• Title/Summary/Keyword: 지불

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Impacts of DRG Payment System on Behavior of Medical Insurance Claimants (DRG 지불제도 도입에 따른 의료보험청구 행태 변화)

  • Kang, Gil-Won;Park, Hyoung-Keun;Kim, Chang-Yup;Kim, Yong-Ik;Ha, Beom-Man
    • Journal of Preventive Medicine and Public Health
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    • v.33 no.4
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    • pp.393-401
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    • 2000
  • Objectives : To evaluate the impacts of the DRG payment system on the behavior of medical insurance claimants. Specifically, we evaluated the case-mix index, the numbers of diagnosis and procedure codes utilized, and the corresponding rate of diagnosis codes before, during and after implementation of the DRG payment system. Methods : In order to evaluate the case-mix index, the number of diagnosis and procedure codes utilized, we used medical insurance claim data from all medical facilities that participated in the DRG-based Prospective Payment Demonstration Program. This medical insurance claim data consisted of both pre-demonstration program data (fee-for-service, from November, 1998 to January, 1999) and post-demonstration program data (DRG-based Prospective Payment, from February, 1999 to April, 1999). And in order to evaluate the corresponding rate of diagnosis codes utilized, we reviewed 820 medical records from 20 medical institutes that were selected by random sampling methods. Results : The case-mix index rate decreased after the DRG-based Prospective Payment Demonstration Program was introduced. The average numbers of different claim diagnosis codes used decreased (new DRGs from 2.22 to 1.24, and previous DRGs from 1.69 to 1.21), as did the average number of claim procedure codes used (new DRGs from 3.02 to 2.16, and previous DRGs from 2.97 to 2.43). With respect to the time of participation in the program, the change in number of claim procedure codes was significant, but the change in number of claim diagnosis codes was not. The corresponding rate of claim diagnosis codes increased (from 57.5% to 82.6%), as did the exclusion rate of claim diagnosis codes (from 16.5% to 25.1%). Conclusions : After the implementation of the DRG payment system, the corresponding rate of insurance claim codes and the corresponding exclusion rate of claim diagnosis codes both increased, because the inducement system for entering the codes for claim review was changed.

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Women's Willingness to Pay for Cancer Screening (여성의 암 검진에 대한 지불의사)

  • Kwak, Min-Son;Sung, Na-Young;Yang, Jeong-Hee;Park, Eun-Cheol;Choi, Kui-Son
    • Journal of Preventive Medicine and Public Health
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    • v.39 no.4
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    • pp.331-338
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    • 2006
  • Objectives: The goal of this study is to measure women's willingness to pay for cancer screening and to identify those factors associated with this willingness to pay. Methods: A population-based telephone survey was performed on 1,562 women (aged 30 years or over) for 2 weeks (9-23th, July, 2004). Data about sociodemographic characteristics, health behaviors, the intention of the cancer screenings and willingness to pay for cancer screening were collected. 1,400 respondents were included in the analysis. The women's willingness to pay for cancer screening and the factors associated with this willingness to pay were evaluated. Results: The results show that 76% of all respondents have a willingness to pay for cancer screening. Among those who are willing to pay, the average and median amount of money for which the respondents are willing to pay are 126,636 (s.d.: 58,414) and 120,000 won, respectively. As the status of education & the income are higher, the average amount that women are willing to pay becomes much more. The amount of money women are willing to pay is the highest during the 'contemplation' stage. Being willing to payor not is associated with a change of behavior (transtheoretical model), the income, the concern about the cancer risk, the family cancer history, the marital status, the general health exam, age and the place of residence. Income is associated with a greater willingness to pay. Old age was associated with a lower willingness to pay. Conclusions: According to the two-part model, income and TTM are the most important variables associated with the willingness to pay for cancer screening. The cancer screening participation rate is low compared with the willingness to pay for cancer screening. It is thought that we have to consider the participants' behavior that's associated with cancer screening and their willingness to pay in order to organize and manage cancer screening program.

An Empirical Study on the Different Interindustrial Pricing Strategies of Internet Retailers (인터넷 소매상 가격 전략의 산업 의존성에 관한 실증연구)

  • 홍정유;김주성;남순해;이수정;고석하
    • Journal of Information Technology Application
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    • v.3 no.3
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    • pp.41-69
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    • 2001
  • This paper compares the price strategies of Korean internet retailers against those of Korean traditional retailers in regard to books, CD\\`s, cosmetics, softwares, PC and peripherals, and electronic home appliances. The data shows that the average prices of books, CD\\`s, and cosmetics are cheaper in the internet market than in the traditional market when there is a large purchase. However, when there is a small purchase, the average prices of books and CD\\`s are more expensive in the internet market than in the traditional market. In other cases, the difference of the average prices in the two markets was negligible. When there is a large purchase, the dispersion of prices of books is smaller in the internee market than in the traditional market. In other cases, the dispersion of prices is smaller in the internet market than in the traditional market, but the difference was negligible to be statistically significant. The findings imply that internet retailers generally pursue a specialization strategy against traditional retailers by factors other than prices. Internee retailers seem to pursue price competition against traditional retailers only for large purchases in some cheap commodity industries. It is also found that the internet shopping-malls managed or owned by existing traditional retailers or manufactures are rare and are operated dependently on existing distribution channels. The findings also imply that the Internet market begins to be established only in some cheap commodity industries and the Internet market has yet to be generally established in Korea.

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Nursing in Korea (한국의 간호)

  • Hong Shin Young
    • The Korean Nurse
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    • v.23 no.3 s.126
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    • pp.7-21
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    • 1984
  • 한국간호 I. 간호행정제도 및 법규의 변천 1. 간호행정기구 한국의 의료행정은 현대의학의 도입과 더불어 1894년 6월 내부에 위생국을 둔다는 규정이 발표됨으로서 시작되었고 1901년 관제개편에 따라 위생국에 보건과와 의무과가 설치되었다. 그 후 1945년 12월 보건후생부 간호사업국내에 보건간호과 기관간호과 조산 간호과가 설치되었고 각 도에는 간호 사업계가 설치되었다. 1948년부터는 보건사회부 의정국내의 조산간호과가 간호 사업과로 개편되었다. 그후 1970년 간호사업과가 간호사업담당관제로 개편되었으며 1981년부터는 간호사업담당관제도 폐지되어 보건국의 가족보건과나 의정국 지역의료과에서 한 명의 간호원이 참여하는 정도로 간호행정기구가 점차 축소되었다. 2. 간호법규 1)면허 1962년 개정된 의료법에 의하여 간호원의 면허는 문교부장관이 인가한 간호교육기관 졸업자중 간호원 국가시험 합격자로 규정하였다. 조산원의 경우는 1914년 처음으로 조산원 면허등록을 시작하였으며 현재는 간호원 면허를 받은 자로서 보건사회부장관이 지정하는 교육병원에서 1년의 정규 교육과정을 필한자로 그 자격을 명시하고 있다. 2) 자격시험 자격시험은 1916년부터 실시되었으며 1920년 이후는 각 도에서 관할 실시하였다. 그 후 1962년부터는 보건사회부장관의 주도하에 국가시험을 시행하였으며 현재는 국립 보건원에서 간호원을 포함한 의료업자의 국가 시험을 주관하고 있다. 3)간호수가 간호원 조산원에 관한 간호수가 관계 규칙은 1911년에 발표된 것으로 간호원의 경우 출장 시에 출장비와 간호료를 환자가 지불하도록 하는 것이었다. 1925년 5월까지는 각 지역별로 간호수가에 차이가 있었으나 동년 6월부터 수가규정이 전국적으로 통일되었다. 그 후 1953년부터는 국공립병원 간호원들에게도 다른 일반 공직자와 같이 직급을 보함으로서 간호직에 대한 보수가 통일되었으며 1971년부터는 간호직 수당이 제정되었다. II. 간호사업의 분야별 발전 1. 임상간호제도의 발전 1)초기의 임상간호 한국에 서양의학을 기초로 설립된 최초의 병원은 1885년 의사 Allen에 의한 왕립병원이다. 그 후 정부에 의하여 1894년 군부병원이 설립되었고, 1899년 내부병원이 1904년에 적십자 병원이 설립되었다. 당시에 이루어진 현대간호는 일본인 간호원들에 의해 전해진 일본식 간호와 선교사 간호원들에 의해 전해진 서구식 간호방식이 있었는데 이 두 간호방법은 문화적 배경이나 사회적 인습에 의한 많은 차이점을 볼 수 있었다. 2) 일제하의 임상간호 이 당시에 이루어진 일본식 간호방법을 보면 간호원들의 주업무가 환자를 위한 간호보다도 의사 보조에 더 치중한 것을 볼 수 있다. 한편 선교계 병원에서는 입원환자에 대해서는 간호원들이 전인간호를 실시하였으며 병원당국과 의사들의 협조로 많은 간호사업의 발전을 가져올수 있었다. 3) 광복 이후의 임상간호 6.25 동란 후 한국에는 병원이 계속 늘어나 현재 20Bed 이상의 전국의 병원수가 431개소이고 이중 80Bed 이상의 종합병원이 148개소나 된다. 각 병원의 간호사업은 간호사업과 또는 간호사업부의 행정체제로 운영되고 있으며 최근에는 간호과정(Nursing Process)의 개념을 도입하여 문제중심 간호기록인 POMR(Problem Oriented Medical Record) 방법을 시도하고 있다. 또한 면허간호원은 매년 중앙회에서 실시하는 보수교육을 10시간 이상 받고 있다.

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Mediating Roles of Perceived Money Importance and Gratitude in the Effects of Social Support on Pleasure in Spending for Other-gift (사회적 지원과 돈의 중요성 및 고마움, 그리고 선물구매에서 지불의 기쁨)

  • Choi, Nak-Hwan
    • Journal of Distribution Science
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    • v.14 no.4
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    • pp.111-116
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    • 2016
  • Purpose - A lot of preceeding studies have focused on the pains that might be felt in spending money, that is an important role in getting psychological safety. Money and social resources can be all for consumers, and they are likely to form a substituting relationship with one another. Being motivated by the idea that spending money for others can come with joy if one's objective is accomplished by social support, this paper aimed to explore the mediating role of the perceived money importance and gratitude in the relationship between social support and pleasure in spending for other-gift. Research Design, Data, and Methodology - In this empirical study, the experimental group is expected to receive social support while the control group is composed of those who are usually indulged in reminiscences of their sweethearts. From the college students, 160 experiment participants were selected and 80 participants of them were assigned to control group as well as to experimental group respectively at random. Empirical study for each of the two groups was performed respectively by means of questionnaire survey. Experimental group data and control group data were combined together to be used for testing hypotheses. Linear structural equation model in Amos was used to verify the hypotheses, and Bootstrap was also used to examine whether there were the mediating roles of the perceived money importance and gratitude or not. Results - From the empirical study, following conclusions could be drawn: First, social support of others makes one perceive the importance of money less; Second, social support of others makes one perceive gratitude to others; Third, less perceived importance of money and gratitude to others can make one feel pleasure in spending for other-gift; and Fourth, less perceived importance of money and gratitude to others can partially mediate the effect of social support from others on the pleasure in spending for other-gift. Conclusions - The outcomes of this study might offer theoretic and managerial implications as follow: Even though many hitherto studies have asserted that spending money usually comes with pains, this study discovered that social support might reduce perceived the importance of money but make others feel gratitude and, thus, one would feel joy in spending money to buy gift for others, and made a contribution to the progress of the theory of pleasure in spending for other-gift. This paper also made contributions toward the development of emotion marketing theory by showing that the effect of social support on the pleasure in spending for other-gift could be partially mediated by the perceived the importance of money and gratitude to others. Based on the above conclusions, it may be affirmed that marketers should help consumers perceive the importance of money less, and help feel gratitude to others by pointing up the support of others to consumers in an attempt to accelerate spending for other-gift.

The Adoption of a Greenway System for Enhancing the of Open Space in Urban Areas : The Case of City of Taegu (도시자연녹지(都市自然綠地)의 이용실태(利用實態)와 효율적(效率的) 활용방안(活用方案)을 위한 Greenway 시스템 도입(導入)에 관한 연구(硏究) : 대구광역시(大邱廣域市)를 중심(中心)으로)

  • Lee, Ju-Hee;Han, Sang-Yoel;Kim, Bum-Su;Suh, Eung-Chul
    • Journal of Korean Society of Forest Science
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    • v.89 no.5
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    • pp.576-584
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    • 2000
  • The term 'greenways' is a fairly new one. The term greenways refer to linear corridors which set aside pieces of nature. The objective of this study was to find out the feasibility of developing greenways in Taegu. Sample of 446 trail users were asked to describe their use patterns and as well as their perceptions of the benefits and problems associated with trails through on-site interviews conducted during the months of July and August of 1999. Trail users in Taegu were predominately male(61%) and over half of the respondents used private vehicle to access to the study areas as compared to 2% of respondents used bicycle. Trail users responded that health & fitness and open space preservation were the two most important benefits, and the provision of trail access to disabled persons was ranked last. As problems at study areas, lack of interpretive information was the biggest problem followed by lack of drinking water, poor trail marking/signs and not enough information. Most(94.1%) of the trail users surveyed indicated that they would support greenways development and 96.8% of respondent would use after greenways development. Willingness to pay for developing greenways was assessed with hypothetical scenario. Average willingness to pay in the survey was 10,200 won as a tax. The development/application of greenways in Taegu would work best when establish a network of trails with environmentally sensitive manner.

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Enjoyment Methods of Traditional Theater Performances in the Early 20th Century (20세기초 극장무대 전통공연물의 향유방식)

  • Jeong, Choong-Kwon
    • Journal of Korean Classical Literature and Education
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    • no.38
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    • pp.103-138
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    • 2018
  • This study examines the modern succession, transformation and significance of enjoyment methods of classical literature (art) with a focus on the characteristics of those methods that appeared when the performances of the traditional era began to be displayed on the stage of the theaters in modern Seoul. The clues to the reasons for this type of enjoyment can be found in newspapers, magazine articles, and advertisements from the early 20th century. The emergence of stage theaters at the beginning of the modern era caused a sweeping change in the performance environment, including the fact that it was possible for all kinds of people to enjoy art beyond the existing socioeconomic hierarchies or barriers of status, that the performers were given employment through the theater, and that the audience had the tendency of the general public of an unspecified number because the audience was able to see the performances only by paying the viewing fee. The way of enjoying traditional performances also changed based on these new adaptations: the performances were sequential, show-oriented, and re-contextualized as public performances. It is significant that in the traditional era, performers and audiences had been segregated according to their status and a strict hierarchy; now, such cultural norms were breaking down in favor of a kind of equality. In addition, it was possible for the audience to experience sensory enjoyment, and theater brought about a new kind of popular consumer enjoyment of an artistic product. Of course, though, it is possible to look back and find problems related to the contemporary context, but the traditional performances, which were the main performances for the lower class, took the first place on the modern theater stage, and as a result, no one can deny that it became possible to move forward in the first phase of an era of public performance.

Water supply shortage cost estimation for drought impact assessmen (가뭄 영향평가를 위한 생·공용수 공급지장비용 추정기법)

  • Lee, Jeong Ju;Shin, Hyun Sun;Kim, Mihyun;Chun, Gun Il
    • Proceedings of the Korea Water Resources Association Conference
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    • 2017.05a
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    • pp.55-55
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    • 2017
  • 가뭄은 국민생활 및 경제 등에 막대한 손실을 초래하며, 지역사회 공동체나 사회기능에 심각한 영향을 끼칠 수 있는 재해이다. 가뭄피해 최소화를 위해서는 단기대응, 복구지원 등의 사후대책에서 사전대비 및 예방으로의 정책 전환이 필요하며, 이러한 정책 수립을 뒷받침하기 위해서는 가뭄에 따른 정량적인 피해영향 평가가 우선적으로 필요하다. 하지만 가뭄 피해의 범위 및 형태는 워낙 광범위하기 때문에, 피해추정을 위한 잣대라 할 수 있는 영향평가 기법조차 제대로 정립되지 못하고 있는 실정이다. 국내에서는 분야별(기상, 농업, 수문)로 지수화 된 지표를 이용한 가뭄 평가가 주로 수행되고 있으며, 경제적 영향평가는 방법론에 대한 시범 연구 수준이다. 가뭄기록조사 등 과거 가뭄피해 자료에서도 피해액의 금액환산이 되지 않은 사례가 대부분이며 급수차지원, 관정개발 등 사후복구비 위주의 일부 자료만이 피해금액으로 제시되어 있을 뿐이다. 댐, 저수지 등에 의한 용수공급 안정성으로 인해, 기상학적인 가뭄이 즉시 물부족으로 인한 피해로 이어지지는 않지만, 물부족이 발생하거나 부족량이 예측되는 상황에서 피해규모를 시스템적으로 추정 및 비교할 수 있는 기법 개발의 필요성에 의해 잠재피해액 개념의 공급지장비용 추정기법을 개발하였다. 공급지장비용 또는 편익 도출을 위한 이론적 배경으로, 경제적 가치 또는 파급효과를 분석하기 위한 방법은 경제학적 접근법과 비경제학적 접근법으로 구분된다. 경제학적 접근법에서 사용하는 진술선호 기법의 경우 전국을 대상으로 설문 등의 과정을 거쳐 지불의사액을 도출하는 과정이 필요하기 때문에 많은 조사비용이 소요된다. 비경제학적 또는 공학적 접근법으로 분류되는 대체비용법은 이론적 배경이 약하고 대체항목의 선택에 주의가 필요하다는 단점이 있으나, 물가자료, 산업통계, 수자원통계 등 기초자료의 주기적 업데이트가 유리하며, 정신적 피해를 제외할 경우 피해비용 추정결과의 편차가 진술선호기법 보다는 작은 장점이 있다. 본 연구에서는 피해비용의 과대추정에 유의하여 대체비용법에 기반한 일본 후생노동성의 감 단수피해추정기법을 우리나라 자료에 맞게 수정하여 공급지장비용을 추정하였으며, 경제학적 접근법에 의한 용수의 한계가치비용 등과 비교를 통해 적용성을 검토하였다.

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Research on the influence of union-pay M-payment quality and brand personality on user viscosity

  • Liu, Zi-Yang;Wang, Jun-Lin;Liu, Jiayu;Liu, Xiao-yin;Liao, Kai
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.4
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    • pp.157-163
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    • 2020
  • The purpose of this study is to explore the impact of Union-Pay mobile payments on user viscosity from the perspective of service quality and brand personality. In the future, it is meaningful for CUP to obtain a stable and loyal user group in China's mobile payment market. This study uses SPSS22.0 and AMOS statistical analysis tools to conduct empirical research. In this case, this study uses mobile service quality and The brand personality is the independent variable, and the user's viscosity is the dependent variable, which studies the impact on the user's viscosity in the context of China Union-Pay mobile payment. the study. According to the analysis results, the research goal: service quality has a significant positive correlation effect on user perceived value; service quality has a significant positive correlation effect on user viscosity; perceived value has significant positive correlation effect on user viscosity; brand personality to user Viscosity has a significant positive correlation effect; brand personality has a significant positive correlation effect on user perceived value. Through this research, we can make Suggestions on the industrial development of mobile payment enterprises and provide better opinions on the development of mobile payment.

YouTube Users' Awareness of Online Advertisements and Advertising Regulation Plan (유튜브 이용자들의 온라인광고에 대한 인식 및 광고규제 방안)

  • Kim, Sora
    • The Journal of the Korea Contents Association
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    • v.21 no.9
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    • pp.528-542
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    • 2021
  • This study aims to examine the attitudes toward online advertisement targeting YouTube content users and to present implications for the direction and regulation of personal media broadcasting advertisement. The study used the data from 'Awareness of On-line Ads and Blocking Tools' conducted by the Korea Press Foundation in 2020. For the statistical analysis, correspondent analysis was employed. The main results followed as: women tended to perceive more discomfort about the ads before the start of the content compared to men, and women in twenties perceived the highest discomfort with intermediate advertisement. Second, respondents who watch more YouTube contents tended to accept more ads to use contents for free. Third, respondents who are willing to use the advertisement blocking service were most aware of the inconvenience of advertisements before starting of YouTube contents. Although users are aware of the inconvenience, the use of advertisement blocking service has not yet been found to be generalized. However, the use of ad blocking service is expected to increase gradually. It would be expected that efforts to regulate advertisement to reduce discomfort about advertisement among users are also required.