• 제목/요약/키워드: covered services

검색결과 198건 처리시간 0.023초

자동차보험 환자와 건강보험 환자의 의료 이용 양상 분석 - 일개 대학병원을 대상으로 - (An Analysis of Automobile Insurance and Health Insurance Patients' Uses of the Medical Services)

  • 유형식;박태섭
    • 대한예방한의학회지
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    • 제11권2호
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    • pp.175-188
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    • 2007
  • The purpose of this study was to confirm the reasons why the medical institutes avoid the traffic accident victims covered by the automobile insurance. For this purpose, a university hospital was sampled to comparatively analyze days of hospitalization, average medical cost per day, ratio of optional medical cost, average cost by injury/age group/department, distribution of MRI photographing, etc., between health insurance and automobile insurance patients. Accordingly, in order to assure automobile patients of a reasonable rights of medical services, it is deemed necessary to arrange a fair system encouraging them reduce the days of their hospitalization as well as a complementary mechanism preventing unnecessary expensive medical services due to the hazard.

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PLATFORM FOR PRIVACY CONTROL IN LOCATION BASED SERVICES

  • An, Kyoung-Hwan;Min, Kyoung-Wook;Kim, Ju-Wan
    • 대한원격탐사학회:학술대회논문집
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    • 대한원격탐사학회 2005년도 Proceedings of ISRS 2005
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    • pp.659-662
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    • 2005
  • Recently, the need for LBS (Location Based Services) is increasing with the rapid growth of the location measurement units, mobile devices, and communication technologies. Especially, wireless carriers are concentrating on LBS since it is regarded as so-called 'killer application' among wireless data services. Although LBS give us convenience and useful information, its use also raises privacy issues. There are quite possibilities that the people's locations are tracked by location measurement units while people do not recognize the existence of the units. To protect a person's location information, lawful and technical aspects should be considered. In this paper, we explain issues, regulations, standards, and platforms related to the protection of the location information. Finally, we suggest the architecture of a platform complying with the regulations and standards. It considers various issues not covered in other studies.

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Encouraging Labor Intellectualization as a Tool for Intellectual Capital Development

  • Palagusyntes, Rostyslav;Shumytska, Halyna;Novosad, Kristina;Katsora, Oleksandr;Dzhuhan, Olha;Danko, Dana
    • International Journal of Computer Science & Network Security
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    • 제22권11호
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    • pp.101-108
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    • 2022
  • The article reviews the means of stimulating and motivating to labor intellectualization in diplomatic service employees. The means considered encourage them to raise the effectiveness in achieving goals. Leveling up of intellectual labor of diplomatic services employees, as well as means of motivation of employees are covered in the Law of Ukraine "On Civil Service". The law defines and regulates the conditions for the performance of intellectual labor entrusted to the staff of diplomatic services, namely: defines the direct rights and responsibilities of employees of diplomatic services, protects the interests and assists citizens of Ukraine abroad, meets the needs of all pressing issues and problems for their benefit.

소아치과 전문의 인력 현황 및 공급 적정성에 관한 연구 - 급여 진료 항목을 기준으로 (A Study on the Current State of Pediatric Dentists and the Adequacy of Supply and Demand Based on Covered Services)

  • 임여원;채용권;이고은;남옥형;이효설;최성철;김미선
    • 대한소아치과학회지
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    • 제50권3호
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    • pp.360-372
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    • 2023
  • 본 연구의 목적은 소아치과 전문의 인력 현황을 파악하고 만 19세 미만 환자의 연간 치과 이용량과 소아치과의사의 진료 생산성을 바탕으로 소아치과 전문의 인력 공급의 적정성을 평가하는 것이며 향후 정책 수립을 위한 의견을 알아보고자 하였다. 소아치과의사들을 대상으로 온라인 설문조사를 통해 '일반적인 특성', '연간 진료 횟수 및 근무 일수', '급여진료 비율', '전문의 수급 인식'에 대한 응답을 수집하였다. 대한소아치과학회, 건강보험심사평가원, 국민건강보험공단, 국가통계포털을 통해 소아치과의사 현황 및 진료 청구 횟수, 연간 출생아 수 감소 등을 조사하였다. 진료과목을 소아치과로 표방하는 치과는 전체 의료기관의 절반에 달했지만 실제 소아치과 의사가 근무하는 곳은 3.78%에 불과했다. 전체 소아치과의사의 61.36%가 수도권에 집중된 지역적 불균형을 보였다. 지난 20년 동안 소아청소년 인구는 지속적으로 감소했지만, 급여 진료 청구 횟수는 지속적으로 증가하고 있다. 지난 10년간 소아치과 전문의 적정 공급량은 4,000명 내외로 유지되었다. 소아치과 의사의 92.15%가 정부 차원의 정책 마련과 지원 방안이 필요하다고 생각하였다. 본 연구가 향후 소아치과 전문의 수요예측 방법 확립을 위한 기초자료로 활용될 수 있기를 기대한다.

건강보험 기본급여의 우선순위 (Priority-setting in Expanding the Basic Benefit Package in Korean Health Insurance Scheme)

  • 정형선;김주경;이규식;신의철
    • 보건행정학회지
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    • 제14권2호
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    • pp.34-57
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    • 2004
  • Universal health insurance normally requires a basic benefit package, whose design intersects with almost all other aspects of the health insurance debate. Despite its central importance, basic benefit package has not received the analysis it deserves in Korea. The issue of how to decide which health services should be delivered and to whom has been a matter for consistent policy debate. Many industrialized countries observed in this study have been dealing explicitly or implicitly with the basic benefit package. The methods vary from having a specific positive list of services (Bismarkian countries) to the use of guidelines (Beveridgian countries). The purpose of this paper is to form the underlying principles and process for determining what is included or left out by getting accurate and representative responses from health-related personnel. Mail survey is used. Economic burden for treatment, seriousness of disease and urgency of treatment are ranked at the first three priorities. Services that had been suspended because of financial crisis in health insurance scheme in 2001 were selected as items which should firstly be expanded into coverage. Diagnostic test against heart disease and vaccination were also selected as items which should additionally belong to the list of covered services.

ETSI M2M 표준의 스마트 홈 적용 및 적합성 평가 (Adaption and Assessment of ETSI M2M Standard in Smart Home Environments)

  • 박윤정;우혁;백형구;민덕기
    • 한국IT서비스학회지
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    • 제11권3호
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    • pp.241-255
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    • 2012
  • Recently, smart home environments which provide complex services through smart appliances are becoming realized, due to the advances in connected devices and network technologies. Current smart home environments are mostly restricted, because of difficultly of integration of heterogeneous smart appliances. Therefore radical service integration is impracticable. In this paper, we analyze and implement Machine-to-Machine (M2M) standards which are established by European Telecommunications Standards Institute (ETSI) for integrating heterogeneous devices and services. Smart Home is one of the areas covered by ETSI M2M standards, however these standards are just standardized, so adaption and assessment in smart home are not proved yet. Therefore, this paper analyze ETSI M2M standards by focusing the data transport model and evaluate by selecting the most commonly used smart home scenarios and by implementing ETSI M2M standards compatible smart metering system. In some points ETSI M2M standards are not efficient because of its complexity of structure, however ETSI M2M provides sophisticated features for integrating M2M which are appropriate to adopt diverse smart home environments.

중환자실에서 전문간호사가 제공하는 교육상담의 국민건강보험 급여화에 대한 일반인의 인식조사 연구 (Public's Perception of Reimbursement for Advanced Practice Nurses' Education and Counseling in Intensive Care Units by the National Health Insurance)

  • 고정미
    • 중환자간호학회지
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    • 제11권3호
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    • pp.95-107
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    • 2018
  • Purpose : This study aimed to investigate the public's perception of reimbursement for the education and counseling services provided to advanced practice nurses in intensive care units. Method : This was a secondary data analysis study. The original data were collected utilizing an online panel. The sample comprised 615 individuals aged between 19 and 49 years nationwide. The study variables included the public's perception of reimbursement for education and counseling services, age, gender, education level, income, and health status. Variables such as past experience of being admitted to an intensive care unit by self, family, or relatives and the recognition of advanced practice nurses were also examined. Results : The mean of the perception score was 3.15 on a 4-point scale ranging from 1 (strongly disagree) to 4 (strongly agree). Among the participants, 89.2% answered "somewhat agreed" or "strongly agreed" to the question about the education and counseling services being covered by the National Health Insurance. Moreover, education level, past experience of being admitted to an intensive care unit by self, family, or relatives, and recognition of advanced practice nurses were significantly associated with the perception score. Conclusion : Efforts should be made to publicize the need for the education and counseling services that are provided to advanced practice nurses in intensive care units.

An Empirical Study on the Factors Affecting the Intention to Use M2E Services

  • Sang Hoon Lee;Min-Ju Kim;Su-Yeon Kim
    • Asia pacific journal of information systems
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    • 제33권3호
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    • pp.792-811
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    • 2023
  • Recently, Web 3.0 services such as virtual currency, block chain, and NFT are attracting public attention. Users who depended on platforms are moving away from being dependent on service providers and moving to Web 3.0 services. Representative services of Web 3.0 include P2E (Play to Earn) and M2E (Move to Earn). In the case of P2E, various studies have been conducted as it is widely covered in the press and media, but research on M2E is relatively lacking. This study attempts to identify the intention to use M2E by using the expanded technology acceptance model. External factors were selected based on M2E's own characteristics and personal characteristics, a research model was designed, and the proposed hypotheses were verified through factor analysis and goodness of model fit. As a result of the study, it was confirmed that profitability, innovativeness, and self-expression had a positive effect on perceived characteristics, and that perceived usefulness, perceived enjoyment, and social influence had a positive effect on intention to use. Through the research results, practical implications for efficient service operation that meets the needs of users are presented to M2E platform providers.

보건소 모자보건실 서비스 이용실태 및 요구도 조사 연구 (A Survey on the Utilization of Maternity and Child Health Service, and Service Requirement)

  • 조성민;김일옥
    • 부모자녀건강학회지
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    • 제6권1호
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    • pp.1-17
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    • 2003
  • Thus, I studied Health services supplied by local health centers and the requirements of the inhabitants visiting the health care facilities. The purpose of this study was to provide basic material for the establishment of Health care policy and the development of health care businesses. The target places for this study were 4 health centers; Chungrang-Gu, Nowon-Gu, Eunpyung-Gu, Songpa-Gu, with 509 mothers who were visiting the Centers. The question items of this study concerned a total of 124 health-related services provided by the Health Centers. The data was collected for a total of 92 days; July 1st~September 30th, 1999. 800 questionaries were distributed and 559 answered, 509 were analyzed finally. The collected data were processed using the SAS program to get mean, standard deviation, percentage. Open questions were made to reveal the opinions of mothers using the health care center. The results were as follows : 1. Among the participants of the study, 49.7% were 25~29 years of age, 84.3% were house wives by current occupation, 56.2% were from 4~6 person households. 52.1 were educated at a high school level, and 43.6% were educated at a collage level. 2. The highest percentage(53.6%) of the users were spontaneous in their utilization of health care center. The major reason for using the Health care center is that it is free to 65.8% of those covered and of low cost to 19.3% of those covered. 3. The satisfaction level of those using the health care center appeared to be generally high. The general average value showed up as $3.027{\pm}0.519$. 4. The level of recognition of the value of the heath care center services was high, particularly in the basic item of diagnoses of pregnancy, particularly in the basic item of diagnoses of pregnancy. However, the satisfaction level of health care education In pregnancy is low at 20~40%. In the meantime, the level of recognition in breast- feeding benefits is high at 76.8%. 5. The rate of realizing health care center's service campaign was generally low at 10~20%. 41.3 of the people knew the advertizing material of the health care centers. 32.4% of the people knew the advertizing material of the health care centers. 32.4% of the people knew the campaign of health care center for importance of breast-feeding benefits. 30.1% of the people knew the campaign for testing congenital mechanism disease. In the meantime about 50% was recognised the health care centers campaign for the importance and time of infants vaccination. 6. The need for enhancement of health care center services was shown to be high as $3.266{\pm}0.676$ as an average, chicken pox vaccination being the most highly requested at $3.565{\pm}0.587.$. 7. Among the open questions, the additional service to be provided were as follows ; increase of campaign of health care center services, furnishing advertizing books in public locations, providing shuttle bus service to the health care centers, extension of desire for preventative injections, rest and play areas for the children of the families serviced, consultation rooms, etc.

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실손형 민간의료보험의 도입이 국민건강보험 재정에 미치는 영향 (Impact of Complementary Private Health Insurance on Public Health Spending in Korea)

  • 허순임;이상이
    • 보건행정학회지
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    • 제17권2호
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    • pp.1-17
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    • 2007
  • Limited coverage for health care services of National Health Insurance(NHI) in Korea has been ongoing policy issue but additional NHI financing through raising contribution or taxes in order to improve coverage faces substantial obstacles. Private health insurance(PHI) is often considered as an alternative financing source to improve coverage. Recent reform that attempted to stretch the role of PHI allowed life insurance companies to provide complementary PHI, indemnity plan which will pay for uncovered services by NHI and out-of-pocket spending for covered services. Although complementary PHI may relieve financial burden of patients, it may significantly raise NHI spending as well as total health expenditure since little out-of-pocket spending may increase utilization of health care. So far, there has not been enough discussion about concerns of potential adverse effect resulting from extended role of PHI. This study investigated potential increase of NHI spending followed by extension of complementary PHI through sensitivity analysis. The amount of NHI spending for services that would be covered by complementary PHI was calculated using 2005 NHI statistics and expected complementary PHI enrollment rate by age and sex. Expected utilization increases were obtained based on price elasticities$(-0.2{\sim}-0.5)$ from previous studies and expected coverage rate$(50{\sim}80%)$ of complementary PHI and then converted to monetary figures. Because coverage rate of complementary PHI has not been determined yet, we employed the sensitivity analysis using coverage rate of $50{\sim}80%$. Findings demonstrate that additional spending for health care services is expected to be $426{\sim}1,702$ billion won, corresponding amount payed by NHI $298{\sim}1,192$ billion won. In conclusion, since complementary PHI may raise NHI spending significantly, there should be an agreement whether this additional cost would be accountable and acceptable in our society. Potential inefficiency resulting from extended role of complementary PHI should be considered since public and private financing do not operate in isolation and there should be more discussion on proper role of PHI in Korea.