• The Journal of Korean Medicine
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• v.44 no.2
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• pp.10-19
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• 2023

Objectives: This study aimed to find out the characteristics of patients with facial palsy based on the National Health Insurance(NHI) statistical yearbook and provide the information pertaining to supplement Coverage of NHI. Methods: Based on the data of NHI between 2004 to 2021 for facial palsy(G51) obtained from the Ministry of Health and Welfare, the analyses were carried out according to the distribution of gender and the number of patients, visits, reimbursed days, and medical expenses by using the SAS 9.4. Results: The crude rate of facial palsy was reported as 361.71(2021) comparable with 419.60(2004) and 534.11(2009). The rate of men increased from 293.96(2004) to 302.27(2021) but the rate of women decreased from 450.88(2014) to 420.80(2021). The number of patients maintained around 190,000, however, it declined for patients treated Korean medicine(KM) after 2010. As the medical expenses were elevated, especially Western medicine(WM), that of WM exceeded KM's since 2018. The expenses of women were higher than men's in KM. By contrast, there was no difference with gender in WM. For reimbursed days per visits, it has been increased in WM but there was no difference in KM. Conclusion: Although the rate of patients with facial palsy in KM was high with no difference in the whole number of patients and reimbursed days per visits in KM annually, the number of patients in KM decreased but medical expenses elevated. According to this, it is necessary for reinforcing Coverage of NHI to research other factors related to KM.

• Hip & pelvis
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• v.36 no.2
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• pp.144-154
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• 2024

Purpose: The objective of this study was to assess postoperative direct medical expenses and medical utilization of elderly patients who underwent either hemiarthroplasty (HA) or internal fixation (IF) for treatment of a femoral intertrochanteric fracture and to analyze differences according to surgical methods and age groups. Materials and Methods: Data from the 2011 to 2018 Korean National Health Insurance Review & Assessment Service database were used. Risk-set matching was performed for selection of controls representing patients with the same sex, age, and year of surgery. A comparative interrupted time series analysis was performed for evaluation of differences in medical expenses and utilization between the two groups. Results: A total of 10,405 patients who underwent IF surgery and 10,405 control patients who underwent HA surgery were included. Medical expenses were 18% lower in the IF group compared to the HA group during the first year after the fracture (difference-in-difference [DID] estimate ratio 0.82, 95% confidence interval [CI] 0.77-0.87, P<0.001), and 9% lower in the second year (DID estimate ratio 0.91, 95% CI 0.85-0.99, P=0.018). Length of hospital stay was significantly shorter in the IF group compared to the HA group during the first two years after time zero in the age ≥80 group. Conclusion: A noticeable increase in medical expenses was observed for patients who underwent HA for treatment of intertrochanteric fractures compared to those who underwent IF over a two-year period after surgery. Therefore, consideration of such findings is critical when designing healthcare policy support for management of intertrochanteric fractures.

• Korea Journal of Hospital Management
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• v.29 no.3
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• pp.1-10
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• 2024

Purposes: When rehabilitation services are provided remotely using information and communication technologies to patients living at home, there is an advantage in providing rehabilitation services to individuals in their everyday social and physical environment, which can improve functional outcomes and satisfaction. The purpose of this study was to analyze the effectiveness of the pilot project by analyzing the outpatient and inpatient medical use and expenses of patients who participated in the rehabilitation patient home-based care pilot project. Methodology: To analyze the effectiveness of the home-based care pilot project for rehabilitation patients, health insurance claims data from the Health Insurance Review and Assessment Service was used. The subjects of analysis were patients who had undergone major lower extremity joint replacement surgery, including hip, knee, and ankle joint replacement surgery, and patients who had lower extremity fracture surgery, which were the targets of the rehabilitation patient home-based care pilot project. To compare medical use and expenses between patients participating in the rehabilitation patient home-based care pilot project and those not participating, chi-square test, t-test, and multiple regression analysis were performed. Findings: As a result of analyzing the number of medical use cases and expenses of patients who participated and those who did not participate in the rehabilitation patient home-based care pilot project, the average outpatient medical use and outpatient medical expenses per person for participating patients were lower than those for patients who did not participate. The average hospitalization cost per person and the average length of stay per person were also lower than those of patients who did not participate. Practical Implications: Home-based care for rehabilitation patients continues to provide medical services at home, not at medical institutions, and can be expected to reduce readmissions and complications by resolving patients' emergency situations at home or on their own, thereby reducing medical use.

• Korean Journal of Agricultural Science
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• v.36 no.2
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• pp.233-244
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• 2009

This study analyzed the income of orange farming of Lichuan, Jiangxi Province in China. Using a questionnaire, 36 farmhouseholds of Lichuan were surveyed. The results are as follows. First, through the investigation of Lichuan orange farming farmhouseholds, we know that the direct expenses of Lichuan orange is around 2,250 RMB/10a and the direct expenses per household's are about 32,000 RMB. The average production of Lichuan orange is 1,548 kg/10a and the income is around 2,200 RMB/10a. The results showed that in Lichuan area orange farming benefit is more than rice so orange farming has been increasing. Second, the direct expense of Lichuan orange farming, 91% is material cost, 8% is labor cost, depreciation cost is only 1.4%. This result show that orange farming in Lichuan is very labor intensive. Third, there are a lots of young orange trees in Lichuan, so income would be increasing through the year.

• Proceedings of the Korean Operations and Management Science Society Conference
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• 2007.11a
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• pp.183-189
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• 2007

In this paper, we developed the fuzzy group method data handling-type (GMDH) Model and applied it to demand forecasting of educational expenses. At present, GMDH family of modeling algorithms discovers the structure of empirical models and it gives only the way to get the most accurate identification and demand forecasts in case of noised and short input sampling. In distinction to fuzzy system, the results are explicit mathematical models, obtained in a relative short time. In this paper, an adaptive learning network is proposed as a kind of fuzzy GMDH. The proposed method can be reinterpreted as a multi-stage fuzzy decision rule which is called as the fuzzy GMDH. The fuzzy GMDH-type networks have several advantages compared with conventional multi-layered GMDH models. Therefore, many types of nonlinear systems can be automatically modeled by using the fuzzy GMDH. A computer program is developed and successful applications are shown in the field of demand forecasting problem of educational expenses with the number of factors considered.

• Journal of the Korean Society of Costume
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• v.26
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• pp.211-220
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• 1995

The purpose of this study was to examine the relationships between the interest of apparel ad-vertising direct mail(DM) and the consumers' characteristics ; like their marital state, age, educational level, expenses on clothing purchase, and rigidity. Samples were 243 women(24∼35 years of age) in the Seoul, Korea. The data were analyzed using t-test, one-way ANOVA, Duncan's multiple range test, and discriminant analysis. The results of the study were the followings. 1. The department store sent out the most ap-parel advertising DM and the most common dis-tribution method was carrying the DM with the newspapers, 2/3 consumers paid attention to the contents of the apparel advertising DM with 'some interests'. 2. Jackets and pants were the most purchased items after seeing the apparel advertising DM. 3. The interest in the contents of the apparel advertising DM varied according to the consumers' marital state ad the expenses on cloth-ing purchase. 4. Rigidity, age, educational level, and the clothing purchase expenses contributed to discriminant the interesting or uninteresting group in DM. The accuracy rate of the predicting the groups by the 4 variables was 60.91%.

• Korean Journal of Agricultural Science
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• v.37 no.1
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• pp.143-149
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• 2010

This study analyzed the income of large scale honey bee farming of Korea. Using a questionnaire, 44 large scale honey bee farming farmhouseholds were surveyed. The average hive sizes are 258. The results are as follows. First, gross receipts of bee farming farmhouseholds are 50,342 thousand won, and it's components are honey 71%, bee selling and/or lent 26%. Second, working expenses are 23,778 thousand won that is 47% of gross receipts. Feed costs are 38.2%, material costs are 23.9%, hired labor costs are 11.0%, moving costs are 10.1%. Finally, receipts per hive are 195.1 thousand won, working expenses per hive are 23,778 thousand won, so income per hive is 103.0 thousand won.

• Journal of Hospice and Palliative Care
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• v.8 no.2
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• pp.234-244
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• 2005

As Korea has just turned into an aging society with the increase of average life expectancy, and the main causes of deaths is cancer and other chronic diseases. And this corresponds to a dramatic increase in medical expenses for the aged. To curve this problem, the hospice care can be an effective alternative, which can provide patients with both quality service and intensive care to help ensure high quality life for the patients. To demonstrate the economical effect of hospice services, a comparative study on the media expenses of geriatric hospitals and general hospitals, which bear similarities in common regarding the characteristics of their patients, is performed. Thus the results of the study can serve as a quantitative indication for the management of hospice services.

• The Korean Society of Law and Medicine
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• v.14 no.2
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• pp.11-41
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• 2013

Article 347 of criminal law provides the act of deceiving another, thereby taking property or obtaining pecuniary advantage from another. On the other hand, the concepts of fraud and abuse are confused upon interpretation since the definition in National Healthcare Insurance Law is unclear, and it affects closely to the administrative measures such as surcharge levy by the period of inspection, therefore, the disputes continue in the forms of formal objection, administrative ruling and administrative litigation. This study aims to look over the legal problems on application of criminal fraud toward the abuse of 'Paid Medical Expenses(Article 57, Sections 1 and 4 of the National Health Insurance Act)'. The main issues are concept of abuse(Article 57, Sections 1 and 4 of the National Health Insurance Act), the problems of Directions of Health-Welfare Ministry on aspect of 'Nullum crimen sine lege' Principles, the proper sentenc-ing guidelines of fraud.

• Journal of Families and Better Life
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• v.20 no.5
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• pp.69-85
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• 2002

The purpose of this study was to develop a scheme to standardize apartment management expenses levy. I have conducted theoretical research on the literature for the foundation of this study. I have also surveyed many different kinds of levies with help from several apartment complex managers in Busan as well as the executive secretaries of Busan Citizen's Coalition for Economic Justice. I held 30 meetings with the experts in this process to discuss the standardization of the levy. The finalized scheme for standardization is in line with the Act for Management of Multiple Family Housing. Because description of the whole standardized scheme is too lengthy for one article, I decided to present it in three parts. This article is the first part of the series. The remaining two parts will be published in future issues.