• 보건의료산업학회지
• /
• 제5권1호
• /
• pp.31-44
• /
• 2011

The objectives of this study were first to inspect the background information of an incentive pay system in hospitals, which provide specialized services for the public, the current status of hospitals with the system, as well as effects produced by introducing it, and then to come up with measures to invigorate the system. According to the findings of a survey, a total of 123 out of 150 hospitals responded that they applied the system to their HR management, some fully or some partially, which accounts for 82.0 percent. This study suggested that the following strategies to invigorate the incentive pay system: having a clear objective when adopting the system; concerted performance targets; practical yet worth challenging business objectives; transparent information disclosure; and establishing a confidence-building system between labor and management. Mutual trust between labor and capital should be a key factor for the successful implementation of the incentive pay system.

• 융합정보논문지
• /
• 제10권8호
• /
• pp.187-193
• /
• 2020

본 연구는 우리나라 종합병원을 대상으로 경영의 위험요인이 운전자본 관리에 어떻게 영향을 미치는지를 분석하였다. 자료는 의료기관회계정보공시 시스템을 이용하여 271개 종합병원 3개연도(2016년, 2017년, 2018년)의 회계정보를 이용하였다. 도입변수는 종속변수로 운전자본 수준과 현금순환주기, 독립변수로 운영위험과 시장위험, 통제변수로 운전자금 구성요인(현금, 매출채권, 재고자산, 매입채무)을 선정하였다. 연구결과, 우리나라 종합병원들은 운영위험이 낮을수록 운전자본 수준은 높았으며, 운전자본 결정에는 운영위험, 현금, 재고자산, 매입채무가 작용하는 것으로 확인되었다. 그리고 시장위험(의료이익률)이 낮을수록 현금순환주기가 높았다는 것을 알 수 있었다. 따라서 의료기관들도 운영의 특수성을 고려하여 경기대응능력을 갖출 수 있도록 운전자본 결정요인으로 확인된 운영위험, 현금, 재고자산, 매입채무의 적절한 관리방안에 대한 검토의 필요성이 제기된다.

• 대한예방한의학회지
• /
• 제23권1호
• /
• pp.1-13
• /
• 2019

Backgrounds : The market of Complementary Alternative Medicine(CAM) in the United State(U.S.) accounts for a large proportion of the global CAM market and has a high growth rate. The recent introduction of Obama Care has brought the change in the health insurance system for CAM, and we need to analyze it for its implication to Korean system. Objectives : The purpose of this study is to investigate the current status of acupuncture and chiropractic health insurance in the U.S., and to draw implications for expanding the health insurance coverage for Korean traditional medicine through the comparison between the U.S. and Korean health insurance systems. Methods : We examined the data through the literature search and from the websites of both U.S. government departments and related organizations for the health insurance policy. Based on the collected data, we analyzed its CAM health insurance system in Korea. Results : The acupuncture covered by public health insurance in the U.S. has a limit in the number of treatments and a range of applied diseases compared with Korea. In addition, the practice of acupuncture is not subdivided. However, the chiropractic in the U.S. which also has a limited number of coverage and only three categories of practices are similar to that of Korea. Conclusions : Although the use of CAM by public health insurance is not active in the U.S., but the organizations such as Veterans Health Administration in Vermont is already discussing the use of acupuncture to solve the problem of opioid overuse. Thus Korea also needs to discuss to promote the expansion of the insurance system for CAM.

• 한국병원경영학회지
• /
• 제17권4호
• /
• pp.21-31
• /
• 2012

This is a case study of Gangnam S University Hospital applying a par level transfer system for reagent materials. The purpose of this study is evaluated on the cutting down on inventory expenses and medical service revenue in the point of resource based view. The data was acquired through the financial statement of Gangnam S Hospital for the fiscal year 2008, 2009, 2010 and 2011, and compared with the Korea health industry statistics index for hospital accounts based on the materials in Korea Health Industry Development Institute. The results of the study are as follows. Medical reagent materials expenditure cut down as 305 million won through 2009 fiscal year. Medical profits for the Gangnam S University hospital's income statement in 2011 show well over acquired 3.37 billion won through the enlarged diagnostic test numbers. In conclusion, Gangnam S University Hospital health statistics's index shows very high profits. The results of this study have some limitations in terms of generalization as only one hospital in Seoul. Further studies with relationship inventory performance and enlarged reagent materials are expected in this area.

• 한국멀티미디어학회논문지
• /
• 제25권9호
• /
• pp.1338-1347
• /
• 2022

In recent years, the number of Chinese college students in unhealthy or sub-healthy state in terms of mental health accounts for about 30% and has been going up. As we know, college students are in the middle of youth, an important stage of physical and psychological development. In this case, how to regulate mental health will become an important research direction. Based on emotion regulation theory, this thesis discussed the impact that 'healing animation' had on college students' psychological capital, and how emotion regulation had done its work in the process. According to documents research and empirical study, 'healing animation' is positively affecting the psychological capital of college students through the medium -- emotion regulation. Finally, this thesis provided a practical layout to accumulate college students' psychological capital, and theoretical reference for 'healing animation' as well.

• 한국사회복지학
• /
• 제51권
• /
• pp.5-28
• /
• 2002

본고는 1990년대 중반부터 벌어진 미국의 사회보장연금 개혁논쟁의 내용과 쟁점 그리고 그 성격을 규명하는데 목적이 있다. 이를 위해 미국의 사회보장연금이 적립방식으로 시작했다가 부과방식으로 전환한 과정, 논쟁의 기본 안이 된 사회방청 자문위원회의 세 가지 안, 이 세 안을 다소 변형시킨 정치계와 기업계 및 학계의 각종 제안들을 분석했으며, 각 안들의 비교 분석을 통해 주요 쟁점들을 추출하여 비판적으로 논의하였다. 최대 쟁점은 개인계정의 신설 여부와 펀드의 관리운영 주체를 정부로 할 것인가 아니면 민간투자회사로 할 것인가의 여부 및 사회보장연금의 세대간 소득계층간 재분배 효과에 있다는 사실을 규명했다. 동시에 핵심 쟁점을 둘러싼 입장의 차이도 밝혔다. 민영화를 주장하는 입장(IA 및 PSA 지지자)에서는 사회보장연금의 세대내 소득계층간 재분배 기능보다는 개인적 형평성과 저축제고 효과 그리고 민간의 관리운영과 민간 자본시장에의 투자를 선호했고, 부과방식 옹호자들(MB 지지자)은 사회보장연금의 세대간 소득계층간 재분배의 기능의 여전히 유효하고, 부과방식 연금의 기본 틀을 유지하면서 약간의 개혁(사회보장 세율의 인상과 급여 수준의 하향조정)으로 재정불건전 문제를 해결할 수 있다고 보는 것으로 확인되었다.

• 보건행정학회지
• /
• 제21권1호
• /
• pp.115-131
• /
• 2011

Several common issues are encountered by countries - Germany, Japan, and the United States - that adopted long-term care (LTC) system. First, the demand for LTC and its associated costs have steeply risen following the implementation of the LTC policy. Second, ensuring the quality of services have been difficult. Third, the coordination of services among providers and between LTC and medical care has been inadequate. Learning from their experience, we suggest ways to improve the LTC system in Korea. The basic approach aims for efficiency over equity in the system. This would require promoting provider competition and consumer choice. We propose several policy options according to the major stakeholders. For consumers, cash benefits at fixed rates and personal savings accounts are feasible options to self-contain the demand and cost of services. On the insurer's side, creating an environment of multiple insurers will engender competition, leading to cost savings and quality care. For providers, delivery of quality services through competition, cost-containment through capitated reimbursements, and coordination of services through integrated delivery system can be achieved. From the assessors' perspective, establishing an information system to monitor the activities of insurers and providers would be important, empowering consumers with information to choose cost-effective service providers. In summary, the suggested approach would provide cost-effective LTC services by guaranteeing consumer choice and promoting major stakeholder accountability. Further studies are needed to test the feasibility of this model in ensuring quality LTC in Korea.

• 보건의료산업학회지
• /
• 제7권1호
• /
• pp.119-131
• /
• 2013

The purpose of this study is to analyze contents on media about the problems of long-term care facilities. For achieving this purpose, we reviewed 'KINDS(http://www.kinds.or.kr/)' from July, 2008 to May, 2012 which was an synthetic newspaper and TV news searching system. Among 320 articles, we finally analyzed 72 articles: 218 articles were duplicated and 30 articles did not directly related or were not objective. The results were divided with seven parts: 'long-term care facilities', 'employee' 'health care and accidents', 'providing and management of service', 'meals related problems', 'maltreatment of client', 'disorders & unfairness long-term care benefit. Among these seven parts, we could confirm specific and major problems, which were lack of safety management, incompleteness facilities & equipments, shortage of long-term care manpower, insufficient service providing low quality of service, hiding money from elderly's accounts, and providing some money to get national subsidies. For resolving these problems, the long-term service guidelines must be prepared and the related facilities must cooperate each other for providing high quality of service. In addition, the efficient systems must be made to find out long-term care problems and unfairness of service providing and strict management rules or sanctions must be needed.

• Asian Pacific Journal of Cancer Prevention
• /
• 제16권17호
• /
• pp.7759-7763
• /
• 2015

Background: Leukemia accounts for 8% of total cancer cases and involves all age groups with different prevalence and incidence rates in Iran and the entire world and causes a significant death toll and heavy expenses for diagnosis and treatment processes. This study was done to evaluate epidemiology and morphology of blood cancer during 2003-2008. Materials and Methods: This cross-sectional study was carried out based on re-analysis of the Cancer Registry Center report of the Health Deputy in Iran during a 6-year period (2003 - 2008). Statistical analysis for incidence time trends and morphology change percentage was performed with joinpoint regression analysis using the software Joinpoint Regression Program. Results: During the studied years a total of 18,353 hematopoietic and reticuloendothelial system cancers were recorded. Chi square test showed significant difference between sex and morphological types of blood cancer (P-value<0.001). Joinpoint analysis showed a significant increasing trend for the adjusted standard incidence rate (ASIR) for both sexes (P-value<0.05). Annual percent changes (APC) for women and men were 18.7 and 19.9, respectively. The most common morphological blood cancers were ALL, ALM, MM and CLL which accounted for 60% of total hematopoietic system cancers. Joinpoint analyze showed a significant decreasing trend for ALM in both sexes (P-value<0.05). Conclusions: Hematopoietic system cancers in Iran demonstrate an increasing trend for incidence rate and decreasing trend for ALL, ALM and CLL morphology.

• 한국환경보건학회:학술대회논문집
• /
• 한국환경보건학회 2005년도 국제학술대회
• /
• pp.341-344
• /
• 2005

The expression of the glutathione S-transferase (GST), whose induction accounts for antioxidant defense system, is regulated by activation of CCAAT/enhancer binding protein ${\beta}$ ($C/EBP{\beta}$), Sick house syndrome (SHS) presents healthy damage owing to the indoor environment of a building. Toluene has been implicated in one of the important causes of SHS. The present study investigated the effects of toluene treatment on the induction of GSTA2 gene and its mechanism. H411E cells treated with toluene, and GSTA2 expression was determined by immunoblot analysis. The translocation of $C/EBP{\beta}$ was assessed by immunocytochemical assays. $C/EBP{\beta}$ DNA binding activity was determined by electrophoretic mobility shift assays. The role of the C/EBP binding site in the induction of the GSTA2 gene was assessed by luciferase reporter-gene activity. Toluene induced GSTA2 protein expression. In toluene-treated cells, $C/EBP{\beta}$ translocated to the nucleus and bound to the consensus sequence of C/EBP (TTGCGCAA). Toluene treatment increased luciferase reporter-gene activity in cells transfected with the C/EBP-containing regulatory region of the GSTA2 gene. Oxidative stress is believed to play an important role in the induction of GSTA2 gene by toluene This study shows that toluene-induced GSTA2 gene expression is dependent upon nuclear translocation and binding of $C/EBP{\beta}$ to the C/EBP response element in the GSTA2 gene promoter.