• 제목/요약/키워드: Fees, medical

검색결과 117건 처리시간 0.023초

산재취약 기업의 안전대책 (Safety Countermeasure in Industrial Accident Weakness Company)

  • 홍상우;이근희
    • 산업경영시스템학회지
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    • 제17권29호
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    • pp.47-61
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    • 1994
  • Today, we can see the more serious industrial accidents than in the past according to the high growth rate of industrial society. Therefore, from the corporate as well as the human viewpoint it pays to have workers adequately trained and safety - oriented. The cost of accidents is high in terms of medical insurance costs lost time on the job, legal fees for court cases, workers' compensation, disability insurance, and unemployment compensation. The cost of preventing occupational accidents or illnesses is much less then the cost of treatment or workers' compensation. In this study, we investigate the situations of industrial accidents and safety control of 277 coporates in Busan, analyze the causes of accidents and propose the countermeasures to each of causes.

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종합병원의 내부마케팅 활동에 대한 간호사의 기대-지각간 차이 분석 (An analysis of the Gap between Expectations and Perceptions of Internal Marketing Activities in General Hospitals from a Nurse's Viewpoint)

  • 임지영
    • 간호행정학회지
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    • 제12권2호
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    • pp.204-212
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    • 2006
  • Purpose: The aim of this study was to analyze the gap between the nurse's expectation and perception of internal marketing activities. Methods: The participants of this study were 521 nurses working in four general hospitals. The data were collected by self-reporting questionnaires. They were analyzed using descriptive statistics and paired-t test. Results: First, the mean of the nurse's expectation of internal marketing activities was 3.83, and perception was 2.54, showing a significant difference. Second, in all of the five subcategories of internal marketing activities, there were also statistically significant differences. Regarding the vacation system, the expectation score was highest, and support of academic education programs in education and training, payed-leaves during vacation, discounting of medical fees in employee welfare, distress management and two-way intercommunication, and allowances in reward were followed. Conclusion: These results will be used to develop focused internal marketing strategies to enhance the nurses' motivation.

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부산지구 정신요양원 실태조사 (Survey of Psychiatric Convalescent Facilities in The Busan area)

  • 송영선
    • 대한간호학회지
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    • 제3권3호
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    • pp.62-72
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    • 1973
  • THE author conducted a field survey form Feb.1, 1973 to March 31, 1973 in the Busan area, standing six "institutions" where mentally ill patients are kept. These six institutions are registered at Busan Government, but are not regular hospitals. There suits of these investigation are as follows: \circled1 There are six institutions. which are registered at Busan City Government. All six are operated by layman who have little psychiatric knowledge and little human is tic motivation. \circled2 These institutions are allegedly to promote the welfare of the mentally sick. However they give little help for the patients. And they do not even have a resident medical person. The staff of those places will not accept professional medical help, and try to keep all information secret. \circled3 The finances are largely composed of patients′fees and partially from city′s help. The buildings are of high quality compared with the poor therapeutic situation. There also exist factors which make the patients worse, i,e. very small room space, compelling the patients to sit in a uteral position. This situation makes them worse and more autistic. \circled4 At the time of this survey, those lucrative overcrowded six institutions had 1.000 patients. At the same time the legitimate hospitals in Busan area had about 200 patients, \circled5 In my opinion, the City Government must take a more positive policy for the mentally ill patients, instead of the passive attitude which has held till now. And most of all, these patients must be medically and humanistically helped, instead of being left in a forgotten, depressed snake pit.

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An Analysis of Actual States of the Nursing Grade of Medical Institutions

  • Park, Hyun-Suk
    • 한국임상보건과학회지
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    • 제2권3호
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    • pp.158-166
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    • 2014
  • Purpose. This study pursued the way for the effective application of the differentiated charge (Nursing grading system) by the nursing manpower which is performed for the nursing service quality improvement to the in-patients in Korea and the minimum employment problem solution of nurses. Methods. For this matter, the status of the nursing grade for 1,452 hospitals (44 high class general hospitals, 259 general hospitals, 265 hospitals, 59 oriental medicine hospitals and 825 recuperation hospitals) was identified which were registered in the Health Insurance Review and Assessment Service in March 2011 status quo. Results. In the most nursing grade by the kind of medical institutions, 70.5% of the nurses were third-graded in upper general hospitals, 38.1% were sixth graded in general hospitals, 62.7% were seventh-graded in oriental medicine hospitals and 40.4% were first-graded in recuperation hospitals. In the nursing grade by the scale of hospitals (in terms of the number of beds), there was a significant difference in general hospitals, but there was no significant difference between oriental medicine hospitals and recuperation hospitals. In the nursing grade by the location of hospitals and the foundation type of hospitals, there was a significant difference between general hospitals and recuperation hospitals. Conclusion. For the effectiveness of applying differentiated nursing fees by the number of nurses, it seems necessary to consider adjusting the present differentiated inpatient-charge system for the better so that small and medium-sized hospitals may induce more nurses.

간호수가 산정을 위한 상대가치를 이용한 수술실 간호행위 간호강도 분석 (Analysis of Nursing Intensity Related to Nursing Activities in Operating Room using the Relative Value Scale For Nursing Cost)

  • 하루미;권경자;우진하;김정아
    • 임상간호연구
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    • 제20권2호
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    • pp.162-176
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    • 2014
  • Purpose: The purpose of this study was to perform an operating room nursing activities analysis and estimate nursing intensity of each nursing activity based on the Relative Value Scale (RVS). Methods: The methodology for this study of RVS was based on the work of Hsiao et al. The first stage was to identify nursing activities and the second to measure intensity of nursing activities including technical skill, mental effort, and stress. Results: Calculation of the RVS for 99 nursing practices showed a score range from 300.00 to 1337.78. CS operation assistant, OS operation assistant, and obtaining certification had high nursing intensity. Surgical hand washing, putting on surgical gowns, surgical gloves and surgical caps and mask had low nursing intensity. Conclusion: The activities of operating room are not compensated separately but reimbursement is usually included in physician fees. In the future, an estimation of nursing cost should show the nursing contribution rate to total operation revenue.

한국과 미국의 기술료에 대한 상대가치 비교 (Comparison of Relative Value on Physician Payment Schedule for reimbursement of health insurance between Korea and U.S.A.)

  • 김한중;조우현;손명세;박은철
    • 보건행정학회지
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    • 제2권1호
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    • pp.1-16
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    • 1992
  • This study compares the physician payment of national fee schedule for Korean Medical Insurance with that of the United States based on Resource Based Relative Value Scales (RBRVS) which Hsiao developed in 1988 for the Medicare reimbursement. Through the comparison of two fees schedules, this study is purposed to evaluate the appropriateness of relative values which assigned to each physician services of Korean fee schedule. A total of 264 physician services are selected for the comparison. The ratio of Korean schedule to RBRVS is selected as an index of appropriateness. It the score of index shows large variation among services, the relative value of Korean fee schedule is inappropriate with U.S. RBRVS which was developed recently. The Ratios of Korean schedule to RBRVS are widly variated ; the range of those is 8.1 to 379.3. In subgroups which are regrouped to controll systematic differences between two national fee schedules, these ratios are also variated. Services which are relatively less compensated are management/evaluation services, while services which are relatively more compensated are invasive and imaging services. By the way, the service classification of Korean fee schedule is unclear, specially in management/evalutaion services. Therefore, Korean Medical Insurance fee schedule should be modified to be more balanced and rational.

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원격의료 추진을 위한 선결과제 및 시사점: 일본을 중심으로 (Preliminary issues and suggestions for promoting telemedicine: mainly in Japan)

  • 권주영
    • 한국융합학회논문지
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    • 제11권12호
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    • pp.309-317
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    • 2020
  • 포스트코로나 시대를 맞이하여 원격의료의 중요성이 커지고 있다. 이에, 본 연구는 우리나라와 의료체계가 비슷하고 이미 시행하고 있는 일본의 원격의료에 관한 추진과정, 현황 및 과제 등을 분석 하였다. 더불어 향후 국내 원격의료의 도입 확대를 위한 실효성 있는 방안마련과 정책적 시사점을 모색함에 있다. 일본은 의료계에서 원격의료도입의 필요성을 주장함에도 원격의료 정착화까지 신중한 태도로 제도화하고 있다. 반면 우리나라는 원격의료의 진료수가에 대한 명확한 규정 및 의료과실에 대한 책임소재에 관한 법적인 조치가 부족한 상황이다. 따라서 원격의료의 주체에 대한 명확한 법적인 해석이 필요하며, 의사와 환자의 법적 책임과 한계에 대한 지침 및 대책을 강구하는 등 전략적 접근이 우선적으로 필요할 것이다.

취약계층 환자의 의료사회 복지서비스 접근성 증진 활동 (Activities to Improve the Accessibility to clinical social work for Patients from Vulnerable/Disadvantaged/Marginalized Social Groups)

  • 허립;이영숙
    • 한국의료질향상학회지
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    • 제19권2호
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    • pp.80-88
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    • 2013
  • Objectives: With the increase in the number of people who are marginalized in receiving medical services, the role of Seoul National University Hospital as a public hospital is being emphasized. However, many patients are either experiencing delays in receiving medical services or simply being left out as a result of the inaccessibility to the department of social work on part of both the patients and the medical staff. Methods: In order to increase consultation from other departments and the accessibility to the department of social work for the socially marginalized group through early consultation from other departments, the following steps were taken. First, an orientation program for novice medical residents led by clinical social worker was introduced/implemented. Second, posters and brochures on various financial aids programs were produced and distributed. Third, a system of early screening was built/constructed, and once a week rounds and early screening meeting were executed/carried out. Result: The department of social work's rate of consultation from other departments increased by 4.4% compared to last year, while it showed 61% increase for those wards that had an early screening meeting. In addition, the average time of consultation from other departments was reduced by 3.1 days, securing sufficient amount of time for clinical social work services, both in terms of quality and quantity. Conclusion: It is believed that the various promotional activities, along with the strengthening of accessibility to clinical social work services and early consultation on part of social disadvantaged/marginalized group, would undoubtedly help provide quality services to patients and increase their level of satisfaction. In this way, the wards can effectively reduce the number of unnecessary hospital stay days while the hospital can prevent the accumulation of outstanding bills/fees as well as contribute to the publicness of hospitals. The promotion of clinical social work programs in various ways are crucial to ensuring the satisfaction of patients and hospital staff.

의약분업 전후 병원 재무성과의 변화 (Hospital Financial Performances and Separation of Dispensary from Medical Practice)

  • 정규언;주정분;김영규
    • 한국병원경영학회지
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    • 제9권3호
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    • pp.49-70
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    • 2004
  • This study analyzes the effect of separation of dispensary from medical practice on hospital management performance. The results are as follow. The earning ratios of large size hospitals become deteriorated significantly after the separation of dispensary. The growth ratios of revenues from inpatient were unchanged, but the growth ratios of revenues from outpatient of large and middle size hospitals were decreased significantly. Hospitals can't sell the medicines to the outpatient after the separation of dispensary, but they can do to the outpatient. The labor cost ratios of small and large size hospitals are increased significantly after the separation of dispensary. There are two reasons for increase of labor cost ratios. One is the decrease of material cost ratio. The other is the increase of doctor's salary. The material cost ratios of every size hospital are decreased significantly after the separation of dispensary. Because medicines costs of outpatients are decreased. The labor cost and doctors' salary per patient of middle and large size hospitals are increased significantly after the separation of dispensary. And average treatment fees per day of inpatients of middle and large size hospitals are increased significantly after the separation of dispensary. But those of outpatients are decreased significantly. Average numbers of outpatients per bed of small and large hospitals are decreased significantly after the separation of dispensary. And average numbers of inpatients per bed of large hospitals are decreased significantly. In summary, as a consequence of separation of dispensary from medical practice, management performances of large size hospitals become deteriorated significantly.

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활동기준 원가분석을 통한 건강보험수가의 적정성 분석 (An Analysis on Appropriateness of Health Insurance Fee Using the Activity Based Costing(ABC) Approach)

  • 김한성;신현웅;차재영
    • 한국병원경영학회지
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    • 제20권3호
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    • pp.36-44
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    • 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.