• International Journal of Advanced Culture Technology
• /
• 제10권2호
• /
• pp.79-85
• /
• 2022

Article 10 of the Constitution All citizens have dignity and values as humans and have the right to pursue happiness. There is a need for support measures such as a means to realize the respect of dignity and values as humans, and how to efficiently maintain policies on welfare for the elderly classified as the socially disadvantaged. It was considered necessary to develop an elderly-friendly city for economic, physical, and social life. Dasan Jeong Yak-yong's respect for adults was to practice the ideology of Confucianism, so this was the most important thing in the past Joseon Dynasty. In particular, it was considered important to think of adults first in practicing filial piety.This study focuses on the long-term care insurance system for the elderly, one of the welfare policy measures for the elderly. The significance of implementing the long-term care insurance system for the elderly is to benefit not only the elderly, but also all generations, including the middle-aged and children who were in charge of long-term care. To this end, the government should properly manage the factors of the social insurance financial crisis caused by the low birth rate and aging population.In addition, concerns about health insurance are high, so it is necessary to secure an appropriate level of government budget for health insurance financial management and minimize unnecessary non-benefit. In addition, it is necessary to induce appropriate medical use through connection with construction medical insurance.

• 보건행정학회지
• /
• 제33권4호
• /
• pp.400-410
• /
• 2023

Background: As the government has recently been discussing the expansion of the disaster health expenses support project, we would like to confirm the characteristics of beneficiaries of the support project, particularly those of high-cost beneficiaries. Methods: Using the database of catastrophic health expenditure support project from 2019-2020, this study aims to confirm the characteristics of high-cost beneficiaries focusing on the overlap of the relieved out-of-pocket systems, known as the out-of-pocket ceiling system and the system for rare incurable diseases. Logistic regression analysis is used to examine this issue. Results: In order to analyze the factors influencing high-cost beneficiaries, five models were created and analyzed, including the status of duplicated beneficiaries for relieved out-of-pocket systems, sociodemographic and economic factors, and individual health status as sequential independent variables. All five models were statistically significant, of which economic factors had the greatest impact on the model's predictions. The main results indicated that those who benefited from multiple systems in duplicate were more likely to be high-cost beneficiaries, and there is a higher probability of incurring high health expenses among the underage. In addition, within the beneficiaries of catastrophic health expenditure support project, it was observed that higher health insurance premium percentiles are associated with a higher proportion of high-cost beneficiaries. Conclusion: This study examined the characteristics of high-cost beneficiaries by encompassing reimbursement and non-reimbursement. According to this study, it is expected to be used as basic data for setting priorities and improving the current criteria of catastrophic health expenditure support project, aiming to sequentially expand the program.

• 한국보건행정학회:학술대회논문집
• /
• 한국보건행정학회 2005년도 추계학술대회
• /
• pp.361-362
• /
• 2005

• 항공우주정책ㆍ법학회지
• /
• 제13권
• /
• pp.249-284
• /
• 2001

• 보건행정학회지
• /
• 제24권1호
• /
• pp.92-99
• /
• 2014

Background: Korea's primary care clinics are seeking increase in consultation fees by expanding supply within the frame of the health insurance system, but inequality of physician income between regions and individuals is exacerbating. The purpose of this study lies in analyzing the distribution of patients of primary care clinics, their specialized field, and the degree of inequality between medical fee income according to region. Data was acquired from the Health Insurance Review and Assessment Service on charged bills made by clinic-size medical institutions from 2008 to 2011. Methods: By comparing the outpatient number per clinic according to the clinic's specialized field, results showed that ophthalmology, otolaryngology, dermatology, orthopedics, and internal medicine showed high numbers whereas plastic surgery, neuropsychiatry, cardiothoracic surgery had fewer outpatients. The number of outpatients for clinic according to region showed Chuncheonnam-do, Jeju-do, Gangwon-do, Chungcheongbuk-do, Ulsan to have higher numbers of outpatients. For those four years, clinics in the Seoul area had a rather lower number. Results: As a result of comparing the decile hierarchy distribution ratio between specialized fields according to primary care clinics income from National Health Insurance, the inequality degree showed that obstetrics and gynecology and general medicine were each 0.130, 0.280 for the decile distribution ratio, which was the highest degree of inequality within the specialized field. Their Gini coefficient were also relatively high at 0.691, 0.528 respectively. On the other hand, the decile distribution ratio for otolaryngology and orthopedics were 0.510, 0.468, respectively, while their Gini coefficient each at 0.318, 0.314 makes their inequality degree relatively lower than other fields. Conclusion: This study is limited in that the data used was the health insurance charges submitted by clinics, which does not provide total information of the doctors' income. However, because most clinics are largely dependant on their income to come from health insurance reimbursements. Therefore, the results of this study can be used effectively. In the future, research that includes data on non-covered service income should be conducted to closely examine policy plans with a new medical fee policy which can resolve the medical fee income inequality issue between clinics as well as revitalize primary medical care.

• 한국사회정책
• /
• 제25권1호
• /
• pp.345-375
• /
• 2018

본 연구는 OECD 12개 국가를 대상으로, 실업보험, 사회부조, 그리고 적극적 노동시장 정책의 제도배열로서 '실업안전망 정책조합'을 분석하며 레짐별 유사성 및 특수성을 구체화한다. 이를 통해 해당 국가들이 실업자에 대한 사회보장정책을 어떻게 구성하여 이들의 실직과 소득보장 문제에 대응하는지 비교분석하였고, 방법론으로는 퍼지셋 이상형 분석(fuzzy-set ideal type analysis)을 활용하였다. 2005년과 2010년의 정책조합을 분석한 결과, '부조형', '재진입과 소득보장 결합형', '재진입 집중형', '광범위한 실업안전망형', '부실한 실업안전망형', '소득보장 집중형'으로 대상 국가들의 실업안전망이 유형화되었다. 우리나라의 경우, 지속적으로 부실한 실업안전망 유형에 속하였고, 사회보험, 사회부조 그리고 적극적노동시장의 퍼지점수가 모두 본 연구의 국가들과 비교하였을 때 최하위권이다. 부실한 실업안전망 유형에서도 구체적인 정책별 소속 점수를 살펴보면 사회부조 정책의 소속점수가 그나마 다소 높고 적극적노동시장 정책의 소속점수는 매우 낮았다. 부실한 실업안전망 유형에 속한 우리나라의 경우, 자산조사 방식의 소득보장제에 의존하여 급여를 제공하는 것은 재정적으로 부담이 가장 적은 정책으로 분석결과에서도 확대경향이 나타났으나, 본 연구는 장기적으로 사회부조 방식이 불안정노동자 및 실업자의 소득보장에 얼마나 지속적인 효과를 가질 수 있는지 문제제기한다. 본 연구는 국가 간 비교연구를 수행함으로써 실업안전망 비교연구에 대한 이론적 실증적 논의에 기여하고, 실업과 관련한 정책들을 조합으로 구성하여 분석함으로써 향후 노동시장 변화와 정합한 실업안전망 설계를 위한 함의를 제공하고자 하였다.

• 사회복지연구
• /
• 제42권1호
• /
• pp.31-54
• /
• 2011

본 논문은 건강보험정책결정과정에서의 참여민주주의를 중심으로 김대중·노무현 정부 복지국가 성격을 연구하였다. 참여민주주의는 한국 민주주의의 질적 발전 보다는 외환위기 이후 자본주의 구조조정을 위한 정치적 정당성 확보 전략에 의해 도입되었다. 따라서 참여민주주의가 복지국가 발전의 한 지표인 보장성강화를 획득해내는데 긍정적인 역할을 하였음에도 불구하고 신자유주의적 이념 추구, 국가재정책임성 미약, 정책결정과정에 가입자의 실질적인 참여 배제로 2007년 보장성강화정책은 결국 실패로 돌아가게 되었다. 과거 복지제도와 마찬가지로 김대중·노무현 정부 참여민주주의제도도 정치적 정당성 확보를 위해 도입되었으나 경제성장우선이데올로기의 제약하에서 운영되었다고 볼 수 있다. 그러나 참여민주주의제도는 '서비스'가 아닌 '권력'형태의 제도라는 점, 참여민주주의제도로 인한 권력의 부여가 보장성 강화요구를 통해 복지국가 발전에 긍정적인 역할을 하였다는 사실로 미루어 볼 때 김대중·노무현 정부가 과거 복지국가와는 차별적이다.

• 산경연구논집
• /
• 제8권6호
• /
• pp.25-31
• /
• 2017

Purpose - This study examines car accidents that occurred in South Korea territory, and analyzes criminal liability of the offender and certain issues of driver's insurance, but a civil liability to the injured is excluded as civil liability belongs to auto insurance. Research design, data, and methodology - With carrying out this research, case study of driver's liability and literature review were adopted throughout. For this, car accidents that occurred in South Korean territory were examined and then criminal liability of the offender and certain issues of driver's insurance were analyzed. Results - From this case study on driver's liability it was found that the offender cannot receive insurance money from the insurer irrespective of the valid drive insurance, if there is no 'bill of agreement of criminal consensus'. This study suggests some ideas, offers suggestions of convenience and assistance of qualified claim staff to overcome a hurdle of drive insurance. Conclusions - As long as the accident is not a fraud and scam by the parties concerned, advance payment of agreement of criminal consensus is required to the insured, the policy holder within the limit of liability of driver insurance, on condition that the drive insurance is valid.

• 보건의료산업학회지
• /
• 제6권2호
• /
• pp.165-177
• /
• 2012

This study examined market size of private health insurance premium and individual characteristics associated with the market size change in Korea, using wave 1 (2008) and wave 2 (2009) of Korea Health Panel. The market size was 24.4 trillion Korean won in 2008 and 26.9 trillion in 2009. The increase rate of private health insurance premium among those who were the elderly, single, or the poor was higher than that among their counterpart respectively. Health status and utilization were insignificant in determining the increase rate of private health insurance premium. These findings were more obvious among the uninsured in 2008 than among the insured in 2008. The increase of private health insurance premium in Korea imply the increase of willingness-to-pay for health risk through private sector. The authors suggest policy intervention for accessability to health care for the underprivileged and weak through enlargement of Korean social health insurance benefit.

• Journal of the Korean Data and Information Science Society
• /
• 제16권2호
• /
• pp.383-389
• /
• 2005

In this paper, we propose the pure premium rate of reliability insurance policy for radiators under the assumption of Weibull physics of failure. We also describe the performance factors which have an effect on failure characteristics of radiators. The maximum likelihood estimates of scale and shape parameters for assumed distribution are obtained by using accelerated life test data of sample sizes 5 using MINITAB.