• Title/Summary/Keyword: 자가보험

Search Result 92, Processing Time 0.025 seconds

Comparison of Health-related Quality of Life of Elderly Aged more than 65 Years according to the Insurance Type (의료보장유형에 따른 65세 이상 노인의 건강관련 삶의 질 비교 연구)

  • Hong, Ju-youn;Kim, Gha-Jung
    • The Journal of the Korea Contents Association
    • /
    • v.16 no.9
    • /
    • pp.225-235
    • /
    • 2016
  • In this study, we analyze the community health survey data for 3 years from 2011 to 2013 were analyzed for evaluation. This study attempts to comprehensively evaluate differences between elderly medical aid beneficiaries and elderly health insurance beneficiaries in terms of health-related quality of life, All of elderly medical aid beneficiaries who responded community health survey were included for study and elderly health insurance beneficiaries were randomly selected as a control group by matching gender, age and location. The findings show that the elderly medical aid beneficiaries can not receive sufficient health care services, even though they have pay a low socio-economic status, spouse or fewer households enemies and poorer health behavior and higher morbidity of chronic diseases than the elderly health insurance beneficiaries do. But elderly health insurance beneficiaries also showed that not enough care utilization is high morbidity of chronic diseases. These factors aggravate the medical aid beneficiaries' health-related quality of life This characteristic was analyzed to lower health-related quality of life of the elderly. Therefore, it is necessary to strive for the development of appropriate services and programs taking into account the characteristics of the elderly that may go though a limited resource and promote the quality of life for the elderly more effectively re-evaluation of social services systems and programs related to elderly.

Application of ASME Code Quality Assurance (ASME CODE 적용과 품질보증)

  • 이상연
    • Journal of Welding and Joining
    • /
    • v.13 no.1
    • /
    • pp.51-61
    • /
    • 1995
  • 품질보증 활동은 제품의 품질등급을 그 규격기준에 따라 규정하고, 발주자가 지정하는 품질의 제품을 실현하는 것이지만, 압력용기 등의 특정 제품에 대해서는 공적인 제3자가 기관에 의한 검사 인증제도가 요구되는 경우가 있다. 미국에서는 압력용기 등의 규격체계는 민간 Base의 ASME Code를 중심으로 하고, 운용에 있어서의 품질보증제도는 ASME Stamp에 의한 제작공장 인증과 적검사기관을 대행하는 보험회사와의 협조에 의한 개별제품인증이 행해진다. 소위 체제 지향의 품질 관리방식을 채택하고 있다. 미국 외의 구라파제국의 이와는 상대적으로 제품지향의 제품질관리를 하였다고 할 수가 있다. 그러나 87년에 제정되어 세계적으로 확산되고 있는 ISO-9000 시리즈는 미국식의 체제지향의 품질관리로서 양자간 접근방식이 대동소이하다. 그러므로 ASME Code의 품질관리에 대하여 그 본질과 구조 및 활동 내역 등을 고찰해 보는 것은 품질관리의 시대적 조류 파악에 도움이 될 것이다.

  • PDF

Factors Influencing the Retention intention of Home visiting nurses with Long-term care insurance system in Korea: Focusing on Professionalism, Job satisfaction and Resilience (노인장기요양보험 방문간호사의 재직의도에 영향을 미치는 요인 : 전문직업성, 직무만족도, 회복탄력성을 중심으로)

  • Yoo, Jae Soon;Kim, Je Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.20 no.12
    • /
    • pp.322-332
    • /
    • 2019
  • This is a descriptive research study that aims to identify the effects of professionalism, job satisfaction, and resilience on the retention intention of home visiting nurses from the long-term care insurance system of Korea. Data were collected from self-administered surveys completed by 141 home visiting nurses of registered visiting-nursing institutions in the long-term care insurance database (April 1-May 31, 2019). Analyses were independent t-tests, one-way analysis of variance (ANOVA), the Scheffé test, Pearson's correlation analysis using SPSS/WIN 22.0, and multiple hierarchical regression analyses. Results showed that the mean professionalism score was 3.51/5, 3.27/5 for job satisfaction, 3.79/5 for resilience, and 4.04/5 for retention intention. A positive correlation existed between retention intention and professionalism (r = .272), job satisfaction (r = .201), and resilience (r = .530). The final regression model showed that resilience (β = .455, p < .001) and job satisfaction (β = .175, p = .016) significantly affect retention intention. The variables' model explanation power was 32.0% (F = 11.968, p < .001). The results show the need for strategies to improve resilience, followed by strategies to improve job satisfaction to increase the retention intentions of these home visiting nurses.

The Study on the total direct cost of years of cerebrovascular disease (뇌혈관질환자의 년간 총직접비용에 대한 연구)

  • Yoo, In Sook
    • The Journal of the Convergence on Culture Technology
    • /
    • v.3 no.2
    • /
    • pp.21-30
    • /
    • 2017
  • This study investigated the total annual direct cost of cerebrovascular disease patients. For this study, 265 respondents who answered that they used more than one emergency, inpatient, and outpatient services for cerebrovascular disease during the year of 2012 among Korean medical panel investigators in 2012 were included. In general, patients with cerebrovascular disease responded to cerebrovascular disease among Korean medical panel respondents in 2012. Percentage of respondents using inpatient and outpatient services. Total direct cost was calculated. According to the results of the study, the per capita annual medical expenditure per person is about 561,934 won, 669,557 won for men and 448,696 won for women. In the case of health insurance subscribers, the per capita self burden due to cerebrovascular disease averaged 634,459 won and the medical benefit recipients 160,236 won. The average total direct cost of 265 people with cerebrovascular disease is about 162,165,690, 193,223,955 won for men and 129,486,685 for women. The total direct cost per person due to cerebrovascular disease was 183,095,125 won and the medical benefit recipient was 46,241,705 won. According to household income, the highest rate of 672,268 won in the third income group of the household income, and 108,970,650 won in the fifth income group, the lowest total direct cost of the patients with cerebrovascular disease.

Community care perceived by medical welfare service providers and residents dwelling in the community (보건의료복지 서비스제공자와 지역주민의 커뮤니티케어에 대한 인식)

  • Son, Miseon;Kim, Hyeongsu;Cho, Jonghee;Ko, Young;Kim, Miye
    • Journal of Convergence for Information Technology
    • /
    • v.10 no.6
    • /
    • pp.200-208
    • /
    • 2020
  • The purpose of this study was to investigate and compare health, medical and welfare service providers' and local residents' perception on community care. The participants were 68 service providers and 95 local residents. The data were analyzed using independent t-test and chi-square test. The results showed that the degree of agreement of service providers on the need for policy, and visiting services were higher. Service providers' ability to link local residents with a need for care to community resources was higher, but in the activation of self-help group in community, local residents agreed more. In add budget of policy to health insurance, local residents agreed less. In perception on priority for community care policy, high priorities were preparation of financial resources and care culture. To effectively operate community care policy, it is necessary to establish a care culture through active exchanges for reducing differences in policy and opinions of recipients.

Comparison of Clinical Outcomes in ACL Reconstruction using auto-Hamstring Tendon and allo-Tibialis Anterior Tendon (자가슬괵건 및 동종전경골건을 이용한 전방십자인대 재건술 후 임상적 결과의 비교)

  • Kim, Jae-Hwa;Lee, Yoon-Seok;Rhee, Seung-Yong;Chung, Ju-Hwan
    • Journal of the Korean Arthroscopy Society
    • /
    • v.11 no.2
    • /
    • pp.104-110
    • /
    • 2007
  • Purpose: The purpose of this study is comparison of clinical outcomes in ACL reconstruction between auto-hamstring tendon and allo-tibialis anterior tendon. Materials and Methods: In this prospective study, we included 60 subjects who underwent ACL reconstruction using 30 hamstring autograft(mainly, national health insurance) and 30 tibialis anterior allograft(including MVA and industrial injuries) between May 2003 and June 2005 by a single surgeon, with a minimum follow-up of 12 months. Outcome measurements were the range of motion, the Lachman test, the IKDC score, the Lysholm score, KT-1000 arthrometer and one-leg hop test. Results: For all the cases, the range of motion was above 135 degrees. The Lachman test, KT-1000 arthrometer and one-leg hop test showed no significant difference between two groups. The IKDC score of auto-hamstring group($87.840{\pm}2.106$) was significantly higher than that of allo-tibialis anterior group($85.273{\pm}2.782$). The Lysholm score of auto-hamstring group($88.067{\pm}2.586$) was also significantly higher than that of allo-tibialis anterior group($85.300{\pm}3.030$). Conclusion: The results of ACL reconstruction using the auto-hamstring tendon and allo-tibialis anterior tendon showed no significant difference in objective items but auto-hamstring group showed better results in subjective scoring. This difference may result from individual factors such as economic problem, secondary gain.

  • PDF

A Study on the Possibility of Ignition by Disposable Lighter (사례를 통한 화재사(火災死)의 이해)

  • Jae, J.J.;Lee, C.W.;Keon, H.S.;Son, J.B.;Lee, J.I.;Choi, D.M.
    • Journal of Korean Institute of Fire Investigation
    • /
    • v.10 no.1
    • /
    • pp.59-75
    • /
    • 2007
  • The causes of the fire casualties were the heat burns, contacted by flame, before the period of industrialization. According to the economic has been developed drastically since 1990, residing space has been become bigger and sophistication and interior finishing materials have been diversified. Therefore, the suffocation casualties, caused by inspiration of toxic combustion gases, have been more increased than the flame casualties in recently. Also, the arson casualties have been increasing with the increasing of insurance crime to take the Insurance money. According to National Emergency Management Agency announcement, 31,778 fires was occurred nationwide in 2006 and the total casualties were 2,180 occurred. 446 persons were died among them. Because the exact investigation of fire, occurred the death, is very especially important that civil and criminal cases will be happened. Therefore, we studied about the cause of fire, the place of origin, and the group of casualties age on the axies of fires, which were occurred recently. And the identification method of fire casualties, the human behavior characteristic, the flame casualties and the suffocation casualties at fire scene.

  • PDF

The Safe Port Warranty Undertaking for Shipowner by Time Charterer -Evidence from the Ocean Victory Case- (국제해운계약상 정기용선자의 선주에 대한 안전항담보의무에 관한 연구 -Ocean Victory호 사건을 중심으로-)

  • HAN, Nak-hyun;JOO, Se-hwan
    • The Journal of shipping and logistics
    • /
    • v.34 no.4
    • /
    • pp.583-613
    • /
    • 2018
  • This study analyse the safe port warranty undertaking for shipowner of time charterer with the Ocean Victory Case. Litigation ensued between those in the charterparty chain. When the hull insurer, Gard, took an assignment of the rights of the vessel's owners and demise charterers in a claim against the time charterers that the vessel had been ordered by them to an unsafe port in breach of the charter. Although the claim succeeded, the Court of Appeal overturned the decision. The Supreme Court delivered its judgment on May 10, 2017, dealing with three important issues, safe port, joint insurance, and limitation of liability. Especially on the safe port issue, the court held that the port was not unsafe within the meaning of the safe port undertaking so the charterers were not in breach of it. The conditions in the port amounted to an abnormal occurrence as that expression is understood.

The Effect of the Improvement of the Sales Regulation of General Medicine and Political Proposals (일반의약품 판매규제 완화효과와 정책제언)

  • Yeom, Min-Sun
    • Journal of Distribution Research
    • /
    • v.15 no.5
    • /
    • pp.237-255
    • /
    • 2010
  • The Korean Pharmacist Law has limited the sales of medicine to pharmacies. This has caused difficulty in purchasing medicine late at night or on holidays, which has limited the range of customers' selections and accelerated customers' discomfort, accordingly. Also, the rapid progress of aging has quickly boosted medical expenses for seniors, and has served as a factor that aggravates the budget of national medical insurance. Meanwhile, advanced countries, including the USA and Japan, have allowed the sales of general medicine, of which the safety and efficacy have been tested, in general retail stores such as convenience stores or super markets from the perspective of supporting self-medication. In particular, Japan, which has a strong tendency of pursuing safety in the world, diversified sales channels for general medicine in order to control quickly rising medical expenses. As a result, Japan has achieved the effect of easing various regulations as follows in the economic and social fields. First, the increasing distribution channels of general medicine from pharmacies to general retail stores provoked a potential demand, which also expanded related markets. Second, the competition between sales channels resulted in the reduction of the price of medicine. Third, the growing sales channels of medicine have extended the options of consumers and, subsequently, the convenience in the use of consumers has increased. Fourth, the creation of a competitive environment owing to the diversification of sales channels has accelerated an effort to enhance corporate competitiveness. Fifth, the foundation of enhancing the financial soundness of medical expenses has been prepared through the formation of a self-medication environment. In 2000, the Korean population aged 65 or over exceeded 7%, and it is anticipated to be over 14% by 2018; thus, the increase of national medical expenses will be sped up. As a way of being prepared for the era of aging, we, just as other advanced countries, need to create a self-treatment environment by diversifying the sellers of general medicine, and, thus, reduce spending on personal medical expenses, enhance the financial soundness of national medical insurance, and, further, promote the welfare of consumers.

  • PDF

Study of Extended Application of Workers' Compensation for Artists: Focus on Workers in Broadcasting and Performing Art (문화 예술인 산재적용확대의 보완에 관한 연구 -방송과 공연예술스텝을 중심으로)

  • Shim, Hee-Chul;Yang, Jeong-Ho;Kim, Hern-Sik
    • The Journal of the Korea Contents Association
    • /
    • v.14 no.3
    • /
    • pp.186-194
    • /
    • 2014
  • The purpose of this paper is to review the meaning of extended application of workers' compensation for artists. This study explains by giving specific two examples. The first case is about broadcasting extra who is permitted to receive compensation from Korea Workers' Compensation & Welfare Service without filing a suit. Whereas, The second case is about musical stage crew who is not permitted to obtain compensation for accident during work. The reason why he could not receive compensation is not because he is regarded as worker, but because he is regarded as individual businessman. Extended application of workers' compensation for artists could be a double-edged sword for workers through two cases. Firstly, Broadcasting extras could become much easier to receive workers' compensation according to precedent. Secondly, It is more difficult to get the workers' compensation by the reason of not applying for workers' compensation admission like the second case, even though the second case of forms of employment is similar to that of the first. In other words, New compensation development could generate another obstacles to enter compensation systems. Extended application of workers' compensation should be operated with covering artists' compensation case by case.