• 보건행정학회지
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• 제24권3호
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• pp.228-241
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• 2014

Background: The purpose of this study is to evaluate the effect of health insurance coverage expansion for cancer patients on equity in health care utilization and catastrophic expenditure. Methods: To analyze the causal relationship between the policy to expand benefit coverage and the change in health care utilization and out-of-pocket payments of cancer patients, this study employed a difference-in-differences (DID) method. In the DID model, the change in health care utilization, such as health care expenditure, visit days and length of stay, of cancer patients was compared with that of liver disease patients, using Korea Health Panel Data in 2009 and 2010. Results: The policy of reducing cost sharing from 10% to 5% for cancer patients did not have significant effects on equity in health care utilization. The results of this study were different from those of the previous study that showed that the reduction of cost sharing from 20% to 10% significantly improved the equity in health care utilization of cancer patients. In addition, the result of catastrophic expenditures analysis showed the policy did not change the probability of catastrophic expenditures. Conclusion: The results of this study imply that payment for non-covered services account for high out-of-pocket payments, and the reduction in cost sharing for covered services alone may have a limited effect on total financial burden on patients.

• 가정과삶의질연구
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• 제26권3호
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• pp.169-189
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• 2008

There are few studies on the characteristics of defaulters, though research in this field is needed. The purpose of this study was to find out social, economic and psychological characteristics of defaulters who are married and in their thirties. For this study, an in-depth interview was used. The major findings were as follows. The focus of this study is defaulters who are married, in their thirties, have managed small businesses by themselves or with their spouses and have experienced job fluctuation. There were a lot of reasons for their becoming defaulters. Most of all, a slump in business with the occurrence of individual events caused them to be enrolled as defaulters. The monthly mean income of defaulters was $1,800,000{\sim}5,000,000$ won, yet it was irregular. Moreover, they were dependent upon labor income or business income. The monthly mean expenditure of defaulters was $1,000,000{\sim}2,300,000$ won, which constituted about $26%{\sim}57.5%$ of their monthly mean income. The defaulters needed to budget a number of expenditures such as food and private education. Defaulters had $25,000,000{\sim}128,000,000$ won in debts and $300,000{\sim}3,000,000$ won per month in debt payments. Most of them didn't have any emergency funds, monetary assets or fixed assets. Interestingly, they showed high tendency to use debt and low skill for their money management. Defaulters had short time horizons and were likely to buy something on the spur of the moment.

• 한국사회복지학
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• 제64권4호
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• pp.31-56
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• 2012

본 연구의 목적은 일본 개호정책 전개과정에서의 '가족개호(가족에 의한 개호제공)'에 대한 금전적 평가에 초점을 맞추어, 특히 개호보험제도의 도입이 '가족개호의 비용화'에 미친 영향을 살펴봄으로써 '가족개호'의 제도화 현상을 포착하는 것이다. 이를 위해 본 연구에서는 '개호의 사회화' 이념을 '가족개호의 비용화'라는 분석개념으로 조작적으로 정의하고, 이 '가족개호의 비용화' 상황과 그에 대한 국가의 개입방식을 개호서비스 제공에서의 가족의 역할과 가족개호에 대한 사회적 평가의 수준, 그리고 가족개호자(여성)의 가정 내 환경 및 노동시장에서의 지위 등과의 관련 속에서 분석한다. 이러한 분석을 통하여, 본 연구에서는 일본 개호정책의 전개과정에 나타난 '가족개호의 비용화구조'를 밝힘으로써 개호보험제도 실시와 더불어 현금급여가 극히 잔여적으로 도입될 수밖에 없었던 정책적 맥락을 이해하고자 한다.

• 중소기업융합학회논문지
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• 제5권2호
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• pp.7-13
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• 2015

최근 스마트폰 사용이 증가하면서 스마트폰을 이용한 결재 방식이 다양화되고 있다. 특히, 비금융권의 모바일 결제 서비스가 금융권의 모바일 결제 서비스보다 많은 서비스를 제공하고 있는 상황에서 금융권의 모바일 결제 서비스에 대한 새로운 기능이 요구되고 있다. 본 논문에서는 비금융권의 모바일 결제 신출에 대한 은행권의 현재 대응 방안을 제안한다. 제안 논문에서는 기존에 결제 서비스를 제공하던 은행권이 최근 몇 년간 모바일 기기의 보급 확대, 금융 핀테크의 발전, 모바일 결제의 다변화로 인한 대응 방안을 분석하고 있다. 제안 논문에서는 추가적으로 비금융권의 결제 서비스로 인해 발생되는 수수료 수익의 감소에 대해서 금융권의 대응 방안을 제시하고 있다. 또한, 본 논문에서는 현재 은행권에 위협이 되는 비금융권의 모바일 결제 진출 분야와 방법에 대해 분석하고 대응방안에 대해서 기술하고 있다.

• 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.

• 정보보호학회논문지
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• 제26권6호
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• pp.1527-1537
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• 2016

전 세계적으로 스마트폰 보급률이 증가함에 따라 스마트폰을 이용한 다양한 결제 서비스들이 출시되었고, 모바일 결제로 금전을 탈취하는 사례도 증가하였다. 이미 금융권은 온/오프라인 환경에서 이상거래를 탐지하기 위한 다양한 보안조치들을 마련하였지만, 모바일 결제 환경의 보안 솔루션이나 연구들은 미비한 실정이다. 모바일 결제는 소액 결제 위주의 결제 패턴을 보이고 결제 환경도 다르기 때문에 기존의 이상거래 탐지와는 다른 모바일에 특화된 이상거래 탐지가 필요하다. 이에 본 논문에서는 국내 PG사의 실제 모바일 결제 로그를 분석하고 데이터 마이닝 알고리즘을 이용한 모바일 결제에 특화된 이상거래 탐지 시스템을 제안하였다. 해당 시스템은 1단계 탐지 모듈에서 2가지 알고리즘을 사용해 빠른 속도로 정상거래를 판별하고, 2단계 탐지 모듈에서는 고도화된 3가지 알고리즘으로 이상거래를 정확히 탐지하도록 설계하였다. 그 결과 1초에 13건 이상의 거래를 93% 이상의 정확도로 판별할 수 있었다.

• 디지털융복합연구
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• 제15권4호
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• pp.387-393
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• 2017

본 연구는 국내 핀테크 서비스 중 간편결제 서비스의 선발주자인 카카오페이와 후발주자인 네이버페이를 중심으로 사용자 경험에 따른 서비스를 비교 분석하여 국내 간편결제 서비스의 발전을 모색하고자 하였다. 1차로는 문헌 연구를 통해 핀테크의 이론적 배경과 특징을 파악하고, 2차로 스티븐 앤더슨(Stephen Anderson)의 Creating Pleasurable interfaces Model 6가지를 재구성하여 설문 조사를 진행하였다. 그 결과, 카카오페이의 경우 가맹점의 부족으로 인한 범용성의 한계와 결제 취소, 오류 등으로 인한 신뢰성의 부족함이 나타났다. 네이버페이 또한 프로그램 결제 오류 등으로 인한 신뢰성 하락에 대한 개선 노력이 필요하였다. 본 연구를 바탕으로 국내 핀테크 시장의 사용자 경험 개선 방안을 위한 참고자료로 활용되어 국내 핀테크 산업의 활성화에 도움이 되길 바란다.

• 대한가정학회지
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• 제42권3호
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• pp.119-130
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• 2004

The purpose of this study is to estimate the rate of credit card payment for private education. The results of study can be used to improve credit card handling problems of private educational institutes, leading toward improvements in income transparency, increase in tax burden equity and long-term economic welfare improvement for individual households. 424 households out of 586 household that were surveyed in September of 2002 had 1,700 cases private extracurricular education. 67 of the 1,700 cases that did not have expenditure records were removed from the analysis. Only 3.67％ out of 1,633 cases were paid by a credit cards and the amount of credit card payment were only 5.65％ of the total amount spent for private education. The average fee of private educational institutes that allow credit card payment was higher than the fees of private institutes which don't allow a credit card payment or those of private institutes where consumers don't know whether a credit card payment was allowed. The average fee of private education paid by credit cards was 34,465.46 won higher than that paid by cash. Credit card payments to private educational institutions is an important social issue with respect to fair tax collection and tax burden equity since most private educational services operate in fairly small sizes and are offered by the self-employed, and the expense of private education is a fairly large proportion of the household income. It is also important for consumers if credit card acceptance expands alternatives that consumers can choose in private education. Therefore, credit card payment should be encouraged in private extracurricular education. To do this, private education providers should be forced to join a credit card payment service by the National Tax Service. A regulation that prohibits the refusal of credit card payments should be required, and credit card service charges of private education providers should be incrementally decreased. Also, consumer education and public promotions for credit card use instead of cash in paying for private education fees are recommended.

• 보건행정학회지
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• 제29권3호
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• pp.374-378
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• 2019

After the announcement of Moon Jae-in Government's plan (Moon's Care) for Benefit Expansion in National Health Insurance in August 2017, it is necessary to monitor the effects of the policy, especially household out-of-pocket payments (OOP). This paper aims to observe the current status and trend of OOP in Korea. Current health expenditure (CHE) was 144.4 trillion won in 2018, which accounts for 8.1% of gross domestic product (GDP) increased 9.7% from the previous year. Although GDP's share of CHE has been close to the average of the Organization for Economic Cooperation and Development (OECD) countries, the public fund's share was 59.8% of the total in 2018, which was lower than the OECD average of 73.5%. OOP's share was 32.9% in 2018, which decreased from 37.4% in 2008. The share of OOP of non-covered services was 20.0% in 2018, which decreased from 22.9% in 2008. The share of cost-sharing with third-party payers was 12.9% in 2018, which decreased from 14.5% in 2008. The OOP of non-covered services was significantly decreased in hospital and inpatient curative care, but the OOP of non-covered services was significantly increased in the medical clinic. The effect of Moon's Care was not showed in OOP through the results of 2017 and 2018, but further monitoring is needed because the Moon's Care is progressing and the observational period is short.