• 제목/요약/키워드: global budget system

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건강보험 한방의료의 총액계약제 도입방안 (Designing a Global Budget Payment System for Oriental Medical Services in the National Health Insurance)

  • 김진현;김은혜;김윤희
    • 대한예방한의학회지
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    • 제14권1호
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    • pp.77-96
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    • 2010
  • Objectives : This paper recommends a global budget based payment system for reimbursing oriental medical services in the national health insurance. Methods : We analyzed previous research outcomes related to oriental medical services and payment system We reviewed the experiences of other countries' global budget system in terms of their strength and weakness. In addition, we developed a reimbursement method for oriental medical services based on global budget. Results : Our reviews focused on global budget system of Germany, the Netherlands, the United Kingdom, Canada, France, and Taiwan. The estimation of global budget in the national health insurance was described in two scenarios. First scenario was to allocate oriental medical services in scale after signing a contract for global budget. In this case, 4.16% of the national health insurance expenditure was allocated for the oriental medical services. Second scenario was to estimate the global budget in a historical context. As a result, the first scenario in total budget was higher than the second, and we proposed a retrospective adjustment method for the gap between the budget and the actual expenditure Conclusions : The payment system for oriental medical services is recommended to shift from fee-for-service to global budget.

지속가능성과 효율성을 고려한 병원 총액예산 설계와 배분에 관한 연구 (A Study on the Implementation of Global Medical Budget Model for Hospital based on Sustainablity and Efficiency)

  • 오동일
    • 한국산학기술학회논문지
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    • 제15권6호
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    • pp.3534-3547
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    • 2014
  • 행위별 지불보상제도는 의료적 관점의 장점에도 불구하고 건강보험 진료비가 급증하는 문제점이 지적되고 있어 이에 대한 합리적인 통제의 필요성이 강하게 제기되고 있다. 본 연구에서는 자료수집이 가능한 27개 상급종합병원을 대상으로 SGR 모형과 DEA모형을 결합해 진료비목표예산 수립과 배분제도를 제안하였다. SGR모형은 거시적 측면에서 누적진료비 목표예산과 당해연도 진료비 목표예산에 따라 차년도의 진료비목표를 제시하는데 사용하였고 DEA모형은 개별병원에 원가의식과 관리 효율성 목표를 제시함으로써 전체적인 예산관리를 가능하게 한다. 즉 예산제도를 성과평가도구의 하나인 DEA모형과 결합함으로써 효율성 그룹에 따른 개별병원 예산을 설계할 수 있었다. 이를 통해 거시적 수준에서 국민소득 수준을 고려한 SGR 모형에서 구해진 예산총액을 배분하고 관리할 수 있는 기전을 확보해 건강보험제도에서 실무적으로도 적용가능한 모형을 설계할 수 있었다.

글로벌 팬데믹 상황에서의 긴급지원금 예산 배분 정책에 대한 연구 (Budget Allocation for Emergency Support Funding System During Global Pandemic)

  • 박기군;김도희;김슬기;최지원;배혜림
    • 한국빅데이터학회지
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    • 제5권2호
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    • pp.97-110
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    • 2020
  • 2020년에 발생한 글로벌 펜데믹 현상은 전 세계에 큰 경제 충격을 주었으며, 그 충격은 특히 유동인구 및 관광산업에 영향을 많이 받는 자영업자들에게 더 크게 작용을 하였다. 이 문제를 해결하기 위해 각 국가에서는 긴급재난지원 정책을 실행하는데, 그 기준과 범위를 선정하는 것에 어려움이 존재하였다. 위 문제를 해결하기 위하여 본 논문에서는 다음의 연구를 진행하였다. 첫째, 글로벌 펜데믹이 지역경제에 미치는 영향을 분석한 후, 그 충격을 직관적으로 설명할 수 있는 지표를 정의하였다. 둘째, 정의된 지표를 활용하여 최적의 예산정책을 지급하는 선형 모형을 수립하였다, 제시된 모형은 정부에서 쉽고 빠르게 고려할 수 있는 경제 충격지표와 최적의 해를 제시한다. 마지막으로 제안된 연구모형의 한계점과 시사점에 대해 소개한다.

국방핵심기술 연구개발 사업의 평가 시스템 개선에 관한 연구 (The Study on Improvement of Evaluation System for National Defense Core Technology R&D Projects)

  • 김찬수;조규갑
    • 기술혁신연구
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    • 제15권1호
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    • pp.87-113
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    • 2007
  • For the realization of the national self-defense, the trend of the defense R&D projects becomes global and diverse with the increase of their budget. Thus, for the effective execution of the budget and the successful performance of the projects, the importance of selection, management and evaluation of the R&D projects is emphasized. This study suggests the applicability of a meta-evaluation model for the realization of the successful defense R&D project evaluation system. This study focused on the development of the meta-evaluation model design which can be applicable to the national defense R&D projects. Using the proposed meta-evaluation model, we propose a technique to enhance the fairness and the reliability of the national defense R&D projects evaluation system.

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Study of Alternative Navigation Systems for GNSS in South Korea

  • Yu, Dong-Hui
    • Journal of information and communication convergence engineering
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    • 제8권5호
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    • pp.524-527
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    • 2010
  • As the GPS(Global Positioning System) vulnerabilities were introduced, alternative systems to GPS backup have been studied for several years. Enhanced Loran(eLoran) as the worldwide ground-based supplementary radio navigation system was recommended as the cost effective alternative to GPS backup. Many efforts on adoption of eLoran as GPS backup have been presented. The US has been the leading role and announced that 70% enhancement for eLoran was established last year. However, the Obama administration cut off the eLoran budget on the fiscal year 2010 budget proposal while GAO's reports submitted that GPS service gap would be possible just some years later. Besides the US's condition, there are still many positive opinions on eLoran to GPS backup. This paper introduces the historical and technical aspects of eLoran and Korea's research topics.

Performance Test for the SIGMA Communication System

  • Jeong, Seonyeong;Lee, Hyojeong;Lee, Seongwhan;Shin, Jehyuck;Lee, Jungkyu;Jin, Ho
    • Journal of Astronomy and Space Sciences
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    • 제33권4호
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    • pp.335-344
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    • 2016
  • Scientific CubeSat with Instruments for Global Magnetic Fields and Radiations (SIGMA) is a 3-U size CubeSat that will be operated in low earth orbit (LEO). The SIGMA communication system uses a very high frequency (VHF) band for uplink and an ultra high frequency (UHF) band for downlink. Both frequencies belong to an amateur band. The ground station that communicates with SIGMA is located at Kyung Hee Astronomical Observatory (KHAO). For reliable communication, we carried out a laboratory (LAB) test and far-field tests between the CubeSat and a ground station. In the field test, we considered test parameters such as attenuation, antenna deployment, CubeSat body attitude, and Doppler frequency shift in transmitting commands and receiving data. In this paper, we present a communication performance test of SIGMA, a link budget analysis, and a field test process. We also compare the link budget with the field test results of transmitting commands and receiving data.

Feasibility Study on Tropospheric Attenuation Effect of Ku/V Band Signal for Korean Satellite Navigation System

  • Park, Jungkeun;Lee, Young Jae;Choi, Moonseok;Jang, Jae-Gyu;Sung, Sangkyung
    • International Journal of Aeronautical and Space Sciences
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    • 제17권1호
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    • pp.80-88
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    • 2016
  • For next generation global navigation satellite systems, new carrier frequencies in Ku/V band are expected to emerge as a promising alternative to the current frequency windows in L band as they get severely congestive. In the case of higher frequency bands, signal attenuation phenomenon through the atmosphere is significantly different from the L band signal propagation. In this paper, a fundamental investigation is carried out to explore the Ku/V band as a candidate frequency band for a new global satellite navigation carrier signal, wherein specific attention is given to the effects of the dominant attenuation factors through the tropospheric propagation path. For a specific application, a candidate orbit preliminarily designed for the Korean regional satellite navigation system is adapted. Simulation results summarize that the Ku band can provide a promising satellite navigation implementation considering the present satellite's power budget, while the V band still requires technical advances in satellite transceiver system implementations.

경량전철 차량시스템 생명주기와 시스템엔지니어링 적용기술개발에 관한 고찰 (Study on life cycle of LRT systems and technology development applied system engineering)

  • 이성권;전서탁;정계용;김재진;정수영
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2011년도 춘계학술대회 논문집
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    • pp.1629-1635
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    • 2011
  • Because LRT project is large infrastructure projects investing enormous budget and required continuous maintenance after construction, it is the global trend to perform business in terms of life-cycle from the initial construction, operation to disposal. It is very important LRT to manage interfaces efficiently and to integrate vehicle, civil, track, electricity, communications, signals, operations, facilities organically. Global companies of the railway developed countries including Europe are getting orders a large rail project and preempting the world market based on engineering technology. But, domestic LRT systems engineering is the subcontracting level to the lack of practical skills and experience. Thus, technology securement is very urgent for the independence of systems engineering technology and overseas advance based turnkey. In this paper, we are going to study applicable systems engineering technology focusing on LRT system based on international standard ISO/IEC 15288.

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D2D Utility Maximization in the Cellular System: Distributed Algorithm

  • Oh, Changyoon
    • 한국컴퓨터정보학회논문지
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    • 제24권3호
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    • pp.57-64
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    • 2019
  • We consider the D2D sum utility maximization in the cellular system. D2D links reuse the uplink resource of cellular system. This reuse may cause severe interference to cellular users. To protect the cellular users, interference limit from the D2D links is required. In this setting, D2D sum utility maximization problem is investigated. Each D2D link has limited transmit power budget. Because optimum solution may require global information between links and computational complexity, we propose the distributed algorithm which only require the local information from each D2D link and simple broadcasting. Simulation results are provided to verify the performance of the proposed algorithm.

한방의료서비스의 건강보험수가 산출방법과 추정 (Estimating the Reimbursing Price Level of Oriental Medical Services in the National Health Insurance)

  • 김진현
    • 대한예방한의학회지
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    • 제12권3호
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    • pp.21-34
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    • 2008
  • Objectives : This paper analysed the alternative methods of calculating conversion factor for oriental medicine in the National Health Insurance and estimated the conversion factor(reimbursing price level) of the oriental medical services, based on health insurance claims data and macro economic data. Methods : Comparing cost accounting method, SGR model, and index model to estimate conversion factor in the national health insurance, six empirical models were derived depending on the scope of revenue considered in financial indicators. Classifications of data and sources used in the analysis were identified as officially released by the government. Results and Conclusion : Cost accounting analysis and SGR model showed a two digit decrease in the physician fee schedule of oriental medical services in the national health insurance, while index model indicated a positive increase in the fee reimbursed. As expected, SGR model measured an overall trend of health expenditures rather than an individual financial status of medical institutions, and index model properly estimated the level of payments to oriental medical doctors. Upon a declining share of health expenditures on oriental medicine, a global budget system fixed to a flat rate of total budget could be an opportunity as well as a challenge.

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