• 제목/요약/키워드: Uncovered services

검색결과 17건 처리시간 0.021초

한의 의료기관 비급여 진료 실태조사 (A Survey on Uncovered Services in National Health Insurance of Traditional Korean Medicine Institution)

  • 박장경;김경한
    • 대한예방한의학회지
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    • 제21권3호
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    • pp.43-50
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    • 2017
  • Objectives : This study was conducted to survey on uncovered services in National Health Insurance(NHI) of Traditional Korean Medicine(TKM) Institution. Methods : For TKM doctors working in hospital, it was surveyed to professors working in university-affiliated hospital. A total of 40 professors were participated online survey and all of them was included. For TKM doctors working in clinic, an e-mail survey was conducted for members of the association of Korean medicine. A total of 436 TKM doctors, 279 TKM doctors were included study and 157 were excluded because of duplication clinic or not working in clinic. It was conducted general status and uncovered services in NHI status. Results : The proportion of uncovered services in NHI was 54.7% for hospitals, 39.0% for clinics and there was a significant difference between hospital and clinic. Decoction and herbal(bee venom) acupuncture were most commonly used in both institutions. For decoction treated patients, It was commonly treated Sibjeondaebo-tang, Bojungykki-tang, Gwibi-Tang and patients chief complaints was thoraco-lumbar pain, functional dyspepsia, fatigue. Conclusions : It is necessary to expansion of benefits range of the NHI on TKM services.

Time Trend of Out-of-pocket Expenditure among Cancer Inpatients: Evidence from Korean Tertiary Hospitals

  • You, Chang Hoon;Kang, Sungwook;Kwon, Young Dae;Choi, Ji Heon
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권11호
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    • pp.6985-6989
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    • 2013
  • Background: This study aimed to examine out-of-pocket expenditure for cancer treatments of hospitalized patients and to analyze changing patterns over time. Materials and Methods: This study examined data of all cancer patients receiving inpatient care from two tertiary hospitals from January 2003 to December 2010. Medical expenditures per admission were calculated and classified into those covered and uncovered by the Korean National Health Insurance (NHI) and co-payment. Results: The medical expenditure per admission increased slowly from 3,455 thousand Korean won (KRW) to 4,068 thousand KRW. While expenditures covered by the NHI have increased annually, co-payments have generally decreased. The out-of-pocket expenditure ratio, which means the proportion of uncovered expenditure and co-payment among total medical expenditure dropped sharply from 2005 to 2007 and was maintained at a similar level after 2007. Medical expenditures, NHI coverage, and the out-of-pocket expenditure ratio differed across cancer types. Conclusions: It is necessary to continually monitor the expenditure of uncovered services by the NHI, and to provide policies to reduce this economic burden. In addition, an individual approach considering cancer type-specific characteristics and medical utilization should be provided.

Telecommunications Infrastructures and Services Development and Challenges in Nepal

  • Shrestha, Surendra;Adhikari, Dilli Ram
    • International Journal of Internet, Broadcasting and Communication
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    • 제9권2호
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    • pp.27-36
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    • 2017
  • The world's unique geographical, multilingual, multiethnic, multiracial and multi religious Himalayan country Nepal has more than 100 years history on telephony service and it has been formulating appropriate policy and regulation for the adoption of new technology, introducing the competitive market environment for the overall development of Information and Communication Technology (ICT) infrastructures and application of ICT service and tools for socio-economic transformation. The Nepalese market seems to be continuously growing and having huge demand of mobile telephony and internet subscriptions trend. The ICT infrastructure development in difficult geographical area is quite challenging and thus operators are focusing mobile telephony and mobile internet services. Nepal has been doing its best effort on formulating policy and regulation, adoption key strategies for ICT sector development and at the same time joining hands with international and regional bodies such as ITU, SAARC etc for ICT sector development. Due to geographical diversity, policy and regulatory barriers in some extent, power supply constraints and low affordability from customers on ICT tools and services, Nepal has been facing challenges on ICT infrastructure development. However, the national statistics on ICT, Networked Readiness Index and ICT Development Index show that Nepal has done quite good progress and is keeping its pace on ICT development despite the these challenges. Moreover, there seems to be quite uncovered market segments on internet service and big opportunity on ICT sector development in Nepal in the days to come.

고용보험제도 사각지대 해소를 위한 정책대안의 검토 (Policy Options for Minimizing the Dead Zone of the Korean Employment Insurance System)

  • 유길상
    • 한국실천공학교육학회논문지
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    • 제4권2호
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    • pp.144-149
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    • 2012
  • 본 논문은 고용보험 사각지대의 실태를 분석하고, 사각지대 해소를 위한 여러 정책 대안을 비교분석하여 합리적인 대안을 모색하고 있다. 고용보험 사각지대 해소를 위한 대안으로서 고용보험 미가입자의 가입 활성화 방안, 적용 제외 근로자의 적용 확대 방안, 실업급여의 관대화 방안, 비임금근로자의 고용보험 적용 방안, 실업부조 및 실업보험저축계좌제 도입 방안, 맞춤형 패키지 사업을 활성화 방안을 검토하였다. 전문가에 의한 설문조사와 객관적 평가 기준에 의한 평가 결과 각각의 대안은 나름대로의 장단점이 있지만 고용과 복지가 연계된 맞춤형 패키지 사업을 활성화하는 것이 바람직한 것으로 나타났다. 따라서 1차적으로는 고용보험 미가입자에 대하여 가입률을 높이고, 법령상의 적용 제외 근로자를 최소화하면서, 고용보험으로 보호하기 어려운 비임금근로자와 실업급여 수급자격이 없는 구직자 등에 대해서는 심층상담, 직업훈련, 집중적인 취업알선 등 맞춤형 패키지 사업을 활성화하는 것이 바람직하다.

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서비스 고정비용을 고려한 복수제품 선별검사와 서비스시스템 설계 (Design of Rectifying Inspection Plans and Service Capacities for Multi-Products with the Fixed Costs for Products Servicing)

  • 김성철
    • 경영과학
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    • 제33권3호
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    • pp.89-103
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    • 2016
  • In this paper, we design sampling inspections and service capacities simultaneously for multi-products. Products are supplied in batches after rectifying inspections, that is, rejected lot is subject to total inspection and defective products are reworked to good ones. When supplied, all defective products are uncovered and returned to service. Particularly, we extend Kim [1] by introducing the fixed costs of providing services and show that the cost function of a product is no longer linear or convex in terms of the level of service provision. We develop a framework for a product to deal with this joint design problem and a dynamic programming algorithm for multi-products which allocates the given number of the total service capacities among products with the considerably smaller computations than the total number of possible allocations.

희귀난치성질환자에서 사회경제적 수준이 의료이용에 미치는 영향 (Effect of Socioeconomic Status on Healthcare Utilization in Patients with Rare and Incurable Diseases)

  • 임준;김명희;임정수;오대규
    • 보건행정학회지
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    • 제19권4호
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    • pp.66-77
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    • 2009
  • This study aims to examine the effect of socioeconomic status (hereafter, SES) on healthcare utilization of the patients with rare and incurable diseases. Information of 2,973 patients who were self-employed insured and utilized healthcare service in 2007 was drawn from the National Health Insurance (hereafter, NHI) claim data. SES was set as four groups based on the monthly contribution. Outcome variable was the expense for outpatient and in-hospital services, which was log-transformed and square-rooted in oder to obtain normal distribution. Covariates included age, gender, residence and diagnosis. To examine the effects after controlling for covariates, we employed generalized estimating equation model, since patients with the same diagnosis are likely to have similar characteristics of demographics and healthcare utilization. Univariate statistics showed that lower SES was associated with less utilization of healthcare services. After controlling for covariates, a significantly smaller amount of money was expended for the lowest SES group compared to the highest one. Rural residence was associated with less utilization, except that residents in Seoul significantly more utilized outpatient services in tertiary hospitals. Considering that there is a subsidy program for the low income patients, such differences in healthcare utilization according to SES seems to result from the burden of out-of-pocket payments for uncovered services of the NHI.

별인적반자적미도불일양(别人的盘子的味道不一样): 문화대인제령수복무평개적영향(文化对人际零售服务评价的影响) (It Doesn't Taste the same from Someone Else's Plate: The Influence of Culture in Interpersonal Retail Service Evaluations)

  • Spielmann, Nathalie;Kim, Ju-Ran
    • 마케팅과학연구
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    • 제20권2호
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    • pp.164-172
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    • 2010
  • 该研究通过测试餐厅零售设置回顾了文化对人际服务的影响. 为更好的理解他们对人际服务的期望我们研究了两种文化(加拿大和法国). 利用Hofstede的(1991)的文化维度之间的不同的解释加拿大和法国餐厅顾客的不同, 该研究证明一个潜在的有趣的研究领域: 跨文化的人际服务营销. 这表明文化维度并不独立运行,但三者互为依托. 这可以帮助零售商更好理解解释复杂的服务之间的相互作用. 在这个探索性研究,经探索性因子分析,研制出了一个包含生理和服务方面普遍运用人际服务的人格特质. 这项措施是为了更好的理解进行两种文化(加拿大和法国)之间的服务的期望,. 两种文化中均有五维结构, 但是他们有不同的的特征和群组. 我们揭示了这些特征的不同. 利用Hofstede(1991)的文化维度解释了整体的加拿大人和法国人的人格结构本研究结果为当服务转移到不同的文化中他们的感知会不一样甚至导致服务失败的原因提供了一个可能的解释. 很显然, 在加拿大和法国消费者之间有一些文化差异和根据他们他们的消费经历的总体期望的不同. 回顾法国人和加拿大人人格结构的第一个因子表明在加拿大和法国文化中个人主义/集体主义很显然不同. 第二维度也有不少的特点是相同的, 五个, 所有这一切都有个人的待遇方面的经验告诉我们, 一个餐厅服务提供商将负责: 有礼貌, 尊重和奉献. 值得注重的是, 法国维度不包括真实性和好客方面的经验, 但包含更多所固有的人际互动的特性, 例如迷人, 彬彬有礼. 第三维度的加拿大和法国的结构反映了完全不同的期望. 法国维度的中心是能量和热情, 在加拿大的维度是更加平易近人的清爽. 在法国还有外向性维度, 而加拿大有内向性维度. 这可以用Hofstede (1991)所提出的不确定避免维度的不同来解释. 第四维度似乎可以证实概括的文化差异. 加拿大人, 在不确定性规避和权力距离上较低, 更喜欢亲密和私人经验, 法国人继续期待外向性和包容的特征. 第五维度是在法国的人格结构中有清晰的表达, 在高权利距离社会中, 餐厅所扮演的角色的经验有明确的规定和规则. 这项研究表明不同的文化确实涉及到不同方面的人际关系的服务. 这在法国人和加拿大人的人格结构维度中很明显, 不仅是他们是多么不同,他们都还可从文化维度去解释. 对于人际服务, 性格特征的使用很有趣, 因为它可以解释实体和服务特征. 另外, 这个社会所固有的人际服务包含了服务人格结构的大部分维度. 社会交流是非常重要的, 尤其在跨文化的情况下. 该研究表明, 通过使用Hofstede(1991的)范式, 并不是所有的社会都有相同的期望与人际关系的服务. 另外, 传统的类型的服务也可以影响国与国之间的不同服务评价和文化. 然而, 用人格特质可能也允许零售商, 看看哪个服务特点是常见的在两种或两种以上文化的地方. 结果表明, 集体主义和个人主义的重要性, 人与人之间的服务的维度. 这种加拿大人和法国人人格结构的差异在最主要的维度上是显而易见的. 结果在解释零售商能如何转移然后测量跨文化人际服务方面有帮助.

Business Trends in Geo-Spatial Information and Service Market

  • 허준
    • 한국공간정보시스템학회:학술대회논문집
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    • 한국공간정보시스템학회 2005년도 GIS/RS 공동 춘계학술대회
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    • pp.351-354
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    • 2005
  • NASA's remote sensing market analysis and forecast projects 3.3 billion dollars in 2005. On the other hand, a market research firm expected that world commercial remote sensing imagery, GIS software, Data, and value-added services will generate 8.3 billion dollar in 2007. It has been widely believed that geo-spatial information and service market is growing rapidly and has a huge potential, but it is not clearly understood where it is now and will be heading in the future. Also, it could be a significant question to answer where the industry in Korea fits the best in the world business trends and where it should be strategically heading to take a large market share. Furthermore, if it could be worth being considered as a Korean strategic industry for the future. Instead of pursuing direct answers to the questions, the author will start reviewing general business practices, major business transactions such as merging and acquisitions (M&A's) and initial public offerings (IPO's), and research on market capitalization and revenue of major companies. Throughout the study, a list of common grounds in the market was uncovered and realized as follows: (1) value-added data matters in geo-spatial information and service market; (2) private sector grows faster; (3) characteristics of multi-national industry; and (4) Dependency on major industry. Based on the findings, the author presents a list of recommendations as conclusions.

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소득 계층별 의료비 부담의 추이와 정책과제 (Changes in financial burden of health expenditures by income level)

  • 김태일;허순임
    • 보건행정학회지
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    • 제18권4호
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    • pp.23-48
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    • 2008
  • Although the universal health insurance, National Health Insurance (NHI), have improved access to health care and financial burden of health care costs for Koreans, limited coverage of the NHI leads to high out-of-pocket payment for health care. This study examines financial burden of household health expenditures by income level. Data from the Urban Household Expenditure Survey from 1985 through 2005 is analyzed and household expenditure is used as a proxy measure for income. Health expenditures include spending for inpatient care, ambulatory care and pharmaceuticals. If a household spends health expenditure above 40% of household consumption except for foods, that is defined as catastrophic health expenditure. Access to health care for the lowest income group had been improved for two decades relative to other income groups as well as in absolute term. However, both financial burden of health expenditures and the proportion of households that experienced catastrophic health expenditure had been increased in the lowest income group. Study findings have several policy implications. First, in terms of financial burden of health expenditures. the differences among income groups decreased until 2000 but it was worsen in 2005. This suggests that recent policies for extending NHI coverage are not enough to improve the disparity by income level. Second, a differential catastrophic coverage by income level would be an effective strategy that relieves financial burden for low income group. Third, since the catastrophic coverage is applied to only covered services by the NHI, additional strategy for uncovered services should be considered.