• 제목/요약/키워드: Association Fee

검색결과 261건 처리시간 0.024초

일 종합병원에서의 가정간호수가 체계 방안을 위한 일 연구 (A Study on the Establishment of a Fee System for Hospital based Home Nursing Care)

  • 김조자;조원정;최해선
    • 대한간호
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    • 제32권1호
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    • pp.61-76
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    • 1993
  • This study was done in order La provide basic data to a Fee System for hospital based Home Health Care services in Korea in the future. It was done by investigating activities provided to possible Home Health Care clients who could be discharged early from genera] hospitals and then estimating the nursing care fee according to each nursing activity based upon the time used for activity. The subjects of the study were selected by convenience sampling and consisted of 35 clients who might be clients for Home Nursing Care and were presently admitted to a medical- surgical ward of Y University Medical Center located in Seoul, Korea. The data collection period was from September 1, 1991 to September 30, 1991. The research in strum nets utilized for the study were a client selection criterial for Home Health Care developed by Choo(l991) and a check-list of nursing activity developed by researcher. The results of the study were as follows : 1. There were 44 different nursing activities provided in the seven days but the time was calculated for only 25 of the nursing activities. 2. Fees for the 25 different nursing activities were calculated by multipling the median of the average wage of a staff nurse having five years experience in an A grade general hospital to the Lime of the nursing activity. The results were compared with the insurance fee which the government recognized as an appropriate fee for that activity. The nursing activities with a lower calculated fee than the insurance fee were suction, catheterization, exercise education and dressing change. The nursing activities with a higher calculated fee than the government recognized fee were 1M injection and vital sign check. 3. There was a range of 1-15 nursing activities provided daily to the client. For the average number of nursing activities per day of 6.26 events the nursing care fee was calaulated at W 6136 per day. 4. Based upon the results of the study, a recommentdation for a Home Health Care fee per visit based on the nursing activities provided could be formulated for a Home Health Care fee system. It could be formulated as following: 1) Home health Care fee per visit $=[(direct{\;} nursing{\;}fee(direct{\;}nursing{\;}care{\;}time{\;}per{\;}activity{\;}{\times}{\;}average{\;}nursing{\;}wage)+indirect fee]{\times}average$ nursing activity per visit]+management fee+ materials fee+a travel fee In this way a nursing fee could be calculated based upon the result of the study of the nursing fees per visit. 2) Nursing activity fees per visit. = $([direct nursing{\;}care{\;}fee+indirect{\;}nursing{\;}fee]{\times}average$ number of nursing activities provided per visit] (W 6, 136) + travel fee(\ 5, 542) +management fee material $fee({\alpha})\{\;}16, 436+{\alpha}$ The nursing fee per visit as calculated in this research of $\{\;}15, 0000+{\alpha}$ could be adjusted according to the patient's condition or the use of high technology nursing care or according to the amount of time spent for travel. The nursing care fee per visit presented in this study can be validated through a Home Health Care demonstration project.

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병원관리에서 의료보험 입원진료비의 병원자체심사 결과의 분석 연구 - 일 대학병원의 퇴원전 심사를 중심으로 (Analytic Study of the Hospital Self Inspection Results with the Medical Insurance Inpatient Fee on the View-point of the Hospital Management. -based on the University hospital Pre-discharge inspection-)

  • 문선순
    • 대한간호
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    • 제32권5호
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    • pp.78-92
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    • 1994
  • The purposes of this study were to evaluate the results of the hospital self inspection with the medical insurance and to offer basic materials to the medical insurance inspection and the education of medical insurance. The study was undertaken with 4,730 cases among the total 13,810 medical insurance in patients from Jan. 1990 to Dec. 1990 at one university hospital in Pusan. The major contents of the inspection were the omission of diagnosis and medical fee, curtailment, application mistake, the rates of inclusion, subtraction and total accumulation. The data were collected using patients charts and bills. The results of the paper analysis were as follows. 1. From the pre-discharge hospital self inspection, major omission were treatment and material fee but medication fee were moderately high and high curtailment was operation fee. 2. Decreasing order of operation fee adjustment were digestive(22.4%) muscular(22%) and neuro system operation(21.4%). Majority of the medication fee adjustments were injection form of medication(95.7%). 50% of the treatment fee adjustments were composed of injection fee(27.9%) and dressing or post-operative dressing fee(22.3%). 74.7% of material costs were composed of oxygen(30.6%), blood and the blood composed materials(44.1%). 3. Pre-discharge inspection showed 6% adjustment rate, 4.3% addition and 2.1% curtailment rate. Most of the adjustment were omission(66.1%). 4. Omission were divided by event omission(92.6%)and application mistake(7.4%). The decreasing order of omission fee were operation(21.84%), treatment(18.71 %) diagnosis(18.68%), medication (14.53%) and material costs(10.84%). So operation and treatment part were the major part of the total omission fee(40.55%). 5. The average omission of diagnosis were 1,800 per month.

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회원제 도매클럽의 연회비부과에 대한 이론적 연구 (Theoretical Analysis on Membership Fee of Wholesale Club)

  • 김상훈
    • 한국유통학회지:유통연구
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    • 제5권2호
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    • pp.91-105
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    • 2001
  • Wholesale club is one of the fastest expanding retailer formats. Given its key features such as limited assortment and no promotion policy, the current paper provides a theory on why the wholesale clubs charge their members fixed annual fees. In a competitive setting with supermarkets, the proposed model demonstrates that the membership fee is the optimal reaction of wholesale clubs to supermarkets" sales promotion. More specifically, the positive amount of annual fee is only justified under the condition that there exists consumer heterogeneity in consumption rate and when the supermarket exercises price promotion on the product that the wholesale club carries. This paper describes the competition in a stylized fashion and derives the optimal membership fee under a scenario where retail promotion is present. This study is valuable in that it offers a different explanation on wholesale club membership fee than conventional wisdoms such as cost sharing and that it provides insights to the managers who consider no-fee format.

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수입물품 과세가격 결정시 권리사용료 관련 분쟁 사례에 대한 연구 (A study on dispute cases related to royalty and license fee when determining the Customs value of imported goods)

  • 안태건
    • 무역학회지
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    • 제46권6호
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    • pp.225-238
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    • 2021
  • This study analyzed the recent precedents of the Korean Supreme Court's Royalty and License fee on this issue and presented implications for future taxation of Royalty and License fee and digital content imports related to reproduction rights. If the price related to imported goods and the price not related to them are combined, it is necessary to revise the statutes to supplement the allocation method of royalty and license fee. In addition, if there is an agreement or a back contract for intellectual property rights through the headquarters or branch office other than the trading party, a method of inducing the importer to voluntarily report it when reporting imports should be considered. Whether Royalty and License fee is taxed or not must be determined after examining the various contract details and circumstances of the transaction.

아파트 관리비에 대한 거주자의 인지도 및 불만족에 관한 연구 (A Study on the degree of Residents' Dissatisfaction and Recognition to the Apartment Management Fee)

  • 김진영;강순주
    • 한국주거학회논문집
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    • 제9권3호
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    • pp.1-11
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    • 1998
  • This study is intended to analyze residents' dissatisfaction and recogonition to the apartment management fee. The subjects of the study were 244 female residents who live in Seoul and who were surveyed by questionnaire from 15th of Nov. to 20th of Dec., 1997. Satistical method used were: frequency, percentage, mean, Cronbach's α, Factor Analysis, one-way ANOVA, DMR test, t-test Pearson Correlation and Regression by SPSS program. The main results of this study are as follows: 1) The resident didn't mostly know how to account the apartment management fee. 2) The degree of recogonition to distribution of the special maintenance contracts was the lowest level. 3) It was the most dissatisfactory factor not to show items of the special maintenance contracts. 4) The correlation coefficient of residents' dissatisfaction and recognition to the apartment management fee was negative.

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해상수입 LCL화물의 창고보관료 적정화방안에 관한 연구 (A Study on the Plan for Rationalizing Warehouse Storage Fee of LCL Cargo imported by Sea)

  • 김용진;서동균
    • 한국항만경제학회지
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    • 제26권4호
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    • pp.310-328
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    • 2010
  • 본 연구의 목적은 해상으로 수입되는 LCL화물(LCL Cargo)의 창고보관료 현황과 과다인상의 원인과 문제점, 창고보관료 적정화 방안을 모색함으로써 물류비 절감, 수출가격경쟁력 향상, LCL화물의 유통체계 개선에 이바지하고자 하는데 있다. 1999년 창고보관료 자율화 이후 LCL창고보관료가 10배 이상 급등하여 제품원가 상승의 요인이 되고 불법 리베이트 관행으로 국부 유출 현상까지 발생하여 심각한 사회적 문제로 부각되고 있다. 해상수입 LCL화물 창고보관료 급등 원인은 LCL화물 유통상의 리베이트 관행 고착화, 포워더의 난립 및 독점적인 창고 배정권한 행사, 관리감독기관의 관리 소홀에 있다. LCL화물 창고보관료 적정화 방안으로 창고 보관요율 상한제 도입, 창고보관요율 정보제공 의무화, 불법 리베이트 근절, 수입 LCL화물의 유통체계 개선, 수입 화주가 보세창고와 포워더를 지정하는 방안, 가칭 '최저창고보관요율서비스(LORAS : Lowest Rate Service)' 제도 도입, 창고보관료 분쟁조정위원회 구성 등을 제시하였다.

Does cost matter: How customer adopts the fee-based online content services?

  • Choi Jeon-Gil;Hong Soon-Goo;Kim In-Jai;Lee Sang-Guen
    • 한국정보시스템학회지:정보시스템연구
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    • 제13권1호
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    • pp.121-134
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    • 2004
  • As Internet usage widely grows, online content services such as newspaper, magazine, music, game and movie are provided with a fee-based subscription. Many content services providers consider charging a usage fee into its service provisions as one of the Internet business models for increasing revenue. There are customer resistances to adopting the fee-based service provision on the Web. Previous research in information systems (IS)has focused on the analysis of adoption of information technology or systems in the individual ororganization level. No principle research has been carried out on the user adoption behavior of online content services provisions. As users actively access content services on the Web, it needs to explore user adoption behavior in different settings. Many IS researcher have employedquantitative approaches, even though they deal with the process of user behavior regarding the information technology or system. In this study, we attempt to discover how customers adopt the fee-based provision of online content services by employing grounded theory, one of the principal qualitative research methods.

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간호관리료 차등제를 반영한 DRG수가 조정기전 개발 (Development of the DRG Fee Adjustment Mechanism Reflecting Nurse Staffing Grades)

  • 김윤미;김세영;김지윤
    • 임상간호연구
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    • 제19권3호
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    • pp.321-332
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    • 2013
  • Purpose: Korean health insurance extended application of the Diagnosis Related Groups (DRG) payment system to tertiary and general hospitals from July, 2013. This study was done to develop a DRG fee adjustment mechanism applied to levels of nurse staffing to assure quality nursing service. Methods: Nurse stafffing grades among hospitals in Korea were analyzed. Differences and ratio of inpatient costs by nurse staffing grades in DRG fees and differences of DRG fee between tertiary and general hospitals were compared. Results: In 2013, nurse staffing grades in tertiary and general hospitals had improved, but other hospital nurse staffing grades remained at the 2001 level. Gaps of inpatient costs between first and seventh nurse staffing grades were over 10% in 4 out of 7 DRG diagnosis; However differences of DRG fee between tertiary and general hospitals were only 4.51% and 4.72% respectively. A DRG fee adjustment mechanism was developed that included nurse staffing grades and hospitalization days as factors of the formula. Conclusion: Current DRG fees motivate hospitals to decrease nurse staffing grades because cost reduction is bigger than compensation. This DRG fee adjustment mechanism reflects nurse staffing supply to motivate hospitals to hire more nurses as a reasonable compensation system.

치과기공산업 발전 방안 및 추구해야 할 방안에 관한 인식도 (The recognition of development plan and what to pursue in dental laboratory industry)

  • 김갑진
    • 대한치과기공학회지
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    • 제39권2호
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    • pp.119-128
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    • 2017
  • Purpose: In order to increase competitiveness for the growth and development of the dental laboratory industry, we plan to develop the dental laboratory industry. Methods: A total of 547 questionnaires were used as the final analysis data for the dental technicians from all over country participated in the 51st Korea Dental Technology Expo & Scientific Conference of the Korean Dental Technologist Association held in KINTEX from July 18 to 19, 2015. The questionnaire items consisted of 28 items in terms of general characteristics, questions about the methods to be pursued for the development of the dental laboratory industry, and recognition about the methods to be pursued to develop the dental laboratory industry. The collected data were analyzed by SPSS Ver. 21.0 for windows. Results: To improve the dental laboratory industry, actualization of dental laboratory products fee(41.2%) had the highest, followed by improving treatment of dental technician, standardization of dental laboratory products, direct bill of medical insurance, regulation of contract management on huge capital, and etc. The recognition of the measures to be pursued for the development of the dental laboratory industry was that dental laboratory products fee required to receive more than 20% of the dental prosthesis fee highest($4.62{\pm}0.76$). And to enlarge dental laboratories through M&A between dental laboratories is the lowest($3.39{\pm}1.26$). Conclusion: As a means to pursue the development of the dental laboratory industry, the actualization of dental laboratory products fee was proposed. Recognition also showed that dental laboratory products fee required to receive more than 20% of dental prosthesis fee was the highest. It is important to propose a reasonable dental laboratory products fee because it recognizes that it is necessary to promote economic growth in both development plan and awareness.

적정 작업환경측정수수료 산정을 위한 소고 (Essay on the Calculation of Appropriate Working Environment Measurement Fees)

  • 박지연
    • 한국산업보건학회지
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    • 제31권3호
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    • pp.274-285
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    • 2021
  • Objectives: The question of whether the level of fees paid to working environment measurement agencies is appropriate has long been a matter of concern to the government. In addition, measurement institutions express dissatisfaction with their level of compensation, which has a great influence on the evaluation of a subject's policy. This study is intended to find a way to appropriately calculate working environment measurement fees. Methods: We looked at the principle of fee determination as a basic theory of fee calculation used in fee calculation, the legal and academic aspects of the general method of fee calculation, and government cost calculation standards. Furthermore, we reviewed the research methods applied so far to derive a method of calculating fees appropriate for this environment. Results: The working environment measurement environment is different from other commission calculation environments. The other environment is to appropriately calculate the service price provided by a monopoly public enterprise, while the situation is to appropriately calculate the fees provided by competitive private enterprises. Therefore, the service delivery environment and the delivery entity are different. In this case, the appropriate method of calculating service fees would be competitive pricing. There have also been many problems under the method of calculation by service cost. Conclusions: First, the working environment measurement fee requires an accounting correction of endogenous variables. Second, the theory of calculating fees appropriate for this situation is appropriate for competitive pricing that applies to private competitors. Third, the government should make efforts to make the service supply market a fully competitive market while ensuring that the service fee level is determined at the marginal cost level. Fourth, economically, research on marginal cost levels is needed.