• 정보화연구
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• 제10권3호
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• pp.379-386
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• 2013

본 연구는 해외 현황 고찰을 통한 우리나라 창업 중소기업 4대 보험 경감 방향성에 관한 연구다. 해외 현황 고찰을 바탕으로 몇 가지 사회보험경감방안(사회보험료 직간적 지원, 사회보험료 면제, 사회보험료 유예 또는 융자)을 제안했으며 이에 대한 경감 방안 별 장단점, 정부의 재정상황, 경감방안 실시의 용이성과 효과, 사회보험경감의 실시를 위한 여건조성 등을 제시했다.

• 사회복지연구
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• 제39호
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• pp.253-286
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• 2008

노인장기요양보험 수가는 서비스시장에게 국가가 노인장기요양정책을 이끌고 나가고자 하는 정책방향을 보여주는 정책적 신호의 의미를 지닌다. 본 논문에서는 첫째, 한국의 노인장기요양보험의 급여종류별 수가가 어떠한 방법과 근거를 가지고 개발되었는가를 살펴보고, 그 특성을 규명하고자 하였다. 둘째, 평가기준을 가지고 수가개발의 타당성과 현실적 적절성 등을 평가해보고자 하였다. 셋째, 수가가 노인장기요양보험 시장의 합리적 형성 및 운영을 위한 중요한 요인임을 감안하여, 가격결정자와 규제자로서의 국가의 역할에 주안점을 두고 정책과제를 도출해보고자 하였다.

• 대한건축학회논문집:구조계
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• 제35권1호
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• pp.29-36
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• 2019

In the past, social insurance premiums, such as national pension and national health insurance, is contained within the costs of construction projects, have been lowered due to price competition of companies participating in the bidding. The government is implementing the "Ex-post settlement system" to improve the problem. Therefore, the purpose of this study is to examine the concept of an Ex-post settlement system and background of its introduction and to identify problems in the management of the system. The problems of the Ex-post settlement system are: 1) avoiding the participation of construction workers, 2) the rigidity of the insurance premium settlement method in construction field, and 3) the cause of direct construction cost reduction. The ways to improve these problems are: 1) excluding social insurance premiums from construction project cost, 2) securing flexibility of the settlement method of insurance premiums in construction field, and 3) expanding the scope of persons eligible to participate in social insurance.

• 보건행정학회지
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• 제15권3호
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• pp.17-39
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• 2005

Social solidarity, equity in financing, and efficiency in administration have been core issues in the development of Korean health insurance reformation since 1988. This study is to investigate the trend of administrative cost in Korean National Health Insurance from various aspects. For the analysis of administrative cost, the expenditures of each insurance society and the National Health Insurance Corporation are divided into 4 items of (1) insurance benefit, (2) administrative cost, (3) an agency provision accounts, (4) other expenses, and then they are reorganized. The analyses based on 5 types of the health insurance administrative cost showed that efficiency in administration has been improved generally. We, however, should consider qualitative aspects such as customer's satisfaction with health insurance administration, prompt service, control of unjust expenditure (unjust claims), and provision of medical service including health consultation in assessing efficiency of administration. And, in order to connect the administrative costs of health insurance with efficiency, we need to give a fundamentally new definition, which can contain elaborateness of expenditure in details including the structure and evaluation method of administrative costs. It may be necessary to develop new indicators or analyzing methods hereafter.

• 정보화연구
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• 제11권1호
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• pp.81-88
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• 2014

본 연구는 우리나라 창업 중소기업의 4대 보험 경감에 따른 경제적 효과에 관한 연구다. 우리나라의 사회보험지원 및 해외 여러 현황 고찰을 통해 사회보험료 직 간접 지원, 사회보험료 면제, 사회보험료 유예 또는 융자의 4가지 제안을 제안했다. 경제적 효과 분석을 위해 편익과 비용 요소를 도출했으며 4대 사회보험 경감 정책을 통해 발생 가능한 편익 항목으로는 고용창출, 부가가치창출, 세수증대 효과를 분석했으며 각 대안별 비용을 추정했다. 보험료 면제의 경우 비용 추정이 현실적으로 어려워 분석에서 제외시켰다. 분석 결과, 보험료 직접 지원 및 보험료 유예/융자로 인해서는 563,469명의 고용 창출 효과가 있었으며 26.82조 원의 부가가치창출 효과, 824억 원의 세수증대 효과가 있는 것으로 추정되었다. 보험료 세액 공제인 간접 지원인 경우, 각각 105,368명, 5.02조 원, 154억 원의 효과가 있었다. 또한 각 대안에 대해 각각 9.58조 원, 5.42조 원, 1.79조 원의 비용 발생이 있는 것으로 추정되었다.

• 한국정보시스템학회지:정보시스템연구
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• 제22권1호
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• pp.181-200
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• 2013

Electronic channel of automobile insurance has emerged as an attractive way of lowering costs and saving time to do the transaction for customers. Electronic channel refers to using web sites to find useful information on insurance products, buy automobile insurance, and ask for services related to the insurance. This study suggests a modified model of the UTAUT and examines the factors influencing intention to use electronic channel in the transaction of automobile insurance. Based on 203 responses from potential automobile insurance buyers, the results showed that performance expectancy, effort expectancy, social influence, service expectancy, and security risk are significantly related to intention to use electronic channel. The results also showed that age as a moderator influences the effects of performance expectancy and effort expectancy on intention to use electronic channel. The study results would improve the understanding of the factors to which managers of insurance companies should pay attention in order to increase their sales through electronic channel.

• Journal of Preventive Medicine and Public Health
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• 제42권1호
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• pp.5-11
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• 2009

Objectives : This study was conducted to estimate the socioeconomic cost of injuries in South Korea. Methods : We matched claims data from national health insurance, automobile insurance and industrial accident compensation insurance(IACI), and mortality data obtained from the national statistical office from 2001 to 2003 by patients unique identifier. Socioeconomic cost included both direct cost and indirect cost: the direct cost was injury-related medical expenditure and the indirect cost included loss of productivity due to healthcare utilization and premature death. Results : The socioeconomic cost of injuries in Korea was approximately 1.9% of the GDP from 2001 to 2003. That is, 12.1 trillion KRW(Korean Won) in 2001, 12.3 trillion KRW in 2002, and 13.7 trillion KRW in 2003. In 2003, direct medical costs were 24.6%(3.4 trillion KRW), the costs for loss of productivity by healthcare utilization were 13.0%(1.8 trillion KRW), and the costs for loss of productivity by premature death were 62.4%(8.6 trillion KRW). Conclusions : In this study, the socioeconomic cost of injuries in Korea between 2001 and 2003 was estimated by using not only health insurance claims data, but also automobile insurance, IACI claims and mortality data. We conclude that social efforts are required to reduce the socioeconomic cost of injuries in Korea, which represented approximately 1.9% of the GDP for the time period specified.

• Journal of Preventive Medicine and Public Health
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• 제43권4호
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• pp.352-361
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• 2010

Objectives: This study estimated the annual socioeconomic costs of food-borne disease in 2008 from a societal perspective and using a cost-of-illness method. Methods: Our model employed a comprehensive set of diagnostic disease codes to define food-borne diseases with using the Korea National Health Insurance (KNHI) reimbursement data. This study classified the food borne illness as three types of symptoms according to the severity of the illness: mild, moderate, severe. In addition to the traditional method of assessing the cost-of-illness, the study included measures to account for the lost quality of life. We estimated the cost of the lost quality of life using quality-adjusted life years and a visual analog scale. The direct cost included medical and medication costs, and the non-medical costs included transportation costs, caregiver's cost and administration costs. The lost productivity costs included lost workdays due to illness and lost earnings due to premature death. Results: The study found the estimated annual socioeconomic costs of food-borne disease in 2008 were 954.9 billion won (735.3 billion won-996.9 billion won). The medical cost was 73.4 -76.8% of the cost, the lost productivity cost was 22.6% and the cost of the lost quality of life was 26.0%. Conclusions: Most of the cost-of-illness studies are known to have underestimated the actual socioeconomic costs of the subjects, and these studies excluded many important social costs, such as the value of pain, suffering and functional disability. The study addressed the uncertainty related to estimating the socioeconomic costs of food-borne disease as well as the updated cost estimates. Our estimates could contribute to develop and evaluate policies for food-borne disease.

• Journal of health informatics and statistics
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• 제43권4호
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• pp.318-328
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• 2018

Objectives: People are living longer, but often with diseases or chronic conditions. As a consequence, interest in resolving insurance blind spots is growing. This study provides substandard risk-relevant statistics to help substandard risks who are likely to fall in insurance blind spots obtain insurance coverage, such as the reimbursement of medical costs, as well as to stimulate insurance product development. Methods: This study uses National Health Insurance Service (NHIS) cohort data to determine the relevant statistics. The incidence rates of severe diseases are derived and compared against standard risks to establish a set of relative risk factors. These incidence rates of standard and substandard risks are then compared. Results: Currently, an individual's cancer history is used in the underwriting process for simplified issue insurance. However, underwriting focusing on hospitalization and procedures related to serious illnesses could lower premiums for substandard risks. Moreover, the statistical results could be used to expand the coverage of health insurance products. Conclusions: This study's relative risk factors can be used to derive simplified issue premium rates for substandard risks. They can also be used to implement discount and loading schemes for medical reimbursement insurance and help insurance companies implement proactive risk management.

• 한국산업정보학회논문지
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• 제20권4호
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• pp.55-65
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• 2015

손상 사고 중독과 관련해 환자의 의료비 증가는 국가건강보장체계의 지속가능성을 제고하기 위한 중대한 과제이며, 제도의 개선이나 건강보험의 관리 운영 효율화를 통한 의료비 증가를 억제할 필요가 있다. 따라서 손상 발생과 사망률이 높은 우리나라에서 손상 문제를 사회적으로 강조하기 위해서는 손상의 사회경제적 비용을 추계하는 것이 필요하다. 본 연구는 2008년도 한국의료패널 조사 중 외래 손상 사고 중독 환자를 대상으로 이용실태와 의료비지출을 전반적으로 파악하여, 손상으로 외래 서비스 이용 시 환자의 직접비용과 생산차질 등으로 인한 생산손실비용을 추계하였고, 궁극적으로 손상의 사회경제적 손상 비용을 추계하였다.