• 제목/요약/키워드: Policy Corporation System

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노인장기요양보험 등급외 판정자의 관리현황과 개선방안 (A study on the present status and improving management of the non-eligible people in Korean long-term care insurance system)

  • 권진희;한은정;이정석;박종연
    • 보건행정학회지
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    • 제20권2호
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    • pp.104-127
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    • 2010
  • To vitalize the link program of Korean long-term care insurance system to community-based services for non-eligible people, we analysed the claim data from the Korean National Health Insurance Corporation (NHIC), and conducted a questionnaire survey to charging employees of elderly service department at local governments. The subjects were all 81,377 people, 57,454 of them were arranged to community-based services. The link program was more necessary among the missed subjects rather than the arranged people due to the need for physical or psychological assistance. By the result of the survey to the local government employees, 59.5% of subjects responded their proportion of link service was over 10% and under 20%, and 54.3% of them responded their job boundary are not clear. Major type of linking was notification the subject list to local government, 91.4%; proportion of periodical notification on the status of their service link were 57.1%, only 7.1% were followed to manage after the link. Difficult factors at the link process were pointed out the overload by other side work, deficiency of resources, rigidity of priority of link, and so on. Considering these results, to vitalize the community-based services to the non-eligible people, it may be essential the active participation of the subjects, construction of parts working in coordination among the institutions including NHIC, local governments, and service providers; development of various services for maintenance or promotion of the non-eligible peoples' health and functional status; and active participation of institutions from the third sector, and so on.

치매노인의 서비스 희망과 이용의 일치 여부에 영향을 미치는 요인 (The Correspondence of the Demented Patient's Desired Service with Received Service Type and Its Affecting Factors)

  • 박종연;강임옥;이상이;서수라;서남규;박형근
    • 보건행정학회지
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    • 제17권2호
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    • pp.52-67
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    • 2007
  • Korean government is preparing the long-term care financing and delivery system in order to cope with rapid population aging. The system should be designed to provide demented patients with an appropriate services that the patients want to take, and considered to be necessary for them. In this regard, this study aims to analyse empirically a relationship between the types of long-term care services that demented patients wanted to take and they actually received during 2004. The caregivers of 609 dementia patients, who were randomly selected in a manner of proportional allocation from a nationwide claim database of the Korean National Health Insurance Corporation, were interviewed in September, 2005. Independent variables include socio-demographic characteristics, Activities of Daily Living(ADL) and Instrumental Activities of Daily Living(IADL). To explore the correspondence of the types of long-term care services that demented patients wanted to take and that they actually received, and its affecting factors, we conducted chi-square test and logistic regression analysis. Main findings are as follows. First, while only 20% of study subjects wanted home services as a long-term care services, those who wanted to use the long-term care facilities and general hospital were 37%, 43% respectively. Second, the correspondence rate was just 38% on average, and extremely low in the demented patients who wanted to use long-term care facilities. Third, the demented patients who resided in urban areas and received relatively high level of education showed high correspondence rate. Fourth, the high ADL score was closely related to low correspondence rate.

노인장기요양보험 시설서비스에 대한 가족수발자 만족도 영향 요인 (Factors related to Family Caregiver Satisfaction with the Institutional care services under the Public Long-Term Care Insurance system)

  • 권진희;한은정;이정석
    • 보건행정학회지
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    • 제19권4호
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    • pp.78-97
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    • 2009
  • This study examined the factors related to family caregiver satisfaction with institutional care services for beneficiaries under the Public Long-Term Care Insurance(PLTCI) system. Determining what contributes to family caregiver satisfaction is a critical step toward implementing effective quality improvement strategies. A national cross-sectional descriptive survey was conducted from November to December 2008, using proportionate quota sampling based on the location and level of Long-Term Care of the beneficiaries. Total 1,745 family caregivers wrote informed consents and 733 (response rate 42%) completed questionnaires, which included caregiver characteristics, organizational resources, primary objective and subjective stressors, perceived quality of services, and family caregiver satisfaction. Family caregivers were satisfied overall with institutional care. In multiple regression analysis, there was a statistically significant difference in degree of family caregiver satisfaction according to caregiver characteristics(relationship to beneficiary), primary objective stressors (insurance type of beneficiary), perceived quality of services(respect to family caregivers' idea, ADL support, expertness of staff, careful concern of staff, fulfillment of client's requests, and safety of institution's environment). In public long-term care, satisfaction efforts are in an early stage of development. This study is meaningful as the first attempt to measure family caregiver satisfaction with institutional care for beneficiaries under the PLTCI system, and to identify factors affecting the satisfaction. Among the identified factors, the policy makers, the insurer, and the providers need to pay attention to perceived quality of services, in particular, to improve customer satisfaction. Our findings can provide quality care improvement initiatives in the public long-term care setting.

노인장기요양보험 시설서비스 본인부담금에 대한 가족수발자의 경제적 부담감 영향요인 (Factors Related to Family Caregiver Financial Burden of Out-Of Pocket Expenses for the Nursing home service under Long-term Care Insurance System)

  • 한은정;이정석;권진희
    • 보건행정학회지
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    • 제22권3호
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    • pp.383-402
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    • 2012
  • The purpose of this study is to investigate the factors affecting family caregiver financial burden of out-of pocket expenses for the nursing home service under Long-term Care Insurance System. We conducted a national cross-sectional descriptive survey from July to September 2010 to collect data based on the long-term care benefits cost specification. Total 1,016 family caregivers completed questionnaires. 185 subjects of total were excluded from the data analysis due to being answered by user(18 cases), or caregivers not to pay for services expenditures(122 cases), having a missing data on family caregivers characteristics(45 cases). Finally, 831 subjects were included in the study. The average financial burden was 3.18(${\pm}0.71$). We divided subjects into two groups by level of burden, high-burden group and low-burden group. In the result of the multiple logistic regression analysis, family caregiver financial burden was significantly higher in family caregivers with ages 40 to 49 compared to less than 40, lower educational level, unsatisfaction for long-term care service, high percentage(more than 50%) of cost-sharing and high total out-of pocket expenses(more than 300,000 won) for long-term care services. Also, Family caregivers who are spouse felt higher financial burden compared to son. This study is meaningful as the first attempt to measure family caregiver financial burden for long-term care service and to identify factors affecting the financial burden. Family caregivers felt financial burden of out-of pocket expenses for the nursing home service. The policy makers, the insurer, and the providers need to pay attention to ease family caregiver financial burden.

공항정책과 리더십이 성과에 미치는 영향 : 공기업 경영평가 수행도의 매개효과 (The Impact on the Performance by Airport Policy and Leadership)

  • 백정선;이윤철;이영길
    • 한국항행학회논문지
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    • 제23권1호
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    • pp.20-35
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    • 2019
  • 본 연구의 목적은 공항정책과 리더십이 공기업 경영평가 수행도와 성과관리시스템을 통해 성과에 미치는 영향을 규명하는 것이다. 데이터는 인천국제공항공사와 한국공항공사에서 simple random sampling으로 533명의 임직원을 대상으로 설문조사를 통해 수집하였다. 데이터 분석은 구조방정식모형(SEM; structural equation modeling)을 사용하였다. 연구결과는 공항정책과 리더십이 공항 성과에 핵심변수라는 것과 공기업 경영평가수행도는 매개효과가 유의하다는 것을 실증연구를 통해 규명하였다. 따라서 본 연구는 공항정책에 관한 적극적인 제안과 통찰력 있는 리더십이 필요하다는 것을 주장하고 있다. 이 논문은 공기업 경영평가 연구에 새로운 관점을 탐구하고 공항 성과를 위한 방향을 제공하는 연구자와 실무자에게 실질적인 도움을 제공한다.

일본의 수산긍융 시스템에 관한 연구 (A Study on Fisheries Financial Systems in Japan)

  • 송정헌
    • 수산경영론집
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    • 제31권2호
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    • pp.93-117
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    • 2000
  • Fisheries finance is divided into the policy time of long period of time and low interest and the special financing institutions, such as Fisheries Co-operatives. Union system finance is the system finance, which supports the fisheries system organization. Fisheries Co-operatives in cities, towns and villages are the independent management objects. Prefecture federation of Fisheries Co-operative is in prefecture stage. Norm Chukin Bank is in national stage. Each shares functions in these three stages, and finance is performed systematically, Fisheries policy finance comprises government financial institution capital such as the Agriculture, Forestry and Fishery Finance Corporation whish is based on the capital of a country or a prefecture financial fund, and fishery Modernization Capital used as financial funds through the government. Moreover, to complement such finance institutionally, Fisheries Credit Foundations, Agriculture and Fisheries Saving Insurance Corporation and National fisheries Co-operative Trust Enterprise Mutual Aid system have been established

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가족-일 통합을 위한 가족친화적 정책의 필요성과 방향 (The necessity and recommendation on the family-friendly policy for integrating work and family)

  • 정영금
    • 가족자원경영과 정책
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    • 제6권2호
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    • pp.143-155
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    • 2002
  • Nowadays, the conflict of work and family has become a common problem in families due to the increase of working parents. But in Korea, there is a little supporting system which can help them work. So, this study showed the necessity of family-friendly Policy and families' demands to it. Many capitalist countries which have insufficient welfare system effort to integrating work and family by offering a family-friendly policy for working parents. So, policies for family and women have to be family friendly, and all of the corporation, community, school, and government have to support the working families.

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배전 선로 부하예측 모델의 신뢰성 평가를 위한 비교 검증 시스템 (Development of Comparative Verification System for Reliability Evaluation of Distribution Line Load Prediction Model)

  • Lee, Haesung;Lee, Byung-Sung;Moon, Sang-Keun;Kim, Junhyuk;Lee, Hyeseon
    • KEPCO Journal on Electric Power and Energy
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    • 제7권1호
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    • pp.115-123
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    • 2021
  • Through machine learning-based load prediction, it is possible to prevent excessive power generation or unnecessary economic investment by estimating the appropriate amount of facility investment in consideration of the load that will increase in the future or providing basic data for policy establishment to distribute the maximum load. However, in order to secure the reliability of the developed load prediction model in the field, the performance comparison verification between the distribution line load prediction models must be preceded, but a comparative performance verification system between the distribution line load prediction models has not yet been established. As a result, it is not possible to accurately determine the performance excellence of the load prediction model because it is not possible to easily determine the likelihood between the load prediction models. In this paper, we developed a reliability verification system for load prediction models including a method of comparing and verifying the performance reliability between machine learning-based load prediction models that were not previously considered, verification process, and verification result visualization methods. Through the developed load prediction model reliability verification system, the objectivity of the load prediction model performance verification can be improved, and the field application utilization of an excellent load prediction model can be increased.

산재의료원 간병인 관리현황 및 개선방안 (Current Situation and Reform Scheme for Personal Care Attendants(PCAs) in Workers' Accident Medical Corporation)

  • 오진주;이현주;최정명;김춘미
    • 한국직업건강간호학회지
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    • 제16권2호
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    • pp.222-231
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    • 2007
  • Purpose: This study aims to suggest political alternatives for nursing care costs for PCAs to provide qualitative medical benefit for patients with occupational disease by investigating present situation and problems of the nursing care cost system of Korea's Industrial Accident Compensation Insurance. Methods: Data was collected from 6 workers' accident medical corporation and 275 nurses affiliated with Korea labor welfare corporation using self reported questionnaire. Result: Research results were as follows; Character of nursing care cost of the Korea's Industrial accident Compensation Insurance changed as if it aims to support for living expenses for the family; As possible problems which could be caused under current system, administrative problems, decrease of service quality were made as objects of criticism. Some patients did not make every effort in rehabilitation to be beneficiaries continuously. Some patients were supplied with whole one PCA or all-night PCA even though they did not need as much caring as such. Conclusion: The research suggested that PCAs payment system improvement is necessary, and the presented nurses' opinion for the improvement method could be applied for policy making.

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ESG-oriented Governance Work System for Smart Highway Implementation

  • Bong-Shik, Yun;So-Wol, Yoo
    • 스마트미디어저널
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    • 제11권10호
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    • pp.36-45
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    • 2022
  • This study was promoted to prepare an ESG-oriented work system for Korea Expressway Corporation through sustainable highway construction, IOT-based smart highway preparation, and establishment of a broad convergence business governance system between multiple ministries and implementing entities. Based on the 2nd Basic Plan for Landscape Policy (2020~2024) and the Public Design Promotion Act (2018~2022), the study was conducted through the improvement of the highway design method to be applied for four years from 2021 to 2024, the changes in construction and social conditions related to expressways, the analysis of policies and plans to secure consistency with the 'Korean New Deal', and the analysis of the project performance and work promotion system that the Korea Expressway Corporation's business execution organization has promoted together with each government department. The results of this research are expected to help the Korea Expressway Corporation establish the 21st Innovation Plan for the phased construction of a "100-years landscape with people" and the preparation of a sustainable future highway environment creation project for the lives and safety of the people.