• Title/Summary/Keyword: incentive

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Korean National Health Insurance Value Incentive Program: Achievements and Future Directions

  • Kim, Sun-Min;Jang, Won-Mo;Ahn, Hyun-Ah;Jeong, Hyang;Ahn, Hye-Sook
    • Journal of Preventive Medicine and Public Health
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    • v.45 no.3
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    • pp.148-155
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    • 2012
  • Since the reformation of the National Health Insurance Act in 2000, the Health Insurance Review and Assessment Service (HIRA) in the Republic of Korea has performed quality assessments for healthcare providers. The HIRA Value Incentive Program (VIP), established in July 2007, provides incentives for excellent-quality institutions and disincentives for poorquality ones. The program is implemented based on data collected between July 2007 and December 2009. The goal of the VIP is to improve the overall quality of care and decrease the quality gaps among healthcare institutions. Thus far, the VIP has targeted acute myocardial infarction (AMI) and Caesarian section (C-section) care. The incentives and disincentives awarded to the hospitals by their composite quality scores of the AMI and C-section scores. The results of the VIP showed continuous and marked improvement in the composite quality scores of the AMI and C-section measures between 2007 and 2010. With the demonstrated success of the VIP project, the Ministry of Health and Welfare expanded the program in 2011 to include general hospitals. The HIRA VIP was deemed applicable to the Korean healthcare system, but before it can be expanded further, the program must overcome several major concerns, as follows: inclusion of resource use measures, rigorous evaluation of impact, application of the VIP to the changing payment system, and expansion of the VIP to primary care clinics.

ON A ROBUST DESIGN OF TIME-VARYING SYSTEM WITH BOUNDED DISTURBANCE

  • Suzumura, Fumihiro;Xu, Hau;Mizukami, Koichi
    • 제어로봇시스템학회:학술대회논문집
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    • 1990.10b
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    • pp.852-857
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    • 1990
  • The purpose of this paper is to design a robust controller for a class of time-varying systems with bounded disturbance described by the differential equation. The robust desiging method proposed in this paper, called "incentive design method" is different from developed designing methods in the past, and has following properties. The robust control law designed by this method can guarantee a certain value of the cost functional no matter how the disturbance vary within the given bounds. Here, the certain value of the cost functional may not be a saddle-point value, but is the value selected by a system designer. Therefore, the bounded disturbance has at least no bad effect on the value of the cost functional during finite interval of time. The method is based on the theory of incentive differential games. In addition, the form of control law is constructed by the system designer ahead of time. A numerical illustrative example is given in this paper. It is shown from this derivation and this numerical example that the approach developed in this paper is effective and feasible for some practical control problem.l problem.

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Study on the effect of reducing consumption of domestic electric power by managing model energy mileage system in Busan (부산시 에너지마일리지제 시범운영을 통한 가정용 전력 소비절감 효과분석)

  • Lee, Eun-Ju;Pae, Min-Ho;Kim, Jae-Min;Song, Gook-Sup;Kwak, Ro-Yeul;Ok, Sung-Ae
    • Proceedings of the SAREK Conference
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    • 2009.06a
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    • pp.934-939
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    • 2009
  • To promote citizen's involvement in the GHG(Green House Gas) reduction policy, Busan city administration adopted an pilot energy incentive system called 'energy mileage'. The energy mileage system was designed to make energy end-users motivated to reduce domestic electricity use by providing financial rewards. Through the course of the pilot period, 5,3330 householders volunteerly participated the pilot system. About 66% of the participants managed to make energy saving against the same period of the previous year while 38.8% achieved the targeted reduction rate(i.e. over 10%) and received the equivalent rewards.

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Improvement Strategy by Case Study on the Direct Payment Program for Rural Landscape Preservation: Bonghwa-gun, Chungwon-gun, Hongsung-gun (경관보전직불제 시범사업의 시행사례 분석 및 개선방안: 봉화군, 청원군, 홍성군 사례를 중심으로)

  • Jang, Hyo-Sun;Gim, Uhn-Soon;Um, Dae-Ho
    • Journal of Korean Society of Rural Planning
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    • v.13 no.4
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    • pp.69-77
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    • 2007
  • The purpose of this study is to analyze the problems of operating the Direct Payment Program for Rural Landscape Preservation and to derive the way of improvement based on case study for three areas in Bonghwa-gun, Cheongwon-gun, Hongseong-gun. The most important factor for the program is farmer's consciousness and positive participation of the farmer who are the subject of this project. Even if farmers are not satisfied with the amount of direct payment income, they try to create income by utilizing landscape preservation crops. Particularly current unit payment dose not surpass the for the crops farm operating costs and payment time is not appropriate for the farming cycle. Hence, it needs to be considered increasing unit payment and rearranging the payment time. Also, we need to introduce incentive system based the degree of fulfillment of the Direct Payment Program in each areas. In general the Direct Payment Program for Rural Landscape Preservation has potentiality to contribute farmer's income stability and the vitalization of region with three revisions.

Promoting Effectiveness of Occupational Health and Safely Education Program (산업안전보건교육 실효성 제고방안에 관한 연구)

  • Kang, Jong-Cheol;Chang, Seong-Rok
    • Journal of the Korean Society of Safety
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    • v.20 no.1 s.69
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    • pp.143-147
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    • 2005
  • Immediate responsibilities for occupational health and safety (OHS) management reside in business proprietors and supervisors whose voluntary participation in OHS educational programs, not legal sanctions, may thus lead to safe and pleasant work environments. This study investigates how to promote the effectiveness of OHS educational programs to draw voluntary participations in such programs in Korea To this end, drawbacks of current practices in OHS education are first analyzed, and then OHS related policies in advanced countries in the area of disaster prevention such as United States and Germany, are also scrutinized. Based on the preliminary investigations, the following propositions are made to lay out the foundation for promoting effective OHS educational programs in Korea: improvement of government regulations, revitalizing job training initiatives, on-site OHS education, compensation and incentive programs for OHS education. These propositions may also facilitate the deployment of disaster prevention activities across the organization and prevent various occupational disorders (for example, musculoskeletal disorders). This study emphasizes that monolithic OHS education systems led by regulatory agencies may not be efficient to ensure healthy and safe work environments. Globally competitive OHS educational systems may be established only when they are based on the health and safety requirements specified by proprietors and workers.

The Plan of Improvement for the Law and Regulation on the Activation of Perpendicular Greening With Containers -With Apartment Simple planter- (화단형 입면녹화의 활성화를 위한 법적·제도적 개선방안 - 공동주택 간이화단을 중심으로 -)

  • Kim, Sun-Hae
    • KIEAE Journal
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    • v.4 no.2
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    • pp.41-47
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    • 2004
  • This study is to improve plan for the law and regulation systems on the perpendicular greening with containers to improve urban environment. The supports backed by laws and regulations are imperative for the activation of building greening. Although some local administrations in Korea try to lead perpendicular greening on building by means of Green Building certification system and so on, greening policies and managements are not pushed forward with consistency. Therefore building greening should be admitted to be a substitute green tract of land. The positive construction and management of greenzone should be accomplished as well. Devices, so to speak, which put greening under an obligation or authorize it as legal landscape area should be made rather than recommendations to make greenzone through current incentive systems. Positive perpendicular greening on building can be achieved by supplementing the law and regulation and incentive system about simplified planter. If planting and managing of simplified planter are continually entrusted to residents, even vertical landscapes will be affected by illegal diversion and negligence in result. Therefore, supports from governments and local administrations are needed.

IEA ECBCS Annex 54 Economic Assessment Study of a Fuel Cell Integrated Ground Source Heat Pump Microgeneration System (연료전지 지열히트펌프 마이크로제너레이션 IEA ECBCS Annex 54 경제성 평가 연구)

  • Na, Sun-Ik;Kang, Eun-Chul;Lee, Euy-Joon
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.26 no.5
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    • pp.199-205
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    • 2014
  • The integration of FC (Fuel Cell) and GSHP (Ground Source Heat Pump) hybrid system could produce a synergistic advantage in thermal and electric way. This study intends to analyse the economical aspect of a FC integrated GSHP hybrid system compared to the conventional system which is consisted with a boiler and a chiller. Based on the hourly simulation, the study indicated that GSHP system and FC+GSHP hybrid system could reduce the energy consumption on a building. The method of the economic assessment has been based on IEA ECBCS Annex 54 Subtask C SPB(Simple Payback) method. The SPB was calculated using the economic balanced year of the alternative system over the conventional (reference) system. The SPB of the alternative systems (GSHP and FC+GSHP) with 50% initial incentive was 4.06 and 26.73 year respectively while the SPB without initial incentive of systems was 10.71 and 57.76 year.

A Study on the Implementation of Risk Assessment System at Workplace in Korea (우리나라의 사업장 위험성평가 제도 실시에 관한 연구)

  • Jung, Jin Woo
    • Journal of the Korean Society of Safety
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    • v.29 no.3
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    • pp.121-128
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    • 2014
  • Risk assessment system which is the point of occupational safety and health management system is recognized to be effective to prevent industrial accident and occupational disease internationally. Ministry of Employment and Labor developed guidance on risk assessment at workplace recently. This guidance presents standard model on risk assessment at workplace. However, enterprises may be confronted with many questions in the process of introducing and operating risk assessment. For risk assessment to be implemented properly and effectively at workplace, there are various questions that need to be considered in advance, including giving shape to standard on risk evaluation and clarifying the implementation system at workplace in advance. Also for risk assessment to be revitalized at workplace, several policy matters need to be settled. First, an administrative agency should present the implementation method of risk assessment more concretely. Secondly, it is necessary for an administrative agency to develop and spread various detailed manual, models and good practices related to risk assessment. Thirdly, a government agency need to apply an incentive & disadvantage policy actively to risk assessment.

Changes in Hospital Nurse Staffing after Implementing Differentiated Inpatient Nursing Fees by Staffing Grades (입원환자 간호관리료 차등제 도입이후 간호사 확보수준의 변화)

  • Cho, Sung-Hyun;June, Kyung-Ja;Kim, Yun-Mi;Park, Bo-Hyun
    • Journal of Korean Academy of Nursing Administration
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    • v.14 no.2
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    • pp.167-175
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    • 2008
  • Purpose: To examine the changes in nurse staffing in hospitals after implementing the policy of differentiating inpatient nursing fees by staffing grades. Method: The study sample included 43 tertiary hospitals, 185 general hospitals, and 282 non-general hospitals that were operating in both 1999 and 2008. Nurse staffing grade was categorized from Grade 1 (highest) to 6 (lowest) in 1999 or Grade 7 in 2008, based on the nurse-to-bed ratio. Results: Tertiary hospitals at Grade 3 and Grade 4 accounted for 49% and 35%, respectively, in 2008, whereas 63% were Grade 6 in 1999. General hospitals at Grade 6 decreased from 87% to 48%. In non-general hospitals, little change was found in the staffing distribution, in that 92% still remained in Grade 6 or 7 in 2008. Forty tertiary hospitals (93%) and 45% of general hospitals improved their staffing grades, while only 7% of non-general hospitals did. Greater likelihood of improvement in staffing grades was found in general hospitals located in metropolitan areas or having 250 or more beds. Conclusion: Elaboration of the financial incentive system is needed to increase the policy impact on staffing improvement.

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Trend for Automatic Waste Collection technology and Recycling Incentive System (폐기물(廢棄物) 자동수거(自動收去) 기술(技術) 및 재활용(再活用) 인센터브시스템 동향(動向))

  • Park, Jong-Man;Ohm, Tai-Won;Park, Jong-Kyu
    • Resources Recycling
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    • v.19 no.1
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    • pp.49-56
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    • 2010
  • This paper has specific objective to contribute in improving recycling ratio and settling down strategic reverse management for waste recycling. To serve in such intention, focused in investigating technological issue and suggesting executive idea. Binding thus, technological tendency and global patent, study case were analyzed mainly in fields of waste recycling system based on incentives, waste automatic collection system using RFID, waste management information system. Descriptions are consisted of tendency for technology, government policy, case analysis, discussion, conclusion.