• Title/Summary/Keyword: Payment rate

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Medico-Legal Consideration of Hemopneumothorax - Closing Claim Study- (${\cdot}$기흉과 관련된 의료법학적 문제에 대한 고찰 -종결된 사건을 중심으로-)

  • Bae, Hyu-Na;Cheon, Young-Jin
    • Journal of Chest Surgery
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    • v.39 no.2 s.259
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    • pp.117-126
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    • 2006
  • Background: The purpose of this study is to describe the characteristics of malpractice claims related to hemopneumothorax and to identify the causes and potential preventability of such claims. Material and Method: A retrospective study was performed by reviewing the records in the Lawnb website and Lx CD-rom: the records on closed malpractice claims involving hemopneumothorax were abstracted from the files available for analysis. The records were reviewed and were analysed to determine the etiology of hemopneumothorax, patient age, results of lawsuit and indemnity payment, underlying diseases, cause of death or complications, and the factors associated with a successful defense. Result: Seven closed claim involving hemopneumothorax were founded in the data for malpractice. Three claims were supreme court decision, one was a high court decision and three claims were district court decision. The most common cause of death was tension pneumothorax. Four of which resulted in indemnity payments. Conclusion: While malpractice claims involving hemopneumothorax were uncommon, they resulted in a high rate and amount of indemnity payments. Claims are more common in pediatric patients. In case of iatrogenic hemopneumothorax, post-procedural X-ray can improve patient outcome and is also associated with decreased indemnity risks. Informed consent is also important.

A Consideration on the Instituting Home Health Care in Korea (우리나라 가정간호제도화 방안에 관한 고찰)

  • Yun, Soon-Nyoung;Hwang, Na-Mi;Hyun, Hye-Jin;Choi, Joung-Myoung;Kwon, Mi-Kyung
    • Journal of Home Health Care Nursing
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    • v.2
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    • pp.5-18
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    • 1995
  • While the socioeonomic status of Koreas has been dramatically increasing in recent years, chronic and geriatric diseases have also been on the rise, bringing about many changes in our health care system. The basic goals of the home health care are to reduce health care costs, to increase the attrition rate in general hospitals, and to care for patients effectively and conveniontly at home. The purpose of this paper is to review and examine the current status of the home health care in Korea throughout the reports, surveys, other informations and education system of home health nurse. We identified the various types of home health care services programs, such as hospital-based home health care operated in public sector(demonstration project) and community-based home health care in health centers or in private sector, that is, Korean Nurse Association. Hospital based home heatlh care model was established as an alternative to traditional in-patiet services. Quality assurance and client satisfaction is an important measure of care received and establishment of payment and reimbursement for home health care services is important in promotng the home health care. We found out a fee-per-visit system composed of three kinds of fees : a basic service fee(16,000 Won), a travel fee(5,000 Won), and per-service fees (variables). Like fees paid for in-patient care, insureds pay 20% and insurers pay 80% of the basic and per-service fee. The travel fee is borne totally by the insured. Home health care continues to be viewed as not only the most preferred way to provide care to clients, but also the most cost effective. Home health care is that component of a continuum of comprehensive health care whereby health services are provided to individuals and families in their places of residence for the purpose of promoting, maintaining, or restoring health, or of maximizing the level of independence, while minimizing illness. Services appropriate to the needs of the individual patient and family should be planned and provided, nursing is to be a force for positive change and enhanced the nursing professionalism. Whatever type of involvement of home health care, it is essential to remember that home health care is highly service-oriented and highly touch health car deilvery system.

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The Major Factors Influencing on the Financial Performance of the Profit and Loss-Making Hospitals - With Cases of the Provincial Hospitals - (흑자 및 적자병원의 경영성과요인 -지방공사의료원을 중심으로-)

  • Jung, Yoon-Suk;Jung, Key-Sun;Choi, Sung-Woo;Jung, Soo-Kyung;Lee, Chang-Eun
    • Korea Journal of Hospital Management
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    • v.6 no.2
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    • pp.138-155
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    • 2001
  • This study was designed to find out the factors which influence on the financial performance of the hospital. Out of 32 provincial hospitals which were established by the government, 10 hospitals were selected as sample hospitals. Ten hospitals were divided into two groups(5 hospitals each), one of which was profit-making and the other loss-making. The criteria in selecting profit or loss-making hospitals was net profit to total revenue. The major finding of the study was as follows; 1. Whether or not a hospital had specialized in certain departments was proved to be the major factor influencing on the financial performance. Three out of five profit-making hospitals could harvest following results by operating specific departments. (1) Man powers needed for the operation of specific departments were 14.6 persons per 100 bed, which was only 1/7 of the general hospital. (2) The number of doctors has not increased in proportion to the increase of the number of beds. (3) Ratio of total revenue to MD.'s payroll expenses of the profit-making hospitals was 75.0% higher than the loss-making hospitals. (4) The average length of stay of specific department was very long(388.1 days). However, the specific departments were found to have contributed much to the financial performance because the occupancy rate of such departments was very high(94.5%). 2. The headcount per 100 bed of the profit-making hospitals was 23.9 persons(24.0%) less than the loss-making hospitals and the ratio of payroll expenses to total revenue 15.1% less. 3. Averagel revenue per specialist of the profit-making hospitals was 100 million(25.1%) more than loss-making hospitals and the ratio of total revenue to MD's payroll expenses of profit-making hospital was 75.0% higher. 4. Profit-making hospitals have introduced new systems or renovation in 36 fields, such as incentive payment system, utilization of contracted man powers, change of the payroll structure of the nurses, specialization in certain departments, etc; however, loss-making hospitals introduced only 25 new systems or renovations. These kind of renovation could not be achieved without the cooperation of the labor union and the strong will of the top management. Therefore, it could be said that the labor union of the profit-making hospitals seems to have been very cooperative compared with that of loss-making hospitals.

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Research on WINC expansion numbers to improve the accessibility of mobile web service (모바일 웹 서비스 접근성 향상을 위한 WINC 확장 번호에 대한 연구)

  • Sim, Keun-Ho;Ko, He-Eae;Kim, Jong-Keun;Zhao, Meihua;Lim, Young-Hwan
    • Journal of Digital Contents Society
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    • v.12 no.1
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    • pp.23-32
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    • 2011
  • For the past few years, unlike wireless widespread United States and Japan, expensive cost and platform of the mobile web carrier underground and self-centered made achievement of domestic mobile web market sluggish. Nowadays, more and more people pay attention to the mobile web service because of the increased quality of wireless internet, development of mobile device and variety of the flat-rate payment system. However, another big problem is that mobile web is too hard to use. Also, the poor content of mobile web service is an extremely serious problem. In this paper, we put forward a new method for easy to access mobile web service which is use WINC expansion numbers and users can use these numbers to shit their own website. Along with the benefits of purchase WINC number general users are able to make website and control their website at less time and energy.

The Associations between the Term of Establishment, the Scale, the Payment System and the Salary, and Productivity of Dental Laboratories in Seoul (서울시 소재 일부 치과기공소의 개업연한, 규모, 임금제도 및 임금수준과 생산성과의 관계)

  • Kim, Eum-Sook
    • Journal of Technologic Dentistry
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    • v.18 no.1
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    • pp.73-94
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    • 1996
  • This study was aimed for evaluating the validity of relative-productivity index on the basis of working hour(RPHW index) designed by author as new productivity index and drawing up a plan of bettering productivity to cope with financial difficulty of dental laboratories. Fortyeight dental laboratories extracted by cluster-sampling method form all the dental laboratories in Seoul were subjected for this study. And in each of them, the term of establishment which was divied into three group as short-term, mid-term and long-term group, the scale of dental laboratory which as divided into two group by number of dental technician as small-scale group and large-scale group, the salary system which was composed of salary criteria, pay according to ablility criteria and collectiveagree, the salary level, simple labor productivity index(SLP index), relative-productivity index on the basis of worker number(ROWN) and relative-productivity index on the basis of working hour(RPWH index) were surveyed through the self-administractive questionaires. The results as follows : Most of dental laboratories(93.6%) were managed by non-professional managers. The establishment rate per year of dental laboratory was the increase. The mean number of employees of dental laboratories was $7.00{\pm}3.90$ person. The ratio of smallscale group(under the 5 employees) was 42.6% and as the term of establishment was shorter, the ratio of small-scale group was higher. The mean establishment area of dental laboratories was $24.49{\pm}10.97$ unit and the mean establishment area per head of dental laboratories was $4.05{\pm}3.90$ unit. The estabilshment area and area per head were not significantly associted with the term of establishment, but as the term of establishment was shorter, the estabkishment area per head was slightly wider. The establishment area per head in small-scale group was significantly wider than large-scale group(over the 6 emplayees) The salary criteria(54.4%), pay according to ability(79.2)m ability criteria(77.1%) and collectiveagree(79.2%) as salary systems were used in the most of all dnetal laboratoies. The all salary systems were not significantly associated with the term of establishment and the scale of dental laboratories. The monthly mean salary level of dental laboratoies was $125.64{\pm}31.06$ milion won. The monthly salary level was not significantly associated with the term of establishment and the scale of dental laboratores. But the monthly salary level in the short-term group and the small-scale group were slightly lower than others. The SLP index, the RPWN index and the RPWH index of dental laboratories were $132.16{\pm}48.41$, $382.41{\pm}128.76$ and $76.06{\pm}25.11$, respectively. The SLP, the RPWN and the RPWH of dental laboratories were not significantly associated with the term SLP, the RPWN and the RPWH of dental laboratories were significantly associated with the area of dental laboratory and the salary level. Except for only the association salary criteria among salary system with RPWH of dental laboratories, all other salary system were not associated with the SLP, the RPWN and the RPWH of dental laboratories.

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A study on the duties of an issuing bank and a negotiating bank and proper law issues with the documentary credit (신용장거래에서 개설은행과 매입은행의 주의의무와 준거법 -대법원 2011. 1. 27. 선고 2009다10249 판결의 평석을 중심으로-)

  • Lee, Jung-Won
    • Journal of Arbitration Studies
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    • v.22 no.1
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    • pp.65-88
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    • 2012
  • Even though there are some discrepancies in detail with the legal characteristic of the issuing bank's notice to the beneficiary of opening of the letter of credit, article 25 of "the Korean Private International Act(hereunder, 'KPIA')" can be applied to the legal relation between the issuing bank and the beneficiary or the negotiating bank. According to article 26 of the KPIA, if there is no agreement between the issuing bank and its opponent party as to the governing law issues, a state's law which has the closest relationship with the subject case may be applied. In the latter case, given the facts that the issuing bank plays important roles in every phasis of the sale of goods by the letter of credit, a law of place where the issuing bank's business premises is situated(the $lex$ $situs$) can be the applicable law. Meanwhile, "the Korean Supreme Court(hereunder 'KSC')" held that the beneficiary or the negotiating bank can claim any damages arising due to the refusal or deferred payment of the issuing bank, and the law which governs the above mentioned situation is the same law that is applicable to the legal relation between the issuing bank and the beneficiary or the negotiating bank. The main reason of the KSC's ruling is that the nature of the legitimate interest rate which is stated in article 3 of "the Act on Special Cases concerning Expedition etc. of Legal Proceeding(hereunder 'ASCELP')" is substantial matters, not procedural. Taking into account, however, that the main object of ASCELP lies in expedition of legal proceeding, prompt realization of people's rights and duties, and prevention of delayed legal proceeding, it is recommendable that ASCELP, instead of the law applicable to the legal relation between the issuing bank and the beneficiary or the negotiating bank, should be applied to the cases in which the malicious debtor's only and main purpose is delaying the legal proceedings. On the other hand, even if the issuing bank's duty of examination of the documents which were tendered by the beneficiary or the negotiating bank is restricted to the formality and strict conformity of the documents and not the substantiality of the documents, the issuing bank still has to examine the documents with due diligence that is required to the banks whose main business is sales of documents, not the real goods. In this regard, under the circumstances where the document lacked the regularity and/or the formality on its face because of the forgery of the document and where it was expected that an ordinary banker might have easily found any faults with the document, the issuing bank must compensate any parties for damages when it pays money without due diligence as a banker who engaged in the sales of documents.

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Sensitivity analysis on the length of credit period for an inventory model with stock dependent consumption rate (재고 종속형 수요를 고려한 재고모형의 신용 거래 기간에 따른 민감도 분석)

  • Shinn, Seong-Whan
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.6
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    • pp.655-660
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    • 2022
  • This paper analyzes the problem of the economic order quantity (lot size) of a retailer in a two-stage supply chain consisting of a supplier, a retailer(distributor), and a customer. In this two-stage supply chain, the supplier permits the retailer to defer payment for a certain fixed period of time for the purchase cost to be paid by the retailer as a price differentiation strategy with his competitor. In addition, in the case of customer goods such as food and grain, it is common to see that end-customer demand is generally depend on the level of inventory displayed by the retailer. From this perspective, this paper analyzes the inventory problem of retailers under the assumption that the supplier may allow a certain period to suspend payments for the purchase of goods and the end customer demand is a function of the retailer's inventory level increasing with size. In this regard, we need to analyze how much the length of the grace period for product purchase costs affect the retailer's lot-sizing policy. Therefore, we formulate the retailer's annual net profit and analyze the effect of the length of credit period on the retailer's inventory policy numerically.

Research for the Development of an Integrated Medical System for Idiopathic Pulmonary Fibrosis: Based on an Analysis of Questionnaire Survey in Doctor and Patient Groups (특발성 폐섬유증의 통합의료 협진 모델 개발을 위한 의료진 및 환자 대상 설문조사 연구)

  • Jiwon Park;Beom-Joon Lee;Jeong-Won Shin;Su-Hyun Chin;Jung-Min Yang;Sooduk Kim;Kwan-Il Kim;Hye Sook Choi;Hee-Jae Jung
    • The Journal of Internal Korean Medicine
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    • v.44 no.3
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    • pp.366-386
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    • 2023
  • Objective: In this study, a questionnaire survey was conducted for doctors and patients to obtain basic data necessary for the development of an integrated medical system for idiopathic pulmonary fibrosis (IPF). Methods: Questionnaires were developed separately for doctors and patients through an expert group meeting. The survey subjects were recruited online and offline, and finally, responses from 231 doctors and 59 patients were used for statistical analysis. Results: The most important parts in the treatment of IPF for both doctors and patients were the "improvement of respiratory symptoms," "improvement of quality of life," and "prevention of disease progression." Antifibrotic agents were prescribed at a high rate, and 100% of the specialists in Western medicine (WM) and 45.8% of patients reported experiencing side effects. As for the additional payment costs that patients considered as affordable for an integrated medical system, "under 50,000 won (about 38$)" was reported the most in both doctor and patient groups. With regard to the reasons for their reluctance to recommend an integrated medical system for IPF, specialists in WM responded highly to "uncertain evidence for treatment effectiveness." Regarding complementary and alternative medicine therapies that can be beneficial in patients with IPF, "lifestyle management," "diet management," "herb," "relaxation therapy," and "psychotherapy" were ranked high in both doctor and patient groups. Conclusions: In this study, a questionnaire survey on IPF was conducted to review actual treatment status, analyze shortcomings, and identify considerations for the development of an integrated medical system for IPF in the future.

A Study on the Strategy of Korean Logistics Companies to Enter the Cambodia E-Commerce Market (한국 물류기업의 캄보디아 전자상거래 시장 진출 전략에 관한 연구)

  • Ji-Won Lee;Hyang-Sook Lee
    • Korea Trade Review
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    • v.48 no.2
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    • pp.111-127
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    • 2023
  • While the e-commerce market in Southeast Asia is growing, this study aims to derive factors for establishing an entry strategy for the Cambodian e-commerce market where Korean logistics companies can strategically enter in the future. Cambodia is a country where growth and growth potential in the e-commerce market is steadily increasing based on the high youth population ratio, high smartphone penetration rate, the introduction of convenient payment systems, and government-level e-commerce promotion policies. In this study, Korean logistics companies established detailed promotion strategies by deriving factors necessary for Cambodia's entry into the e-commerce market and analyzing their relative importance. The AHP analysis technique derived three top factors for the entry strategy, and each presented four sub-factors. As a result, the importance was shown in the order of 'Market Factor' (0.556), 'Policy and Institutional Factor' (0.295), and 'Corporate Competency Factor' (0.149). As a result of the sub-factors analysis, the importance was found in the order of "Characteristics and Growth Potential of Distribution Channel" (0.230), "Purchasing Power and Awareness Level of Consumers" (0.176), "Cambodia Government's E-commerce Policy and Institutional Support" (0.122), and "Cambodia Government's Logistics Infrastructure Plan" (0.108). In both the upper and lower factors, the characteristics and growth potential of the Cambodian e-commerce market were important, indicating that Korean logistics companies value market size and growth potential to enter the Cambodian e-commerce market. The results of this study can be used as a guideline to help Korean logistics companies make successful inroads into Cambodia, where the e-commerce market is expected to grow in the future.

Comparative Analysis of Low Fertility Response Policies (Focusing on Unstructured Data on Parental Leave and Child Allowance) (저출산 대응 정책 비교분석 (육아휴직과 아동수당의 비정형 데이터 중심으로))

  • Eun-Young Keum;Do-Hee Kim
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.5
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    • pp.769-778
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    • 2023
  • This study compared and analyzed parental leave and child allowance, two major policies among solutions to the current serious low fertility rate problem, using unstructured data, and sought future directions and implications for related response policies based on this. The collection keywords were "low fertility + parental leave" and "low fertility + child allowance", and data analysis was conducted in the following order: text frequency analysis, centrality analysis, network visualization, and CONCOR analysis. As a result of the analysis, first, parental leave was found to be a realistic and practical policy in response to low fertility rates, as data analysis showed more diverse and systematic discussions than child allowance. Second, in terms of child allowance, data analysis showed that there was a high level of information and interest in the cash grant benefit system, including child allowance, but there were no other unique features or active discussions. As a future improvement plan, both policies need to utilize the existing system. First, parental leave requires improvement in the working environment and blind spots in order to expand the system, and second, child allowance requires a change in the form of payment that deviates from the uniform and biased system. should be sought, and it was proposed to expand the target age.