• Title/Summary/Keyword: Association Fee

Search Result 261, Processing Time 0.027 seconds

A Study on Estimating the Nursing Cost of Home Hospice Care (가정 호스피스 간호 수가 개발)

  • Lee, Tae-Wha;Sung, Young-Hee;Choe, Wha-Sook;Hwang, Na-Mi;Park, Hee-Ok;Hwang, Moon-Sook;Jang, Ok-Joo
    • Journal of Korean Academy of Nursing Administration
    • /
    • v.14 no.2
    • /
    • pp.182-195
    • /
    • 2008
  • Purpose: Hospice care represents all meaningful aspects of physical, mental and economical status of the end stage patients. The purpose of this study was to estimate the cost of home-based hospice care. Method: Fifteen nurses participated in counting an hour for requirement and home visit data of 50 end stage patients were analyzed. The method of to estimate the cost of home-based hospice care was three ways. Result: In case, including traffic expense, Singles fixed fee per visit via direct inquiry was 112,970 won but in case, excluding traffic expenses, was 86,036 won and traffic expenses per visit was 26,934 won. Final cost of home-based hospice care integrated the fixed fee per the needed time for visit and fee-for services. The fixed fee per 30 minutes was 35,251 won and 60 minutes was 46,595 won and 90 minutes was 57,939 won. We included pain management and the management of emergency and bereavement care among fee-for services. Conclusion: The cost of hospice care should be establish for not only patient but the living spouse, families, and children of the dying and for anyone else affected by any patient's death.

  • PDF

A Study on the Selection of Housing Type and Characteristics of Dwelling for Foreign Students in Korea (주한 외국인 유학생의 주거유형 선택 및 주생활특성 조사 연구)

  • Ahn, Seon-Min;Jang, Sang-Ock;Shin, Kyung-Joo
    • Journal of the Korean housing association
    • /
    • v.17 no.6
    • /
    • pp.9-18
    • /
    • 2006
  • The purpose of this study is to find out the selection of housing type and the characteristics of dwelling of foreign students' residence in order to provide some information for better housing plans for foreign students in Korea. To analyze characteristics of dwelling, a questionnaire survey was conducted with 171 students who study in the university located in seoul, Korea. The results are summarized as follows: Overseas students in Korea can get from their house to school within 30 minutes and they spend more than 9 hours a day at home on average. Housing is one of the most important factors for oversea students. For the dormitory group, they chose their houses based on fee, distance from the school, stability, etc. The lodging group, chose their houses based on fee, distance from school, and Korean culture experience. The Go-Si-Won group chose their houses based on fee, distance from the school, privacy and so on.

Did the Handling Fee Decline Cause Consumer Surplus in the Port Business Market in Korea? : The Case of Busan port (컨테이너 하역요율 하락은 소비자잉여를 증가시켰는가? : 부산항을 중심으로)

  • Choi, Gun-Woo;Kim, Chan-Ho;Kim, Young-Kyu
    • Journal of Korea Port Economic Association
    • /
    • v.32 no.3
    • /
    • pp.109-122
    • /
    • 2016
  • As increasing of container throughputs, port business market in Korea has been developed. However, due to the introducing of a handling fee reporting system in 1999 and surplus of facilities, port business market in Korea turned into deadly competition with lowering the handling fee. Due to the reasons, the handling fee in 2015 declined as much as 50% of in 2000. Therefore, this study analyzed whether the handling fee decline caused consumer surplus in the port business market of Korea or not. To do that, this study applied a methodology of Alexander for estimating the consumer surplus and Hausman's model using Hicksian demand. As the result of the analyzing, due to the excessive decreasing of the handling fee compared the import & export demand, consumer surplus of the port business market in Korea was decreased. However, due to the exception of transshipment from demand in this study, transshipment demand is needed to be considered to estimate of economic value of port business market in Korea in the future. Also, economic value of port business including subsidiary businesses will be estimated in order to strengthen the method for estimating economic benefit of port construction.

Problems and Solutions for Korean Medical Fee Contract System (건강보험 요양급여비용 계약의 문제점과 개선방안 연구)

  • Shin, Sung-Chul
    • Health Policy and Management
    • /
    • v.19 no.1
    • /
    • pp.1-30
    • /
    • 2009
  • Korean medical fee contract system between the insurer and healthproviders was introduced in 2000. However, a continuous discord among contracting parties concerned and an irrational operation of an arbitration committee of Ministry for Health, Welfare and Family Affairs (MIHWAF) have made it difficult for them to reach to an agreement over last 8 years. The purpose of this study is to observe the current problems of contract system from the view of health insurance law and actual examples. Furthermore, I examined the of breakdown of negotiation by analyzing the eligibility of contracting parties, rationality of Resource Based Relative Value System (RBRVS) and contracting method and fairness of arbitration method in case of negotiation rupture. The results were as follows: First, since the introduction of medical fee contract system, there has been a problem in that both the president of National Health Insurance Corporation (NHIC) and health care provider association have not held strong negotiation power. Second, the frequent changes and notifications of Relative Value Units (RVUs) without any mutual consent between the insurer and provider association negatively have influenced the conversion factors and finally hindered the agreement of contract. Third, a current process that the conversion factors are mediated and determined at the arbitration committee of MIHWAF in the case of contract breakdown between contracting parties has some flaw in that the irrational composition of committee provoked the lack of fairness and objectivity of mediation. Fourth, we can not prospect a satisfactory outcome of arbitration committee because the mediation always has failed to proceed smoothly due to boycott of both committee members from insurer and providers over last 8 years. As a result, we have to make an every effort to resolve problems mentioned above and then dream of an advanced national health insurance system.

The Refinement Project of Health Insurance Relative Value Scales: Results and Limits (건강보험 상대가치 개정 연구의 성과와 한계)

  • Kang, Gil-Won;Lee, Choong-Sup
    • Health Policy and Management
    • /
    • v.17 no.3
    • /
    • pp.1-25
    • /
    • 2007
  • Relative value scales introduced in 2001 remarkably improved health insurance fee schedule, but current relative value scales have many problems. In the beginning the government intended to introduce 'resource based relative value scales(RBRVSs)' like USA, but political adjustment of RBRVS studied in 19.17 weakened the relationship between relative value scale and resource consumption. So unbalance of health insurance fees are existing till now. Also relative value was not divided to physician work and practice expense, and malpractice fee was not divided separately. To correct the unbalance of current relative value scales, the refinement project of health insurance relative value scales started in 2003. The project team divided relative value scales into three components, which are physician work, practice expense, malpractice fee. Physician work was studied by professional organizations like Korean medical association. To develop the practice expense relative value, project team organized clinical practice expert panels(CPEPs) composed of physicians, nurses, and medical technicians. CPEPs constructed direct expense data like labor costs, material costs, equipment costs about each medical procedures. The practice expense relative values of medical procedures were developed by the allocation of the institution level direct & indirect costs according to CPEPs direct costs. Institution level direct & indirect costs were collected in 21 hospitals, 98 medical clinics, 53 dental clinics, 78 oriental clinics, and 46 pharmacies. The malpractice fee relative values were developed through the survey of malpractice related costs of hospitals, clinics, pharmacies. Putting together three components of relative values in one scale, the final relative values were made. The final relative values were calculated under budget neutrality by medical departments, that is, total relative value score of a department was same before and after the revision. but malpractice fee relative value scores were added to total scores of relative values. So total score of a department was increased by the malpractice fee relative value score of that department This project failed in making 'resource based' relative value scales in the true sense of the word, because the total relative value scores of medical departments were fixed. However the project team constructed the objective basis of relative value scale like physician's work, direct practice expense, malpractice fee. So step by step making process of the basis, the fixation of total scores by the departments will be resolved and the resource based relative value scale will be introduced in true sense.

Improvements Resulting from Policy Changes in Recycling Food Wastes (음식물류폐기물의 자원화정책 변화에 따른 개선효과)

  • Ahn, Sang-Seon
    • Journal of the Korea Organic Resources Recycling Association
    • /
    • v.13 no.2
    • /
    • pp.65-73
    • /
    • 2005
  • After the introduction of Volume-based Waste Fee System for municipal wastes, the disposal of food wastes became an issue an issue in society. Concerted efforts among government agencies have been made to manage food wastes separately from municipal wastes. For example, the Ministry of Environment, the Ministry of Agriculture and Forestry, and the Ministry of Health and Welfare established the '5-year('98-'02) Basic Plan for Recycling Food Wastes' in September 1998. Also changes in the waste disposal system has been sought, aiming at the Resource-circulating Society.

  • PDF

The Use of Leisure Program in the Public Community Facilities -Comparing the Middle-aged with Aged- (공공시설의 여가프로그램 이용실태 분석-중년기와 노년기의 비교를 중심으로-)

  • 김성희
    • Journal of Families and Better Life
    • /
    • v.18 no.1
    • /
    • pp.97-114
    • /
    • 2000
  • The purpose of this study was to compare the factors affected on the leisure participation leisure satisfaction and leisure effect of the middle-aged with those of the aged who were paticipated in the leisure program of the public community facilities. the sample of he study consisted of 218 midle-aged and 163 the aged living in Seoul and Daegu. Frequencies means ,$x^2$,T-test and multiple regression were employed for the analysis. The results of this study were as follows; The middle-aged had more positive leisure attitude than the gaged less leisure participation and more leisure satisfaction. The factors affected one he leisure participation of the middle-aged were region and fee and those of the aged were region leisure attitude and fee. The factors affected on the leisure satisfaction of the middle-aged were number of the family region and the access of the transportation as compared with those of the aged were sex health status and the access of transportation. And the factors had effects on the leisure effect of the middle-aged were sex educational attainment number of the family the access of transportation and fee comparing with those of the aged were educational attainment and leisure attitude.

  • PDF

The Effect of Maturity Mismatch between Investing and Financing on Audit Pricing

  • YIN, Hong;ZHANG, Ruo Nan
    • The Journal of Asian Finance, Economics and Business
    • /
    • v.7 no.9
    • /
    • pp.51-61
    • /
    • 2020
  • This research investigates the consequences of the increase in corporate use of short-term debt in China over the past decades. Using a sample of Chinese firms from 2007 to 2018, we empirically explore the effect of corporate use of short-term debt for long-term investment (SFLI) on audit pricing. We first examine the relationship between SFLI and audit pricing for different groups of firms. Then, we investigate the role of the increase in short-term debt in alleviating principal-agent conflicts and reducing agency costs. We have four primary empirical findings. First, auditors tend to charge SFLI clients higher fees. Second, the negative relationship between SFLI and audit fee is found in private firms, firms audited by Chinese domestic auditors, and firms with higher information asymmetry. Third, the time auditors spent on SFLI clients is significantly more than that spent on non-SFLI clients, suggesting that the decrease in audit fee is not due to the decrease in cost. Fourth, SFLI significantly reduces the agency costs of the firm, which auditors regard as a low risk signal and grant an audit fee discount. Our findings suggest that the decrease in debt maturity, not only influences managerial behaviors, but also influences auditors' risk assessment and pricing decisions.

A Survey for Developing Strategies to Improve the Fees for Nursing Care (건강보험 간호관리료 수가체계 개선의견 조사분석)

  • Kim, Yun Mi;Nam, Hye Kyung;Sung, Young Hee;Park, Kwang Ok;Park, Hae Ok
    • Journal of Korean Clinical Nursing Research
    • /
    • v.14 no.1
    • /
    • pp.5-14
    • /
    • 2008
  • Purpose: To examine the current fees for nursing care and propose the strategies for improvement. Method: The number of subjects for this study was 86, including 36 chief executives of the nursing department, 14 of the health insurance department and 33 nursing managers. Data were analyzed by SPSS WIN 12.0 program. A researcher-developed questionnaire with 30 items was utilized. Results: 61% hospital had improved the nursing management fee grade after adoption of the differentiated nursing management fee schedules. After grade improvement, the time for direct nursing care increased. Also, the patient health outcome, nurse's job satisfaction were improved and more nurses were employed in general nursing units. Many subjects addressed that ICU and more nursing units were needed to adopt the differentiated nursing management fee schedules and "bed to nurse ratio" needed to be changed to "patients to nurse ratio" and specialized by the nursing units. Conclusion: The health policy in reference to fees for nursing care needs to get improved further in order to provide the quality-assured nursing care.

  • PDF