• Title/Summary/Keyword: Global budget

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Designing a Global Budget Payment System for Oriental Medical Services in the National Health Insurance (건강보험 한방의료의 총액계약제 도입방안)

  • Kim, Jin-Hyun;Kim, Eun-Hye;Kim, Yoon-Hee
    • Journal of Society of Preventive Korean Medicine
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    • v.14 no.1
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    • pp.77-96
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    • 2010
  • Objectives : This paper recommends a global budget based payment system for reimbursing oriental medical services in the national health insurance. Methods : We analyzed previous research outcomes related to oriental medical services and payment system We reviewed the experiences of other countries' global budget system in terms of their strength and weakness. In addition, we developed a reimbursement method for oriental medical services based on global budget. Results : Our reviews focused on global budget system of Germany, the Netherlands, the United Kingdom, Canada, France, and Taiwan. The estimation of global budget in the national health insurance was described in two scenarios. First scenario was to allocate oriental medical services in scale after signing a contract for global budget. In this case, 4.16% of the national health insurance expenditure was allocated for the oriental medical services. Second scenario was to estimate the global budget in a historical context. As a result, the first scenario in total budget was higher than the second, and we proposed a retrospective adjustment method for the gap between the budget and the actual expenditure Conclusions : The payment system for oriental medical services is recommended to shift from fee-for-service to global budget.

Global Carbon Cycle and Budget Study (지구규모의 탄소 순환 및 물질수지 연구)

  • 권오열
    • Journal of Environmental Science International
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    • v.5 no.4
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    • pp.429-440
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    • 1996
  • A global carbon cycle model (GCCM), that incorporates interaction among the terrestrial biosphere, ocean, and atmosphere, was developed to study the carbon cycling aid global carbon budget, especially due to anthropogenic $CO_2$ emission. The model that is based on C, 13C and 14C mass balance, was calibrated with the observed $CO_2$ concentration, $\delta$13C and $\Delta$14C in the atmosphere, Δ14C in the soil, and $\Delta$14C in the ocean. Also, GCCM was constrained by the literature values of oceanic carbon uptake and CO, emissions from deforestation. Inputs (forcing functions in the model) were the C, 13C and 14C as $CO_2$ emissions from fossil fuel use, and 14C injection into the stratosphere by bomb-tests. The simulated annual carbon budget of 1980s due to anthropoRenic $CO_2$ shows that the global sources were 5.43 Gt-C/yr from fossil fuel use and 0.91 Gt-C/yr from deforestation, and the sinks were 3.29 Gt-C/yr in the atmosphere, 0.90 Gt-C/yr in the terrestrial biosphere and 2.15 Gt-C/yr in the ocean. The terrestrial biosphere is currently at zero net exchange with the atmosphere, but carbon is lost cia organic carbon runoff to the ocean. The model could be utilized for a variety of studies in $CO_2$ policy and management, climate modeling, $CO_2$ impacts, and crop models.

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A Study on the Implementation of Global Medical Budget Model for Hospital based on Sustainablity and Efficiency (지속가능성과 효율성을 고려한 병원 총액예산 설계와 배분에 관한 연구)

  • O, Dongil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.6
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    • pp.3534-3547
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    • 2014
  • Although there are many positive sides of the current fee-for-service payment schedule, there is a strong necessity to control the rapidly increasing national healthcare expenditure. The global budget is often mentioned as one prominent alternative for solutions. In this article, both microscopic and macroscopic approaches are considered to set the hospital medical expenditure budget. In a macroscopic aspect, the SGR model, which considers the financial limit of the healthcare system, is used to set the next year target budget. In addition, the DEA model is used to measure the inefficiency and cost recognition. In this article, the national medical target expenditure is distributed to an individual hospital based on the level of efficiency. By combining the SGR and DEA, it will be possible to set a real world applicable target medical expenditure budget model.

Global Carbon Budget Study using Global Carbon Cycle Model (탄소순환모델을 이용한 지구 규모의 탄소 수지 연구)

  • Kwon, O-Yul;Jung, Jaehyung
    • Journal of Environmental Science International
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    • v.27 no.12
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    • pp.1169-1178
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    • 2018
  • Two man-made carbon emissions, fossil fuel emissions and land use emissions, have been perturbing naturally occurring global carbon cycle. These emitted carbons will eventually be deposited into the atmosphere, the terrestrial biosphere, the soil, and the ocean. In this study, Simple Global Carbon Model (SGCM) was used to simulate global carbon cycle and to estimate global carbon budget. For the model input, fossil fuel emissions and land use emissions were taken from the literature. Unlike fossil fuel use, land use emissions were highly uncertain. Therefore land use emission inputs were adjusted within an uncertainty range suggested in the literature. Simulated atmospheric $CO_2$ concentrations were well fitted to observations with a standard error of 0.06 ppm. Moreover, simulated carbon budgets in the ocean and terrestrial biosphere were shown to be reasonable compared to the literature values, which have considerable uncertainties. Simulation results show that with increasing fossil fuel emissions, the ratios of carbon partitioning to the atmosphere and the terrestrial biosphere have increased from 42% and 24% in the year 1958 to 50% and 30% in the year 2016 respectively, while that to the ocean has decreased from 34% in the year 1958 to 20% in the year 2016. This finding indicates that if the current emission trend continues, the atmospheric carbon partitioning ratio might be continuously increasing and thereby the atmospheric $CO_2$ concentrations might be increasing much faster. Among the total emissions of 399 gigatons of carbon (GtC) from fossil fuel use and land use during the simulation period (between 1960 and 2016), 189 GtC were reallocated to the atmosphere (47%), 107 GtC to the terrestrial biosphere (27%), and 103GtC to the ocean (26%). The net terrestrial biospheric carbon accumulation (terrestrial biospheric allocations minus land use emissions) showed positive 46 GtC. In other words, the terrestrial biosphere has been accumulating carbon, although land use emission has been depleting carbon in the terrestrial biosphere.

Budget Allocation for Emergency Support Funding System During Global Pandemic (글로벌 팬데믹 상황에서의 긴급지원금 예산 배분 정책에 대한 연구)

  • Park, Ki-Kun;Kim, Do-Hee;Kim, Seul-Gi;Choi, Ji-Won;Bae, Hye-Rim
    • The Journal of Bigdata
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    • v.5 no.2
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    • pp.97-110
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    • 2020
  • The global pandemics occurred in 2020 had a great economic impact on the world, and the impact was especially greater on self-employed people who were heavily affected by the floating population and tourism industry. To solve this problem, each country implemented emergency disaster support policies, and it was difficult to select the criteria and scope. The following research carried out two results. First, after analyzing the impact of global pandemics on the local economy, an economical index was defined that could explain the impact intuitively. Second, we propose linear programming methods to provide optimal budget policy using defined indicators, which present economic shock indicators and optimal years that can be considered quickly and easily by the government. Finally, the limitations and implications of the proposed study model are introduced.

Seasonal Variation of the Surface Heat Budget in the Gumi Reservoir of Nakdong River (낙동강 구미 보의 수면 열수지 계절 변화)

  • Kim, Hak-Yun;Seo, Kwang-Su;Cho, Chang-Bum;Kim, Hae-Dong
    • Journal of Environmental Science International
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    • v.25 no.8
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    • pp.1057-1063
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    • 2016
  • The heat budget is investigated in the Gumi Reservoir of the Nakdong river. In warm climate season, solar radiation effects play a important role in the change of water temperature. The features of the surface heat balance are almost derived by the latent heat flux and the solar radiation flux. On the other hand, in cold climate season, change of heat stored in the water is mainly dominated by latent and sensible heat transfer between water and air, since flux of solar radiation and loss of outgoing long wave radiation balance approximately. For the annual averages, net flux of radiation, evaporation(latent heat) loss are dominant in the Gumi reservoir. The evaporation losses are dominant from spring to early winter. This means that the Gumi reservoir rolls like a lake of thermal medium or deep depth.

Parameters Estimation in Longwave Radiation Formula (장파복사 모형의 매개변수 추정)

  • Cho, Hongyeon;Lee, Khil-Ha;Lee, Jungmi
    • Journal of Environmental Impact Assessment
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    • v.21 no.2
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    • pp.239-246
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    • 2012
  • Daily net radiation is essential for heat budget analysis for environmental impact assessment in the coastal zone and longwave radiation is an important element of net radiation because there is a significant exchange of radiant energy between the earth's surface and the atmosphere in the form of radiation at longer wavelengths. However, radiation data is not commonly available, and there has been no direct measurement for most areas where coastal environmental impact assessment is usually most needed. Often an empirical equation, e.g., Penman and FAO-24 formulae is used to estimate longwave radiation using temperature, humidity, and sunshine hour data but local calibration may be needed. In this study, local recalibration was performed to have best fit from a widely used longwave equation using the measured longwave radiation data in Korea Global Atmospheric Watch Center (KGAWC). The results shows recalibration can provided better performance AE=0.23($W/m^2$) and RMSE=14.73($W/m^2$). This study will contribute to improve the accuracy of the heat budget analysis in the coastal area.

Two Decades of International Climate Negotiations - Carbon Budget Allocation Approach to Re-shaping Developing Country Strategies

  • Yedla, Sudhakar;Garg, Sandhya
    • East Asian Economic Review
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    • v.18 no.3
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    • pp.277-299
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    • 2014
  • Climate negotiations have been going on for the last two decades and the awareness for impacts of climate change has improved substantially. However, the trends of global $CO_2$ emissions did not reveal any encouraging signs, with developing countries emitting even more $CO_2$ and industrialized nations showing no signs of reducing emissions to below their 1990 levels. In order to meet the ambitious targets set by the Stern report for the next two decades, it is important to find new and path-breaking approaches to climate change. This paper attempts to analyze the use of carbon/development space historically, at present and in the future with a focus on equity. Trends analysis focuses on the last two decades (Post Rio) and the carbon budget based analysis considers a period of 1850-2050. Industrialized countries are found to have significantly overshot their budgeted allocation for the last 160 years. Both the developing and industrialized countries are overshooting the present budget estimates based on world per capita budget for the next forty years and proportional to the population of each country. It is important for the industrialized countries to bring down their emissions to meet their carbon budgets while the developing countries use their development space as a guideline for their development path. Furthermore, this paper presents aggressive and regressive scenarios for the industrialized countries to compensate for the climate debt they have created.

Analysis of Wave Data and Estimation of Littoral Drifts for the Eastern Coast of Korea (한국동해안의 파랑 자료 분석 및 표사량 추정)

  • 김아리;이정열;최병호
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.13 no.1
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    • pp.18-34
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    • 2001
  • Statistical analysis oflong-tenn wave data resulted from HYPA(HYbrid PArametric wave model) for the eastern coast of Korea was performed. Subsequently a simple approach for predicting the global annual and seasonal littoral drifts has been derived to estimate littoral sediment budget.

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A Study on ODA Budget Allocation by Economic Development Stage and International Norm (경제발전과 국제규범 형성에 기반한 ODA 예산규모에 관한 연구)

  • Chang, Ji-Soon;Jeon, Yongil
    • International Area Studies Review
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    • v.18 no.3
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    • pp.3-21
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    • 2014
  • The OECD DAC has recommended the member countries to raise the ODA budget by 0.7% of GNI. Most of DAC's members, howver, have not reached at the target level, mainly due to global economic crisis, with some exceptions in Northern Europe countries. Korea has increased the ODA budget allocation dramatically, but she could not still meet even the level 0.3%, which is the average level of DAC countries. In terms of national budget operation, DAC country groups are classified as the international norm type and the self-economic dependence type. And then, this study analyzes the time trends of the ODA budget in Korea, comparing with DAC's members on the economic scale. By forecasting Korean ODA budgets by country-type classifications, the optimal size of Korean government's ODA budget is proposed and discussed.