• Title/Summary/Keyword: Total Payment

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The analysis of medical care behaviors influencing New Diagnosis-Related Groups (DRG) based payment - focused on hospitalized patients with medical illness (신포괄수가에 영향을 미치는 의료행태 요인 분석 - 내과 입원환자 중심으로)

  • Lee, Kyunghee;Wi, Seung Bum;Kim, Suk Il;Choi, Byoong Yong
    • Korea Journal of Hospital Management
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    • v.25 no.2
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    • pp.45-56
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    • 2020
  • Purpose: The purpose of this study is to investigate medical care behaviors influencing accuracy of the payment based New diagnosis-related groups (DRG) compared to fee for service (FFS) in hospitalized patients with medical illness. Methodology: In order to estimate the difference in medical costs between New DRG and FFS depending on medical care behaviors, medical records and hospital claims data (n=4,232) were utilized, which were collected from a single public hospital during the first-half of 2018. Data were analyzed by descriptive statistics, t-test, chi-square test, and multivariate binary logistic regression. Findings: The average difference in medical costs between New DRG and FFS were KRW 506,711±13,945 with incentives and KRW -51,506±12,979 without incentives, respectively. Forty-four point two percent (44.2%, n=1,872) of total subjects were shown to have negative compensation in overall medical costs with New DRG compared to the costs with FFS. Medical care behaviors that affected on the negative compensation were the presence of severe bed sores on admission, medical consultations, death, operations, medications and laboratory or imaging tests with unit price over KRW 100,000, hospital-acquired complications or underlying comorbidities, elderly patients (≧65 years), and hospitalized for more than average inpatient days defined by New DRG (p<0.001). The difference in average medical cost between New DRG and FFS for a group with mild illness was KRW -11,900±10,544, whereas it was KRW -196,800±46,364 for a group with severe illness (p<0.0001). Practical Implications: These findings suggest that New DRG payment model without incentives may incompletely cover the variation of medical costs in real clinical practice. Therefore, policy makers need to consider that the current New DRG reimbursement should be focused and refined to improve accuracy of payment on medical care resources utilized in severe and complex medical conditions.

A Study on the Differences in Hotel Choice Factors according to the Payment Level of Accommodation Charge (숙박비 지불수준에 따른 호텔선택요인 차이연구)

  • Nam, Taeg-Yeong
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.3
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    • pp.33-43
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    • 2020
  • The purpose of this study is to investigate the level of payment of accommodation charge to hotel customers and to analyze the differences in hotel choice factors according to the level of payment(low, medium and high prices) to present marketing measures for attracting customers by hotel price range. To achieve the purpose of research, a survey was conducted on hotel customers from February 1, 2020 to April 30, 2020. A total of 350 questionnaires were distributed, eliminating 45 inappropriate copies for analysis, and finally utilizing 305 questionnaires for analysis. According to the analysis, among the basic factors, the biggest difference between groups was hotel size, breakfast menu, restaurants, and auxiliary facilities. It was analyzed that there are differences between groups in the amenity section in the room factor and outside tourism programs in the incidental factor. The main factors were analyzed as the most important factor, although there were no differences between groups. Based on this, the marketing plan is proposed as follows. Low-cost hotels are targeted at women in their 20s with high school diplomas, and it is recommended to have low-cost price policies and promotions. Mid-priced hotels are targeted at men in their 40s with college degrees, and they should strive to operate shuttle buses, promote room prices, and educate employees. In the case of high-priced hotels, it was analyzed that overall service reinforcement, employee education, and viral marketing are important, targeting high school graduates in their 20s.

The Effect of Service Quality and Company Reputation on Customer Satisfaction and Loyalty in Mobile Payment: Moderating Effects of Switching Barriers (모바일 간편 결제 서비스 품질 및 기업 명성이 고객 만족과 충성도에 미치는 영향: 전환장벽의 조절적 작용)

  • Kim, Eun Bi;Yang, Hongsuk
    • Journal of Service Research and Studies
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    • v.7 no.2
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    • pp.17-41
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    • 2017
  • The purpose of this research is to investigate the factors that impact customer satisfaction and loyalty in mobile payment services. Specifically, this research (1) studies the influence of company reputation on customer satisfaction and loyalty, (2) examines service quality dimensions that increase customer satisfaction, and (3) assesses switching barriers as moderators in influencing customer loyalty. Findings of this empirical research reconfirm the point of view that company reputation, service quality, and switching barriers are crucial for customer satisfaction in mobile payment services. The research methodologies that were used to verify the hypothesis in this study included customized surveys and structural equation modeling. The results demonstrated that company reputation significantly affects customer satisfaction and loyalty. Additionally, the results indicated that only two of the five total service qualities, ease of use and the security/privacy qualities, have positive influences on customer satisfaction. Customer satisfaction has also proven to be a significant influence on loyalty. Lastly, the results showed that among the factors of switching barriers, the factors of lost performance costs, sunk costs, setup costs, the attractiveness of alternatives, and service recovery have moderating effects on the relationships between customer satisfaction and loyalty. Base on the results, this research recommends that firms aim at devising integrated strategies that make switching barriers act as complements to customer satisfaction.

Willingness to pay for eco-friendly products: case of cosmetics

  • Joung, Soon Hee;Park, Sun Wook;Ko, Yoon Jin
    • Asia Marketing Journal
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    • v.15 no.4
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    • pp.33-49
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    • 2014
  • Environmental concern has been an important issue for a few decades, and the extent of consumer demand for eco-friendly consumption has been increased. This study seeks to investigate consumers' willingness to pay (WTP) a premium for eco-friendly cosmetics. This study evaluates how much more a consumer is willing to pay for eco-friendly cosmetics and examines significant factors influencing consumers' WTP for eco-friendly cosmetics. Consumers' WTP is measured using four different ecofriendly cosmetics: low-priced skin care cosmetics, low-priced makeup cosmetics, high-priced skin care cosmetics, and high-priced makeup cosmetics. This study uses the contingent valuation method (CVM) to estimate consumer's WTP for eco-friendly cosmetics. Survey questions were designed using both dichotomous choice and payment card method of CVM. Through face to face interviews and on-line surveys, the data were collected from women between 20 and 49 years old residing in Seoul and Kyeonggi area, Korea, in May 2010. A total of 226 questionnaires (132 from interviews and 94 from on-line) were included for the analytical sample in this study. The data were analyzed using descriptive analysis, T-test and Log-Logit analysis. The findings are as follows: First, the WTP measured by dichotomous choice method was estimated using the Log-Logit analysis. The results showed that the estimated WTP for low-priced skin care cosmetics was 19,152 won, which was 27.7% higher than the reference price, 15,000 won. For low-priced makeup cosmetics, the estimated WTP was 18,524 won, and its green premium was 21.0%. The estimated WTP for high-priced skin care cosmetics was 59,128 won, which was 18.3% higher than the reference price, 50,000 won. For high-priced makeup cosmetics was 57,666 won, and its green premium was 15.3%. Second, the WTP measure by payment card method was estimated using descriptive analysis. The results showed that the respondents were willing to pay 17,955 won for low-priced skin care cosmetics, which was 19.7% higher than the reference price, 15,000 won and 17,595 won for low-priced makeup cosmetics, which was 17.3% higher than the reference price. For high-priced skin care cosmetics, the average WTP was 56,950 won which was 13.9% higher than the reference price, 50,000 won. For high-priced makeup cosmetics, the average WTP was 55,650 won, which was 11.3% higher than the reference price. Overall, the WTP was higher in order of low-priced skin care, low-priced makeup, high-priced skin care, and high-priced makeup. It means that consumers decide degree of premium based on the price and the attributes of eco-friendly products. Third, the findings showed that age, monthly income, and having children or not were statistically significant factors that influenced consumers' willingness to pay for eco-friendly cosmetics. Other explanatory variables such as education, marital status, job, purchase experience of eco-friendly products, and environmental concerns did not show any statistical significance. The major contribution of this study is the investigation of the value of green attributes of the products by using CVM. Unlike most previous researches, this research used two methods of CVM, the dichotomous choice and the payment card, so it enhanced the reliability of research. According to this study, consumers showed price sensitivity when they pay green premium. These findings can be used as useful information to establish marketing strategies for green cosmetics.

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Trend Analysis of Fraudulent Claims by Long Term Care Institutions for the Elderly using Text Mining and BIGKinds (텍스트 마이닝과 빅카인즈를 활용한 노인장기요양기관 부당청구 동향 분석)

  • Youn, Ki-Hyok
    • Journal of Internet of Things and Convergence
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    • v.8 no.2
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    • pp.13-24
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    • 2022
  • In order to explore the context of fraudulent claims and the measures for preventing them targeting the long-term care institutions for the elderly, which is increasing every year in Korea, this study conducted the text mining analysis using the media report articles. The media report articles were collected from the news big data analysis system called 'BIG KINDS' for about 15 years from July 2008 when the Long-Term Care Insurance for the Elderly took effect, to February 28th 2022. During this period of time, total 2,627 articles were collected under keywords like 'elderly care+fraudulent claims' and 'long-term care+fraudulent claims', and among them, total 946 articles were selected after excluding overlapped articles. In the results of the text mining analysis in this study, first, the top 10 keywords mentioned in the highest frequency in every section(July 1st 2008-February 28th 2022) were shown in the order of long-term care institution for the elderly, fraudulent claims, National Health Insurance Service, Long-Term Care Insurance for the Elderly, long-term care benefits(expenses), elderly care facilities, The Ministry of Health & Welfare, the elderly, report, and reward(payment). Second, in the results of the N-gram analysis, they were shown in the order of long-term care benefits(expenses) and fraudulent claims, fraudulent claims and long-care institution for the elderly, falsehood and fraudulent claims, report and reward(payment), and long-term care institution for the elderly and report. Third, the analysis of TF-IDF was similar to the results of the frequency analysis while the rankings of report, reward(payment), and increase moved up. Based on such results of the analysis above, this study presented the future direction for the prevention of fraudulent claims of long-term care institutions for the elderly.

An analytical study of work stress among clinical nurses (임상 간호원의 업무 스트레스에 관한 분석적 연구)

  • 구미옥;김매자
    • Journal of Korean Academy of Nursing
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    • v.15 no.3
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    • pp.39-49
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    • 1985
  • The study was carried out to measure the degree of work stress among clinical nurses, and to identify factors influencing the work stress. Data was collected from 215 staff nurses working in the Seoul National University Hospital from the end of February to first of march, 1984. The results and suggestion of study were: 1. Nurses perception of work stress. 1) Mean score of total work stress of nurses was 4.467, when maximum score was 6. High degree of work stress is evident among nurses. 2) The highest rank of stress factor was inter-personal relationship with physicians, night duty, heavy work load, inadequate working condition and payment were other stress factors. 2. Relationships between situational variables and degree of stress. There was significant correlation-ship between nurse's total work stress score and educational levels (r=0.153, p=0.032).

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Measuring the Economic Impact of the Energy Price Changes in Korea (에너지가격변화의 경제적 효과에 관한 연구)

  • Kim, Suduk;Sonn, Yang-Hoon
    • Environmental and Resource Economics Review
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    • v.10 no.4
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    • pp.495-513
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    • 2001
  • We investigate a practical method of calculating the impact of multiple domestic energy price change on the final demand, production, the export and import change, the change in the balance of payment of Korean economy. By combining an existing computable general equilibrium (CGE) model with the traditional input-output analysis with two additional assumptions on the price behavior, we provide a cost-effective method of analyzing the impact of multiple energy price changes on the domestic economy. The energy price shock we used in this paper is 0.127% increase weighted by the sectoral productions. The total impacts on price level and GDP are 1.258% and -0.940%, respectively. The impact on the total output (GDP and intermediate goods) is about -1.580%.

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Development of Loss Model Based on Quantitative Risk Analysis of Infrastructure Construction Project: Focusing on Bridge Construction Project (인프라건설 프로젝트 리스크 분석에 따른 손실 정량화 모델 개발 연구: 교량프로젝트를 중심으로)

  • Oh, Gyu-Ho;Ahn, Sungjin
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2022.04a
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    • pp.208-209
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    • 2022
  • This study aims to analyze the risk factors caused by object damage and third-party damage loss in actual bridge construction based on past insurance premium payment data from major domestic insurers for bridge construction projects, and develop a quantitative loss prediction model. For the development of quantitative bridge construction loss model, the dependent variable was selected as the loss ratio, and the independent variable adopted 1) Technical factors: superstructure type, foundation type, construction method, and bridge length 2) Natural hazards: flood anf Typhoon, 3) Project information: total construction duration, total cost and ranking. Among the selected independent variables, superstructure type, construction method, and project period were shown to affect the ratio of bridge construction losses, while superstructure, foundation, flood and ranking were shown to affect the ratio of the third-party losses.

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A Study on Safety Management Indicators for Landscape Construction Field (조경시공현장 안전관리 항목에 관한 연구)

  • Park, Jae-Young
    • Journal of Environmental Science International
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    • v.31 no.7
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    • pp.653-663
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    • 2022
  • Research activities and discussions on specialized areas reflecting the specificity of landscape construction are necessary. Therefore, this study was conducted with the purpose of presenting basic data for efficient field management by deriving items necessary for safety management in landscape construction fields through experts' opinions. A survey was conducted using Delphi analysis to derive "management items" and "safety management items according to landscape type" for landscape construction field safety for a total of 15 landscape construction specialists. The survey results showed that four top items were derived from the "management items" for the safety of landscape construction fields; they include: "safety and health management organization and education," "industrial safety and health management expenses," "payment of personal protection," and "establishment of safety measures." In addition, two to five items for each higher item appeared and resulted in a total of 13 lower items. Personnel, organization, budget, etc. for safety management are always required in the field, and the monitoring part of whether these elements are working was also taken up as a management item. In the "Management items according to each landscape construction" a total of eight landscape type were distinguished, they include: 'Reinforced concrete work', 'Masonry work', 'Plaster's work', 'Waterproof work', 'Stone masonry work', 'Pavement work', 'Facilities work', and 'Planting work'. Furthermore, two to seven sub-items for each construction type were derived, and a total of 35 management items were presented.

A Study on the Interdependencies of Payment and Settlement Systems in Korea (우리나라 지급결제시스템의 상호의존성에 관한 연구)

  • Yi, Junesuh;Kang, KyeongHoon
    • KDI Journal of Economic Policy
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    • v.32 no.2
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    • pp.171-216
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    • 2010
  • With the payment and settlement systems becoming more and more complex and interconnected, the issue of their interdependency rises as an important academic issue as well as a policy topic. This study examines causes, forms, and risk management of interdependencies of payment and settlement systems in Korea, and presents their current situation. By way of simulations using BOF-PSS2 developed by the Bank of Finland, we quantify the effects of an operational disruption on the payment and settlement systems so as to figure out the degree of interdependency. As a result, the secondary round effect reaches up to ₩13.6 trillion a day, which amounts to 7.8% of the daily settlement value. Furthermore, if we also consider the amount of direct operational disruption, the volume of operational disruption occupies 22.3% of total value of the daily settlement, evidencing that the interdependencies of the payment and settlement systems in Korea is enormously widespread. The secondary round effects are found to be more severe with security companies rather than with banks, and to be more depended upon when it is perceived rather than it actually happens. In case that we expand the liquidity to include cash holdings and deposits as assets, the secondary round effect dramatically decreases in all types of financial institutions while foreign banks account for more share of all the secondary round effects increases. Based on these results, we suggest various policy tasks and directions to improve the risk management of settlement systems: expansion of off-setting settlements, introduction of a new settlement system for securities transactions, rapid provision of liquidity to financial institutions, more effective monitoring on participant institutions, and intensified information sharing and cooperation among the systems.

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