• Title/Summary/Keyword: 자가보험

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Difference in Health-related Quality of Life between Medical Aid Beneficiaries and Health Insurance Beneficiaries using the Community Health Survey (지역사회건강조사를 이용한 의료급여수급권자와 건강보험가입자의 건강관련 삶의 질 비교 연구)

  • Hong, Ju-youn;Kim, Gha-jung
    • The Journal of the Korea Contents Association
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    • v.16 no.5
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    • pp.477-487
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    • 2016
  • This study attempts to comprehensively evaluate differences in sociodemographic characteristics, health behavior, disease morbidity, medical care and health-related quality of life of medical aid beneficiaries and health insurance beneficiaries. To achieve this, this study analyzes primitive data of community health survey that each health center had recently conducted in 2013. Study socioeconomic characteristics, health behavior, disease morbidity, medical care showed that various factors affecting health-related quality of life. It was found that medical aid beneficiaries showed lower health related-quality of life than health insurance beneficiaries because not good socioeconomic characteristics, health behavior, disease morbidity, and medical care and even as a comparative result after controlling socioeconomic characteristics, it was found that medical aid beneficiaries health-related quality of life was lower because of not good health behavior, disease morbidity, and medical care. Therefore, to improve health-related quality of life in medical aid beneficiaries as effectively as possible, improving mental health including managing chronic disease and stress and depression and daily living activities is above all important and our national concern with developing systematic program and policies focusing on health promotion behaviors such as moderate drinking habits and regular exercise and eating habits is required.

Non-regular Female Workers toward Convergence Era: Description and Unemployment Assistance (융복합 시대 비정규직 여성과 실업부조 도입의 필요성)

  • Yoo, Ji-Young
    • Journal of Digital Convergence
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    • v.13 no.7
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    • pp.33-45
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    • 2015
  • Present study aims to describe who are the non-regular female workers in South Korea. The dominant form of employment of Korean female non-regular workers is characterized by instable contract, low wage, long-time work and exclusion from the state and occupational welfare. Also, non-regular female workers are not homeogenous but there are various groups of women among female non-regular workers including young part-time workers, high educational middle class contract professionals, particular contract workers such as home-schooling teachers. However, it would worth noting that over 40s, low-educational, low income, breadwinning women who are working in sales, service, and simple handy job are most likely to become non-regular female workers in South Korea. Those women are the major group among non-regular female workers. The public assistance (in cash) for non-regular workers are necessarily needed for them at this point in South Korea.

A Study on the Improvement Approaches of Immigration Workers' Legal System to Introduce Foreign Workers according to change the Population Structure (Low Fertility and Aging) (인구구조 변화(저출산·고령화)에서 외국인력 도입을 위한 이주노동자의 법제도적 개선방안 연구)

  • Lee, Chuck-He;Noh, Jae-Chul
    • Industry Promotion Research
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    • v.6 no.1
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    • pp.79-86
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    • 2021
  • Due to the change in the demographic structure, the problem of low birth rate and aging population leads to a serious decrease in human resources, and the necessity of introducing foreign workers is increasing. This study believes that the introduction of foreign workforce is the most effective to expand the working-age population in the era of low birthrate and aging, when demographic changes begin in earnest, and to this end, it sought to devise measures to improve the legal system for migrant workers. As a result of this study, first, the legal system for migrant workers should be unified and improved. It is necessary to establish or unify management agencies so that the 「Immigration Control Act」 and the 「Labor Act」 can establish a cooperative relationship. Second, the 「Immigration Control Act」 should be revised to make it easier for migrant workers to find employment. It is necessary to positively review the employment permit system and acquisition of nationality. Third, there should be no equity or discrimination against migrant workers. Under the principle of mutual benefit, employers and migrant workers should not be equally discriminated against. Fourth, the social insurance system must be added to the legal system of migrant workers. Therefore, the legal system should be reorganized so that migrant workers are not discriminated against in various insurance systems including the four major social insurance systems. In conclusion, the problem of low birthrate and aging population has become a serious social problem due to changes in the demographic structure, and the decrease in the possible generation population has reached a level of concern. The importance of migrant workers' employment and work environment is increasing. Nevertheless, related legal and institutional problems still exist, and measures to improve the legal system for migrant workers are needed.

An indicator for managing the regional variations in approval rates of long-term care (LTC) service (지역별 장기요양 인정의 차이 관리지표 개발)

  • Han, Eun-Jeong;Lee, JungSuk;Park, Seyoung;Jang, Soomok;Jung, Inkyung
    • The Korean Journal of Applied Statistics
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    • v.30 no.3
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    • pp.391-401
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    • 2017
  • This study develops an indicator to manage regional variations of approval rates for long-term care (LTC) service. We used LTC insurance data for grade assessment that include 433,155 applicants from 227 LTC centers across Korea in 2015. The approval rate for each center was defined as the proportion of the numbers of approved applicants out of all applicants. We assumed that the approval rates depended on the characteristics of applicants. We estimated the 'standard' approval rates from a multiple linear regression analysis using the characteristics of applicants as independent variables. The difference between the observed and the standard rates was then defined as an indicator for deviation. A center having a large difference could be considered as a center with a potential error in grade assessment. We also examined if the characteristics of investigators affected the approval rates. We found that the socio-demographic characteristics of applicants and reapplication rate for LTC grade were independent factors affecting the approval rates. Centers having the management indicator values falling outside the middle 95% of the distribution were identified as centers with an error in grading. We expect that this study will contribute to enhancing reliability and equity in LTC grading.

Status of Employment-Related Qualifications Similar to a Medical Laboratory Technology Major (임상병리기술학 전공 유사 취업연계 자격 현황)

  • Sung, Hyun Ho;Kim, Dae Sik;Cho, Young Kuk;Yoon, Ki Nam
    • Korean Journal of Clinical Laboratory Science
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    • v.50 no.4
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    • pp.525-534
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    • 2018
  • This study evaluated the various qualifications that can be linked to employment similar to the medical laboratory technology major. The qualifications for employment outside the medical laboratory technology major are industrial health instructor, doping control officer, audiologist, sign language interpreter, health education specialist, claim adjuster, Korea life underwriter, administrative manager, hospital administrator, insurance review manager, and hospital coordinator. The qualifications for employment similar to the medical laboratory technology major include the clinical research coordinator, clinical research associate, anatomist, analytical chemistry analysts, hazardous materials industry engineers, biotechnologist, biosafety managers, biotechnology technicians, medical device quality officers, animal care nurse, industrial engineer hazardous material, bioprocess engineer, biosafety officer, certified technology consultant, director of medical device quality control, laboratory animal technician, animal nursing technician, and cruise medical manager. Therefore, it is necessary to conduct a social analysis survey of the various qualifications currently held by medical technologists. In addition, it will be necessary to investigate the current status of medical technologists working in other fields. In the future, medical technologists should expand the scope of their work through efforts to strengthen their individual work capacity, share cases, and strengthen their expertise.

Estimation of Road Crash Reduction by Installing Automatic Emergency Braking Systems for Elderly Drivers (자동긴급제동장치의 고령운전자 추돌사고 감소 효과 추정)

  • Sangjin Han;Eunwoo Kim;Hyoseok Jang;Jongwan Joo
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.22 no.1
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    • pp.161-171
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    • 2023
  • It is largely agreed that elderly drivers (over 64 years) are more likely to cause fatal crashes than other age groups. According to national road crash statistics 2021, the number of road fatalities per 10,000 drivers over 64 years old was 1.77, while that of drivers in their 30s was 0.55. This indicates a 2.67 times higher probability of causing crashes among the former than the latter. The current study estimates how rear-end crashes may be reduced by installing Automatic Emergency Braking Systems (AEBS), particularly for elderly drivers. We analyzed data from Samsung Fire & Marine Insurance. The results show that the Odds Ratio of rear-end crash occurrence between vehicles with AEBS and without AEBS is 0.75, implying there were lesser rear-end crashes in the vehicles installed with AEBS. The Odds Ratio of male drivers was determined to be 0.78, which was lesser than the 0.81 Odds Ratio obtained for female drivers. Elderly drivers who had installed AEBS in their vehicles showed an Odds Ratio of 0.76, implying crash reduction. In particular, the Odds Ratio of male elderly drivers was found to be the lowest at 0.49. We believe incentivizing by giving discounted insurance premiums to the elderly who drive vehicles installed with AEBS will help reduce rear-end crashes.

Utilization Level and Associated Factors of Complementary and Alternative Medicine in the Older Population before Death (사망 전 노인들의 보완대체요법 이용수준 및 관련 요인)

  • Cho, Nam-Hong;Woo, Eun-Kyung;Yi, Jee-Joen;Yi, Sang-Wook;Cho, Hang-Sok;Kim, Sun-Hyun
    • Journal of Hospice and Palliative Care
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    • v.7 no.1
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    • pp.37-48
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    • 2004
  • Purpose: Population using complementary and alternative medicine (CAM) and the cost or it are increasing all over the world. In this study, we investigated the utilization state of CAM in the elderly people during the last 6 months of life. Methods: We found 4,210 persons in Seoul, older than 65 years who received a funeral subsidy from health insurance after death during the latter half of the year, 2001. We stratified them by age and gender and selected 301 persons and surveyed them by questionnaire. Results: 247 persons (83.1%) used at least one of CAM during their last 6 months of life. Diet and Nutrition remedy showed the highest utilatization rate (65.5%), and drug therapies also were much used (29.9%). Utilization rate was higher in female (60%) and according to the cause of death, the highest in a geriatric disease groups, and the lowest in the cancer group. Whole satisfaction to CAM was high with average 4.25 points out of total 6, and adverse effects were almost free with average 5.55 points out of total 6. Satisfaction was the highest in Diet and Nutrition remedy but the lowest in Manipulative and Body-Based methods. Adverse-effect score was best in Manipulative and Body-Based methods. According to age and the causative disease of death, there were significant differences in satisfaction and adverse effect levels. Conclusion: Majority of old people used at least one of CAM during their last 6months of life. Whole satisfaction and adverse-effect level were very excellent.

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Denture wearers' recognition for their oral health status, denture cleansing methods, and insurance health system (의치사용자의 구강건강, 의치관리 및 의치건강보험 인식에 대한 실태 조사)

  • Kim, Sunjai;Kim, Seong-Kyun;Noh, Kwantae;Ahn, Su-Jin;Baik, Sang-Hyun;Kim, Jee-Hwan;Yoo, Dong-Ki;Kim, Kyoung-Rok;Kwon, Kung-Rock
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.4
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    • pp.287-294
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    • 2018
  • Purpose: The aim of the present investigation was to understand the incidence, prevalence of denture stomatitis in denture wearers, who were over 60 years old, and use the results for a fundamental data to promote public awareness about denture stomatitis and its education tools. Materials and methods: From August 21 to September 8 2017, 500 denture wearers, who were more than 60 years old in Seoul and 4 other metropolitan cities (Busan, Daegu, Gwangju, and Daejeon), received questionnaires. The questionnaires included denture wearers' demographic distributions, specific dental treatment experiences, discomforts with current dentures, their oral health conditions, and the method of denture cleansing. Results: Thirty-two percent of 500 denture wearers responded that they have healthy oral conditions. Two hundred and eight respondents (41.6%) were aware of denture stomatitis. Only 131 (26.2%) were informed about the removable denture covered by national health insurance and 327 (65.4%) of denture wearers were using the improper denture cleansing methods. Conclusion: A large number of denture wearers still do not recognize the importance of proper treatment for denture stomatitis, insurance covered denture treatments, and adequate denture cleansing methods.

Issues and Improvements of Secure Coding for Preventing Cyber Crime: Focus on the Private Company Systems (사이버범죄예방을 위한 시큐어 코딩 적용 문제점과 시사점: 민간기업 시스템을 중심으로)

  • Choi, Kwan
    • Convergence Security Journal
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    • v.18 no.2
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    • pp.69-76
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    • 2018
  • The purpose of this study is to prevent cyber crime in private company systems by applying secure coding and identify its problems. Three experiments were conducted. In Experiment 1, a security manager was participated and gave advise to the developer to follow secure coding guidelines. In Experiment 2, a security manager did not participate, but let the developer himself committed on secure coding. In Experiment 3, a security manager provided reports on weaknesses of each package source to the developer and the developer was only focused on source development. The research results showed that the participation of a security manager on development raised secure coding compliance rate and finished the project within a given periods. Furthermore, it was better to entrust a security manager with the task of following the secure coding guide than the developer, which raised secure coding compliance rate and achieved project objectives faster. Further implications were discussed.

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Differences in Environmental Tobacco Smoke Exposure between Self-reporting and Cotinine Test: The Application of Biomarkers (자가응답과 코티닌 측정에 의한 간접흡연 노출률 비교: 생체지표 활용의 정책적 필요성)

  • Park, Myung-Bae;Sim, Boram
    • Health Policy and Management
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    • v.30 no.4
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    • pp.505-512
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    • 2020
  • Background: In monitoring exposure to environmental smoke (ETS), biomarkers can overcome the subjectivity and inaccuracy of self-reporting measurements, and have the advantage of reflecting ETS exposure in all places. This study aims to evaluate the effectiveness of ETS exposure measurement using biomarkers such as urine cotinine. Methods: This study used the Korea National Health and Nutrition Survey data from 2009 to 2018. A total of 28,574 non-smokers with urine cotinine data were selected for the study. The cotinine concentration and ETS exposure rate using urine cotinine was estimated and then compared with the self-reporting measurements. The degree of agreement among measurements of ETS exposure was confirmed. Results: As a result of measuring ETS exposure with urine cotinine, 23,594 (83.8%) out of 28,574 subjects were classified as to exposure groups. This estimate differs significantly from measurements made by self-reporting. In addition, the average concentration of cotinine in non-smokers has decreased to a 10th level over the past 10 years. Based on the biomarker, the sensitivity of the self-reporting was 8.5%-29.0%, the specificity was 16.4%-19.5%, and the kappa value was 2.0%-5.8%. Conclusion: The findings of our study show that self-reporting measurement does not well reflect the extent to which non-smoker's exposure to smoking materials. Whereas cotinine concentration has decreased significantly over the past 10 years, the ETS exposure rate has not reduced. It strongly suggests the need for intervention in the group of non-smokers exposed to low concentrations of smoke. Therefore, an assessment using biomarkers such as cotinine-based measurement should be made in the Health Plan 2030.