• Title/Summary/Keyword: Claims Analysis

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A Comparative Analysis of Poverty Regimes (빈곤 레짐에 관한 비교연구 - 유럽연합 회원국과 한국을 중심으로 -)

  • Moon, Jin-Young
    • Korean Journal of Social Welfare
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    • v.57 no.1
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    • pp.245-269
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    • 2005
  • This paper purports to evaluate the public assistance programme of Korea in comparison with those of member states of the European Union, using the concept of poverty regime as a heuristic device. For this purpose, chapter two discusses notions of welfare-state regime (Esping-Andersen, 1990) and poverty regime(Sainsbury and Morissen, 2002). Chapter three examines poverty and income distribution in Korea and the member states of the EU, and chapter four compares and analyses the public assistance programme of those countries, using hierarchical cluster analysis. It claims that the 'welfare paradox' of $L{\empty}delmel$ (1997) is not based on evidence, and duly concludes that the overall level of welfare effort such as welfare expenditure is a main determinant for the development of public assistance programmes.

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Impacts of ICT Development on Income Inequality (ICT 발전과 소득불평등 간의 관계 분석)

  • Cho, Wooje;Jung, Yoonhyuk;Kim, Sahangsoon
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.15 no.1
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    • pp.237-245
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    • 2020
  • The development of information and communication technology (ICT) provides many opportunities for businesses to increase productivity, to have better relationships with customers and suppliers, and to develop new products more efficiently and effectively. However, recently, there have been claims that ICT development in a country would increase income inequality of the country. In this debate, we examine the impact of ICT development on the income inequality at the country level. Data of 28 OECD countries were used for our study. According to results of the analysis, a country with a higher level of ICT development is likely to have a lower the level of income inequality. There have been many concerns that development of ICTs may result in a higher level of income inequality mainly because wealthy companies or individuals can more affordable to utilize advanced ICT and ICTs have replaced labor. However, there has been no such identified impact, at least in recent OECD countries. Rather, we can expect ICT development to play a role in lowering income inequality of a country.

Analyses of Impacts of the Outpatient Cost Sharing Reduction based on the Difference-in-differences Model (이중차이모델에 의한 건강보험 외래본인부담금 경감제도의 영향 분석)

  • Ahn, Lee-Su
    • The Journal of the Korea Contents Association
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    • v.13 no.11
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    • pp.187-197
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    • 2013
  • Objectives : The purpose of this study was to analyze the effect of outpatient cost sharing reduction on health care utilization of children under 6 years old. Methods : The data in this analysis was the health insurance claims data between August 2006 and July 2008. The study group was divided into two age groups, namely 0-5 years old and 6-10 years old. This study evaluated the impact of policy change on office visits per person and expenditure per visit. In order to do so, the double difference analysis is used. Results: The results showed that outpatient cost-sharing reduction has never really had a huge impact on office visits per person and expenditure per visit. Conclusions: This study showed that the outpatient cost sharing reduction for children under 6 years old policy is not working. Therefore, cost sharing of National Health Insurance by income class is needed.

Facial Analysis of Patients with Skeletal Malocclusion Using a Facial 'Phi' Mask (Facial 'Phi' Mask를 사용한 골격성 부정교합 환자의 안모 분석)

  • Kim, Hong-Seok;Heo, Young-Min;Hong, Jong-Rak;Kim, Chang-Soo;Paeng, Jun-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.34 no.1
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    • pp.26-33
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    • 2012
  • Purpose: The golden ratio has been used for a long time to objectify and quantify 'beauty'. Dr. Marqurardt claims that the golden ratio can be applied in the maxillofacial field as well. The purpose of this study was to evaluate the diagnostic significance of using a facial 'phi' mask for analyzing Korean faces with characteristics of Class I, II, and III malocclusion. Methods: We studied twenty five Korean celebrities' frontal facial photos (10 males, 15 females) and 90 malocclusion patients' frontal facial photos (30 patients in each malocclusion classification: Class I, Class II, and Class III). Patients who received orthodontic treatment at Samsung Medical Center were selected for this study. After superimposition of the selected facial photo and facial 'phi' mask using Adobe Photoshop CS3, the ratio of the entire facial area, mid facial area, lower facial area and horizontal and vertical lengths were measured. Results: The facial ratio in photos of Korean faces showed larger vertical and horizontal ratios than the facial 'phi' mask with golden ratio, regardless of skeletal malocclusion (entire face: 115%, lower face: 125% larger than the mask). The results of the frontal photos of Class I, II, and III malocclusion patients using facial 'phi' mask showed that the vertical length and frontal face area was more significantly influenced by the area of the lower face than the midface. This means that the lower face has larger proportions in the facial areas. Conclusion: The ratio of facial 'phi' mask is matched with the ideal facial appearance that the contemporary Korean general public is seeking. Thus, the facial 'phi' mask may be a convenient tool for esthetic analysis of Korean faces. Reducing the area of the lower face is esthetically more desirable for almost all Korean people when planning orthognathic surgery.

Predictors of Blood Transfusion in Hepatoma Embolization (간종양 색전술 환자의 수혈 영향 요인)

  • Kim, Sang-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.12
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    • pp.384-389
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    • 2017
  • This study was conducted to investigate the patient and hospital characteristics that affect receiving and non-receiving blood transfusion for hepatoma embolization. We analyzed data describing 757 patients of the Health Insurance Review and Assessment Service's 2011 claims sample data. Chi-squared and logistic regression analysis was performed using STATA 12.0. Logistic regression analysis revealed that anemia (Odds ratio (OR)=9.544, 95% confidence interval (CI)=3.362-27.097), female (OR=2.186, Cl=l.240-3.854), age 65-74 (OR=0.506, CI=0.269-0.952), 1000 over bed (OR=0.053, CI=0.018-0.151), out-department (OR=0.211, CI=0.081-0.551), and 700-999 bed (OR=0.105, CI=0.036-0.304) were significant predictors of blood transfusion in tertiary hospitals. Additionally, anemia (OR=69.681, CI=8.545-568.246) and aged 75 or over (OR=0.112, CI=0.025-0.506) were significant predictors of blood transfusion in general hospitals. This research would expected to cost effective and preliminary data of blood transfusion quality.

Economic Burden of Cancer in South Korea for the Year 2005 (2005년 암의 경제적 비용부담 추계)

  • Kim, Jin-Hee;Hahm, Myung-Il;Park, Eun-Cheol;Park, Jae-Hyun;Park, Jong-Hyock;Kim, Sung-Eun;Kim, Sung-Gyeong
    • Journal of Preventive Medicine and Public Health
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    • v.42 no.3
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    • pp.190-198
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    • 2009
  • Objectives : The objective of this study is to estimate the economic costs of cancer on society. Methods : We estimated the economic burden of people with cancer in South Korea. To perform the analysis, we reviewed the records of people who were cancer patients and those who were newly diagnosed with cancer. The data was compiled from the National Health Insurance Corporation, which included the insurance claims database, a list of cancer patients, a database that records the cancer rates, the Korea Central Cancer Registry Center s cancer patient registry database and the Korea National Statistical Office s causes of death database. We classified the costs as related to cancer into direct costs and indirect costs, and we estimated each cost. Direct costs included both medical and non-medical care expenses and the indirect costs consisted of morbidity, mortality and the caregiver's time costs. Results : The total economic costs of cancer in South Korea stood at 14.1 trillion won in 2005. The largest amount of the cost 7.4 trillion won, was the mortality costs. Following this were the morbidity costs (3.2 trillion won), the medical care costs (2.2 trillion won), the non-medical care costs (1.1 trillion won) and the costs related to the caregiver's time (100 billion won). As a result, the economic cost of cancer to South Korea is estimated to be between 11.6 trillion won to 14.1 trillion won for the year 2005. Conclusions : We need to reduce the cancer burden through encouraging people to undergo early screening for cancer and curing it in the early stage of cancer, as well as implementing policies to actively prevent cancer.

Convergence Research on Periodic Changes in the Quality Assessment of Surgical Prophylactic Antibiotics (수술 예방항생제 적정성 평가의 주기별 융합 변화 연구)

  • Yang, Sae-Yie;Kim, Kwang-Hwan
    • Journal of Digital Convergence
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    • v.14 no.6
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    • pp.325-333
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    • 2016
  • This study was conducted to provide the base line for the use of prophylactic antibiotics and the standard of antibiotic use and the evaluation based on analysis of current use, quality assessment and periodic changes of prophylactic antibiotics in a university hospital. We chose the year 2008, 2009, 2010, 2012, and 2014 as the study periods since the primary evaluation on the first year of implementation in 2007. For this study, healthcare benefit quality assessment data from the Health Insurance Review and Assessment Service was used. We analyzed the differences each year of treatment period; one category for initial treatment timing, three categories for selecting antibiotics, and two categories for the length of treatment from multiple evaluation indices of gastric surgeries, colorectal surgeries, and cholecystectomy. The analysis revealed the followings: Regarding length of antibiotics treatment, total days of treatment decreased down to 1.5, 1.5, and 0.6 days in the year 2014, from 13.5, 12.8, and 6.9 days in the year 2007, for gastric surgeries, colorectal surgeries, and cholecystectomy. Based on these outcomes, the efforts to devise efficient delivery and distribution of the recommendations or indices which medical staff could adhere for quality improvement of the prophylactic antibiotics would be necessary. Also implementing monitoring system to help the hospitals to acknowledge their own faults may be helpful.

Impact of Student Assessment Activities on Claim and Evidence Formation in High School Argument-Based Inquiry (고등학교 논의기반 탐구 과학수업에서 학생 평가활동이 주장과 증거 형성에 미치는 영향)

  • Lee, Seonwoo;Nam, Jeonghee
    • Journal of the Korean Chemical Society
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    • v.62 no.3
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    • pp.203-213
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    • 2018
  • The purpose of this study was to investigate the impact of student assessment activities on claim and evidence formation in argument-based inquiry (ABI) for high school students. The participants of the study were 166 grade 10 students from six different classes in the same high school. The experimental group (84 students) was taught Argument-Based Inquiry with students' self and peer assessment activities. The comparative group (82 students) was taught without the activities. Over one semester students participated in five ABI programs that we developed. According to the analysis of the claim and evidence from groups, the experimental group had a significantly higher mean score than the comparative group. The result of analysis of students' assessment in the experimental group, the frequency about accurate and sufficient evidence revealed to be high and students assessed whether peers' claims fit with the evidence and whether peers' explanations of the evidence's validity was sufficient. Students' answers in the survey and interviews showed that the students though they could improve the accuracy of their ideas, appropriateness of their evidence, and the method of presenting evidence based on the assessment results.

A Study on the Economic Efficiency of Capital Market (자본시장(資本市場)의 경제적(經濟的) 효율성(效率性)에 관한 연구(硏究))

  • Nam, Soo-Hyun
    • The Korean Journal of Financial Management
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    • v.2 no.1
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    • pp.55-75
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    • 1986
  • This article is to analyse the economic efficiency of capital market, which plays a role of resource allocation in terms of financial claims such as stock and bond. It provides various contributions to the welfare theoretical aspects of modern capital market theory. The key feature that distinguishes the theory described here from traditional welfare theory is the presence of uncertainty. Securities has time dimensions and the state and outcome of the future are really uncertain. This problem resulting from this uncertainty can be solved by complete market, but it has a weak power to explain real stock market. Capital Market is faced with the uncertainity because it is a kind of incomplete market. Individuals and firms in capital market made their consumption-investment decision by their own criteria, i. e. the maximization of expected utility form intertemporal consumption and the maximization of the market value of firm. We noted that allocative decisions that had to be made in the economy could be naturally subdivided into two groups. One set of decisions concerned the allocation of first-period resources among consumption $C_i$, investment in risky firms $I_j$, and riskless investment M. The other decisions concern the distribution among individuals of income available in the second period $Y_i(\theta)$. Corresponing to this grouping, the theoretical analysis of efficiency has also been dichotomized. The optimality of the distribution of output in the second period is distributive efficiency" and the optimality of the allocation of first-period resources is 'the efficiency of investment'. We have found in the distributive efficiency that the conditions for attainability is the same as the conditions for market optimality. The necessary and sufficient conditions for attainability or market optimality is that (1) all utility functions are such that -$\frac{{U_i}^'(Y_i)}{{U_i}^"(Y_i)}={\mu}_i+{\lambda}Y_i$-linear risk tolerance function where the coefficients ${\mu}_i$ and $\lambda$ are independent of $Y_i$, and (2) there are homogeneous expectations, i. e. ${\Large f}_i(\theta)={\Large f}(\theta)$ for every i. On the other hand, the efficiency of investment has disagreement about optimal investment level. The investment level for market rule will not generally lead to Pareto-optimal allocation of investment. This suboptimality is caused by (1)the difference of Diamond's decomposable production function and mean-variance valuation model and (2) the selection of exelusive investment or competitive investment. In conclusion, this article has made an analysis of conditions and processes of Pareto-optimal allocation of resources in capital marker and tried to connect with significant issues in modern finance.

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The Impact of Organizational Safety Culture on the Resilience Ability : Focused on the Construction Industry (조직의 안전문화가 레질리언스 역량에 미치는 영향 : 건설업을 중심으로)

  • Chu, Chan Ho;An, Kang Min;Baek, Dong Hyun
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.44 no.3
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    • pp.73-85
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    • 2021
  • The construction industry is considered to be a fatal accident industry, accounting for 28.5% of the total industrial accidents in 2017, as the number of industrial accidents in the construction industry has steadily increased over the past decade. So it is necessary to consider introducing Resilience Engineering, which is actively applied to risky industries around the world, to drastically reduce construction accidents. Although Resilience Engineering, which has emerged as the next-generation safety management centered on Hollnagel since the 2000s, claims the importance of strengthening Resilience abilities considering organizational structure and culture, most studies focus only on developing evaluation indicators. The purpose of this study is to analyze the impact of an organization's safety culture on its Resilience abilities in the construction industry. Specifically, it conducted empirical analysis on the impact of safety culture consisting of 'communication, leadership and safety systems' on the Resilience abilities(responding ability, monitoring ability, learning ability, anticipating ability), and the mediation relationship between leadership, communication, and safety system. The survey was conducted on construction workers, and an empirical analysis was conducted on the final 154 responses using SPSS 25 and Smart PLS 3. The results showed that the safety system had a significant impact on all Resilience Abilities, and communication had a significant impact on the remaining three except for anticipating ability among Resilience Abilities. On the other hand, leadership has been shown to have a significant impact on anticipating ability only. In the verifying of the mediation relationship between leadership, communication and safety systems, it was found that leadership affects all Resilience abilities by means of safety systems, but communication can only affect responding ability. This study has practical significance in that it suggests the need for policy-level efforts to introduce and apply Resilience Engineering and then expanded the effective safety management assessment of the construction industry in the future. Moreover, the academic implications are important in that the study attempted to expand the academic scope for a paradigm shift in the future as the safety culture has identified its impact on the Resilience abilities.