• 제목/요약/키워드: Service Policy

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외래 본인부담률 인상이 상급종합병원과 종합병원 외래 의료이용에 미친 영향 (The Impact of Outpatient Coinsurance Rate Increase on Outpatient Healthcare Service Utilization in Tertiary and General Hospital)

  • 김효정;김영훈;김한성;우정식;오수진
    • 보건행정학회지
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    • 제23권1호
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    • pp.19-34
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    • 2013
  • Background: The study describes the changes resulted from imposition on tertiary hospital outpatient coinsurance rate rise policy and in tertiary or general hospital drug coverage rise policy on healthcare service utilization. Methods: Accordingly, the hypothesis about outpatient healthcare utilization after rise policy in outpatient coinsurance rate and drug coverage was established, using interrupted time-series analysis and segmented regression analysis to test the hypothesis. 5-year analysis period (2007. 3-2012. 3) from the outset year was designated, the data about most common 10 high-ranking of the main diseases targeting visiting patient from age of 6 to 64 were collected. Results: The summary on the major research is followed. First, the medical expense and duration of treatment tends to be increased in case of imposition about rise policy in outpatient coinsurance rate in the tertiary hospital under the interrupted time-series analysis. It showed temporary increase and slow down on account of influenza A even after the policy enforcement. In segmented regression analysis, duration of visit and medical expense in the tertiary hospital increased temporally right after the policy implementation and the decreased rapidly depends on period. Both rise and fall is statistically significant. The second, In case of tertiary or general hospital outpatient drug coverage rise policy, all of the tertiary hospital healthcare service utilization variables by the interrupted time-series analysis, drug coverage policy in the general hospital deeply declined according to decreasing trend before policy implementation. The third, in case of segmented regression analysis, the visit duration and medical expense statistically declined right after the policy implementation in both the tertiary and general hospital. Meanwhile, administration day was statistically meaningful only for the decrease right after the policy implementation. Otherwise, general hospital changes are not statistically meaningful. And the medicine cost was statistically, meaningfully decreased after the increase in drug coverage. Conclusion: Finally, the result demonstrated according to the analysis is only 1 hypothesis is denied, the other 2 are partially supported. Then, tertiary hospital outpatient coinsurance rate increase policy comparatively makes decrease effect on long-term healthcare utilization, and tertiary or general hospital outpatient drug coverage policy showed partially short-term effect is assured.

Study on the policy literacy of the Republic of Korea regarding nuclear and new-renewable energy

  • Im, Eunok;Kim, Ju Kyong;Woo, Seung Min
    • Nuclear Engineering and Technology
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    • 제54권2호
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    • pp.741-748
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    • 2022
  • Policy literacy plays a critical role in enhancing deliberative communication among the public, policymakers, and experts. It also helps develop a positive view of policy by the public, which facilitates public acceptance. Despite its importance, however, policy literacy has received little attention in energy policy practice. Therefore, this study explores factors affecting the public's understanding and knowledge (i.e., policy literacy) of nuclear and new-renewable energy policies. Accordingly, we analyzed data from an online survey of 790 laypeople in Korea. Specifically, we examined the effects of trust, transparency, and policy public relations (PR) on the policy literacy of the public regarding the two alternative energy sources. The analysis revealed that people showed higher policy literacy about the alternative sources when provided with more transparent information and exposed to more policy PR activities. However, we found that trust in energy plant operators played a negligible role in improving policy literacy for both energy sources. Based on these findings, we developed some policy suggestions to secure the energy policy literacy of the public.

신포괄수가 시범사업 모형개선이 건강보험 보장률에 미친 영향 (The Effect of Reform of New Diagnosis-Related Groups on Coverage of National Health Insurance)

  • 최정규;김선희;장정하;윤종민;강중구
    • 보건행정학회지
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    • 제30권2호
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    • pp.178-184
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    • 2020
  • Background: Korea set up a new diagnosis-related group as a demonstration project in 2009. The new diagnosis-related group was reformed in 2016. The main purpose of the study is to identify the effect of reform on coverage of national health insurance. Methods: This study collected inpatient data from a hospital that contains medical information and cost from 2015 July to 2016 June. The dependent variable was the coverage of national health insurance. The dependent variable was divided by total, internal medicine partition, surgical partition, and psychiatric partition. To analyze the effect of the reform, this study conducted an interrupted time series analysis. The final sample included 23,695. Results: The health insurance coverage of internal medicine has the highest, followed by surgery and psychiatry. The health insurance coverage of bundle payment is higher than that of unbundled payment. The proportion of bundled payment and non-benefit decreased and the proportion of unbundled payment increased. The coverage of national health insurance significantly increased after policy reform in internal medicine partition (p-value=0.0356). Conclusion: The results of the study imply that policy reform enhanced the coverage of national health insurance in internal medicine. The government needs to monitor side effects such as an increase of unbundled payment.

자료포락분석(DEA)를 이용한 우리나라 서비스산업의 효율성과 결정요인 분석 (A Study on the Efficiency and Its Determinants in Korea's Service Sectors Using DEA)

  • 배세영
    • 디지털융복합연구
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    • 제19권10호
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    • pp.339-348
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    • 2021
  • 본 연구의 목적은 2010년부터 2019년까지 우리나라 10개의 서비스산업을 중심으로 자료포락분석 (DEA)을 이용하여 생산효율성을 측정하고 단절토빗회귀모형과 중도절단토빗회귀모형을 이용하여 그 결정요인을 분석하는 것이다. 분석결과, 첫째, 추정된 서비스산업의 효율성은 대체적으로 매우 낮았고 양극화되어 있었으며, '하수·폐기물 처리, 원료재생업'의 경우 기술적 비효율성이 규모의 비효율성에 기인하는 것을 알 수 있었다. 둘째, 결정요인 분석에서는 투자와 연구개발비는 기술효율성에 정(+)의 관계에 있고, 해외직접투자와 접대비는 부(-)의 영향을 주는 것으로 측정되었다. 또한, 규모가 큰 산업일수록 효율성도 높은 것으로 나타났다. 따라서, 우리나라 미래의 산업인 서비스산업의 발전을 위한 정부의 경제정책은 투자와 연구개발활동을 통한 거시정책과 해외직접투자와 인적자본의 융합 등 미시적인 부문이 동시에 고려되는 보다 융합적 정책이 필요하다.

국제모바일로밍서비스 정책 연구 (A Study of Policy on International Mobile Roaming Service)

  • 강신원
    • 국제지역연구
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    • 제18권3호
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    • pp.249-265
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    • 2014
  • 지난 10년 동안 국제모바일로밍서비스가 제공되어 왔으나, 그 요금수준은 여전히 높은 수준에 있다. 이러한 국제모바일로밍서비스 요금수준에 대한 인식이 국제적으로 확산됨에 따라 국제기구 등에서는 로밍요금에 대한 다양한 개선방향 및 정책을 제시하고 있다. EU의 경우 로밍 이용요금 상한선 등에 대한 규제정책을 시행하고 있으며, OECD의 경우 강제적인 규제정책은 가지고 있지 않으나, 높은 로밍 요금 원인분석 및 이러한 요금에 대한 해결책의 회원국에 강구를 요구하고 있다. WTO는 서비스 무역 이사회를 중심으로 국제서비스무역을 저해하는지에 대한 검토를 하고 있으며, ITU에서도 요금에 대한 권고(D.98) 제시를 통하여 문제를 해결하려고 하고 있다. 본고의 목적은 국제모바일로밍서비스에 대한 주요 국제기구의 논의사항을 살펴보고 이를 통한 우리나라가 취할 수 있는 요금인하를 위한 규제정책방향을 제시하는 데 있다.

재가노인서비스 위기 인식에 관한 연구 (A Study on the Perception of Crisis in Home Support Service for the Elderly)

  • 임병우
    • 산업융합연구
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    • 제19권6호
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    • pp.165-175
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    • 2021
  • 본 연구의 목적은 재가노인지원서비스를 제공하는 종사자를 대상으로 재가노인지원서비스 존립에 대한 위기 인식을 파악하고 정책적, 실천적 제언을 하는데 목적이 있다. 본 연구는 질적 연구방법인 귀납적 내용분석을 기반하여 현재 재가노인지원서비스 존립 위기 인식의 원인과 위기 강화요인이 무엇인지 이로 인해 나타나는 위기 인식과 위기완화를 위한 상호작용, 위기완화 결과 예측은 어떠한지에 대하여 분석하였다. 자료수집을 위해 수도권 00시 재가노인복지협회에 추천된 자발적 참여자 4명을 표본 추출하여 심층면접을 실시하였다. 분석결과, 재가노인지원 센터의 위기관련 주요 요인은 심리적인 측면, 정책적인 측면, 역할 측면의 3가지로 나타났다. 첫째, 정책적인 측면에서 정책변화에 능동적으로 받아들이지 못하였을 뿐만 아니라 변화를 위한 노력에 한계가 있었다. 둘째, 심리적인 측면에서 정체성 혼란과 지역사회에서 부정적인 인식이다. 셋째, 역할 측면에서 기관과 법인, 그리고 협회의 적극적인 역할과 지원의 아쉬움이 있었다.

확률적인 사용시간하의 이산적 일제교체정책 (Discrete Block Replacement Policies under Random Use Durations)

  • 유영관
    • 품질경영학회지
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    • 제32권3호
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    • pp.62-67
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    • 2004
  • This paper presents and compares two block replacement policies under random use durations. The units are put in service altogether and then idle for some time. The time durations during which units are put in service are random variables. Two block replacement policies, called N-policy and T-policy, are presented. Under N-policy, units are replaced altogether after the Nth use. Under T-policy, units are replaced altogether at the end of the use after cumulative use time T elapses. The failures during use durations are replaced by new ones individually. The cost rate expressions under the policies are derived for exponential use durations. Numerical examples are presented to compare the performances of the two policies.

Extended Proportional Fair Scheduling for Statistical QoS Guarantee in Wireless Networks

  • Lee, Neung-Hyung;Choi, Jin-Ghoo;Bahk, Sae-Woong
    • Journal of Communications and Networks
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    • 제12권4호
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    • pp.346-357
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    • 2010
  • Opportunistic scheduling provides the capability of resource management in wireless networks by taking advantage of multiuser diversity and by allowing delay variation in delivering data packets. It generally aims to maximize system throughput or guarantee fairness and quality of service (QoS) requirements. In this paper, we develop an extended proportional fair (PF) scheduling policy that can statistically guarantee three kinds of QoS. The scheduling policy is derived by solving the optimization problems in an ideal system according to QoS constraints. We prove that the practical version of the scheduling policy is optimal in opportunistic scheduling systems. As each scheduling policy has some parameters, we also consider practical parameter adaptation algorithms that require low implementation complexity and show their convergences mathematically. Through simulations, we confirm that our proposed schedulers show good fairness performance in addition to guaranteeing each user's QoS requirements.

Policy Fund Loans and Improvement Plans for Small Enterprise

  • Kim, Young-Ki;Kim, Seung-Hee
    • 유통과학연구
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    • 제13권10호
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    • pp.5-13
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    • 2015
  • Purpose - This study aims to suggest appropriate policies and performance indicators for financial aid recipients. It analyzes the existing regular government policy funds support project, especially its propriety and reasonability. Research design, data, and methodology - When financial aid is effective, it should be able to predict small enterprise business results. Additionally, there should be an evaluation, checking before and after performance rates so that the rate of achievement and outcome can be measured. This study's contribution for small enterprises is in researching the best way to improve this support system. Results - The Small Enterprise and Market Service (SEMAS), currently designated as a support organization for implementing the government financial aid project, has assessment indicators. However, these focus mainly on quantitative indicators and survey results. Conclusions - In the future, there is some need to draw up measures, setting the right direction for developing policies for the small enterprise fund loans and improving the management of the plans. Eventually, this effort will dispel concerns about the present support policy, which is considered to be weakening small enterprises.

5G 이동통신을 위한 전파정책 분석 (Analysis of Radio Spectrum Policy for the Fifth Generation Mobile Communications)

  • 김창주
    • 한국전자파학회논문지
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    • 제26권8호
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    • pp.679-689
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    • 2015
  • 모바일 브로드밴드 시대를 맞이하여 5G 이동통신의 기술개발이 한창 진행되고 있으나, 이를 위한 주파수 정책은 아직 체계적으로 정립되지 않았다. 본 논문에서는 5G 이동통신서비스를 살펴보고, 관련 기술개발 동향을 고려하여 미래의 이동통신서비스를 제공할 수 있는 주파수 정책을 분석하였다. 이 결과를 토대로 우리나라의 주파수 정책 방안을 제안한다. 주요 정책 방안으로 3~5 GHz 대역의 주파수 공동사용 확대, 5 GHz 대역의 국제 호환성 유지, 그리고 주파수 관리체계의 일원화 등을 포함한다.