• 제목/요약/키워드: co-pay

검색결과 112건 처리시간 0.024초

노인병원의 운명 및 재무구조 특성에 관한 연구 (The research for the management and financial affairs of geriatric hospital)

  • 김도훈;이종길;정기선;이창은
    • 한국병원경영학회지
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    • 제6권1호
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    • pp.1-17
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    • 2001
  • According to the increase of the proportion of aged people, the medical demand for a senile chronic disease has been increased; therefore, aged people call for a geriatric hospital for special geriatric medical service. The main purpose of this study was to analyze the general characteristics and financial status of geriatric hospitals. For the study, a questionnaire was designed and sent to the geriatric hospitals to fill out the patient statistics, number of headcount by department, etc. to find out the stability, profitability, activity and so on financial statements of the hospitals were analyzed. The major findings of this study were as belows. 1. The ratio of the medical expenses to the revenue of the geriatric hospitals is much lower than acute care hospitals. But the probability of bankruptcy is higher due to the high ratio of the liabilities therefore it is required to stabilize the financial position by donating more money. 2. Government budget for the elderly people is not enough. To support the geriatric hospitals by going subsides, government should increase the budget. 3. Portion's of the patient of the geriatric hospitals are government support patient. Since the government doesn't pay the medical charges quickly, geriatric hospitals have a serious cash flow problem. Therefore, it is required that government is to prepay the bill. 4. Since geriatric hospitals treat elderly patient and most patients are government support patients, geriatric hospitals can be said to operate under the strict. 5. When we introduce the daily medical charge, the self-liability will be reduced on approximately 50% of current. This affection will bring a huge progressing financial structure to the medical profit of the geriatric hospital, and also patient family will feel less economical burden.

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합리적인 지역 에너지 시스템(Community Energy System)의 구성과 경제성 검토 (An Optimal Configuration and Feasibility Study for Community Energy System (CES))

  • 기우봉;박용업;김황호;장성일
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2004년도 하계학술대회 논문집 A
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    • pp.123-125
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    • 2004
  • This paper describes an optimal configuration of Community Energy System (CES) for the multi-energy consumers and analyzes economical feasibility for such system. The most of previous feasibility studies for Co-Generation plants of CES in Korea have shown negative results due to the abnormally low price of power rate in Korea. However, in order to overcome this situation a new approach was examined in this Paper. The efforts of this approach the selection of the low price but reliable facility and maximizing the capacity factor of the facility. MGT was selected in view of low price and good reliability. In order to maximize the capacity factor the system capacity should be quite lower than the actual required Electrical and Heat load of the subject entity. In this report 100 kW Co-Generation facility was selected in view of conservative analysis. The results of the analysis showed that pay back period may vary from 4 to 5 yens according to the application of LNG rates whether it is to-generation rate or the normal business rate. With the analysis in this paper we confirmed that CES is feasible even in Korea if we do not insist to select the capacity of CES to cover all the energy required but select a smaller size of CES compared to the actual requirement, which can allow full load operation of the system continuously.

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부산 일부지역 학교 급식 조리원의 직무만족도에 영향을 미치는 요인 (A Study on the Factors Influencing Job Satisfactions of School Foodservice Employees in Busan Area)

  • 최기보;신기정;류은순
    • 한국식품조리과학회지
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    • 제25권5호
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    • pp.619-631
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    • 2009
  • The purpose of this study was to provide basic information to school foodservice employees so that they can meet their professional responsibilities by understanding the relationship of job burnout, job engagement, job stress and level of job satisfaction and analyze the influence between these factors according to the general characteristics of the employees. The subjects included employees at 426 school foodservices in Busan. The mean job engagement was significantly different in the reason that cooks chose this profession(p<0.05), and readiness to quit(p<0.001). The mean job stress was significantly different in different age groups(p<0.01), cooking certification(p<0.01), reason that cooks chose this profession(p<0.01), and readiness to quit(p<0.05). The mean job stress was significantly different in the reason cooks chose this profession(p<0.01), and readiness to quit(p<0.05). In terms of the level of satisfaction of coworkers, the subfactor of job burnout, 'self-confidence' and 'achievement' had positive influences (p<0.01) and for the level of satisfaction of the work, it had positive influences on 'achievement'(p<0.01) and negative influences on 'exhaustion' (p<0.01). In terms of the level of satisfaction of co-workers and work, the subfactor of job engagement, 'absorption' had positive influences(p<0.01). Among the level of job satisfaction, for the level of satisfaction of pay, the subfactor of job stress, 'unstable job' had negative influences(p<0.01) and 'role conflict' had positive influences(p<0.05). For the level of satisfaction of co-workers, the subfactor of job stress, 'role conflict' had negative influences(p<0.01), and for the level of satisfaction of work, 'inappropriate circumstance' and 'unstable job' had negative influences (p<0.01).

기존 교통량/대기질 모니터링 시스템 구축 자료를 활용한 상관성 분석 (Exploration of the Relationship between Traffic Volume and Air Quality Using Existing Monitoring Data)

  • 고준호;최유진;이세희;이태경
    • 대한교통학회지
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    • 제27권5호
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    • pp.29-37
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    • 2009
  • 대기환경의 중요성에 대한 인식이 커지면서, 교통관리 전략 수립에 대기질 개선여부를 반영시키고자 하는 많은 노력이 진행되고 있다. 그러나, 자료수집의 어려움 등으로 인해서 교통량과 대기질의 관계를 실증적으로 파악하고자 하는 연구는 많이 찾아볼 수 없는 상황이다. 이에, 본 연구에서는 서울시에서 구축해온 2005년~2007년 3년간의 대기 및 교통 모니터링 자료들을 활용하여 그 상관성을 살펴보았다. 이를 위해 두 모니터링 시스템간의 이격거리가 반경 1km이내의 지점만을 선별하고 그룹화하여 분석을 실시하였다. 분석대상 오염물질로는 CO, NO, $NO_2$, $PM_{10}$을 그 대상으로 하였으며, 분석결과 현재 구축된 두 자료의 상관성이 전반적으로 낮은 것으로 나타났다. 그러나, 타 오염물질에 비해 $NO_2$는 상대적으로 교통량과 높은 상관관계를 보였으며, 오전시간대, 강수 다음날의 자료를 사용한 경우 그 상관성이 높아지는 것을 확인하였다.

감마카메라의 중장기 외인성 균일도 분석 (Long-Term Extrinsic Uniformity Analysis of Gamma Cameras)

  • 김윤재;정우영;이동훈
    • 핵의학기술
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    • 제27권1호
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    • pp.36-41
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    • 2023
  • Purpose The long-term trend of extrinsic uniformity by type of gamma camera was analyzed, and the factors affecting uniformity were investigated. Based on this, the purpose was to predict the life of the gamma camera, pay attention to factors that affect uniformity, and obtain better quality images. Materials and methods Four of the gamma cameras in operation at a senior general hospital in Seoul were selected and the trend of extrinsic uniformity from the first operation date to the present was analyzed. In order to minimize various factors affecting uniformity, a detailed analysis was conducted by calculating the monthly and annual average of the uniformity values. Results Two Symbia E gamma cameras from SIEMENS, one Symbia Evo Excel gamma camera, and one Symbia Intevo16 gamma camera were selected and analyzed. The uniformity of Symbia E1 (2012 warehousing) changed unevenly, and the uniformity of Symbia E2 (2014 warehousing) changed according to the replacement cycle of 57Co sheet sources. The uniformity of Symbia Evo Excel (received in 2017) and Symbia Intevo 16 (received in 2017) was constant compared to Symbia E. Conclusion The extrinsic uniformity of the gamma camera gradually increased over time. However, there was a difference in uniformity for each type of gamma camera, and there was a change in uniformity in which the cause could not be accurately identified. In order to improve the quality of the image, it is necessary to periodically check changes in uniformity and minimize factors that affect uniformity.

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오일팜 바이오매스의 자원화 연구 IV - 반탄화된 오일팜 바이오매스의 펠릿 성형 특성 연구 - (Study of Oil Palm Biomass Resources (Part 4) Study of Pelletization of Torrefied Oil Palm Biomass -)

  • 성용주;김철환;이지영;조후승;남혜경;박형훈;권솔;김세빈
    • 펄프종이기술
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    • 제47권1호
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    • pp.24-34
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    • 2015
  • Domestic companies supplying electricity must increase obligatory duty to use renewable energy annually. If not met with obligatory allotment, the electricity-supply companies must pay RPS (Renewable Portfolio Standards) penalty. Although the power plants using a pulverizing coal firing boiler could co-fire up to around 3 per cent with wood pellets mixed in with coal feedstock without any major equipment revamps, they recorded only about 60 per cent fulfillment of RPS. Consequently, USD 46 million of RPS penalty was imposed on the six power supplying subsidiaries of GENCOs in 2014. One of the solutions to reduce the RPS penalty is that the power supply companies adopt the co-firing of torrefied lignocellulosic biomass in coal plants, which may contribute to the use of over 30 per cent of torrefied biomass mixed with bituminous coals. Extra binder was required to form pellets using torrefied biomass such as wood chips, PKS (Palm Kernel Shell) and EFB (Empty Fruit Bunch). Instead of corn starch, 30, 50 and 70 per cent of Larix saw dusts were respectively added to the torrefied feedstocks such as Pinus densiflora chips, PKS and EFB. The addition of saw dusts led to the decrease of the calorific values of the pellets but the forming ability of the pelletizer was exceedingly improved. Another advantage from the addition of saw dusts stemmed from the reduction of ash contents of the pellets. Finally, it was confirmed that torrefied oil palm biomass such as PKS and EFB could be valuable feedstocks in making pellets through improved binding ability.

의원급 노인 외래 정률차등정책 효과분석 (The Effect of Changes in Medical Use by Changing Copayment of Elderly)

  • 나영균
    • 보건행정학회지
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    • 제30권2호
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    • pp.185-191
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    • 2020
  • Background: From January 2018, a policy was applied to differentially apply the co-payment for medical expenses of 15,000 won or more from 30% to 10%-30% for each medical fee. This policy lowers the burden on the medical use of the elderly, and it is necessary to analyze the effect of the policy by confirming changes in medical use and supply behavior after 2 years. Methods: The National Health Insurance Service's national medical use database was used. As for the analysis method, first, the medical use and medical supply behavior change over the age of 65 years were confirmed, and second, in order to check the net effect of the policy, the 66-year-old as the experimental group and the 63-year-old as the control group were selected as the control group. The propensity score matching was performed using the variables of age, living alone, income quartile, residence, disability, chronic disease, and co-morbid disease scores, and then it was analyzed using the difference in difference analysis method. Results: The share of the number of treatments under 15,000 won decreased from 37.0% in 2017 to 20.2% in 2018, while the share of the number of treatments under 15,001-20,000 won increased from 8.0% to 22.7%. It was confirmed that the reason for the increase in the cost of treatment per treatment was the result of the increase in the amount of physical therapy and examination. As a result of the policy effect, the burden of co-payment per person was reduced, and as a result, the number of hospital visits per person and the total medical cost per person increased. Conclusion: The self-pay rate differential policy reduced the burden of medical expenses for the elderly and confirmed the increase in medical use. However, the interpretation of the increase in medical use was not able to distinguish whether the unsatisfactory medical care was satisfied or the inducement demand. Efficient allocation of resources is a more important point in the future when the super-aged society is in front. It is necessary to prepare a plan to induce rational medical use within a range that does not impair the medical accessibility of the elderly.

비재벌공사여하재재벌경제중생존((非财阀公司如何在财阀经济中生存)? ‐공사층면영소전략적분석(公司层面营销战略的分析)‐ (How Can Non.Chaebol Companies Thrive in the Chaebol Economy?)

  • Kim, Nam-Kuk;Sengupta, Sanjit;Kim, Dong-Jae
    • 마케팅과학연구
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    • 제19권3호
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    • pp.28-36
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    • 2009
  • 现有的文献广泛的关注财阀以及他们的所有权和支配权的优点和弱点, 但是几乎没有关于韩国非财阀公司的研究. 然而, Lee, Lee and Pennings (2001)并没有特别的探讨在韩国国内市场非财阀公司为求生存而对抗财阀公司的具有竞争力的战略. 本文的研究动机是通过四个探索性案例的研究, 韩国非财阀公司对抗财阀公司的成功的竞争战略和提出的建议可能会对其他的企业以及公共政策制定者有所帮助. 从产品相似性和公司内的合作关系分别定义竞争和合作的概念. 从这两个方面, 我们开发了以下$2{\times}2$ 矩阵, 为非财阀公司对抗财阀公司提供四种竞争战略. 在小组1的非财阀公司在高端市场对财阀公司让步, 但在低端市场有 "我也是在低端市场" 的产品, 同时承认在高端市场的财阀. 在小组2, 非财阀公司以供应商或互补企业的身份成为财阀公司的合伙人. 在小组3, 非财阀企业从事与财阀直接竞争. 在小组4, 非财阀企业的目标, 以产品创新或服务填补目标市场空白点. 我们选择的4个公司分别是E‐Rae电子企业公司(共存方), Intops(供应商), Pantech(竞争对手)和Humax(小众市场成员). 通过分析这4个案例, 相互提供更丰富的洞察力战略. 基于我们的概念框架, 提出下列假设 : 假设1 : 与财阀公司有合作关系的非财阀公司比没有合作关系的公司表现得更好. 假设1a: 共存方会比竞争方表现得更好. 假设1b: 合伙方会比小众市场成员表现得更好. 假设2: 与财阀公司的产品没有相似性的公司比有相似性的公司表现得要更好. 假设2a: 合伙方比共存放表现得更好 假设2b: 小众市场成员会比竞争方表现得更好. 假设3: 小众市场成员应比共存方表现得更好. 假设4: 按绩效的降序排列依次是合作者, 小众市场成员, 共存方, 竞争方. 一组专家按照我们4组的分类把216家非财阀公司分类. 用SPSS统计软件中的简单方差分析来检验假设. 结果发现. 与财阀公司有合作关系的以及提供与财阀公司不同的产品或服务比较好. 很明确的一点是, 平均来说, 若要对抗财阀公司中获利, 其战略是成为合伙人(供应商或组成部分). 直接与财阀公司硬碰硬的竞争是要付出极高代价的战略, 而这种代价不是非财阀公司能负担得起的. 避免与财阀公司迎面竞争的战略是用不同的产品服务于利己市场, 或是服务于被财阀公司忽视掉的低端市场. 些战略是比较好的生存战略. 本文说明在财阀环境中, 韩国的中小型非财阀公司有一些方法可以生存, 尽管不是没有风险. 根据不同的竞争组合, 合作的公司可以根据产品相似性以及合作关系的维度来选择定位从而制定自己的竞争战略. 例如共存方, 竞争对手, 合伙人, 小众市场成员. 根据我们的探索性案例分析, 合伙人对非财阀公司来说可能是最好的战略, 而竞争者则是有很大风险的. 小众市场成员和共存方处于中间, 但前者比后者要好. 很多中小型企业的管理者只是用简单的, 不是合作就是竞争的观点来审视市场的领导者‐典型的就是财阀. 结果. 很多非财阀公司变成被动的合作者或被自己的竞争对手财阀所击败. 事实上, 合作和竞争并不是互相排斥的, 是可以同时被追求的. 正如本文所建议的, 非财阀公司可以根据他们的环境, 内部资源和能力灵活的选择合作和竞争.

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영양사의 직무만족도와 HACCP 시스템 적용 장애요인 인식정도가 위생.안전관리 수행에 미치는 영향 - 경북지역 학교급식소를 대상으로 - (Influences of School Food Service Dietitians' Job Satisfaction and Perception of Barriers to HACCP Implementation on Food Sanitation/Safety Management Performance in Gyeongbuk Province)

  • 이경은;이혜상
    • 대한영양사협회학술지
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    • 제11권2호
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    • pp.179-189
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    • 2005
  • The purpose of the study was to investigate the relationships between dietitian’s job satisfaction and perception of barriers to HACCP implementation and food safety/sanitation management performance in school food service. An e-mail survey was conducted to 144 dietitians in Gyeongbuk Province. A response rate was 57.6%(N=83) and data were analyzed using SPSS Windows(ver. 10.0). Dietitians were more satisfied with ‘supervision’ and 'co-workers' than 'pay' and 'promotion.' Dietitians perceived 'lack of teachers' support on student education' and ‘limited availability of facilities/equipment' as the biggest challenges in implementing a HACCP system. A total score of sanitation/safety management performance evaluated by school districts was 92 out of 100. By category, 'safety management' and 'personal hygiene' were rated the highest whereas 'facilities/equipment' and 'HACCP system' categories were rated the lowest. The food sanitation/safety management performance scores were not correlated to dietitian’s job satisfaction, but significantly correlated to dietitian’s perceptions of barriers to HACCP implementation. As dietitians perceived facilities/equipment-related barriers greater, the scores of 'facilities/equipment(p<.01),' 'production process(p<.05),' and 'total score(p<.01)' were significantly lower. The findings suggest that more investment on facilities/equipment are needed for food safety improvement and successful HACCP implementation in school food service. Proper facilities and equipment will make employees monitor CCPs and take corrective actions more easily.

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건설 기능인력의 임금 산정제도 개선방안 (Improvement Measures of Wage Estimation System for Construction Skilled Workers)

  • 이근형;손창백
    • 한국건축시공학회지
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    • 제20권3호
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    • pp.223-233
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    • 2020
  • 건설업은 현재 생계에 직접적인 영향을 주는 임금 관련 문제들로 인해 신규인력의 진입 기피와 기존인력의 이직 등 기능인력 유지에 문제가 발생하여 산업생산기반이 약화되고 있는 실정이다. 이에 본 연구는 신규인력의 유입 증가와 기존 기능인력의 유지를 위해, 현행 임금산정제도를 개선하는 것을 목적으로 연구를 수행하였다. 노동강도가 높은 건설업 최저임금 수준을 산업별, 직종별로 차별화하는 것이 필요하다. 그리고, 휴일근로 및 시간외 수당 등과 같은 명확하게 산정할 수 있는 임금산정기준의 정립이 필요하고, 현재의 퇴직공제부금의 금액 수준을 상향조정하는 것이 필요하다.