• 제목/요약/키워드: fee-for-service

검색결과 381건 처리시간 0.024초

상급종합병원과 종합병원 일반병동의 간호관리료 차등제 간호사 배치기준 및 수가체계 개선방안 (Recommendation for the Amendment of Inpatient Nursing Fee Schedules Based on Nurse Staffing Standards in General Wards of Tertiary Hospitals and General Hospitals)

  • 조성현;성지영;정영선;유선주;심원희
    • 임상간호연구
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    • 제28권2호
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    • pp.122-136
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    • 2022
  • Purpose: This study attempted to recommend a revision of inpatient nursing fees based on analyzing current and appropriate staffing levels. Methods: Staffing grades and their inpatient nursing fees as of the first quarter of 2022 were analyzed. Nurse managers and staff nurses answered surveys about the current and appropriate staffing levels, working days, and monthly salary. A total of 101 nurse managers and 588 staff nurses working in general wards at tertiary hospitals and general hospitals participated in the study. Results: The results showed that grade 1 staffing was found in 73.3% of tertiary hospitals and 63.7% of general hospitals. The current staffing ratios of tertiary hospitals and general hospitals were 1:9.3 and 1:10.4, respectively. The appropriate staffing ratios according to nurse managers and staff nurses at tertiary hospitals were 1:7.6 and 1:7.0, respectively, and 1:8.7 and 1:8.8 in general hospitals, respectively. The average estimated annual working days of staff nurses were 235.2 days in tertiary hospitals and 240.0 days in general hospitals. The median monthly salary for staff nurses was 4.957 million won in tertiary hospitals and 4.140 million won in general hospitals. The new staffing grade system was suggested from 1:6 (Grade 1) to 1:12 (Grade 5). The new inpatient nursing fee schedules were recommended to be paid based on nursing hours per patient day of each grade. Conclusion: The new staffing grade and inpatient nursing fee schedules are expected to increase staffing levels, improve the quality of nursing care, and provide a better work environment for nurses.

PCS 교환기의 In-service 신뢰도 성장 분석 (Reliability Growth Analysis for In-service PCS Telecommunication System)

  • 정원;장순태
    • 한국산업정보학회논문지
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    • 제5권4호
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    • pp.39-46
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    • 2000
  • New products often have in-service reliability problem despite an intensive development program. Therefore reliability data must be collected and analyzed, and improvements designed and implemented. A type of reliability incentive contract which has recently attracted a lot of attention is reliability improvement warranty(RIW). It has been employed by military, airlines, telecommunication systems, and public utilities. An RIW contract requires that the supplies carries out all repairs, modify the equipment to improve its reliability, and provides all spates needed, for a fixed period, for once-off fee. This paper presents the reliability growth analysis and management methods for in-service MC68 microprocessor, which is the main component of the base station controller in PCS(Personal Communication Service) telecommunication system. The methods will provide guidelines to monitor reliability program in planning RIW contract.

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장애인활동 지원제도에 관한 한·일 비교 -장애인의 자기결정권 보장을 중심으로- (Comparative Study on the Personal Assistance System for Persons with Disabilities in South Korea and Japan -Focusing on Self-Determination of People with Disabilities -)

  • 이미정
    • 재활복지
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    • 제17권4호
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    • pp.1-26
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    • 2013
  • 사회가 발전함에 따라 장애복지정책도 장애인의 권리를 보장하기 위한 방향으로 발전하고 있으며 활동보조서비스는 장애인들의 자기결정권을 보장하는 주요 제도이다. 이번 연구의 목적은 한국의 장애인활동 지원제도의 발전방안을 모색하기 위해 한국과 일본의 제도를 비교분석하기 위한 것이다. 비교분석은 신청 자격기준, 정보제공, 지원내용(서비스의 양과 종류 및 지급기관), 이의 신청 제도, 경제적 부담능력 등과 같은 제도 현황을 중심으로 비교분석하였다. 조사 결과에 따르면 한국의 활동지원제도는 이용자의 필요욕구 보다는 행정 중심적으로 이루어지고 있었으며 서비스 시간과 서비스 유형이 개인의 활동지원 필요성에 의하여 이루어 지고 있지 못한 상태에 있었다. 반면, 일본의 활동지원제도는 자립생활의 이념에 맞춰 제공되고 있으며 자기결정권과 서비스 선택권에 의해 서비스가 계획되고 제공되고 있었다. 한국의 장애인활동 지원제도의 발전을 위해서는 첫째, 활동지원제도는 자립생활의 이념에 맞춰 제공되어야 한다. 이는 활동지원서비스의 이념이 장애인의 자기결정권과 선택권을 기초로 하고 있기 때문이다. 둘째, 신청 자격기준, 정보제공, 지원내용, 이의 신청 제도, 경제적 부담능력 등을 분석한 결과 한국의 장애인활동 지원제도는 전반적으로 재검토가 필요하다. 셋째, 한국의 활동지원제도의 효율성 및 정착을 위해 일본제도와 같이 상담지원(사례관리)체계의 도입이 필요하다. 이는 사례관리체계를 통해 활동지원의 양과 서비스 유형이 체계화되면서 장애인들의 사회참여의 기회가 확대될 것이기 때문이다.

전자무역 플랫폼의 이용현황 분석과 서비스 고도화 방안 (A Study on the Service Improvement through the Analysis of Current Status of e-Trade Platform Usage)

  • 이상진
    • 통상정보연구
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    • 제11권3호
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    • pp.47-71
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    • 2009
  • In order to implement e-trade infrastructure through the radical innovation of trade process, e-trade platform which is called 'uTradehub' has been developed for three years. After pilot operation of this platform in 2007, the formal service of e-trade such as logistics, customs and foreign exchanges had been provided in 2008. However, the usage of e-Trade platform is not the level of users' satisfaction because trade-related communities have not actively participated into e-trade platform and several functions with users requirements are necessary to develop additionally. In this regard, there are strong demands to suggest some strategies for application and usage proliferation of e-trade platform. Therefore, this paper would like to evaluate the current status of e-trade platform service and usage by the theoretical consideration of preceding researches and practical analysis of statistical data. Then, it will explore several service improvement ideas in terms of system supplementation and integration, electronic documents standardization, radical change of using fee, global connection, user oriented education and advertisement.

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디지털 TV 방송서비스 수익모델과 사업자별 T-commerce 통합전략 (Digital TV Revenue Models and T-commerce strategies)

  • 정충영
    • 한국정보통신학회논문지
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    • 제7권4호
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    • pp.589-597
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    • 2003
  • 본 논문은 디지털 TV방송 서비스를 중심으로 디지털 TV 방송 서비스 수익모텔을 도출하고 이를 T-commerce의 주요 어플리케이션과 매핑시켜 수익주체별 어플리케이션 통합전략 수립을 위한 기본 틀을 제시한다. 본 논문은 이를 통해 수익모델과 T-commerce의 통합적 모델을 도출함으로써 사업자별, T-commerce 어플리케이션별 수익모델 전개방향을 제시하며 각 사업별 제공사례를 통합모델의 틀 안에서 살펴본다. 주요 결과를 보면 방송사업자는 프로그램과 관련된 양방향 광고나 시청자와의 적극적인 참여를 활용한 수익창출에 보다 역점을 기울이는 전략이 필요하며 또 한편으로는 컨텐츠 사업자와 미들웨어 사업자와의 전략적 제휴를 통해 플랫폼 사업자로서의 강점을 최대한 활용하여야 할 것이다. 컨텐츠 제공자는 수수료 수익모델 중심에서 탈피하여 적극적인 서비스 제공 수익모델 개발에도 주안점을 두어야 할 것이며 미들웨어 사업자는 시스템 사용료나 컨설팅 둥의 수익모델보다는 양방향 서비스 제공을 겨냥한 새로운 서비스 개발에 역점을 두어야 할 것이다.

노인장기요양시설 치과촉탁의제 도입을 위한 제도 개선 방향 (A study on the amendments of long-term care-related legislations for the introduction of part-time facility dentists)

  • 소종섭
    • 대한치과의사협회지
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    • 제53권10호
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    • pp.696-704
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    • 2015
  • The coverage of the National Health Insurance for the elderly is expanding to denture and implants. Although the National Long-Term Care Insurance was just being settled, Oral health service was not provided to the Elderly in Long-Term Care Facilities. The long-term care facilities had part-time facility doctors. However, there is no dentist in the long-term care facility because of lack of long-term care insurance-related legislations. The amendments of long-term care insurance-related legislations for the introduction of part-time facility dentists are needed because the elderly in long-term care facility are vulnerable to oral health. For the substantial management of the National Long-Term Care Insurance, the development of oral health service model for the elderly and education materials for the dental team will be needed. Also, adequate dental service fee of the National longterm care insurance will be needed.

건강보장과 국민건강보험공단의 역할 (The Roles of the National Health Insurance Service in the Public Health Security)

  • 김용익
    • 보건행정학회지
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    • 제28권3호
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    • pp.210-216
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    • 2018
  • National Health Insurance Service (NHIS) has put a great effort on extending life expectancy, for last 40 years. The system has also made remarkable outcomes in achieving universal health coverage. However, it is facing challenges of low health insurance benefits and sustainability risk due to low birth rate and aging society at the same time. To overcome the difficulties and build a lifelong health security system for the nation, it is required for NHIS to make multilateral changes in its roles. Based on the quantitative growth achieved so far, NHIS needs to strive for the growth in quality by not only increasing coverage and reforming contribution imposition system, but also reorganizing the relevant systems such as lifelong health management support, rational adjustment to the medical fee, and benefit costs monitoring. In addition, it's important for NHIS to restructure the organizational culture by having specialty and communicating with people for high quality of administration and health insurance sustainability.

건축기계설비 설계용역 대가기준 도입을 위한 기초연구 (A basic study for Introduction of Standards Governing Compensation for Design Service of Mechanical Facilities of Buildings)

  • 한재구
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2017년도 추계 학술논문 발표대회
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    • pp.189-190
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    • 2017
  • As buildings take on more advanced features, mechanical facilities of buildings are accounting for increasingly greater significance in building construction projects. However, mechanical facility designers are forced to be content with design service fees that do not properly compensate their excessive workload, with lowest-bid-first tendering practices compounding their economic woes. In relation to this, this Study aims to offer suggestions for better standards for compensation of design service for mechanical facilities of buildings, highlighting five key suggestions in consideration of relatively small size of work and unmatched long duration of work.

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청소년과 부모가 경험한 청소년의 이동전화 서비스 소비자문제와 관련요인 (Youth and Their Parents' Experiences of Young Consumers' Problem in Mobile Phone Service and Related Variables)

  • 양덕순;송인숙
    • 한국생활과학회지
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    • 제19권2호
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    • pp.325-341
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    • 2010
  • A study on what kind of problems young consumers experience in buying and using mobile phone services with a comprehensive and consumers oriented perspective is needed. Through this acknowledgement, we investigated (i) the degree of consumer problems that young consumers experience in purchasing and using mobile phone services, and (ii) the related variables that affect experiences of this consumer problem. The parents of the teenagers were also included in the survey because they experience the same problems young consumers' experience in buying and using mobile phone services. Data were gathered through an internet survey (www.embrain.com) and a total of 699 samples from 350 parents and 349 youths using mobile phone services were analysed. The results are as follows. First, the teenagers and parents' experience level of young consumers' problems were generally high experiencing similar kinds of problems. Second, parents experienced more young consumers' problems than the teenagers in buying and using mobile phone services, especially in misuse and abuse of the phones. Third, among the teenagers, the monthly usage fee music or game usage, the number of changes in mobile phone service operators, the number of replacement mobile phones and the gender had a significant effect on consumers' problems of mobile phone services. Among the parents, the monthly usage fee, music or game usage, confirmation of the bill, and the gender of their child were significant consumer problems. Based on results of our survey the direction of consumer policy and education was suggested for teenagers and their parents.

인터넷 오락 서비스의 유용성, 용이성, 명성, 그리고 유료화가 그 서비스 사용에 미치는 영향 (The Impacts of Perceived Usefulness, Ease of Use, Reputation, and Usage Fee of the Internet Entertainment Service on the Use of the Service)

  • 김치헌;김준석
    • Asia pacific journal of information systems
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    • 제13권3호
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    • pp.85-106
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    • 2003
  • Recently, firms which have offered a "free Internet service" to their customers, are considering a "charged Internet service" for increasing a company's profit. But they have doubts about the results, because consumers may fly away from their web-site easily and may discontinue using their services. The purpose of this study is to investigate which factors make consumers use the charged Internet services. To do this, the factors, which are ease of using the service, usefulness of the service, the reputation of the service provider, service cost, and the intention to use the service as a mediator, are analyzed. To achieve this research objective, a structural equation model was constructed and a field study method was used. The findings are summarized as follows: First, ease of using the service, usefulness of the service, and service cost have significant impacts on the charged Internet service usage through the intention to use. Especially, although service cost influences on the service usage largely, the usefulness of the service has a bigger impact on the charged Internet service usage than service cost. Second, the reputation of the service provider does not have any impact on the service usage. Third, consumers using only the free Internet service tend to hesitate about using the "charged Internet service" because they doubt its ease of use and usefulness in spite of the service cost.