• 제목/요약/키워드: claim degree

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건강보험중 구강요양급여의 청구 및 심사에 관한 치과의사의 견해 (Dentists' Opinions in The Dental Field of Present Health Insurance Claim and Review)

  • 장용석;안용우;박준상;고명연
    • Journal of Oral Medicine and Pain
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    • 제30권2호
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    • pp.215-230
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    • 2005
  • 이 조사논문은 건강보험 중 구강요양급여의 청구 및 심사등과 관련하여 일선 개원치의들의 견해를 조사하고, 보험관련정책수립에 개원치의들의 의견을 적극 반영코자 하는데 그 의의를 두고 있다. 본 조사는 2004년 2월경에 부산광역시 경남일대에 개원하고 있는 1,465명의 개원치의를 대상으로 설문조사를 실시하여 이들 중에서 406명으로부터 답변을 얻었고, 그 내용은 아래와 같이 요약할 수 있다. 1. 청구업무와 관련된사항 : 보험청구의 담당은 대체로 치과위생사(간호조무사)와 치과의사의 직접청구방식이 많았다. 대행청구는 그 비중이 전체에서 20%미만을 차지했다. 2.보험강좌의 참여도 : 보험강좌에 대한 관심은 비교적 저조한 것으로 나타났다. 3.이의신청유무 : 보험청구에 관련한 이의신청 유무는 엇비슷하게 나타났다. 4. 건강보험 심사규정에 관한 개원치의들의 견해 : 현재의 진료비 심사규정 지침에 대한 개원치의들의 생각을 묻는 질문에 대한 응답으로는 "심사기준이 난해하고 부당한 삭감이 많은 것 같다"는 응답이 압도적으로 많았다. 5. 건강보험심사평가원과 관련한 사항 : 약 70%의 개원치의들은 건강보험심사평가원으로부터 자율지도라는 명분하에 이루어지는 대화방식에 불만을 표시했다. 6. 진료비 영수증 발급에 대한 개원치의들의 입장 : 약 70%의 개원치의들은 진료비 영수증 발급에 여려움을 겪고 있었다. 7. 건강보험 비급여 진료분야의 급여적용에 관한 사항 : 대다수의 개원치의들은 전악 스켈링처치와 치면열구전색처치 및 불소도포와 같은 예방치료에 대해서는 급여적용을 희망하였다. 노인틀니, 귀금속을 제외한 보철치료, 광중합레진치료 등에 관하여는 비급여적용을 희망하였다.

치과건강보험 요양급여비용 청구에 관한 교육요구도 조사 -대전·충청지역을 중심으로- (The investigation of the degree of the request of the education about the claim for the medical expenses in the dentistry health insurance - mainly in the Daejeon, Chungcheong area -)

  • 남용옥;김성희;김민자
    • 한국치위생학회지
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    • 제11권3호
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    • pp.325-341
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    • 2011
  • Objectives : This research has investigated the reality of the education of the claim and the degree of the education for the claimed of the dentistry recuperation organization in the Daejeon and Chuncheong are for the improvement of the problem in the medical expenses. Methods : It use as a basic data for the vitalizations of the education and performed the survey in the dentistry recuperation organization in the Daejeon and ChungCheong Nam BukDo which are registered in the evaluating organization for judging the health insurance in the present May 2010, and concluded just like the below. Results : 1. The education of the claim in the requirer in the dentistry recuperation organization, and the education of the claim was especially lacking when the dentist was studying in the university, and the dental hygienist had the similar educational experience in the school and the clinic (p<0.05) 2. Most of the requirer in the dental recuperation organization was hoping to get the education related to the claim work, but the dentist and the nurse's aid was relatively low (p<0.05) 3. For fixing the error of the claim, the participation and the extension of the judging standard of the insurance was the highest among the university subordinate dental hospital/dental hospital, but the health center was relatively low (p<0.05). 4. The dentist feels the economic burden in employing the special employee because the raising of the special judging people, compared to others, but the staffs such as the dental hygienist preferred it as one of ways to fix the error of the claim of the dental insurance (p<0.05) 5. Both dentists and the dental hygienist said proper time to teach the insurance was all needed in the school, and the clinic, but other workers relatively believed it should be held in the clinic (p<0.05). 6. The important factors to decide the participation of the lecture was in order of the contents of the lecture, the place of the lecture, the amount for the lecture, the superintendent of the lecture, whether it has gone through the educational score, and whether it has passed the conserving educational score was relatively less important in the university subordinate dentist/dentist, but the medical center was very effective as 4.50 (p<0.05) 7. Health Insurance Review and assessment service was very high as the managing department for supplying the lecture and the information, 70.5%, and the next was the Korean Dental Association/ Korean dental hygiene association, but dentists were preferring the association to manage in than the Health Insurance Review and assessment service to manage (p<0.05) 8. In preferring lecture for the inquiring the insurance, periodontal surgery was the highest as 4.51, the diagnosis standard for injection was high in the university subordinate hospital/dentists, and the more the year of the insurance inquiry, the less the doctor who was hoping for the lecture about the basic treatment. Conclusions : Taken together, it is decided that the inquiry education about the medical expense in the dentist, so the consistent and systematic education should be held to the related people, and from this, it is thought to reduce the problem of the inquiry of the medical expenses by fostering the knowledge and supplying the information which are related to the inquiry of the dentists.

중등교원의 수학 부전공 자격 연수의 문제점과 해결방안

  • 윤정한;하신혜
    • East Asian mathematical journal
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    • 제27권4호
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    • pp.417-432
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    • 2011
  • This article deals with the teacher training for a minor in mathematics. We investigate the drawbacks of the teacher training which is enforced to resolve the overabundant teachers. And we claim that theachers must get a master's degree in a graduate school of education if they get a secondary teaching certificate.

'Let alone'표현의 통사적 행동 연구: 용례중심 (A Study on the Use of 'Let Alone' expression: A Usage-Based Approach. X, xx-xx.)

  • 김미자
    • 비교문화연구
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    • 제27권
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    • pp.387-414
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    • 2012
  • This paper is intended to describe the idiosyncratic aspects of the 'let alone' construction in English, clarifying the productivity property of this construction and to show that this construction displays the properties of prepositional phrase that denote the meaning of 'the comparison of degree', against the claim that this construction should be regarded as a coordinating conjunction. In the process of doing that, this paper classifies this 'let alone' construction into two types of construction, by investigating the external and internal syntactic distributions of 'let alone' constructions as well as the relationship between 'let alone' phrases and the main clause.

Korean consumers' perceptions of health/functional food claims according to the strength of scientific evidence

  • Kim, Ji-Yeon;Kang, Eun-Jin;Kwon, O-Ran;Kim, Gun-Hee
    • Nutrition Research and Practice
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    • 제4권5호
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    • pp.428-432
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    • 2010
  • In this study, we investigated that consumers could differentiate between levels of claims and clarify how a visual aid influences consumer understanding of the different claim levels. We interviewed 2,000 consumers in 13 shopping malls on their perception of and confidence in different levels of health claims using seven point scales. The average confidence scores given by participants were 4.17 for the probable level and 4.07 for the possible level; the score for the probable level was significantly higher than that for the possible level (P < 0.05). Scores for confidence in claims after reading labels with and without a visual aid were 5.27 and 4.43, respectively; the score for labeling with a visual aid was significantly higher than for labeling without a visual aid (P < 0.01). Our results provide compelling evidence that providing health claims with qualifying language differentiating levels of scientific evidence can help consumers understand the strength of scientific evidence behind those claims. Moreover, when a visual aid was included, consumers perceived the scientific levels more clearly and had greater confidence in their meanings than when a visual aid was not included. Although this result suggests that consumers react differently to different claim levels, it is not yet clear whether consumers understand the variations in the degree of scientific support.

청소년소비자의 소비행동의 합리성에 영향을 미치는 요인 (Variables Affecting on the Rationality of Consumption Behavior of Adolescent Consumers)

  • 권미화;이기춘
    • 가정과삶의질연구
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    • 제18권2호
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    • pp.175-190
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    • 2000
  • The purpose of this study is to investigate variables affecting on rationality of consumption behavior of adolescent consumers. The findings from data analysis can be summarized as follows: 1) The degree of the rationality of whole consumption behavior, buying behavior, using behavior and disposing behavior is not so high. Especially the degree of making a buying plan before they buy gathering information according to buying plan and applying gathered information is low but presenting a claim for inferior goods is high. Adolescent consumers don't tend to use products to the end and to exchange or donate disusing products. 2) According to the result of multiple regression analysis, sex, grade, application of advertisement, influence of parents, saving value, conspicuous value, pro-environmental value, aesthetic value, enjoyable value are variables affecting on the rationality of consumption behavior of adolescent consumers.

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음절말 자음 중화의 원인 (Why do Obstruents Neutralize in Syllable Final Position\ulcorner)

  • 양순임
    • 대한음성학회지:말소리
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    • 제41호
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    • pp.31-47
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    • 2001
  • The purpose of this study is to explain the cause of obsturents neutralization in syllable final position. Most of the previous phonological studies did not reflect phonetic reality sufficiently because of the limited use of the binary feature system. Using binary distinctive features, we can't explain the cause of neutralization. In order to explain the cause of neutralization, I use the multi-valued phonetic feature -[vocal tract aperture]. By [vocal tract aperture] I mean the distance between articulators in the hold stage. In this study, I claim that the cause of neutralization is assimilation to [vocal tract aperture] 0 degree. The neutralized sounds become aplosives, as a consequence of assimilation to [vocal tract aperture].

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수학과 학문융합 (Mathematics and Disciplinary Convergence)

  • 박창균
    • 한국수학사학회지
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    • 제23권1호
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    • pp.67-78
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    • 2010
  • 이 글의 목적은 학문융합의 시대에 수학의 역할이 무엇인지를 밝히는 것이다. 수학은 학문융합에 있어서 세 가지 측면-이론적, 언어적, 정신적-에서 기여할 수 있다고 본다. 이를 위해 먼저 수학화의 과정을 살핀 후, 학문융합의 정도를 복합학문, 간학문, 초학문 등 세 단계로 구분한다. 그리고 학문융합에 기여하는 수학의 세 측면과 학문융합의 세 단계가 서로 대응관계에 있음을 주장한다.

일본의 무역금융EDI에 있어 국제해상보험증권의 전자화 현황과 향후과제 (The current situations and future directions of electronic marine insurance policy in Japan's trade financial EDI)

  • 한상현
    • 통상정보연구
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    • 제9권1호
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    • pp.169-186
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    • 2007
  • The purpose of this study analyzes laying stress on Japan example that background of electronic issue of international meritime insurance policy is what, and is marched in some degree present. and this study presented what hereafter subject of electronic insurance plice is. The this paper is to study the current situations of trade financial EDI in Japan and problems in application of marine insurance contracts. The subject of electronic marine policy issue is as following in trade financing EDI. (1) application of electronic document in claim demand. (2) standardization of various documents and insurance plice data. (3) insurance compensation document that become Jeonjahwa in insurance accident settlement. (4) maritime Insurance policy agreement's establishment. (5) when is monopolized to third party, realization of electronic maritime insurance policy offer.

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급성 약물중독 환자에서 위세척의 의료법학적 고찰 -대법원 2005.1.28, 2003다1419 판결을 중심으로- (Medico-legal Consideration of Gastric Lavage in Acute Intoxicated Patients -In the Supreme Court 2005.1.28, 2003da14119)

  • 배현아
    • 대한임상독성학회지
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    • 제3권1호
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    • pp.1-10
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    • 2005
  • Gastric lavage is now known to be ineffective, unnecessary or hazardous in some circumstances where it used to be performed as a routine. This article concerns the medico-legal aspect of forced gastric lavage. The Supreme Court 2005.1.28, 2003da14119 is the case where a patient, who ingested the organophosphate insecticide to attempt suicide and refused lavage. At first we discuss the effectiveness or hazards of lavage because a very high degree of proof -of negligence, not error of clinical judgment - would be required. Lavage, with or without the informed consent, performed negligently which result in harm could, of course, give rise to a claim in negligence. A doctor might also be held negligent in failing to perform an act which he/she had a duty to perform.

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