• 보건행정학회지
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• 제17권1호
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• pp.1-27
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• 2007

This study is designed to estimate an appropriate level of patient's cost-sharing for oriental medical services in the Korean National Health Insurance. The findings of this study can be summarized as follows: 1) The current co-payment system for oriental medical services does not reflect its cost structure in clinical practice due to inconsistency of cost-sharing plan in the NHI. 2) Both oriental medical institutions and their patients, as a result, are at a relative disadvantage in financial burden, compared with other services. 3) The substantial proportion of patients' cost-sharing depends on the amount of co-payment and the range of medical cost that a flat rate is applied to. 4) The extension of the range doesn't make any substantial decrease in patient's cost-sharing. 5) The fixed amount of co-payment is more sensitive than a range to total variations of patient's cost-sharing. Based on the above, the budget impacts of a new co-payment system were estimated for each co-insurance rate, according to given scenarios. The results range from -59 billion Won (-8.5%) to 16 billion Won(2.3%).

• 보건행정학회지
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• 제13권2호
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• pp.85-100
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• 2003

The purpose of this study is to (1) identify socio-demographic, economic, village-effect variables that influence the late payment of the National Health Insurance contribution, (2) to develop the model to predict the probability of a household to make late payment of the contribution. Data is composed of information on 78,858 households, Gangnam branch, National Health Insurance Corporation, as of September 30, 2001. We analyzed the data by using multivariate logistic regressions. The major findings are as follows; (1) an older or female householder whose family consists of smaller number of members is more likely to pay the contribution late than others, (2) as for income, one who belongs to a lower income group or nm a private business tend to pay it late, (3) more attention should be paid to a householders who does not have his/her own house or automobile so as to prevent late payment, (4) lastly, those who live in villages such as Nonhyun-l-dong are less likely to pay the contribution prior to due date.

• East Asian Economic Review
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• 제26권4호
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• pp.279-304
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• 2022

This paper quantitatively analyzes the current status of North Korean consumer payment instruments through a questionnaire survey of 292 North Korean defectors. In the 2010s, it was found that the payment experience ratio of domestic currency cash and grain decreased, while the payment experience ratio of foreign currency cash increased. The use of foreign currency reached a stage where it was spread not only as a store of value but also as a medium of exchange. However, the most frequently used payment instrument by North Korean consumers was still domestic currency cash. By region, in inland urban areas both domestic currency cash and U.S. dollars are used and in the North Korea-China border region both domestic currency cash and Chinese yuan are used, while in inland rural areas dollarization does not occur because both domestic currency cash and grain are used. Meanwhile, despite the stable price trend during 2013-2019, the dollarization hysteresis effect is appearing, and both the purchasing power risk theory and the network externality theory are considered to have explanatory power for the cause. The results of this paper suggest that as dollarization is intensifying, it is expected that more costs such as shortages of commodities will be incurred than in the past if North Korea's de-dollarization policy is reimplemented. Also, in the case of domestic currency cards, which the North Korean authorities introduced in 2015 as part of a means of financial reform, this paper suggests that it may continue to be difficult for domestic currency cards to normalize official finance under the dollarization hysteresis.

• 예술인문사회 융합 멀티미디어 논문지
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• 제6권2호
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• pp.169-178
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• 2016

최근 우리나라에서 장애인의 수가 증가하고 있으며, 특히 전체 장애인의 수에서 장애아동이 차지하는 비율이 약 5%를 넘는 것으로 나타났다. 이에 따라 장애아동에 대한 관심이 증가하면서 급여정책에 대한 이용자 만족도를 중심으로 한 연구가 진행되고 있지만, 현금과 바우처 이용자 만족도를 비교 및 영향 요인에 대한 연구는 부족하였다. 이러한 문제인식과 연구의 필요성을 바탕으로 장애아동정책의 급여형태에 다른 이용자 만족도를 연구함으로써, 궁극적으로 급여정책에 대한 함의를 이끌어내는 것을 그 목적으로 두고 있다. 인구사회학적특성이 이용자 만족도에 미치는 영향에 대하여 분석한 결과, 현금급여에는 장애등급이 이용자 만족도에 영향을 미치는 것으로 나타났다. 바우처에는 부모성별, 장애등급, 평균소득이 이용자 만족도에 영향을 미치는 것으로 나타났다. 연구의 함의는 다음과 같이 제시하였다. 첫째, 장애아동의 인구사회학적특성을 고려하여 맞춤형 서비스를 제공해야 한다. 둘째, 현금급여의 지급액 및 범위를 확대해야 한다. 셋째, 현금급여, 바우처의 서비스량을 확대 지급해야 한다. 넷째, 저소득층(기초수급자, 차상위계층)의 경제적 부담에 도움이 되도록 바우처를 제공해야 한다.

• East Asian Economic Review
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• 제23권3호
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• pp.285-309
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• 2019

Unlike the popular belief, digital transformation mainly gets stymied by legal and regulatory issues related with legacy institutions in Asia rather than technical difficulties. The real challenges triggered by the PSD2 (Payment Services Directive 2) are how the region would overcome the overly fragmented, centralized, and hierarchical legacy framework to allow necessary changes to respond to the digital single market initiatives as promulgated by the European counterpart. The PSD2 is expected to bring about substantial changes in the payment ecosystem by allowing payment service providers to access customers' accounts and transactions information via API that have been traditionally controlled by banks. This paper suggests an incentive-compatible mechanism design for open collaboration among legacy institutions in the region to help them adapt to the PSD2. As evidenced by case studies in Korea, the Asian equivalent of PSD2 can be implemented and further expanded to create region-wide PCS (payment-clearing-settlement) network by reconnecting the dots of legacy infrastructures. These decentralized, diverse, small payment networks can be further combined with the expanded RTGS-CDS platform to evolve into the next phase of Asian Financial Network.

• 국제학술발표논문집
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• The 3th International Conference on Construction Engineering and Project Management
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• pp.692-699
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• 2009

In China, the Reform-Open policy was executed in 1978. During the following 30 years, the economic regime in China had been changed to a socialist market economy from a socialist planned economy, and the construction industry in China has been achieved high economic growth. However, as the construction project increasing, a lot of problems which affect the construction expense payment occur. And it is a fact that the construction expense payment disputes have become a serious problem now. Therefore, it is necessary to discuss the problem of Chinese construction expense payment. In this paper, we would like to clarify the difference of the legislation of construction expense payment between China and Taiwan Region.

• 한국산업정보학회:학술대회논문집
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• 한국산업정보학회 2002년도 춘계학술대회 논문집
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• pp.433-445
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• 2002

본 연구는 전자정부의 실현을 위한 전자세정분야 가운데 정부와 고객(G2C)간의 비즈니스 유형으로 지방세의 전자납부제에 대한 현황을 고찰하고 이에 대한 활성화 방안을 제시하였다. 본 연구의 조사는 우리나라 232개 시군구의 지방자치단체의 담당자를 대상으로 면접조사와 더 불어 C군의 전자납부제 이용자를 대상으로 설문에 의한 전수조사를 실시하였다. 본 연구의 결과, 지방세 전자납부제는 전국적으로 196개의 시군이 도입운영 하고 있으나 지역별로 많은 차이를 보이고 있다. 또한, 전자납부제 운영 시스템에 있어서도 다양한 방식으로 운영되고 있으며, 이용연령층은 30대가 대부분을 차지하고 있었다. 요약컨대, 납세자의 연령층, 지역간의 이질성 시스템과 같은 인프라등에서 정보격 차가 매우 심각한 것으로 나타났다. 그러나 이용자들이 지방세 전자납부제에 대하여 긍정적으로 평가하고 있어서 앞으로 이 제도가 새로운 납부제도로 정착될 것으로 기대된다. 지방세 전자납부제의 활성화 방안으로 전자납부제 이용자에 대한 인센티브 부여, 전자납부방식에 의한 시용카드납부제 실시, 지방세 전자납부제 운영 시스템의 개선, 그리고 납세자 지식 정보화 교육의 강화등을 들 수 있다. 앞으로 전자정부실현을 위한 일환으로 추진하고 있는 지방세 전자납부제에 관한 좀 더 체계적이고 과학적인 접근을 통해 이 분야에 대한 심도있는 연구가 기대된다.

• 정보학연구
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• 제4권3호
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• pp.1-17
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• 2001

국제무역부문에서 사이버무역거래가 활발하게 이용되기 물품운송 및 무역대금결제에 이르기까지 전통적인 방식에 의한 무역보다 전자환경에 맞는 안정되고 예측가능한 시스템구축이 필요하다. WTO, OECD, UNCITRAL, APEC등과 같은 국제기구에서 전자상거래 활성화를 위한 방안이 모색되고 있고, 무역 관련 국제규범에 사이버 무역 활성화를 위한 규칙을 마련하고 있으나 전자계약, 운송서류의 전자문서화, 전자결제 등에 이용하기에는 많은 문제점을 가지고 있다. 따라서 본 논문에서는 이들 문제점들을 규명하고 전자계약의 성립과 유효성 및 권리 구제에 대한 전자적 합의의 표준화, 전자선하증권 등을 중심으로 하는 운송서류의 권리이전문제, 전자결제시스템의 개발을 통하여 사이버무역을 활성화시킬 수 있는 방안을 제시한다.

• 보건행정학회지
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• 제27권2호
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• pp.128-138
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• 2017

Background: The purpose of this study is to analyze the effects of differential coinsurance policy on prescription drug coverage of outpatients by types of medical institutions. Methods: In this study, we used a sample cohort database of the National Health Insurance Service and frequency analysis and marginal logistic regression model using generalized estimating equation were used for statistical analysis. Results: The summary on the major research is followed. First, about 16% of patients who used only tertiary or general hospital due to 52 ambulatory care sensitive conditions before policy implementation moved to hospitals and clinics. However, about 57% of them still use tertiary or general hospital. Second, the factors influencing the utilization of hospitals and clinics after the implementation of the policy were gender, age, and income level. As a result, the policy is effective to reduce the medical use of outpatient mental patients in tertiary or general hospital, but the effect is not significant. Conclusion: Therefore, in order to achieve the purpose of the policy for establishing the health care delivery system, it is necessary to adjust the co-payment so as to feel the burden on the co-payment when the outpatient for 52 ambulatory care sensitive conditions is used at the tertiary or general hospital.

• Journal of Preventive Medicine and Public Health
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• 제33권4호
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• pp.393-401
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• 2000

Objectives : To evaluate the impacts of the DRG payment system on the behavior of medical insurance claimants. Specifically, we evaluated the case-mix index, the numbers of diagnosis and procedure codes utilized, and the corresponding rate of diagnosis codes before, during and after implementation of the DRG payment system. Methods : In order to evaluate the case-mix index, the number of diagnosis and procedure codes utilized, we used medical insurance claim data from all medical facilities that participated in the DRG-based Prospective Payment Demonstration Program. This medical insurance claim data consisted of both pre-demonstration program data (fee-for-service, from November, 1998 to January, 1999) and post-demonstration program data (DRG-based Prospective Payment, from February, 1999 to April, 1999). And in order to evaluate the corresponding rate of diagnosis codes utilized, we reviewed 820 medical records from 20 medical institutes that were selected by random sampling methods. Results : The case-mix index rate decreased after the DRG-based Prospective Payment Demonstration Program was introduced. The average numbers of different claim diagnosis codes used decreased (new DRGs from 2.22 to 1.24, and previous DRGs from 1.69 to 1.21), as did the average number of claim procedure codes used (new DRGs from 3.02 to 2.16, and previous DRGs from 2.97 to 2.43). With respect to the time of participation in the program, the change in number of claim procedure codes was significant, but the change in number of claim diagnosis codes was not. The corresponding rate of claim diagnosis codes increased (from 57.5% to 82.6%), as did the exclusion rate of claim diagnosis codes (from 16.5% to 25.1%). Conclusions : After the implementation of the DRG payment system, the corresponding rate of insurance claim codes and the corresponding exclusion rate of claim diagnosis codes both increased, because the inducement system for entering the codes for claim review was changed.