• Journal of Preventive Medicine and Public Health
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• 제31권4호
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• pp.814-827
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• 1998

In this study we analyzed the insurance claims data to investigate the medical care utilization pattern of tuberculosis patients in private sector. We selected the claims of principal or secondary diagnosis with tuberculosis from claims database of National federation of Medical Insurance, from December 1995 to November 1996. Both spell-based analysis and person-based analysis were carried out. In spell-based analysis, type and location of treatment facilities, distribution of diagnoses, number of outpatient/inpatient treatments were analyzed. Additionally in person-based analysis, number of tuberculosis patients, demographic characteristics, number of treatments per person, frequency and pattern of change in source of care were analyzed. The results were as follows 1. The number of treatments with tuberculosis was 863,641 from 1 December 1995 to 30 November 1996. The number of patients was 313.964. 2. Most of tuberculosis patients in private sector were treated in general hospital (45.8%) and clinics(42.2%) 3. About 77.7% of tuberculosis patients who were treated more than two times did not change the source of care. 18,9% of tuberculosis patients changed source of care only once. Even when we limited tuberculosis patient to those who were treated more than five times and whose treatment period were longer than six months, 94.7% of patients did not change source of care at all, or changed treatment facility only once. 4. The probability of change in source of rare was higher in pulmonary tuberculosis, in twenties, and in rural area respectively than other tuberculosis. In conclusion, healer shopping of tuberculosis patients was not serious as expected. However special attention is needed to pulmonary tuberculosis in twenties and rural area.

• 디지털융복합연구
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• 제10권8호
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• pp.91-96
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• 2012

본 연구의 목적은 공공서비스의 한 분야인 별정우체국의 원가산정 방법론에 대하여 고찰해 보고자 하는 것이다. 본 논문은 이러한 산정방법을 어떻게 적용할 것인가에 대한 방향을 설정하고자 하였다. 왜냐하면 이러한 기간산업을 육성하고 합리적인 방향으로 이끌어 가는데 있어서 올바른 원가산정은 매우 중요하기 때문이다. 바람직한 원가산정 방법으로는 별정우체국 1국마다 평당 임차료를 산정해서 별정우체국의 전체 임차료를 산정하고 별정우체국의 위치에 따라서 기준경비율, 표준감가상각비를 이용하여 인원별, 면적별 등으로 단위당 원가를 산정하여 총원가를 산정한 다음 이를 서비스별로 배분하면 적절한 원가가 산정될 것으로 판단된다.

• 대한공간정보학회지
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• 제23권2호
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• pp.69-77
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• 2015

우리나라 대피시설의 종류는 재난유형별 대피계획에 따라 구분된다. 자연재난 대피의 경우, 시 군 구별로 수립되는 '안전관리계획'에 대피소의 입지 및 대피에 관한 사항이 포함된다. 그러나 인구수용이 용이하고 구조상 안전한 건축물을 지정하도록 되어 있을 뿐 대피소의 입지나 규모 등에 대한 정량적 기준은 마련되어 있지 않다. 따라서 현실적인 대피계획 수립을 위해서는 자연재난 대피소의 분포 및 대피면적에 대한 현황 분석이 우선시 되어야 한다. 도로경사 등 지형요소와 연령별 신체능력의 차이는 도보 대피 시 신속한 대피경로 분석을 위한 주요 요인이다. 이에 본 연구에서는 지형요소와 연령별 보행속도 차이를 고려한 3차원 기반의 최적 대피경로 산정방법을 제시하고, 서울시를 대상으로 기준 대피시간(7.5, 15, 30분)별 대피소 커버권역의 지역적 차이 분석을 통해 자연재난 대피소의 입지 문제점과 정책적 시사점을 도출하고자 한다. 주요 분석결과를 요약하면 다음과 같다. 첫째, 서울시 인구 1인당 평균대피면적은 $0.45m^2$로 분석되었다. 이는 최소 대피면적을 $1m^2$로 가정했을 때 서울시 전체 인구의 45%만 수용 가능하다는 것을 의미한다. 둘째, 기준 대피시간 7.5분 이내에 대피 가능한 인구비율은 서울시 전체 인구의 33%에 불과하였다. 셋째, 5~9세 어린이나 65세 이상 노인의 대피가능 인구비율은 15~49세 기준 보행속도 그룹에 비해 현저히 낮아짐을 알 수 있었다.

• 해양환경안전학회지
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• 제19권5호
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• pp.417-429
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• 2013

본 연구는 금강 하구 관리에 대한 합리적 결론을 도출하기 위하여 하구의 환경가치를 추정하였다. 추정 방법은 하구의 세부적인 속성을 평가하기 위하여 다속성 효용이론에 근거한 조건부 가치측정법을 적용하였다. 또한 하구 인근지역(전북, 충남) 400가구와 전국 13개 광역지자체(전북, 충남, 제주도 제외)지역 600가구를 무작위로 추출하여 일대일 개별면접을 통해 금강 하구 관리방안에 대해 얼마나 지불할 의사가 있는지를 조사하였다. 응답자들은 전반적으로 조건부 시장을 잘 받아들였으며, 가구당 연 평균 지불의사액은 금강하구 인근지역의 경우 1,497원, 전국 13개 광역지자체 지역의 경우 4,343원으로 분석되어 지역에 따라 큰 차이가 났다. 이 값을 해당 지역의 모집단으로 확장한 결과, 각각 연간 21.3억 원 및 701.5억 원이었다. 이러한 정량적인 값은 금강 하구관리 정책에 대한 합리적인 의사결정에 유용한 자료로 활용될 수 있을 것이다.

• 환경정책연구
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• 제6권2호
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• pp.1-25
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• 2007

본 논문에서는 비교적 잘 보존되어 있지만 개발의 위협에 직면해 있는 섬진강 하구의 환경가치를 추정하고자 한다. 특히 하구의 4가지 속성에 대한 가치를 도출하기 위해 다속성 효용이론에 근거한 조건부 가치측정법(CVM)을 적용하되, CVM 연구에서 지켜야 할 다양한 지침을 엄격하게 준수하면서 가구조사를 시행하였다. 구체적으로 하구 인근지역(광양, 순천, 여수, 하동, 남해) 300가구와 7개 대도시 지역(서울, 부산, 인천, 대구, 대전, 광주, 울산) 350 가구를 무작위로 추출하여 일대일 개별면접을 통해 섬진강 하구 관리방안에 대해 얼마나 지불할 의사가 있는지를 물었다. 응답자들은 전반적으로 조건부 시장을 잘 받아들였으며, 가구당 연 평균 지불의사액은 하구 인근지역의 경우 5,763원, 7개 대도시 지역의 경우 1,883원으로 분석되어 지역에 따라 큰 차이가 났다. 이 값을 해당 지역의 모집단으로 확장하였더니, 각각 연간 15.2억 원 및 140.5억 원이었다. 이 값은 하구의 보존 대 개발과 관련된 계획 수립 및 의사결정에 있어서 중요한 정량적 정보로 활용될 수 있을 것이다.

• 한국주거학회논문집
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• 제15권6호
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• pp.99-106
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• 2004

The purpose of the study is to propose architectural design standards of the cafeteria planning in educational facilities. In the spatial organization planning, the preferred location of the cafeteria is on the first floor and the types of the floor plan are followed by the forms and space structure of the school building. The area of the cafeteria is related to the size of seating area per person. The direction must sublate northern faced. In interior moving lines for service, the arrange of dining tables has to reflect distance of dining tables or location of pillars. The dining space should better have more than two entrances in terms of occupancy type and convenience. Thus the serving line has to be planed thoughtfully by various factors to avoid confusion caused in serving process. In multipurpose use of the cafeteria, it is feasible when hygiene and management is considered.

• Journal of Preventive Medicine and Public Health
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• 제19권1호
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• pp.137-145
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• 1986

A Nationwide health care utilization survey was conducted from March 11 to September 19, 1985 to assess the level of illness and the magnitude of medical care utilization. A probability sample of 15,427 persons was taken from 180 Enumerated Districts designated by the Economic Planning Board. Of those 4,500 housewives were proxy respondents. A interview was conducted with pre-tested questionnaire schedule which was recorded by well trained interviewers. Age and sex compositions of the study population were similar to those of general population structure in 1985. The major findings of this survey are as follows : 1) A total of 64.5% of the study population lived in city area and 35.5% lived in county area. 2) While no difference was observed in interview rate between city and county area, it showed statistically significant difference in the medical security program coverage rate between the two areas(44.7% and 37.1%, respectively) 3) Morbidity rate was 79 per 1,000 persons during the two week periods. There was difference in age and sex adjusted morbidity rates between city and county area. Furthermore morbidity rates by the status of the program were significantly difference between the two areas. 4) Average ambulatory care utilization rate was 7.2 visits per person per year and average admission rate was 1.8 per 100 persons per year. There was significant difference in average ambulatory care utilization rate by the program. but no significant difference in medical utilization rate between city and country area. 5) The major symptoms of the perceived illness was the respiratory system(44.1%). 6) A total of 50.4% of the perceived illness among the covered group by the program were treated at the hospital and clinics, but those who are not covered used primarily drug stores(61.3%).

• Ocean and Polar Research
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• 제30권2호
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• pp.141-148
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• 2008

This paper aims at estimating consumer surplus for recreational sea fishing in Tongyeong coastal area using individual travel cost method. A Poisson model (PM), a negative binomial model (NBM), a truncated Poisson model (TPM), and a truncated negative binomial model (TNBM) are applied for individual travel cost method in order to account characteristics of count data (non-negative discrete data.) The survey was conducted for 462 inshore anglers using personal interview method in Tongyeong during July and October 2007. Respondents were asked about how often they do fishing, travel costs, catch, income, and so on. Because of over-dispersion problem in PM and TPM, NBM and TNBM were considered to be more appropriate statistically. All parameters estimated are statistically significant and theoretically valid. As the results based on TNBM, consumer surplus per trip was estimated to be 183,486 won, total consumer surplus per person and per year 3,399,658 won, and the marginal effect of consumer surplus on % changes in catch rate is 185,372 won.

• 한국실내디자인학회:학술대회논문집
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• 한국실내디자인학회 2005년도 추계학술발표대회 논문집
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• pp.187-190
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• 2005

The purpose of this study was to investigate using behavior and spatial composition of activity room in skilled nursing facilities for the elderly and to provide basic information about its space planning. The design guidelines for activity room were as follows. First, the plan of activity room is based on the use of once to twice per week and for 30 minutes per use, and is mainly for the human knowledge and art programs. Second, all cases of the same and different floor of the individual room could be considered as its location. Third, the area is recommended at least more than 6 square meters per person including participating elderly, staff, furniture, equipments and restroom. Fourth, the furniture of activity room include the shelves, table for at least 8 persons with enough knee space, wheel, and stack chairs. Toilets and water closet should be arranged for the emergency, and the windows to the hall and curtain door need to be avoided for soundproofs and easy accessibility of wheelchair users.

• 보건행정학회지
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• 제2권2호
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• pp.221-237
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• 1992

The reasons for cost inflation in medical insurance expenditure are classified into demand pull inflation and cost push inflation. The former includes increase in the number of beneficiaries and utilization rate, while the latter includes increase in medical insurance fee and the charges per case. This study was conducted to analyze sources of increases of expenditure in medical insurance demonstration area by the period of 1982-1987 which was earlier than national health insurance and the period of national health insurance(1988-1990). The major findings were as follows: Medical expenditure in these areas increased by 9.4%(15.1%) annually between 1982 and 1990 on the basis of costant price(current price) and for this period, the yearly average increasing rate of expenses for outpatient care[10.5%(15.8%)] was higher than that of inpatient care [7.3%(12.6%)]. Medical expenditure increased by 6.3%(8.9%) annually between 1982 and 1987, the period of medical insurance demonstration, while it increased by 10.7%(18.9%) after implementing national health insurance(1988-1990). Medical expenditure increased by 35.9%(45.9%) between 1982 and 1987. Of this increase, 115.2%(92.1%) was attributable to the increase in the frequencies of utilization per beneficiary and 61.0%(68.1%) was due to the increase in the charges per case, but the expenditure decreased by 76.2%(60.2%) due to the reduction in the number of beneficiaries. Beteen 1988 and 1990, the period of national health insurance, medical expenditure increased by 21.2%(41.4%). Of this increase, 87.5%(46.4%) was attributable to the increase in the frequencies of utilization per beneficiary and 52.4%(73.4%) was due to the increase in the charges per case, and of the increase in the charges per case, 69.6%(40.8%) was attributable to the increase in the days of visit per case. Medical expenses per person in these areas increased by 78.2%(89.0%) between 1982 and 1987. Of this increase, 76.6%(69.1%) was attributable to the increase in the frequencies of utilization per beneficiary and 23.4%(30.9%) was due to the increase in the charges per case. For this period, demand-pull factor was the major cause of the increase in medical expenses and the expenses per treatment day was the major attributable factor in cost-push inflation. Betwee 1988 and 1990, medical expenditure per person increased by 31.2%(53.1%). Of this increase, 60.8%(37.2%) was attributable to the demand-pull factor and 39.2%(62.8%) was due to the increase in the charges per case which was one of cost-push factors. In current price, the attributalbe rate of the charges per case which was one of cost-push factors was higher than that of utilization rate in the period of national health insurance as compared to the period of medical insurance demonstration. In consideration of above findings, demand-pull factor led the increase in medical expenditure between 1982 and 1987, the period of medical insurance medel trial, but after implementing national health insurance, the attributable rate of cost-push factor was increasing gradually. Thus we may conclude that for medical cost containment, it is requested to examine the new reimbursement method to control cost-push factor and service-intensity factor.