• 보건행정학회지
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• 제30권1호
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• pp.72-81
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• 2020

Background: The out-of-pocket maximum is one of the distinctive healthcare systems which sets a ceiling on co-payment in order to reduce the burden of households from the unpredictable medical expenditure. However, this leads to an increase in the demand for healthcare services especially in long-term care hospitals (LTCHs) in Korea. Methods: This study analyzed the influence factor of medical service overuse of 165,592 inpatients in LTCHs which out-of-pocket maximum is applied, by utilizing data from the National Health Insurance Service (2016). Based on Anderson Model, the medical service overuse, as a dependent variable, was defined as long-stay admission more than 180 days at the LTCHs. Independent variable was comprised of predisposing factors (gender, age), enabling factors (income level, types of out-of-pocket maximum) and need factors (illness level, patient use of tertiary hospital). Results: The most powerful factor of medical service overuse in LTCHs was availability of pre-payment for the out-of-maximum (odds ratio [OR], 191.66; p<0.001). This tendency was found in high income level status (p<0.001). Furthermore, mild inpatients (OR, 1.50; p<0.001) which had no experience with the tertiary hospitals (OR, 2.06; p<0.001) were more relevant to the medical service overuse in LTCHs, compared to the severe inpatients. Conclusion: It is suggested that a separate standard of out-of pocket maximum with regards to LTCHs is required to secure the beneficial functions of long-term hospitals and prevent unnecessary financial leakage to achieve sustainable and financially sound National Health Insurance.

• 한국치위생학회지
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• 제15권1호
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• pp.19-29
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• 2015

Objectives: The purpose of the study is to investigate the related factors to dental care utilization, oral health behaviors, and oral health status in immigrant workers in Korea. Methods: The subjects were 504 foreign immigrant male workers over 20 years old who visited Daegu labor consultation center for oral health survey and oral examination. The questionnaire included 5 questions of socioeconomic characteristics, 8 questions of oral health practice behavior, 6 questions of dental clinic visit, 8 questions of social relations and Korean language proficiency. The question for health behavior was measure by body mass index(BMI). Social relations and Korean language proficiency instrument was modified by Seol from "Family welfare survey in Korean international marriage" and scored by Liker 5 scale. Results: The oral health examination of the immigrant workers was as follows: decayed teeth - 76.6%, filling teeth - 27.4%, missing teeth - 69.8%, dental caries experience above five or more - 60.2%, periodontal pocket tissues - 58.9%. Simplified Oral Hygiene Index was very poor and accounted for 49.0%. Dental care utilization experience was closely associated with social relation indexes including attendance in family events, household stuff help, financial help and counseling for hard work(p<0.01). Dental care utilization experience proportionally increased with proficiency in Korean literacy including speaking, listening, and writing abilities of Korean language(p<0.01). Conclusions: In order to improve the oral health condition of the immigrant workers, it is important to provide social network, Korean language proficiency support, and health insurance coverage through economic burden reduction by the Korean government.

• 보건행정학회지
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• 제11권4호
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• pp.70-87
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• 2001

The purpose of this study was to identify health care providers' perceptions about the goal achievement and benefit/loss caused by the separation policy of drug prescribing and dispensing after the policy implemented on July 1, 2001. Uslng stratified sampling method based on the administration area, Ku, 315 physicians and pharmacists were sampled from the rosters of physician and pharmacist association in the city of Busan on 2001. There were 122 and 115 responses from physician and pharmacist sample, respectively. 78.3% of physicians and 50.4% of pharmacists evaluated that the goal of the policy was not achieved. Moreover, 75.3% of physicians and 40.7% of pharmacists did not support the policy. Most physicians and pharmacists considered preventing the citizens with drug abuse and misuses as the most important benefit derived from the policy. However, physicians and pharmacists concerned over raising health care cost that could be patients' burden. The most important physicians' benefit derived from the policy was free choice of all possible medicine that might result in effectiveness of medication. In physicians' the most important loss, most physicians worried about that breaking traditional patient and physician relationship might cause physicians' authority in treating diseases to be damaged. Pharmacists considered the most important policy benefit as hiked social status resulted from enforcement of profession due to the policy whereas they considered the most significant loss as expected financial problems of small pharmacies compared to that of large pharmacies or pharmacies adjacent to hospitals. In the current problems of the policy, physician and pharmacists blamed the government for inadequate preparations of the policy implementation. Physicians and pharmacists also considered citizens' mature attitudes toward the policy as a crucial success factor.

• 한국식품영양학회지
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• 제25권2호
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• pp.215-223
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• 2012

The principal objective of this study was to evaluate the consumption behavior of housewives in the Jeonju area with respect to their use of environmentally-friendly agricultural products(EAPs) and to assess the need for EAPs in childcare centers also in the Jeonju area. Self-administered questionnaires were given to and collected from 278 housewives 42.4% of whom employed and 57.6% were unemployed. Statistical data analysis was performed on the data collected using SPSS v. 12.0. The average score of awareness about EAPs was $3.57{\pm}0.56$. The percentage of subjects who purchased EAPS was 76.3% regularly. On this group, 40.3% purchased EAPs 1~2 times in week. Unemployed housewives purchased more than employed housewives by a statistically significant margin(p<0.05). The most-purchased EAPs were vegetables. The average satisfaction score that housewives reported in relation to foodservice provided in childcare centers was $3.66{\pm}0.58$. About 65% of the respondents felt that the EAPs-foodservice in childcare centers was an important factor for them in choosing of a childcare centers. Approximately 42% of the housewives responded that EAPs-foodservice in childcare centers was needed to improve the safety of foodservice provided in chidcare centers. The percentage of subjects who wanted to expand EAPs-foodservice in childcare centers even though the parents would have to bear some of the financial burden was 42.5%. A higher proportion of employed housewives wanted to expand EAPs-foodservice in childcare centers more than unemployed housewives, and this finding was statistically significant(p<0.05).

• 융합보안논문지
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• 제13권2호
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• pp.185-193
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• 2013

베이비부머들의 대량 퇴직은 우리사회를 급속한 고령화 사회를 만들고 이를 부양하는 젊은 세대들에게 부담을 주는 원인이 되고 있다. 그중 군인 퇴직자들은 국가에만 너무 의존하지 말고 자구책을 강구해야 할 필요성이 있다. 현재 평균 수명 80세인 현실을 감안하면 연금만 가지고 생활하기에는 너무 긴 생이고 이에 대한 국가 부담도 크다. 따라서 50-60대인 군인 퇴직자들은 아직 일할 수 있는 시기임을 인식하여 경제활동을 적극적으로 할 수 있는 자세를 가져야 한다, 국가에서는 군인연금에 의존하는 기간을 짧게 하면서 일 할 수 있는 기회를 제공해 줄 수 있는 방안들을 연구할 필요성 대두되었다. 국가를 위해 헌신한 군인 퇴직자들에 대한 노후 일자리 제공 등 경제활동에 속적으로 참여할 수 있는 다양한 프로그램을 제시하여 이들에게 군인연금 의존도를 낮추고 건전한 인생 2막을 펼칠 수 있도록 현실성 있는 대책이 필요하다.

• 한국건설관리학회논문집
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• 제8권2호
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• pp.109-117
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• 2007

건설산업의 환경은 대형화, 전문화의 추세와 공사이행기간의 증가와 건설공사의 입찰에 있어서 중요한 리스크 요인과 불확실 요인이 존재하게 되었으며 하도급자의 판단오류 및 인식부족은 이윤감소 혹은 적자를 초래하게 되며, 이는 결과적으로 하도급자에게 재정적 부담을 주게된다. 따라서 입찰단계에서의 리스크요인에 의한 공사예비비 산정을 예측하고 계약의 합의와 이행 과정에서 하도급자의 목표이윤 확보를 고려한 입찰단가를 산정하는 것은 매우 중요하다. 이러한 취지에서 본 연구는 하도급자의 공종별 사례로 선정하여 입찰금액 산정에 미치는 리스크에 대한 중요도가 공사비에 미치는 영향정도를 기초로 하여 분석하고, 이를 바탕으로 하도업자의 합리적인 입찰전략을 수립하는 기초자료로 활용하는데 있다.

• 한국컴퓨터정보학회논문지
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• 제4권4호
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• pp.244-250
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• 1999

본 연구는 기업의 CP 등급변화가 주가의 비정상수익률에 미치는 영향을 분석하였다. 분석결과 기업의 CP 등급 변화는 주가의 비정상수익률에 영향을 미치는 것으로 나타났다. 즉, CP의 등급이 상승한 경우에는 비정상수익률이 향상되고, CP의 등급이 하락하면 비정상수익률이 하락하는 것으로 나타났다. 그리고 기업의 당기순이익이 큰 기업이 등급이 상승되고, 당기순이익이 적은 기업은 등급이 하락하는 것으로 분석되었다. 또한 기업의 CP 등급 변화시 부채비율이 큰 기업이 등급이 상승되고, 부채비율이 낮은 기업은 등급이 상승하는 것으로 나타났다. 그러나 기업의 주주지분율의 크기. 기업의 기업가치의 크기, 기업의 현금흐름의 크기, 기업의 금융비융 부담률의 크기는 주식의 비정상수익률과 관계가 없는 것으로 나타났다. 본 연구는 기업의 CP 변화에 관한 정보가 자본시장에 미치는 영향을 분석한 것으로 의의가 있다. 그러나 표본기업과 공시시점의 선정에 한계가 있다.

• 전자공학회논문지SC
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• 제44권4호통권316호
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• pp.8-14
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• 2007

사회제도가 개선되고 기술이 발전함에 따라 고령인구와 장애인의 사회 참여가 지속적으로 증가하고 있다. 지능 로봇 및 지능형 주거공간 등의 여러 시스템들의 이들의 사회 참여를 돕기 위해 개발되었고, 실제 고령 인구와 장애인의 독립적인 생활 영위에 많은 기여를 하고 있다. 그러나 상기의 시스템들을 구축하기 위해서는 대부분 고가의 특별한 하드웨어가 요구된다. 실제 시스템을 사용하게 될 계층의 경제적 어려움을 고려하면 기존의 노트북 컴퓨터와 같은 일반적 하드웨어를 사용하는 소프트웨어 기반의 시스템의 개발이 요구된다. 한편 이러한 소프트웨어는 컴퓨터 사용에 익숙하지 않으며 신체의 움직임이 부자유스러운 사용자 계층을 위해 특수하게 제작되어야 한다. 본 논문에서는 이러한 요건들을 만족시키는 소프트웨어 기반의 보조 시스템의 관련 이론을 포함한 개발 과정을 소개하고 결과물을 제시한다.

• 산업경영시스템학회지
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• 제41권2호
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• pp.47-55
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• 2018

The Korean Ministry of Education (MOE) required cash flow statements, instead of fund statements, as a component of the financial statements of the Industry-Academic Cooperation Foundations (IACF) when it revised IACF accounting rules in 2012. While the fund statements were aligned its accounts to the operating statements' accounts level, the newly adopted cash flow statements' accounts retreated to two levels higher than those of the operating statements. It may be resulted from the consideration that IACFs' burden of preparing cash flow statements especially in direct method. To help IACFs prepare the cash flow statements, MOE's guidance on IACF accounting rules introduced cash flow statement preparation method and presented a practical example, but it did not check whether the accounts of the cash flow statement were reconciled to the accounts of corresponding balance sheet and operating statement. That means that the guidance still lacks how to assure it was accurately prepared. Our study proposed cash flow statement preparation using reconciliation method which reconciles cash flow statement accounts' amounts to balance sheet and operating statement accounts' amounts with integrity checking and also provided a practical example by using the same case in MOE's guidance on IACF accounting rules to help IACF accounting personnel to prepare a cash flow statement efficiently.

• 한국안전학회지
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• 제27권3호
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• pp.153-160
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• 2012

Various social problems such as traffic congestion, car accidents and environmental problems(air pollution, noises etc.) have been happening in the Seoul metropolitan area that has the car oriented traffic system providing cars continuously. Along with this, the financial burden caused by current oil price anxiety made paradigm shift from caroriented to public transportation-oriented. Its typical example is an arterial branch bus system changing(bus lane through the center of main road) started in Seoul in July, 2004. But study on safety analysis of bus lane and characteristic of accidents are not sufficient enough to now. The bus lanes are expanded to provide roads for better traffic operation and accidents between buses and pedestrians or ordinary vehicles are considered main problems. This study divided each bus route of median bus lane(bus-only lane through the center of main roads) and bus lane at roadside by intersection and collected and analysed data about influence variables of bus accidents chosen in each section. We constructed a logistic model using collected data. As a result, bus lane at roadside are used by both buses and other kinds of vehicles differently from median bus lane and showed such characteristic in accident influence. Therefore access management to factors causing conflict and improvement of operation management are required. In case of median bus lane, the more buses moving general vehicle lane and traffic volume of section were, the more accidents happened. In case that stop line of center lane is not backward, view blocking of vehicles turning left caused accidents.