificial disc replacement may be an effective alternative to obtain more benefits.

토픽 모델링을 이용한 한국 무역규범 연구동향 분석 : 2000년~2022년 (Korea's Trade Rules Analysis using Topic Modeling : from 2000 to 2022)

  • 임병호;장정인;김태한;한하늘
    • 무역학회지
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    • 제48권1호
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    • pp.55-81
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    • 2023
  • 본 연구의 목적은 한국 무역의 주요 이슈와 동향을 분석하고 향후 무역규범 연구에 대한 시사점을 도출하는데 있다. 분석자료로서 Korean Journal Citation Index 데이터베이스에서 2000년부터 2022년 7월까지 'Trade Rules'로 검색된 영문 키워드로 총 476개의 학술지를 분석하였다. 분석 방법으로는 동시발생네트워크와 텍스트마이닝 방법의 하나인 토픽트렌드 분석이 있다. 분석 결과, 최근 한국 무역을 대표하는 키워드는 연구 저널 수가 급증한 카테고리인 Topic 4(투자조약), Topic 7(무역안보), Topic 8(중국 보호무역주의), Topic 11(무역결제) 4가지로 나타났다. 이들 주제의 주요 배경은 기존의 국제무역 체제를 위협하는 미국과 중국 간의 무역마찰이며, 중국의 보호주의, 무역 안보 시스템의 변화, 새로운 투자 협정, 지불 방법의 변화에 대한 상세한 연구는 가까운 장래에 도전 과제가 될 것이다.

산업기술 유출 방지를 위한 보안 프레임워크 연구 (Security Frameworks for Industrial Technology Leakage Prevention)

  • 임양규;박원형;이환수
    • 융합보안논문지
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    • 제23권4호
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    • pp.33-41
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    • 2023
  • 최근 지능형 지속위협(APT) 공격조직은 국가핵심기술을 보유한 기업이나 기관을 대상으로 다양한 취약점 및 공격기법을 악용해서 랜섬웨어를 유포한 후 금전을 요구하거나 국가적으로 중요한 산업기밀 자료를 절취해서 암시장(다크웹)에 유통시키거나 제3국에 판매 또는 기술격차를 줄이는데 활용하는 등 국가차원의 보안대비가 필요하다. 이 논문에서는 Kimsuky, Lazarus 등 한국을 대상으로 APT 공격으로 산업기밀유출 피해를 입혔던 공격조직의 공격수법을 MITRE ATT&CK 프레임워크로 분석하고, 기업의 보안시스템이 추가적으로 갖추어야 할 사이버 보안관련 관리적, 물리적 및 기술적 보안요구사항 26개를 도출하였다. 또한, 보안 요구사항을 실제 보안업무에 활용할 수 있도록 보안 프레임워크 및 시스템 구성방안도 제안하였다. 이 논문에서 제시한 보안요구 사항은 보안시스템 개발 및 운영자들이 기업의 산업기밀 유출 방지를 위한 보안업무에 활용할 수 있도록 실질적인 방법 및 프레임워크를 제시했으며 향후 이 논문을 기반으로 다양한 APT 공격그룹의 고도화·지능화된 공격을 분석하고 관련 보안대책 연구가 추가적으로 필요하다.

우리나라의 글로벌 기술경쟁력 제고를 위한 기술무역수지 개선방안 연구: 산업계 인식 및 실태조사를 중심으로 (A Study on the Improvement of Technology Balance of Payments to Enhance Global Technology Competitiveness in Korea: Based on the Surveys regarding Perception and Current State of Industry)

  • 이종민;노민선
    • 기술혁신연구
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    • 제23권4호
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    • pp.1-31
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    • 2015
  • 우리나라는 기술혁신을 통한 글로벌 기술경쟁력 제고를 위해 연구개발(R&D)에 대한 투자를 꾸준히 증대시켜왔다. 우리나라의 GDP 대비 연구개발투자 비중은 4.15%로 세계 1위 수준이며, 4년 연속 무역규모 1조 달러를 달성하였다. 그러나 이와 같은 노력에도 불구하고 국가 간 기술경쟁력을 가늠하는 중요한 척도인 기술무역수지는 OECD 국가들 가운데 최하위 수준이며 만성적인 적자를 기록하고 있다. 본 논문에서는 우리나라의 기술무역수지 개선방안을 강구하기 위한 연구를 수행하고자 하였다. 먼저, 기술무역에 대한 개념과 현황을 파악하였으며, 기술무역과 상품무역 간 비교를 통해 기술무역의 중요성을 검토하였다. 그동안 기술무역 관련 연구가 일부 수행되었지만, 기술무역에 있어 가장 중요한 역할을 담당하는 기업의 입장에서 기술무역에 대한 인식을 파악하기 위한 연구는 제대로 수행되지 못하였다. 이에 본 연구에서는 기술무역 실적 보유 기업과 미보유 기업을 구분하고 기업의 실제적인 인식 및 실태를 파악하기 위한 설문조사를 수행하였다. 설문조사 결과, 기술무역 실적 보유기업과 미보유 기업 간에는 최고의사결정권자의 인지도 측면에서 큰 차이를 보였으며, 기술무역 전담부서와 전담직원의 부족이 매우 심각함을 파악할 수 있었다. 또한 기술무역 관련 교육의 필요성을 절실히 느끼고 있음에도 불구하고 이에 대한 교육 이수 경험은 불과 10%에도 미치지 못하는 것으로 조사되었다. 아울러 본 연구에서는 선행연구에 대한 심도 있는 고찰 및 산업계 실태조사 등을 토대로 기술무역 통계조사 방법론 개선, 사회적 인식 제고, 기술수출 활동 유인을 위한 정부의 정책적 지원, 기술무역 관련 인프라 구축 및 전문인력 양성을 위한 교육과정 개설 등의 개선방안을 제시하였다.