• 한국병원경영학회지
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• 제14권1호
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• pp.36-61
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• 2009

This study focused on finding the variation of medical service utilization, paths of medical service utilization and medical payments of the patients died by cerebrovascular diseases. For this study, data of the one-year episodes of the health insurance subscribers died in 2004 were selected. The frequency of medical visits, the lengths of stays, the days of outpatient visits, the total period of medical services and the total medical payments were compared by the characteristics of the suppliers and utilizers. This study is useful in reviewing the equity of medical service utilization because it analyzed variance in utilization by episodes. In oder to collect accurate data of the patients died by cerebrovascular diseases in 2004 the 2004 reimbursement data of all medical institutions were matched to the data of funeral fee payment by the National Health Insurance Corporation from January 2004 to May 2005. The major results of the study are as follows. The variation of medical service utilization of cerebrovascular diseases was influenced by supplier factors suppliers, such as types and locations of medical institutions and user factors such as sex and age. It was suspected that the reimbursement by fee-for-service contributed to the variation quite a lot, but we could not compare the variation between the different reimbursement systems in Korea. On the basis of analyzing results this study suggests that the factors of suppliers and utilizers should be reviewed to reduce the under use and over use expressed by variations of medical service. The processes of care, effective communication and management system should be investigated for the equity of medical service utilization and also. alternative medical services would be recommended to reduce the high medical payment. Additionally to find other causes of variation further in depth study controling the severity of diseases, socio-economic status of the users and the system factors is required.

• 한국병원경영학회지
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• 제12권3호
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• pp.1-19
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• 2007

This study focused on finding the variation of medical service utilization and medical payments of the patients died by three, cancers, stomach, breast, and colon cancer. For this study, data of the one-year episodes of the health insurance subscribers died in 2004 were selected. The frequency of medical visits, the lengths of slays, the days of outpatient visits, the total period of medical services and the total medical payments were compared by the characteristics of the suppliers and utilizers. The data of the patients died by cerebrovascular diseases and cancer in 2004 were selected. To select the dead by cerebrovascular diseases and cancer in 2004, were matched the 2004 reimbursement data of all medical institutions to the data of funeral fee payment by the National Health Insurance Corporation from January 2004 to May 2005 for the death in 2004. The results of the analysis were as follow. The variation of medical service utilization of the dead by cancers were not small in Korea. The current study found that the variation of medical care utilization was influenced by the factors of suppliers, such as types and locations of medical institutions and the factors of users, such as sex and age. It was suspected that the reimbursement by fee-for-service contributed to the variation quite a lot, but we could not compare the variation between the different reimbursement systems in Korea. The results of the study suggested that tile factors of suppliers and utilizers should he reviewed to reduce the under use and over use expressed by variations of medical service utilization. The processes of care, effective communication and management system should be investigated for the equity of medical service utilization. Additionally, prospective payment could he recommended to reduce the high variation of medical service Use. To find the variation caused by under use and over use, further study need to control the severity of diseases, socio-economic status of the users and the system factors.

• 정보학연구
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• 제1권1호
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• pp.173-188
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• 1998

최근 인터넷을 이용한 전자상거래가 점차 발전됨에 따라 고객의 서비스 구매에 따르는 전자 결제의 이용이 점차 늘어가고 있는 추세이다. 그러나 전자결제는 온라인상에서 이루어지는 활동이라는 점에서 많은 문제를 내포하고 있다. 온라인 신용카드와 전자화폐 그리고 전자수표로 대변되는 전자결제의 수단들은 흔히 해커라 불리어지는 전자상거래의 비주체들에 의하여 오용되어지고 그로 인해 많은 피해가 발생할 우려가 있다. 본 고에서는 전자상거래시의 대금결제 수단인 전자결제의 종류와 문제점에 대하여 알아보고 그러한 문제점을 극복할 수 있는 방법들에 대하여 제시해 본다.

• 한국인터넷방송통신학회논문지
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• 제19권3호
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• pp.25-32
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• 2019

블록체인 기술 핵심은 이중지불에 대한 합의 문제를 해결하는 것이며 이를 위해 이용되고 있는 알고리즘인 PoW, PoS 및 DPoS에 대하여 살펴보았다. PoW인 작업증명은 스팸 전자 메일을 보내거나 서비스 거부(Denial of service, DoS) 공격을 시작하는 등 컴퓨팅 능력의 사소하거나 악의적인 사용을 막기 위해 실현 가능한 노력을 필요로 하는 합의 시스템이다. PoS인 지분증명은 작업증명(PoW) 알고리즘의 에너지 낭비뿐만 아니라 Nothing at stake 문제를 해결하기 위해 만들어졌으며, 계산능력이 아닌 화폐 보유량에 따라 각 노드의 합의 결정권이 정해진다. DPoS는 분산 네트워크를 통해 소수의 권한을 가진 사용자들이 거래 합의를 유지하는 것으로, PoS는 모든 사용자에게 합의 권한을 가지는 것과 달리 DPos는 합의 권한을 소수의 대표자에게 제공 한다는 것이다. 즉 PoS가 직접 민주주의라면 DPoS는 간접민주주의이다. 본 내용은 블록체인 합의 알고리즘에 대한 연구를 통하여 관련 분야의 지속적인 발달에 기여하고자 한다.

• 산업경영시스템학회지
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• 제42권3호
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• pp.206-216
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• 2019

The present study identified several antecedents that create perceived resistance to supply chain management (SCM) change. This work particularly emphasizes SCM change, which is notable given its central role in reacting market orientation and varied environmental and managerial conditions. A careful case study on a small and medium sized food production company in South Korea leads to the formulation of our framework including one second-order construct of 'resistance' as well as eight first-order constructs of 'implementing the payment terms', 'balancing of business process', 'fear of responsibility', 'business sustainability transparency', 'past experience of failure', 'competence of work personnel', 'cooperation with third parties' and 'sharing personnel information with partner'. The hypothesized relation of first- and second-order construct was validated using survey sample data collected from 350 respondents who completed their questionnaire instrument. Results from confirmatory factor analysis revealed that nomological validity was established at statistical significance level by identifying six first order constructs of 'implementing the payment terms', 'fear of responsibility', 'business sustainability transparency', 'past experience of failure', a conbined construct of 'competence of work personnel/cooperation with third parties' and 'sharing personnel information with partner'. The findings from our work are expected to provide important insights to the strategy for SCM risk management for small and medium sized company.

• 대한예방한의학회지
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• 제26권1호
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• pp.25-41
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• 2022

Background & Objectives : As the government of South Korea implemented policies to strengthen health insurance coverage, the health insurance benefit for raw herbal medicines has been promoted. This study investigated the current status of the herbal medicines coverage in the Japanese national health insurance to secure reference data for the design of herbal medicines coverage in South Korea. Methods : Literature review was conducted to collect and analyze the history and current situation on herbal medicines coverage in the Japanese health insurance system. To supplement the contents not presented in the documents, on-site interviews were conducted at the medical institutions and pharmacies that prescribed or prepared herbal medicines in Tokyo, Japan. The contents of the survey included the background and progress of the herbal medicines coverage, the status of herbal medicines use, the payment system, and the safety management of herbal medicines. Results : Since the introduction of health insurance in the 1960s, Japanese insurance system has covered herbal medicines, and so far, it has been maintained without any additional restrictions. When the raw herbal medicines are prescribed to outpatients, the preparation fee is set higher than that of other medicines, but overall payment regulations and systems for herbal medicine are generally the same as other medicines. Conclusions : The case of Japan can be a useful references and implications for national health insurance policy on herbal medicines in south Korea.

• International Journal of Internet, Broadcasting and Communication
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• 제14권3호
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• pp.193-204
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• 2022

The 2018 Seoul Zero Pay is a policy actively promoted by the government as an economic stimulus package for small business owners and the self-employed who are experiencing economic depression due to COVID-19. However, the controversy over the effectiveness of Zero Pay continues even after two years have passed since the implementation of the policy. Zero Pay is a joint QR code mobile payment service introduced by the government, Seoul city, financial companies, and private simple payment providers to reduce the burden of card merchant fees for small business owners and self-employed people who are experiencing economic difficulties due to the economic downturn., it was attempted in the direction of economic revitalization for the return of alleyways[1]. Therefore, this study intends to draw implications for improvement measures so that the ongoing zero-pay can be further activated and the economy can be settled normally. The analysis results of this study are as follows. First, it shows the effect of increasing the income of small business owners by inducing consumption in alleyways through the economic revitalization policy of Zero Pay. Second, the issuance and distribution of Zero Pay helps to revitalize the local economy and contribute to the establishment of a virtuous cycle system. Third, stable operation is being realized by the introduction of blockchain technology to the Zero Pay platform. In terms of academic significance, the direction of Zero Pay's policies and systems was able to identify changes in the use of Zero Pay through big data analysis. The implementation of the zero-pay policy is in its infancy, and there are limitations in factors for examining the consumer image perception of zero-pay as there are insufficient prior studies. Therefore, continuous follow-up research on Zero Pay should be conducted.

• 농촌계획
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• 제13권3호
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• pp.123-133
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• 2007

The purpose of this study is to develop the landscape resource assessment system(LRAS) to help evaluate the value of landscape resources(Jeju Island's Stonewall fencing farming land) for the introduction of direct payment system of the landscape preservation objectively and to applicate the model in the fields. Delphi survey on Jeju's stonewall experts shows that the order of priority among value evaluation elements on Jeju's stonewall is its harmony with surroundings(34%), the preservation of its original state(34%) and its density and scale(32%). Evaluation system development of landscape resources(Jeju's stonewall fencing filming land) and field observation survey utilizing it consists of the following five steps. Step 1 includes the first Delphi survey on Jeju's stonewall experts to decide its value evaluation elements and their priority. Step 2 is the second Delphi survey on Jeju's stonewall experts to grade pictures of landscape resources(Jeju's stonewall fencing farming land) on the basis of expert-proposed value evaluation standards. Step 3 consists of analysis work using the result of Delphi survey on experts. Step 4 is to select five grade standard pictures according to each of three grading elements of A, B, C belonging to each of the three standards. Then, it is necessary to make panels including five A-grade pictures, five B-grade pictures and five C-grade pictures according to each of the three elements of density, harmony, and original state preservation. Step 5 consists of field observation survey. According to the result of few experts' value evaluation of stonewall fencing farming land with the aid of NRAS developed in this research, the area of Pyeongdae-ri is ranked first, and then the area of Bukcheon-ri, Chocheon-up, the area of Gwakgi-ri, Ewol-up, the area of Shinum-ri, Ewol-up and the area of Yongsu-ri, hankyung-Myun are ranked in the order named. When those areas are graded, A Grade Areas includes the areas of Pyeongdae-ri, the area of Bukcheon-ri, the area of Gwakgi-ri, B Grade Areas consist of the area of Shinum-ri and the area of Yongsu-ri, and the areas of Onpyeong, wimi and youngrak belong to C Grade Area.

• 서비스연구
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• 제10권1호
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• pp.17-31
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• 2020

최근 금융산업의 글로벌 트렌드인 오픈뱅킹(Open Banking)이 향후 금융시장 내 다양한 혁신을 일으키는 원동력이 되고 금융업의 분화와 재결합을 촉발하기 위해서는 올바른 정책방향과 세부 과제의 추진이 중요하다. 본 연구는 오픈뱅킹의 등장배경, 국내외 동향 그리고 한국의 오픈뱅킹 정책을 조사·분석하고, 오픈뱅킹 제도의 성공적인 안착과 활성화를 위한 정책방향과 추진과제를 제언하고자 한다. 오픈뱅킹은 고객의 명시적 동의를 전제로 제3자(TPP: Third Party Provider)에게 은행 계좌 등에 대한 접근을 허용하고 지급결제(Payment) 기능을 개방하는 정책이다. 오픈뱅킹 시대 개막은 은행과 핀테크 기업 간의 경쟁과 협력이 본격적으로 시작되는 계기가 되어 금융산업의 경쟁력을 높이고 금융소비자의 효용 증대에 기여할 것으로 기대된다. 이를 위해 정책당국은 개방형 금융결제 인프라 의 고도화, 오픈뱅킹 법적 근거 마련과 함께 고객 데이터 유출, 금융시스템 안정성 저하 등의 부작용을 최소화하는데 만전을 기해야 한다. 은행과 핀테크 기업은 흩어져 있는 고객 금융정보를 하나의 플랫폼으로 단순 집중하여 상품 또는 서비스를 추천하는 금융서비스의 표면적 결합을 넘어 진정한 금융서비스의 융합과 차별로 발전시켜야 할 것이다.

• 농촌의학ㆍ지역보건
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• 제46권1호
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• pp.12-22
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• 2021

의료 공급자인 의사의 급여수준을 파악하는 것은 매우 중요한 보건의료 정책연구의 주제 중의 하나이다. 이 연구는 봉직의사의 급여 수준의 기술적 분포를 파악하고, 봉직의사의 급여수준에 영향을 미치는 결정요인을 도출하였다. 연구대상 자료는 '초빙닷컴(www.chobing.com)'의 의사 초빙정보 사이트에서 2016년 5월부터 2019년 5월까지 게시된 4,014개의 구인광고 건 사례였다. 이 연구는 단면연구로 봉직의사의 구인 광고에 제시된 월평균 급여액을 종속변수로 초빙전문과목, 근로 지역, 채용 시기, 당직 여부, 사택여부, 퇴직금 제공 여부, 추가적인 인센티브 제공여부 등을 독립변수로 단변량 분석과 다중회귀 분석을 실시하였다. 연구의 주요결과는 첫째, 봉직의사의 월평균 급여는 1,540만 원, 표준편차 390만 원이었고, 전문과목별 월평균 급여는 정형외과가 2,124만 원으로 가장 높았고, 진단검사의학과가 1,140만 원으로 가장 낮았다. 지역 별로 경남이 1,708만 원으로 가장 높았고, 서울이 1,405만 원으로 가장 낮았다. 둘째, 단변량 분석에서는 평균 급여의 경우, 외과계, 기타 과, 내과계 순으로 유의한 차이가 있었으며(p<0.05), 비메이저 과목, 지역이 도일수록, 영·호남일수록, 야간 당직이 없을수록, 사택 제공이 있을수록, 퇴직금이 없을수록, 인센티브가 있을수록 유의하게 높았다(p<0.05). 표준화 급여에서는 외과계, 내과계, 기타 과 순으로 유의한 차이가 있었으며(p<0.05), 비메이저 과목일수록, 도일수록, 제주 및 영·호남 순으로, 시기별로는 1분기와 3분기일수록 유의하게 높았다(p<0.05). 셋째, 다중회귀분석 결과, 평균 급여는 비메이저 과목일수록, 사택 제공이 있는 경우, 퇴직금이 없는 경우, 인센티브가 있는 경우가 유의한 기여 변수였으며(p<0.05), 표준화 급여에서는 비메이저 과목일수록, 인센티브가 있을수록, 지역이 도일수록 유의한 기여변수로 도출되었다(p<0.05). 따라서 이 연구는 전문과목별, 지역별, 기타 사택 제공 여부, 퇴직금 지급 여부, 기타 인센티브 지급여부 등이 결정요인임을 확인하였다. 그러나 이 연구는 단면연구로서 추후 보다 심층적인 연구가 요구된다.