• 가정간호학회지
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• 제7권1호
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• pp.58-72
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• 2000

This study was an attempt to encourage the development of a rehabilitation delivery system and programs as a substitute service for hospitalization on the case of car accident patients, such as hospital based home health care nursing services. Various substitute services for hospitalization are required to curtail the length of stay for inpatients who were hospitalized with car accident compensation insurance. It focused on developing an estimation an early discharge day for car accident inpatients based on detailed statements of treatment for 111 inpatients who were hospitalized at the General Hospital in 1997. This study had four specific purposes as follows. First. to find out the utilization of medical services. Second, to estimate the time of early discharge and income increasing effect based on early discharge for those patients. Third, to identify the factors affecting total medical expenditure and the length of stay for those inpatients. Forth, to figure out the need of utilizing home health care nursing service for accident patients. In order to analyze the length of stay and medical expenditure for inpatients who were hospitalized due to car accidents, the authors conducted micro- and macro-analysis of medical and medical expenditure records. Micro-analysis was done by nominal group discussion of 4 expertise with the critical criteria, such as a decrease in the amount of treatment after surgery, treatments, tests, drugs and changes in the test consistency, drug methods, vital signs, start of ROM exercise, doctor's order, patient's outside visiting ability, and stable conditions. In addition to identifying variables affecting medical expenditure, and the length of stay and income effect due to early discharge day, the data was analyzed with a multiple regression analysis and linear regression analysis model by SPSS-PC for windows and Excell program. Results of this study were as follows. First. the mean length of stay was 50.3 days. whereas the mean length of stay due to early discharge was 34.3 days at the hospital. The estimation of time of early discharge depended on the length of stay. The longer the length of stay, the longer the length of time of early discharge : for instance a length of stay under 10 days was estimated as correlating to a mean length of stay of 6.6 days and early discharge of 6.5. The mean length of stay was 217.4 days and the time of early discharge was 110.1 respectively. The mean medical expenditure per day was found to be 169.085 Won and the mean medical expenditure per day showed negative linear trends according to the length of stay at the hospital. The estimation results of the income effect due to being discharged 16 days early was around 2,244,000 won per bed. However. this sum does not represent the real benefits resulting from early discharge, but rather the income increasing amount without considering medical prime cost in the general hospital. Therefore, further analysis is required on the cost containments and benefits as turn over rate per bed as the medical prime costs. The length of stay was most significant and was positive to the total medical expenditure, as expected. Surgery and patient's residential area was also an important variable in explaining medical expenditure. The level of complications was the most significant variable in explaining the length of stay. There was a high level for need a home health care nursing service which further supports early discharge for accident patients. In addition, when the patient was discharged. they needed follow up care for complications suffered during the car accident. $86.8\%$ of discharged patients responded that they needed home health services after early discharge. From these research findings, the following suggestions have been drawn. Strategies on a health care delivery system must be developed in order to focus on the consumer's needs and being planned for 21 century health policy in Korea. Community based intermediate facilities or home health care should be developed for rehabilitation services as a substitute for hospitalization in order to shorten the length of stay would be. A hospital based home health care nursing service. it would be available immediately to utilize by patients who want rehabilitation services as a substitute for hospitalization with the cooperation of car insurance companies.

• 응용통계연구
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• 제24권3호
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• pp.485-494
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• 2011

계수(Count) 데이터는 반응변수가 음이 아닌 계수로, 자동차 사고건수나 지진이 일어난 횟수, 보험처리 발생건수 등을 말한다. 이런 경우에는 주로 포아송 회귀모형을 사용하지만, 평균과 분산이 동일한 경우만 이용될 수 있다는 제약이 따른다. 실증적 자료에서는 그룹 간 이질성으로 인해 분산이 매우 큰 과대산포(Overdispersion) 현상을 볼 수 있는데, 이를 무시할 경우 회귀계수나 표준오차가 편의되는 현상이 발생한다. 보험은 보장성 개념이 강하기 때문에 실제로 보험처리가 발생하지 않는 경우가 많아, 보험처리 건수에 '0'값이 있을 수 있다. 본 논문에서는 '0'값이 많은 자료의 분석을 위해 제로팽창 모형(Zero-Inflated Model)을 고려하고, 여러 모형들의 효율성을 실증자료를 통하여 비교하였다. 실증 자료 분석 결과, 과대산포와 제로팽창 현상이 존재하는 자료에서 제로팽창 음이항 모형(Zero-Inflated Negative Binomial Regression Model)이 가장 효율적인 모형임을 보여 주었다.

• 한국중재학회지:중재연구
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• 제22권1호
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• pp.89-110
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• 2012

No-fault automobile insurance system is a statutory scheme to provide automobile accident victims with compensation for certain expenses arising from personal injuries occurring in car accidents. New York State has enacted No-Fault Law to ensure that the injured in automobile accidents be paid rapidly by their own insurance company for medical expenses, lost earnings regardless of fault, replacing common law system of reparation for personal injuries under tort law. Its primary purpose is to facilitate compensation without the need to exhaust time-consuming litigation over establishing the existence of fault and the extent of damages. No-Fault Law allows arbitration as a method for settling the no-fault insurance disputes. No-fault arbitration, however, differs in a significant way from general arbitration system. First, No-Fault Law provides the parties with the option to submit any dispute involving no-fault automobile insurance to arbitration. Second, no-fault arbitration attempts to speed its procedure incorporating various methods. Third, the parties are required to seek review of arbitral awards by master arbitrator prior to seeking court's review. Fourth, the parties have right to bring de novo action in court if master arbitrator's award exceeds $5,000. Given the current state of law in Korea, it may not be easy to introduce no-fault arbitration system into Korea in the context of automobile insurance disputes settlement as its law has a long-established reparation system based on tort liability and no-fault arbitration system has its own features that differ from general arbitration system. Nonetheless, it could be suggested that no-fault arbitration be introduced in other fields which require speedy dispute resolution and a third party's decision to settle the disputes. The optional right of submitting disputes to arbitration as provided by No-Fault Law of New York State may offer a ground to supprot the effectiveness of an optional arbitration agreement.

• 한국건축시공학회:학술대회논문집
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• 한국건축시공학회 2015년도 추계 학술논문 발표대회
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• pp.60-61
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• 2015

In recent years, the accidents in construction projects are continuously increasing due to their complexity and variety. However, few studies have been conducted regarding the risk prediction model and the database of risk assessment in construction projects. To address of these issues, the objective of this study is to analyze the accident causes by using insured claim payouts of insurance companies. First, the descriptive analysis of accidents causes is conducted according to scheduling rate, season, and total construction costs. Second, the correlation analysis is conducted between accidents causes and total construction costs. In the future, the risk assessment model can be developed to quantify the accident causes in construction projects to estimate claim payouts of insurance companies.

• 산업경영시스템학회지
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• 제22권51호
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• pp.139-149
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• 1999

Developed in this paper is a prototype extranet using mobile device such as Personal Digital Assistance(PDA) or Handheld PC(HPC). Especially an adjustment transaction system for auto insurance using wireless data communications is described. Using infrastructures such as PCS, Cellular, Private Radio, wireless communications offers tremendous applications in Korea. A survey of such applications is presented in this paper. Also an analysis of currently available infrastructures of wireless communications is described in this paper. The scheme of an adjustment transaction consists of seven steps: (1) get list of adjustment, (2) obtain insurance information, (3) check police record, (4) get an accident record, (5) get bluebook value, (6) examine the car, (7) file report. Comparing with the previous on-line method that spends much time on gathering data, the proposed system guarantees more rapid transaction using wireless communications.

• Journal of the Korean Data and Information Science Society
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• 제19권2호
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• pp.463-473
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• 2008

In this study, we measure damage depth and calculate effective impact speed in case of rear-end collision using real car insurance data. We study the relationship between demage depth and effective impact speed, and present statistical model for these two variables. In our real data study, 3-degree polynomial equation model is better fit to effective impact speed and demage depth than the simple linear model that are estimated in previous other studies. Damage depth is a major factor to see the extent of impact in a car collision, and by using this equation, it is possible to evaluate the severity of driver's injury.

• 자동차안전학회지
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• 제9권1호
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• pp.25-31
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• 2017

Small Overlap test decided on IIHS (Insurance Institute for Highway Safety) evaluates a robustness of the car body and a passenger injury protection. A current vehicle is satisfied with a robustness of the car body for Small Overlap test but not meet the requirements of passenger injuries because it is difficult to inquire into the actual state of injury mechanism for Small Overlap test. The study shows the new injury mechanism which represents the relation between a structure of the vehicle placed with the lift foot and the low extremity injury.

• 한국화재소방학회논문지
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• 제25권6호
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• pp.112-119
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• 2011

이 논문에서는 보험금을 사취하기 위해 자신의 승용차에 방화한 사례에 대해 구체적으로 화재원인분석을 하였다. 이 자동차화재의 원인규명을 통해 (1) 화재현장의 바닥에 낙하된 부품이나 잔재물(residues) 등의 수거 시스템 구축, (2) 경찰서에서 국립과학수사연구원에 자동차화재의 원인규명 의뢰 시에 구체적인 화재현장정보의 제공 시스템의 구축, (3) 불탄 자동차에 방화혐의가 있을 때 소방서와 경찰서의 상호협조 체제의 유지, (4) 국립과학수사연구원의 자동차방화 화재의 원인규명 절차의 개선, (5) 화재원인 규명과 분석장비와의 상관성에 대한 인식 전환 등 현행 관행의 개선이나 제도개선이 필요함을 제안하였다.

• 디지털융복합연구
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• 제13권1호
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• pp.407-414
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• 2015

이 연구는 순사망환자의 주진단에 관한 특성에 대해 분석하여 병원 의료의 질 수준 향상을 위한 기초자료로 활용하고자 시행하였다. 대전광역시 소재 K 대학병원에서 2011년, 2012년, 2013년 3년 동안 사망한 환자 1992명 중 순사망한 428명을 조사대상으로 선정하였으며, 분석방법으로는 카이제곱검정 및 fisher의 정확한 검정과 정준상관분석을 사용하였다. 분석한 결과, 일반적 특성과 주진단 상위 4위의 정준상관분석 결과, 주진단 중 상세불명 병원체의 폐렴(J18)과 살충제의 독작용(T60)에서 유의한 것으로 나타났다. 상세불명 병원체의 폐렴(J18)에서는 자동차보험, 15-29세 사이, 건강보험, 의료급여 등의 순으로 나타났으며(p<0.001), 살충제의 독작용(T60)에서는 건강보험, 의료급여, 자동차보험, 45-59세, 세종충남 등의 순으로 유의하게 나타났다(p<0.05). 결론적으로 노인인구의 사망을 감소시키기 위해 의료서비스의 질적 향상과 응급의료전달의 체계적인 구축시켜 순사망환자를 감소시켜나가는 것이 매우 중요하다고 할 수 있다.

• Korean Journal of Acupuncture
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• 제36권1호
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• pp.81-91
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• 2019

Objectives : Symptoms caused by traffic accidents can be divided into localized pain and systemic symptoms. Edema and pain can be increased due to obesity. During hospitalization of obese patients after traffic accident injury, obesity and systemic symptoms such as edema, dizziness, abdominal fullness and heavy body feeling might increase more by decreased physical activity due to pain. Methods : This report details on two cases of obese female inpatients with systemic symptoms after a car accident who were treated with wild ginseng complex (WGC) pharmacopuncture combined with Korean Medicine (KM) automobile insurance treatment. The Numeric Rating Scale (NRS), Neck Disablility Index (NDI) and the Oswestry Disablility Index (ODI) were evaluated before and after treatment for comparison. Body composition was also measured. Results : Localized pain improved with a decrease in patients' NRS, NDI and ODI scores. Systemic symptoms increased during hospitalization were also improved with changes of body composition. Conclusions : Combining WGC pharmacopuncture with KM automobile insurance treatment may be synergistically effective for the treatment of obese patients with systemic symptoms such as edema, heavy body feeling and abdominal fullness.