• Journal of Preventive Medicine and Public Health
• /
• 제40권3호
• /
• pp.205-212
• /
• 2007

Objectives : The purpose of this study was to identify the factors influencing the intention to have stomach cancer screening using the theory of planned behavior (TPB) in Korea. Methods : For this population-based study, 1,535 adult respondents (aged 40 to 70 years) were recruited using multi-stratified random sampling and a face-to-face administered questionnaire. This study was based on Ajzen's theory of planned behavior. Intentions were divided into three scenarios for fee payment in the next two years : (1) free of charge, (2) co-payment, and (3) full charge. Multiple linear regression was used to identify the factors influencing the intention to have stomach cancer screening. Results : Perceived behavioral control and attitude toward stomach cancer screening were significant predictors of the intention to have stomach cancer screening. However, subjective norm only influenced the intention to have stomach cancer screening with full charge in the next two years. Conclusions : The results suggest that attitude and perceived behavioral control are likely to contribute toward increasing the intention to have stomach cancer screening. Especially, perceived behavioral control is a good predictor. Because the study subjects were nation wide residents, the study results can be generalized.

• 보건행정학회지
• /
• 제30권1호
• /
• pp.72-81
• /
• 2020

Background: The out-of-pocket maximum is one of the distinctive healthcare systems which sets a ceiling on co-payment in order to reduce the burden of households from the unpredictable medical expenditure. However, this leads to an increase in the demand for healthcare services especially in long-term care hospitals (LTCHs) in Korea. Methods: This study analyzed the influence factor of medical service overuse of 165,592 inpatients in LTCHs which out-of-pocket maximum is applied, by utilizing data from the National Health Insurance Service (2016). Based on Anderson Model, the medical service overuse, as a dependent variable, was defined as long-stay admission more than 180 days at the LTCHs. Independent variable was comprised of predisposing factors (gender, age), enabling factors (income level, types of out-of-pocket maximum) and need factors (illness level, patient use of tertiary hospital). Results: The most powerful factor of medical service overuse in LTCHs was availability of pre-payment for the out-of-maximum (odds ratio [OR], 191.66; p<0.001). This tendency was found in high income level status (p<0.001). Furthermore, mild inpatients (OR, 1.50; p<0.001) which had no experience with the tertiary hospitals (OR, 2.06; p<0.001) were more relevant to the medical service overuse in LTCHs, compared to the severe inpatients. Conclusion: It is suggested that a separate standard of out-of pocket maximum with regards to LTCHs is required to secure the beneficial functions of long-term hospitals and prevent unnecessary financial leakage to achieve sustainable and financially sound National Health Insurance.

• 대한인간공학회지
• /
• 제26권1호
• /
• pp.55-61
• /
• 2007

The purpose of this study is to assess the welfare level for shift workers by means of their satisfactions to the jobs in manufacturing environment. As a measurement tool of job satisfaction, we use the JDI(Job Descriptive Index) which can ensure reliability and are widely used. Measurement factors are investigated by means of the duty, payment, promotion, supervisor, co-workers, and general job satisfaction of shift workers. For the application of job satisfaction, 109 workers, 12-hour shift workers in domestic five companies related with manufacturing industry are considered. They treat general facilities in night shift work. The result of this study may be used as a strategic data of welfare policy for improving the welfare level of shift workers.

• 한국조경학회지
• /
• 제32권4호
• /
• pp.21-27
• /
• 2004

This study aims to analyze the frequency of the use of internet web sites for information on landscape trees, and to suggest an improved direction for internet information content concerning of landscape trees. 10 areas of 5internet web-sites that are presented by an internet search with Yahoo Korea, Empas and Naver were studied for their importance and satisfaction degrees by landscape architects who use them. The users recognized the importance of the contents of the internet web-sites for landscape trees, but were not satisfied with it. It was proposed that the web-sites should provide higher quality information on the growth history, price, shipping and handling, payment and the place of origin. Especially, the paper proposes that web-sites should more aggressively utilize information on the quality of landscape trees such as tree forms, trimming states of roots, etc.

• 국제학술발표논문집
• /
• The 2th International Conference on Construction Engineering and Project Management
• /
• pp.130-139
• /
• 2007

This paper presents a study on risk analysis in terms of contractor's costs in construction phase in which Crystal ball (software of Decisioneering, UK) has been utilized as a main tool. To realize it, a questionnaire survey has been carried out to identify the dominant factors that strongly influence contractor costs in Vietnam. Based on results of questionnaire investigation, the survey identified three factors which were duration of each construction task, costs of reinforcing steel, and cement. Then a spreadsheet model was created in order to analyze risks. The study also indicates that the cost of reinforcing steel and cement are the cause of risks for contractors. According to the suggested model, contractors may foresee the probability of completion within the approved budget, and the possibility of earning in accordance with owner's payment conditions.

• 응용통계연구
• /
• 제28권4호
• /
• pp.663-683
• /
• 2015

저출산과 고령화 등의 인구구조의 변화는 미래 건강보험 재정의 안전성을 위협하고 있다. 이에 본 논문에서는 2002년부터 2013년까지 국민건강보험 표본코호트 DB를 이용하여 유병율 및 진료비에 대한 통계적 모형을 추정하고 인구구조와 경제상황의 변화에 대한 다양한 미래 가정들을 반영하여 건강보험 재정의 연도별 수입과 지출을 2060년까지 추계하였다. 지출 추계에는 건강보험공단 표본 코호트 DB를 이용하여 유병율 및 진료비를 추계하였다. 유병율 모형은 VECM-LC모형을 그리고 1인당 공단 부담 진료비에 대한 추계는 이중지수평활법에 근거 하였다. 두 모형 모두를 의료기관별, 질병별, 성별, 연령별로 적합하고 경제상황의 변화에 대한 국회와 정부의 여러 가정들을 반영하여 최종 추계치를 산출하였다. 수입 추계는 고령화 속도에 대한 두 개의 다른 가정에 근거한 두 개의 미래 인구구조를 반영한 두 개의 피부양률 가정에 근거하고, 지출 추계에서와 마찬가지로 경제 상황의 변화에 대한 여러 가지 가정을 반영하여 최종 추계치를 산출하였다. 그 결과 건강보험 재정적자는 2015년 불변가격으로 2030년에는 2030조 원, 2060년에는 4070조 원이 될 것으로 추계되었다.

• 한국통신학회논문지
• /
• 제41권10호
• /
• pp.1256-1262
• /
• 2016

캠핑 인구가 증가하면서 야영장과 오토캠핑장에서 이용자에게 다양한 전기 요금 정책으로 안전하게 전기를 공급할 수 있는 전기 설비가 필요하게 되었다. 본 논문은 Z-Wave 개인무선네트워크와 안드로이드 모바일 앱을 이용하여 캠핑장의 관리서버에서 옥외 콘센트 함을 제어할 수 있는 전기 자판기를 개발한다. 개발한 전기 자판기는 관리서버, 제어기, 옥외 콘센트 함, 모바일 앱으로 구성된다. 관리서버는 제어기를 통해 콘센트 함의 스위치를 제어하여 사용자에게 안전하게 전기를 공급한다. 제어기는 관리서버와 스위치 간 중계 장치로 Z-Wave 메쉬 네트워크를 기반으로 스위치들을 제어한다. 옥외 콘센트 함은 2개의 미터 스위치를 갖는다. 옥외 콘센트 함은 캠핑장에서 상용 전기 서비스를 제공하기 위해 관련 인증을 받았다.

• Journal of Nutrition and Health
• /
• 제38권2호
• /
• pp.173-179
• /
• 2005

The study estimated employee satisfaction to apply TQM system to hospital foodservice management. A survey was mailed to foodservice employees of five general hospitals with more than 300 beds, three of them were independent and two of them were contract foodservice management. A total of 129 questionnaires were returned and analyzed for statistical analysis. Statistical analysis was completed using SPSS for chi-square test, t-test and Pearson's correlation. The results of this study showed that employees of contract foodservice presented higher scores than independent foodservice in interests, affection, importance of works. And achievement of work was significantly different between contract and independent foodservice employees (p < 0.05). The satisfaction of payment adequacy was lower for contract foodservice employees (p < 0.05). The employees of both contract and independent foodservice were satisfied with attitude of foodservice managers toward employee. Attitude scores of foodservice employees toward co-worker were higher in independent foodservice. Employees of independent foodservice showed higher scores for the attitude toward institution represented satisfaction. (Korean J Nutrition 38(2): 173～179, 2005)

• 보건행정학회지
• /
• 제13권2호
• /
• pp.125-143
• /
• 2003

This study was conducted to estimate the future government budget in medical expenditures using for the low-income handicapped, because medical expenditures to the low-income handicapped is escalating in these days. It became a big problem not only to the central-government but also to the district-government because they have to subsidize a part of co-payment. This study was designed to project the future government budget using structural model. For the short-term projection, the structural model is stronger than the regression model. The data used for this study were the population projection data based on National Census Data(2000) of the National Statistical Office, the data of Ministry of Health & Welfare, and the data of National Health Insurance Corporation from November 2m to June 2001. The results of the study are summarized as follows: The future government budget in medical expenditures using to the low-income handicapped will be 15-18 billion Won in the year 2003, 16-23 billion Won in 2004, 18-30 billion Won in 2005, 19-38 billion Won in 2006 and 21-49 billion Won in 2007. It is predicted that they would be increasing rapidly. Therefore, the government budget in medical expenditures using for the low-income handicapped must be enlarged.

• 의료법학
• /
• 제12권2호
• /
• pp.189-217
• /
• 2011

According to the current law of national health insurance, the Minister of Health and Welfare can impose a suspension of business or license, and a fine with medical institutions who violate the law. In case that medical institutions raise an action for ity with each penalty, they ask for replacing the suspension of business with a fine during the pendency of the action. But there is a long gap of time between an offense and administrative measures. One violation cause several types of administrative measures (suspension of business or fine, suspension of license etc.) and different government departments impose these penalties. It takes a lot of time to organize their opinions and they are liable to impose penalties after considerable space of time because of overwhelming tasks. Then the medical institutions can sustain a loss by getting unexpected administrative measures after their offense against the law. Thus, this article review whether extinctive prescription apply to the right of imposing fine on the law of national health insurance or not. Meanwhile, we have no regulations imposing a same fine to co-representatives of medical institution who infringe the law of national health insurance. On this point, this study review whether they have equal duty on that or not.