• 한국직업건강간호학회지
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• 제14권1호
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• pp.56-70
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• 2005

Objectives: The purpose of this study is to develop a linking model between industrial injury insurance organs and local organizations providing social welfare health services, for the activation of medical rehabilitation services for industrial injury patients. Method: Research design for this study was a multi-step research through literature review, field research, and group interviews with persons in charge, to compare local society-oriented medical rehabilitation programs. The term of researches Sep.1 ~ Nov. 30, 2004. Results: 1. Home nurses from Workers Accident Medical Corporation have been taken to be adequate to case managers, who link industrial accident insurance institutions to local society services for the activation of medical rehabilitation services for industrial injury patients. They have been chosen for case managers because they have richer understanding and experiences of objects of industrial accidents than any other specialists, and because they have proved to be able to provide direct home services as a specialist. We have established the center for case management affairs within the workers accident general hospital, organized the committee for case management with doctors in charge, doctors in rehabilitation, rehabilitation consultants, social welfare workers, physical therapists, and nurses, determined objects of case managements from those of long-term recuperation, and constructed a course of case management containing from case management plans to evaluation. 2. We have made files of community resources, and organized the council of industrial accident administration to have it in charge of the adjustment and linking of services in case management affairs. 3. Because there are inequality of community resources between areas, differences in experiences in and bases for linking, and disparity of core organizations with active linking in the system of linking between public and civil sectors, we have taken a system of linking between parallel organs to be the core. In our linking model, workers accident general hospital, hospitals designated for industrial injury, and rehabilitation hospitals are linked in parallel, inadequate long-term recuperation managers are trusted to an workers accident medical corporations through examination by the examination committee in Korea Labor Welfare Corporation, and are dealt with by the committee for case management. Of the hospitals designated for industrial accidents, those running a home caring center provide home caring services for the handicapped at home from industrial injury. 4. Workers Accident Medical Corporation take part in medical rehabilitation, and Korea Labor Welfare Corporation in vocational/social rehabilitation. Furthermore, in the model, the latter should construct a system for job opportunities through Internet portals and provide cyber vocational consultation and introduction. Conclusion: Improvement of systems is needed to apply the linking model to practical affairs. Because this model is centered for practical affairs, it should be put under the analysis of effects, and evaluation of its adequacy to practical application, and its effects and efficiency through experimental running in the 8 workers accident general hospital in Korea.

• 대한간호학회지
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• 제34권6호
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• pp.1117-1128
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• 2004

Purpose: This study was carried out to substantiate the application process of activity-based costing on the current cost of hospital home care (HHC) service. The study materials were documents, 120 client charts, health insurance demand bills, salary of 215 HHC nurses, operating expense, 6 HHC agencies, and 31 HHC nurses. Method: The research was carried out by analyzing the HHC activities and then collecting labor and operating expenses. For resource drivers, HHC activity performance time and workload were studied. For activity drivers, the number of HHC activity performances and the activity number of visits were studied. Result: The HHC activities were classified into 70 activities. In resource, the labor cost was 245￦per minute, operating cost was 9,570￦ per visit and traffic expense was an average of 12,750￦. In resource drivers, education and training had the longest time of 67 minutes. Average length of performance for activities was 13.7 minutes. The workload was applied as a relative value. The average cost of HHC was 62,741￦ and the cost ranged from 55,560￦ to 74,016￦. Conclusion: The fixed base rate for a visit in the current HHC medical fee should be increased. Exclusion from the current fee structure or flexible operation of traveling expenses should be reviewed.

• 노동경제논집
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• 제25권1호
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• pp.75-95
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• 2002

본 연구는 빈곤과 실업의 결정요인과 상호관계를 살펴보고, 복지정책의 효과를 분석해 본다. 특히, 빈곤가구와 가구주의 특성, 가구주의 경제활동상태 변화 및 이들 변수에 영향을 미치는 결정요인을 분석해 본다. probit 모형과 bivariate probit 모형을 이용한 실증분석 결과, 빈곤의 주된 원인으로 실업이 작용했고, 가구월수, 가구주의 연령 및 저학력 등도 원인으로 작용했음이 밝혀졌다. 사회보험 수급 등을 포함하는 복지정책은 이러한 실업이 빈곤에 미치는 영향을 축소시키는 요인으로 역할하고 있음이 추정 결과 나타났다.

• 노동경제논집
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• 제33권2호
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• pp.91-134
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• 2010

본 연구는 고용보험 DB(2000~2007)를 사용하여 이직사유별로 일자리 이행 경로 및 성과를 비교하고, 미취업탈출 및 취업탈출 확률의 결정요인에 대한 회귀분석을 수행하였다. 주요 분석 결과는 다음과 같다. 비자발적 이직의 경우 자발적 이직에 비해 새로운 일자리에서 일자리 기간이 크게 감소하고 실질임금 증가율도 매우 낮다. 이러한 일자리 이행성과의 차이는 체계적인 직장탐색 부족에 따른 우수한 일자리 매칭 확보의 어려움, 노동시장에서의 부정적 신호효과, 이전 일자리에서 축적된 인적자본의 활용 가능성 저하 등 비자발적 이직의 특성을 반영하는 것으로 풀이된다. 실업급여 수급 여부는 미취업탈출 확률을 줄이는 효과를 가지지만 동시에 실업급여 수급 후 진입한 새로운 일자리에서는 취업탈출 확률을 낮추는 긍정적 효과를 가지는 것으로 나타났다.

• 대한치과의사협회지
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• 제52권7호
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• pp.416-424
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• 2014

The purpose of this study is to analyze the cost of dental implant by top-down method and, on that basis, to provide salient information for the suitable standard of dental insurance fee. A survey data and accounting documents from 36 samples of dental clinics secured with the organisation authority are used and analysed for extracting the representative sample of dental clinic. A researcher visited the dental clinics in person and conducted additional interviews in the omitted case of accounting documents. A dental implant cost by top-down method was estimated to 1,430,000 won. Labor cost accounted for 43% of the total cost structure, ranking it 1st and, management cost, material cost and interest cost on investment cost in order are investigated. Labor cost counts of the total cost that shows the similar aspect to the existing result. Cost in cost accounting of medical care would be used for the judge that cost pursed value for dental service, not price or fee.

• 한국사회복지학
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• 제42권
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• pp.169-198
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• 2000

This paper attempts to analyze the early retirement in the OECD countries and discuss implication of that in the old age policy in Korea. The increase of the early retirement in the almost all OECD countries is a common fact. Especially the rate of early retirement rapidly increased in the 1980s, mostly reflecting the high rate of unemployment and states' policies to reduce it. However, it varies across countries: the unemployment compensation pathway in France, the mixture of social assistance and private insurance in England, VUT in Netherland, the privatization of the early retirement in the U. S., and partial retirement and labor market policy in Sweden. The early retirement in the advanced countries contributes to de-institutionalization and de-standardization in life course model. It resulted in the erosion of the ordinary conception that the retirement was the beginning of the old age. And the last phase of life course became blurred. With respect to the problem of the early retirement, there is a big difference between Korea and the OECD countries. Above all, the retirement age is 55 years in many companies and the public pension is not universalized in Korea. Accordingly the policy for income security of the old age in Korea should be connected with social security policy such as the gradual extension of the retirement age and the expansion of the public pension and labor market policy such as job training for the old age, transformation of the seniority wage system etc.

• International journal of advanced smart convergence
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• 제10권3호
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• pp.66-71
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• 2021

Recent healthcare environments have characteristics of expanding the scope of healthcare-impacting healthcare, complexity resulting from diversification of components, and accelerating the pace of change. Drugs are used for the prevention, mitigation, and treatment of diseases, so they can inevitably cause harm, while they have efficacy and effectiveness, which are key elements of health recovery. Therefore, many countries regulate permits for safe and effective medicines, and also designate essential drugs directly related to life as pay targets and guarantee health insurance. Especially Pharmacist relying on manpower for composition medicine is liable for mal-manufacture due to combination of toxic medical substances or other chemical usage. In this paper, we focus on using Kiosk and Optical Character Recognition (OCR) for automated pharmacy to level up medical service and create labor friendly environment for pharmacist themselves through maintenance of prescription data and automated manufacturing solution. Presentation of drug substances and precautions will lead to efficient drug prescription and prevent misuse of information while auto manufacturing system efficiently maintain labor force and raise patient satisfaction level by reduction of waiting time.

• 보건행정학회지
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• 제3권1호
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• pp.84-101
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• 1993

The current method of rate adjustment is based on the evaluation of the financial performance of hospitals. The method has the disadvantages such as too complicated, expensive process as well as low reliability due to small sample size. This study, therefore, develops a new model for the rate adjustment with the use of the composite index. In addition to that, it examines the validity of the model by comparing the result of the new method with that of the conventional method. The idea of the new model comes from the Medicare Economic Index(MEI) on which physician fees for the Medicare patients are adjusted periodically in the United States. Medical costs are classified into three groups : labor costs, materials and other expenses. Labor costs are subdivided into physicians and other personnels. Materials are subdivided into drugs and others. Other expenses are subdivided into 5 items. Macro economic indices are selected for each cost item in order to reflect the cost inflation during the specific period. Then the composite index which integrate all items according to the ration of each item in the total costs is calculated. The result from the application of empirical data to the new model is very similar to that of the current method. Furthermore, this method is very simple and also to easy to get social concensus. This model can be replaced the current method based on the analysis of the financial performance for the adjustment of medical fees.

• 한국직업건강간호학회지
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• 제9권2호
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• pp.121-131
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• 2000

This study was conducted to acquire data in order to institute an effective industrial accident compensation insurance(IACI) system. The subjects were employers and employees in small scale industries which have less than 5 employees. The questionnaires consisted of questions on perception and need for IACI. A total of cases were 181 employers and 105 employees participated in the study. Perception and need of employers and employees were assessed using the ANOVA, t-test. The results were as follows ; 1. Workplaces examined mostly in manufacturing(78.9%), industries with one employee(44.1%). Beneficiary rate of IACI 4.4%. 2. 60.0% of employees had experienced an industrial accident and in most cases employers paid the cost of medical treatment. 45.0% of employers nd 50.0% of employees were not aware that IACI had been put into effect starting July, 1, 2000. 52.0% of employers had no type of industrial accident compensation. 3. The need of outcome measures, especially of employers and employees who had an IACE, were higher than those without an IACI. Employers and employees who had experienced an industrial accident outnumbered those who hadn't. The results of this study reveal that there is a great need for the institution of an IACI and health promotion policy in small scale industries.

• 한국사회정책
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• 제25권4호
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• pp.163-198
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• 2018

본 연구는 이명박 박근혜 정부 9년 동안 한국 복지체체의 변화를 '확장성의 제약'과 '역진적 성별성'의 강화라는 두 가지 성격을 중심으로 분석했다. 이를 통해 본 연구는 보수정부 9년 동안 복지가 확대된 것은 분명하지만, 이러한 확장이 미래의 복지지출을 축소시키는 '확장성의 제약'이 실현되는 과정이었다고 평가했다. 또한 자유주의 정부 10년에 이어 사회보험 중심의 공적 복지가 확대되면서 한국 복지체제의 역진적 선별성이 공사적 영역에서 강화되었다. 물론 사회보험을 확대한다는 것 자체가 한국복지체제의 역진적 선별성을 강화하는 것은 아니다. 하지만 수출주도형 성장체제가 만들어놓은 산업구조는 노동시장의 분절화를 심화시켰고, 이러한 조건에서 정규직 노동자를 기준으로 설계된 사회보험을 확대하는 것은 사회보장제도의 역진적 선별성을 강화할 수밖에 없었다. 보수정부 9년 동안 한국복지체제의 역진적 선별성이 강화된 것은 바로 이러한 이유에서였다. 결국 보수정부 시기 한국복지체제는 서로 다른 삶을 살아가는 세 집단으로 나누어졌고, 세 집단 간의 불평등은 더욱 심화되었다.