• 제목/요약/키워드: Review committee

검색결과 411건 처리시간 0.024초

건강보험 진료비 청구 및 심사지급에서의 권리분쟁과 구제 (Right-relief System of the Disputes to the Reviewing Medical Expenses in Health Insurance)

  • 김운묵
    • 의료법학
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    • 제8권2호
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    • pp.119-164
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    • 2007
  • Improving the formal objection system regarding reviewing medical expenses requires authority and confidence in the aspect of well-functioning the health insurance review and assessment system, legally and appropriately. The purposes of improvement of the formal objection system should aim for protecting the people's right of health. On handling the formal objections, the disputes of the rights should be settled economically and promptly by fairness, specialty, and objectivity in the health insurance review and assessment administration. Therefore, in order to promote the administrative specialty of health insurance, the formal objection committee needs to be organized independently and guaranteed expertly. Under the current formal objection system, however, the organization of committee lacks right-relief function, recognition and public relation as a health insurance appeal system, and related professional man powers. It is also analyzed that there are several controversial points, such as mass deliberation to the formal objection committee and its conference procedure. As a measure of improvement, it is analyzed that the committee needs to be organized independently with a proper number of professional man powers. The strict deliberation procedures and the prohibition of the decision-making by non-conference are also required to be empowered. The formal objection procedure provides the beneficiaries and the claims legitimately, so that it secures the legal relations on the health insurance system. Therefore, on the conference process of formal objection, the expert and guaranteed protection should be provided promptly, and its procedures to the appellants should also be assisted kindly.

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남북 투자분쟁해결의 법적쟁점에 관한 고찰 (A Study on the Legal Issues of Inter-Korean Investment Disputes Settlement System)

  • 오현석
    • 한국중재학회지:중재연구
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    • 제29권2호
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    • pp.3-34
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    • 2019
  • The resumption of economic cooperation between South and the North Korea will be a new growth engine for our economy. Many Korean companies are preparing to invest in North Korea in accordance with the progress of inter-Korean relations. However, there are many risks inherent in inter-Korean economic cooperation, as experienced in previous cases. Specifically, one should be prepared for unfair measures such as the expropriation of investment assets of South Korean enterprises by North Korea authorities. Therefore, it is essential to review the protection measures of investment in North Korea and to review the investment dispute settlement system. The South and the North have an agreement to establish the inter-Korean Commercial Arbitration Committee to resolve the disputes that may arise if one party's investments are lost due to inappropriate or unfair measures due to the other party's authority. However, the Investment Agreement, which governs the Inter-Korean Commercial Arbitration Committee, contains a number of declarative statements that are somewhat ineffective. Even today, nearly 20 years after the adoption of the Agreement, the specific detailed procedures have shown no real progress, such as in the enactment of arbitration rules. Therefore, at present, it is difficult to expect a system that can effectively address the damage of our corporations which have invested in North Korea. When the assets freeze after the suspension of Kumgang tourism and the closure of the Kaeseung Industrial Complex by North Korea, the activation of the inter-Korean Commercial Arbitration Committee is the most important prerequisite for economic cooperation with North Korea. For this purpose, the resolution of disputes through the Inter-Korean Commercial Arbitration Committee has to be made more concrete, with the effectiveness of the dispute settlement system enhanced by means of various efforts.

Institutional Review Board 심의 결과 분석을 통한 효율적 심사 및 합리적 운영에 대한 개선안 모색 (Suggested Improvement Strategies for the Efficient Review and Rational Operation of Institutional Review Board (IRB) Based on the Analysis of IRB Review Results)

  • 이윤진;장혜윤;장정희
    • 대한기관윤리심의기구협의회지
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    • 제4권1호
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    • pp.5-15
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    • 2022
  • To suggest future directions for the improvement in the Institutional Review Board (IRB) review process and efficient operation of IRB, we have analyzed the IRB review results from 460 new research proposals submitted to the Review by the Convened IRB of the Keimyung University Dongsan Hospital IRB from January 2019 to July 2021. IRB is an independently established institutional committee to protect the human subjects by reviewing the research protocol in ethical as well as scientific aspects, so it is necessary to continuously contemplate the ethical versus scientific dilemma of 'what is ethical or scientific and what can actually protect human subjects.' Particularly, in this process, it is necessary to consider diverse ways to strengthen self-supervision through continuous Internal Audit rather than simple reporting outcomes. In addition, if it does not directly affect the protection of the human subjects, the discussion with the committee members is needed so that the comments such as administrative and typographical errors can be reduced as much as possible. Furthermore, as statistical analysis methods can have a significant impact on the safety of human subjects, if a legal basis and/or support related to statistics is provided for the composition of IRB members, a more specialized IRB review will be achieved.

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독일의 의료분쟁과 대체적 분쟁 해결 기구 (The Medical Disputes and Its Alternative Dispute Resolutions in Germany)

  • 김장한;이석배
    • 의료법학
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    • 제17권1호
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    • pp.139-168
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    • 2016
  • 독일은 의료분쟁에 대하여 주의사협회를 중심으로 설립된 두 가지 방식의 대체적 분쟁해결방식을 두고 있는데, 첫째는 하노버를 중심으로 한 북독일 지역의 의료조정원이고, 다른 하나는 노트라인 지역을 중심으로 한 감정위원회 방식이다. 두 조직은 의사협회를 중심으로 구성되어 있지만, 북독일의료조정원은 법조인과 의사가 각각 1인 포함된 조정위원회를 구성하고, 감정위원회는 법조인 1인을 감정위원장으로 임명하고 그 이하에 4명의 의사 감정위원을 둠으로써, 조정위원 또는 감정위원들이 가진 고도의 의학적 지식에 법률적 중립성을 부여하려고 노력하고 있다. 현재 우리나라에서 의료사고 피해 구제 및 의료분쟁 조정 등에 관한 법률에 의하여 설립된 한국의료분쟁조정중재원에 의한 대체적 분쟁 해결 방식은 감정과 조정 중재라는 두 단계를 거쳐야 하기 때문에 독일의 감정위원회 절차와 조정위원회 절차가 참고가 될 수 있다. 의료 분쟁 조정제도가 의료인 중심으로 운영되면, 환자 측으로부터 불신을 받을 것이지만, 현재 우리의 제도는 의사측이 의료중재원 절차에서 소외될 수 있다는 우려 역시 주요한 문제점으로 나타나고 있다. 또한 법 개정에 의하여 사망자와 중상자에 대한 조정 자동개시가 도입되면서, 의료분쟁조정중재원의 중립성과 효율적 운영이 중요한 문제점이 되었다. 독일의 조정원과 감정위원회의 구성에 비추어 보면, 조정원 구성은 법조인과 의사가 동등하게 참여하여 구성하는 것과 감정위원회 구성은 위원장을 법조인이 하고, 감정 위원들을 의사들로 구성하는 것과 같이 전문가들의 협조와 견제를 고려하고 있다. 현재 의료분쟁 조정법에서 조정과 감정은 하나의 절차처럼 운영되고 있는데, 적절한 협력을 고려하면서 의료인 중심의 감정 분야와 법조인 중심의 조정 분야를 독립적으로 운영 발전할 필요가 있다.

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우리나라 유통분쟁조정위원회의 조정에 관한 연구 (A Study on the Conciliation of the Conciliation Committee of Distribution Disputes in the Republic of Korea)

  • 최장호
    • 국제지역연구
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    • 제13권1호
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    • pp.371-389
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    • 2009
  • 근래 우리나라의 특별시·광역시·도 및 시·군·구 등 전국적으로 유통분쟁조정위원회 조례가 제정 또는 개정되고 있다. 이는 유통산업발전법에 의거하여 각 지방자치단체에서 유통분쟁조정위원회를 설치하고 운영하기위한 것이다. 특별시·광역시·도에 설치된 유통분쟁조정위원회는 각 시·군·구에 설치 된 유통분쟁조정위원회에서 행하여 진 조정에 대하여 불복이 있는 경우 불복 신청된 조정에 대하여 조정하게 된다. 따라서 특별시·광역시·도의 유통분쟁조정위원회는 시·군·구 유통분쟁조정위원회의 상급의 조정위원회라고 할 수 있다. 이들 조례에 의한 유통분쟁조정위원회의 조정을 위한 규정에 여러 가지 문제점이 나타나고 있다. 또한 유통분쟁조정에 대한 역사가 일천하고 축적된 경험이 없어 그 운영에도 어려움이 예상되고 있다. 그리하여 이 논문에서는 이 같은 우리나라유통분쟁조정위원회의 조정제도의 문제점을 각 지자체의 조례에 근거하여 찾아보고 또한 실제 유통분쟁위원회의 조정시에 고려하여야 할 사항을 모색하였다. 유통분쟁조정위원회 조례상의 문제점으로서는 위원회위원장의 선임문제를 비롯하여 위원장의 직무대행, 위원회 회의 의결, 조정신청의 통합, 유통분쟁조정위원회 위원의 기피 등을 지적하고 그 해결방안을 제시하였다. 또한 실제 조정시의 우선적인 고려사항으로서는 대규모유통업자와 지역 도소매업자 상생의 원칙을 비롯한 상호협력방안을 제시하였다.

A Systematic Review on Prevention and Treatment of Nipple Pain and Fissure: Are They Curable?

  • Niazi, Azin;Rahimi, Vafa Baradaran;Soheili-Far, Sina;Askari, Nafiseh;Rahmanian-Devin, Pouria;Sanei-Far, Zahra;Sahebkar, Amirhossein;Rakhshandeh, Hassan;Askari, Vahid Reza
    • 대한약침학회지
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    • 제21권3호
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    • pp.139-150
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    • 2018
  • Averagely 80% to 90% of breastfeeding women experience the nipple pain and fissures. The important factor for successful breastfeeding is to treat this problem. This study has done as a review with the aim of analysis of the clinical trials in the field of the prevention and treatment of the nipple fissures and pain due to the importance of breastfeeding. For this purpose, the key words of sore, nipples, fissure, trauma, wound, prevention, treatment, therapeutics, therapy, clinical trial, breastfeeding and their Persian synonyms and all of their possible combinations were searched in the national databases: SID and Iran Medex and Magiran, and in the international databases: PubMed, Scopus, Medline, Science direct by May 2017. The Jadad criterion was used to assess the quality of the articles and the articles with a score of 3 or more were included in this study. Finally, 48 clinical trials were reviewed that 17 of them (sample size 1801) scored 3 or more based on the Jadad criterion. Seven articles were also in the non- drug treatment group (sample size 491) and 2 articles in the drug treatment group (sample size 337) and 8 articles in the herbal treatment group (sample size 973).The results show that menthol and warm water compress as well as teaching the correct breastfeeding methods are effective treatments to prevent and treat the nipple pain and fissures. Moreover, applying the herbal medicine for prevention and treatment of the issues raised from breastfeeding may have beneficial such as Aloe vera, Portulaca olearacea. However, more studies with a great methodology are necessary to obtain more accurate evidence.