• 한국병원경영학회지
• /
• 제20권3호
• /
• pp.36-44
• /
• 2015

The Activity Based Costing(ABC) means the process that makes clear how the actions and input resources have changed into service to calculate medical services costs. These days, the number of hospital which is using the ABC system is increasing to make their policy decision making efficient and run the hospitals more resonable. This study analyzes the unbalance in the level of health insurance service fee and the improvement plans based from 8 hospitals(ABC system) and 95 clinics(ABC survey). The cost recovery ratio has shown different levels according to each service type. A surgery service type recorded 76.8% and an evaluation & management service type is 84.6%, a treatment procedure type(85.8%), a function test type(91.6%) and health insurance fee even did not reach to the original cost. Meanwhile, a laboratory test type and imaging test type show high level of cost recovery ratio. they recorded 188.3% and 158.8%. Resultingly now of unbalance in the level of health insurance service fee accelerates supply of every test. so there is a need to make laboratory test type and imaging test type lower to keep balance with the surgery and medical service. These methods should be performed gradually with monitoring the unbalance fee ratio and for this, a panel medical institution have to be established for generalizations of studying result, fairness of selecting researching sample.

• 한국항만경제학회지
• /
• 제26권4호
• /
• pp.310-328
• /
• 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.

• 보건행정학회지
• /
• 제29권2호
• /
• pp.130-137
• /
• 2019

The fee-for-service system is used as the main payment system for health care providers in Korea. It has been argued that it can't reflect differences in the medical practice costs across regions because the fee schedule is calculated based on the average cost. So, some researchers and providers have disputed that there is need for adopting geographic practice cost index (GPCI) used in the United States for the Medicare program for the elderly to the fee-for-service payment system. This study performed to identify whether the difference in the practice costs among regions exists or not and to examine the feasibility of applying GPCI to Korea payment system. For this purpose, we calculated modified-GPCI and examined considerations to introduce GPCI in Korea. First we identified available data to calculate GPCI. Second, we made applicable GPCI equations to Korea payment system and computed it based on four types of regions (metropolitan, urban, suburban, and rural). We also categorize the regions based on the availability of the medical resources and the capability of utilizing them. As a result, we found that there wasn't any significant difference in the GPCI by regional types in general, but the indices of rural areas (0.91-0.98) was relatively low compared to the indices of other regions (0.96-1.07). Considering the need to use GPCI floor, the pros and cons of using GPCI, and the concern of the regional imbalance of resources, the introduction of GPCI needs to be carefully considered.

• 보건행정학회지
• /
• 제29권1호
• /
• pp.40-48
• /
• 2019

Background: As of July 2015, per diem payment was changed from fee for service Therefore, this study aims to analyse changes in medical charges and medical services before and after enforcement of the palliative care, targeting palliative care wards in a general hospital, and provide basic data needed for development of per diem payment. Methods: The subjects of the study were a total of 610 cases consisting of 351 patients of service fee who left hospital (died) from July 2014 to June 2016 and 259 ones of per diem payment at Chosun University Hospital in Gwangju Metropolitan City. Results: The results are summarized as follows. First, after the palliative care system was applied, benefit medical service charges and insurance increased significantly (p<0.001). As benefit medical service charges increased, benefit private insurance payment increased significantly (p<0.001). Second, after the per diem payment was applied, total private insurance payment to medical institutes decreased significantly (p=0.050) and non-benefit also decreased significantly (p=0.001). Conclusion: It is suggested that additional rewards in the obligatory palliative care items should be continuously remedied and monitored to provide good quality hospice palliative care.

• 한국전자거래학회지
• /
• 제7권3호
• /
• pp.1-19
• /
• 2002

This research investigates several essential topics of m-business by conducting a questionnaire to the professional experts. The topics include the market structure and business, the demand for available m-business service and its development, the market size and market growth factors, the service fee, the core technologies and technology development prediction. This paper contributes to the development of m-business in that it provides criteria and policies for more active and efficient treatment of m-business market under IMT2000 environment and also offers guides and plans of m-business activation for both government and enterprise.

• 한국통신학회논문지
• /
• 제41권2호
• /
• pp.229-237
• /
• 2016

본 논문의 목적은 국내 이동통신시장에서 발생가능한 대표적인 인식편향(cognitive bias) 중 하나인 단위편향(unit bias) 현상의 발생 여부를 실증적으로 분석하고, 단위편향 발생을 최소화하기 위한 바람직한 요금제 개선방안을 제시하는 것이다. 분석 결과 이용자들은 정액요금제하에서 단위편향적 소비행태 발생에 따라 자신의 최적소비량보다 많은 통화량 혹은 데이터량을 사용함으로써 자신의 효용극대화를 위한 최적 통신비 지출보다 많은 통신비를 지출할 가능성이 높은 것으로 나타났다. 따라서 정액요금제의 요금구간을 보다 세분화함으로써 소비자들이 단위편향 발생에 따른 비합리적 소비를 최소화하고 자신의 효용함수에 따라 최적 소비량을 이용토록 마련하여 가계통신비 절감은 물론 소비자 후생을 극대화할 수 있도록 유도하는 것이 가능할 것으로 기대된다.

• 보건행정학회지
• /
• 제24권1호
• /
• pp.92-99
• /
• 2014

Background: Korea's primary care clinics are seeking increase in consultation fees by expanding supply within the frame of the health insurance system, but inequality of physician income between regions and individuals is exacerbating. The purpose of this study lies in analyzing the distribution of patients of primary care clinics, their specialized field, and the degree of inequality between medical fee income according to region. Data was acquired from the Health Insurance Review and Assessment Service on charged bills made by clinic-size medical institutions from 2008 to 2011. Methods: By comparing the outpatient number per clinic according to the clinic's specialized field, results showed that ophthalmology, otolaryngology, dermatology, orthopedics, and internal medicine showed high numbers whereas plastic surgery, neuropsychiatry, cardiothoracic surgery had fewer outpatients. The number of outpatients for clinic according to region showed Chuncheonnam-do, Jeju-do, Gangwon-do, Chungcheongbuk-do, Ulsan to have higher numbers of outpatients. For those four years, clinics in the Seoul area had a rather lower number. Results: As a result of comparing the decile hierarchy distribution ratio between specialized fields according to primary care clinics income from National Health Insurance, the inequality degree showed that obstetrics and gynecology and general medicine were each 0.130, 0.280 for the decile distribution ratio, which was the highest degree of inequality within the specialized field. Their Gini coefficient were also relatively high at 0.691, 0.528 respectively. On the other hand, the decile distribution ratio for otolaryngology and orthopedics were 0.510, 0.468, respectively, while their Gini coefficient each at 0.318, 0.314 makes their inequality degree relatively lower than other fields. Conclusion: This study is limited in that the data used was the health insurance charges submitted by clinics, which does not provide total information of the doctors' income. However, because most clinics are largely dependant on their income to come from health insurance reimbursements. Therefore, the results of this study can be used effectively. In the future, research that includes data on non-covered service income should be conducted to closely examine policy plans with a new medical fee policy which can resolve the medical fee income inequality issue between clinics as well as revitalize primary medical care.

• 대한영양사협회학술지
• /
• 제14권3호
• /
• pp.229-242
• /
• 2008

This study examined foodservice management performance in child-care centers and suggests ways in which meal service quality can be improved. Questionnaires were distributed to 51 child-care facilities. The majority of respondents were facility directors (dietitians) and their facility type was tax-paid (92.2%). The dietitian response rate was 51.0%, and the majority (96.2%) were hired with co-management status, visiting a facility once a week (76.0%). Only 52.1% of the facilities had menu planning by a dietitian, and improvements were needed in terms of planning menus with standardized recipes, especially for infant meals. The monthly food cost per child was 47,394 won, and the labor cost for a co-management dietitian was 3,670 won per child, indicating 21.8% and 1.8% of the tuition fee, respectively. Other necessary improvements included: more reliable food purchasing management, securing additional foodservice equipment, and better sanitation management. In addition, respondents rated the following as requirements to ensure high quality meal service: 'modernized foodservice equipment and facilities', 'government financial support', and 'information on nutrition and foodservice management provided by dietitians'. Based on the study results, the following are recommendations for improving meal service quality in child-care centers: Dietitian placement should be extended to facilities of over 50-capacity in addition to their current placement in facilities of over 100-capacity, and co-management dietitians should have their control span restricted to two facilities instead of five. Finally, nationwide nutrition support plans and nutrition education programs should be developed and implemented by dietitians, and their roles should be extended to foodservice mangers as well as nutrition teachers.

• 정보처리학회논문지:소프트웨어 및 데이터공학
• /
• 제12권1호
• /
• pp.31-40
• /
• 2023

교통약자의 이동권을 보장하기 위해서 이동지원 편의시설 확충, 특별교통수단 공급, 데이터·AI 기반으로 이동패턴 분석으로 대중교통 노선 계획 및 요금정책 수립 등 국내외에서는 다양한 정책과 서비스가 시행되고 있다. 그러나 서비스 이용자인 교통약자 관점에서 필요한 상황에서 원하는 교통수단을 보다 편리하게 이용하기에는 여전히 서비스 편의성을 향상시키기 위한 연구가 필요하다. 본 연구에서는 교통약자 이동편의 증진을 위한 정책과 서비스를 살펴보고, 교통약자 이동지원을 위한 마이데이터 기반 서비스 모델을 제시한다. 제시한 서비스 모델에서는 교통약자가 개인별 상황에 따라 교통수단을 자유롭게 선택하여 이용할 수 있고, 국가 또는 지자체가 제공하는 교통복지 바우처 혜택을 동일하게 제공받을 수 있다. 제시한 서비스 모델은 개인데이터를 안전하게 수집하고 활용할 수 있도록 지원하는 마이데이터 플랫폼, 마이데이터 기반으로 교통복지 수혜 대상자 인증, 서비스 이용 후 요금정산을 위한 결제 기능을 핵심 구성요소로 정의하고 있다. 본 연구에서는 제시한 서비스 모델을 구현하고 대전시의 교통약자를 대상으로 실증서비스를 실시함으로써 이용자 관점에서의 서비스 만족도를 조사하였다.

• 한국콘텐츠학회논문지
• /
• 제18권6호
• /
• pp.257-266
• /
• 2018

최근 치과치료를 위해 병원을 방문하는 것뿐만 아니라, 교정치료를 위한 방문이 지속적으로 증가하고 있다. 따라서 본 연구는 교정치료환자와 일반치료환자의 의료서비스 만족도에 미치는 관련 요인을 비교 고찰하기 위하여 2015년 9월 1일부터 9월 30일에 걸쳐 대구 경북지역 소재의 치과 의료기관에 치료 중인 환자 421명을 임의표본 추출하여 비교 분석하였으며, 그 결과는 다음과 같다. 다변량 분석결과, 교정치료환자와 일반치료환자의 공통된 유의한 관련성이 있는 독립변수는 의료진과 진료비인 것으로 나타났으며, 일반치료환자의 경우 추가로 치과치료 시 공포감이 의료서비스 만족도에 유의한 변수로 나타났다. 따라서 환자에 대한 의료서비스 만족도를 제고하기 위해서는 양질의 의료서비스와 적절한 진료비 제공이 공통적으로 필요하고, 특히 일반치료환자의 경우에는 통증감소를 위한 상담관리와 치과치료 공포감 완화를 포함한 종합적인 맞춤식 서비스 제고 방안이 요구된다.