• 제목/요약/키워드: service coverage

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공공 및 민영의료보험의 비급여 관리정책에 대한 국가별 비교 (International Comparison of the Non-benefits Management Policies for Public and Private Health Insurance)

  • 김하윤;장종원
    • 보건행정학회지
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    • 제32권2호
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    • pp.137-153
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    • 2022
  • In the process of promoting policies to strengthen health insurance coverage, the relationship between public health insurance and private health insurance, along with the management of non-benefit, is also emphasized as a policy issue. First, the concept and scope of non-benefit were comparatively analyzed by country. Second, the interaction between the public and private health insurance was classified as 'large or small,' and the government's regulation and management policy on private health insurance was classified as 'strong or weak.' Korea has relatively smaller benefits covered by public health insurance, higher copayment expenses, and more areas and scope of non-benefits. In countries where the interaction between public and private health insurance is small, private health insurance-related policies are weak. And in countries with large interactions had public-private partnerships and the government's management policies were also strong. On the other hand, Korea has a large interaction, but the actual structure of cooperation between public and private insurance and management policies were weak. Because the non-benefit sector in Korea is relatively wide, it is difficult to manage compared to other countries where the concept of non-benefit is limited. In addition, the health authorities rarely perform the role of supervision over private health insurance, and they have so few linkages and cooperation for public-private insurance. Therefore, practical policy enforcement is necessary to achieve the easing of the burden of national medical expenses through linkage and cooperation of public-private health insurance with reference to relevant other countries' cases.

Analysis of factors affecting vegetation cover for stabilization of granite weathered soil forest road cut slopes

  • Seong-Man Kim;Sung-Min Choi;Ye Jun Choe;Yun-Jin Shim;Joon-Woo Lee
    • 농업과학연구
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    • 제49권4호
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    • pp.861-871
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    • 2022
  • This study was conducted to improve the stability of cut slopes of forest roads in granitic weathered soil areas. The study area is a national forest road (road length 28.48 km) in Pyeongchang-gun, Gangwon-do. After data collection, a statistical analysis was performed using IBM SPSS (Ver. 26.0). First, the correlation analysis showed that structure, slope position, soil erosion, slope, and aspect (N, S) were correlated with vegetation coverage (p < 0.05). Elapsed years, slope distance, and aspect (E, W) were found to have no correlation with vegetation coverage. (p > 0.05) Second, one-way ANOVA and Kruskal-Wallis test results showed that vegetation coverage was worse when the slope was located at the top or the middle of the slope than at the bottom of the slope. In addition, the site with sheathing and gabions showed good vegetation coverage when compared with the site without structures. In the case of soil erosion, areas with severe damage and moderate damage showed worse vegetation coverage. Therefore, it is necessary to strengthen the slope angle of the cut soil of the granitic weathered soil area from 1 : 0.5 - 1.2 to 1 : 0.8 - 1.5. In addition, structures such as sheathing and gabions should be installed on granitic weathered land.

고정 릴레이 기반 셀룰러 시스템에서 QoS를 보장하기 위한 효율적인 자원 할당 (Efficient Resource Allocation to Support QoS in a Fixed Relay Based Cellular System)

  • 김근배;신희영;박상규
    • 한국전자파학회논문지
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    • 제21권10호
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    • pp.1128-1135
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    • 2010
  • 릴레이 기반 셀룰러 시스템은 사용자의 요구를 충족시키는 서비스를 제공하기 위해 도입되었다. 릴레이 중계기를 사용하는 주된 요인은 서비스 영역 확장 및 요구 서비스를 만족시킬 수 있는 시스템 처리율 증가이다. 본 논문에서는 직교 주파수 분할 다중 접속(OFDMA: Orthogonal Frequency Division Multiple Access) 기술이 적용된 고정 릴레이(fixed relay) 기반 셀룰러 시스템에서 공평성을 고려한 효율적인 부반송파 할당 방안을 제시한다. 릴레이 중계기에 적합한 효율적인 자원 할당 방법을 통해서 사용자의 QoS를 보장할 수 있도록 하며, outage 확률 및 사용자 당 평균 데이터 처리율(throughput)의 관점에서 기존의 비례 공정 알고리즘(proportional fairness algorithm)과의 성능 비교를 통해 제시된 알고리즘의 유용성을 관찰한다.

A Novel Mobility Management Scheme for Time Sensitive Communications in 5G-TSN

  • Kim, Jae-Hyun
    • 한국컴퓨터정보학회논문지
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    • 제27권10호
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    • pp.105-113
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    • 2022
  • 본 논문에서는 5G 시스템과 IEEE 시간 민감형 네트워킹(TSN)에 대해서 소개 분석하고 초저지연 네트워크를 지원하기 위하여 5G-TSN에서 시간 민감형 통신을 위한 새로운 이동성 관리 방안을 제안한다. 시간 민감형 네트워킹(TSN)은 이더넷 기반의 저지연, 높은 신뢰성, 결정형 통신을 제공할 수 있는 핵심 요소 기술로써 산업 자동화와 산업용 사물인터넷(IIoT) 분야의 유망한 미래 기술이다. TSN 지원 단말이 TSN 비서비스 영역에서 TSN 서비스 영역으로 이동했을 때, 단말은 관련 이동성 관리가 적절히 수행되지 못하기 때문에 신속하게 TSN 서비스를 받을 수 없다. TSN 서비스 영역의 이동성 상황의 경우, 제안하는 방안은 기존 5G 이동통신망에서의 방안과 비교하여 TSN 서비스 및 초저지연 통신을 즉시 제공받기 위해서 TSN 서비스 사용 가능성을 네트워크에 알리고, 초기 등록을 동작시킨다.

셀룰러 CDMA 시스템에서 커버리지와 무선자원의 결합형 관리 기법 (Joint Coverage and Radio Resource Management Scheme for Cellular CDMA Systems)

  • 염동화;김민조;강창순
    • 대한전자공학회:학술대회논문집
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    • 대한전자공학회 2004년도 하계종합학술대회 논문집(1)
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    • pp.115-118
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    • 2004
  • An abrupt increase of traffic-load in cellular CDMA systems can cause overload and degrade the quality of service (QoS) due to the insufficient radio resources. In this paper, we propose a joint coverage and resource management (JCRM) scheme which can improve the QoS degradation and spectrum utilization. The JCRM scheme hands over overloaded traffic to the neighboring cells by virtually reducing a heavily loaded cell coverage and allocates radio resources based on the necessary handover probability. The proposed scheme can be applied to the existing cellular CDMA systems as well as adaptive coverage management schemes for next generation mobile communication systems.

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중첩 설치된 CDMA 매크로/옥내 피코셀의 영역 및 용량 분석 (Coverage and Capacity Analysis for the Multi-layer CDMA Macro/Indoor-Pico Cell)

  • 최승욱
    • 한국통신학회논문지
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    • 제25권10B호
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    • pp.1641-1647
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    • 2000
  • This paper presents an analysis of coverage and capacity for the multi-layer CDMA cellular system. The multi-layer CDMA system that shares a common frequency band consists of macrocells for outdoor users and picocells for indoor users. Though macrocells and picocells interfere with each other the capacity of the whole system can be increased, We have analyzed the effect of muual interference upon cell coverage soft handover areas and capacities. The parameters involved in the engineering of the system are discussed. The study results sow that we can control the service coverage of indoor picocells with the system parameters set properly. It is also show that the capacity of the whole system that the capacity of the whole system can be enhanced smoothly by deploying the indoor picocells within existing macrocells.

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건강보험 보장성 확대정책에 따른 치과 이용 및 의료비 지출 변화 : 한국의료패널(2012-2016)을 이용하여 (Changes in dental care utilization and expenditure by the expansion policy of the health insurance coverage : Korea Health Panel Survey 2012-2016)

  • 서혜원;김영실
    • 한국치위생학회지
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    • 제20권5호
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    • pp.611-621
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    • 2020
  • Objectives: This study aimed to verify the impact of dental health care insurance coverage policy by analyzing the changes in dental care utilization and expenditures over 5 years from 2012 to 2016, when the dental health insurance coverage expansion policy was implemented. From the national cohort data collected by the Korea Health Panel Survey, a retrospective study was conducted for all household members using dental services. Methods: This study statistically verified the difference in the dependent variables by frequency analysis, chi-square test, t-test, and one-way analysis of variance (SPSS version 22, IBM Co. USA, p<0.05). Results: The annual utilization rate steadily increased from 23.4% to 26.1% between 2012 and 2016. Although there were differences in utilization rates by gender, age, and income level, patients kept using the dental services in 2016 regardless of the type of health insurance. The average annual copayment for patient expenditures (out-of-pocket amount) increased from ₩463,844 to ₩537,401 in 2012 and 2016, respectively. Of the dental care expenditures over 5 years, the ratio of uninsured expenses by the elderly decreased from 38.5% to 25.9%, and the national health insurance service coverage increased from 40.3% to 49.1%. Conclusions: Although this policy did not reduce overall patient expenditures, it has been found that there was a positive effect on the elderly and low-income groups; it increased the utilization and access to dental services.

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.

장거리 사물인터넷을 위한 케리어 센싱 기술 (Carrier Sensing Techniques for Long Range Internet of Things)

  • 이일구
    • 한국융합학회논문지
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    • 제9권8호
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    • pp.33-39
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    • 2018
  • 사물인터넷 시대에는 사물들이 유무선 네트워크로 서로 연결되어 필요할 때마다 정보를 주고 받는다. 채널과 네트워크 환경은 시간에 따라 변하고 잡음과 간섭 신호가 채널에 혼재하므로 자신이 수신해야 하는 신호가 언제 채널에 존재하는지 판단하는 케리어 센싱 기능이 매우 중요하다. 무선 통신 시스템의 케리어 센싱 회로는 수신기의 수신감도를 결정짓고, 수신감도는 시스템의 서비스 커버리지와 서비스 품질과 밀접한 연관이 있다. 수신감도가 낮을수록 서비스 커버리지가 증가하지만 노이즈에 민감해지고, 수신감도가 높을수록 서비스 커버리지는 감소하는 반면에 노이즈에 둔감해 진다. 그러므로 수신감도와 노이즈 민감도 관점에서 최적의 케리어 센싱 설계와 최적화가 매우 중요하다. 본 논문에서는 장거리 사물인터넷을 위해 수신감도의 최적화 관점에서 효과적인 케리어 센싱 기법을 제안한다.