• 제목/요약/키워드: insured cost

검색결과 53건 처리시간 0.031초

Level of radiation dose in university hospital non-insured private health screening programs in Korea

  • Lee, Yun-Keun
    • Environmental Analysis Health and Toxicology
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    • 제31권
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    • pp.7.1-7.6
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    • 2016
  • Objectives The aim of this study is to evaluate radiation exposure resulting from the comprehensive health examinations of selected university hospital programs and to present basic data for research and management strategies on the health effects of medical radiation exposure. Methods Radiation-based diagnostic studies of the comprehensive health examination programs of ten university hospitals in Seoul, Korea, as introduced in their websites, were analyzed. The medical radiation studies of the programs were reviewed by radiologists. Only the effective doses of the basic studies were included in the analysis. The optional studies of the programs were excluded. Results Among the 190 comprehensive health examination programs, 132 programs (69.5%) included computed tomography studies, with an average of 1.4 scans. The average effective dose of radiation by program was 3.62 mSv for an intensive program for specific diseases; 11.12 mSv for an intensive program for cancer; 18.14 mSv for a premium program; and 24.08 mSv for an overnight program. A higher cost of a programs was linked to a higher effective dose (r=0.812). The effective doses of the examination programs for the same purposes differed by as much as 2.1 times by hospital. Inclusion of positron emission tomography-computed tomography was the most critical factor in determining the level of effective dose. Conclusions It was found that radiation exposure dose from comprehensive health exam programs targeted for an asymptomatic, healthy public reached between 3.6 and 24 times the annual dose limit for the general public. Relevant management policies at the national level should be provided to minimize medical radiation exposure.

제왕절개 분만율의 지역간 변이와 관련요인에 대한 연구 (Regional Variations in the Cesarean Section Rate and It's Determinants in Korea)

  • 김혜경;이정운;박강원;문옥륜
    • Journal of Preventive Medicine and Public Health
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    • 제25권3호
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    • pp.312-329
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    • 1992
  • The purpose of this study is to estimate cesarean section rate in Korea and analyze the socioeconomic variables and health resources which affect regional variation in the rate. Samples were drawn from the record of vaginal and cesarean section deliveries based upon insurance claim bills which have been submitted to the National Federation of Medical Insurance for the first three months, January through March, 1991. The results are obtained as follows : It was found that. cesarean section rate was increasing rapidly up to 23.1% in 1991. Cesarean section per 10 thousand insured people was 4.8 and the number of cesarean section per 10 thousand insured eligible($15{\sim}49$ years old) female was 7.6. The fee for normal delivery was 109,489 won and that for cesarean section was 390,024 won. The average days of hospitalization in normal delivery was 2.3 days, and those in cesarean section was 7.6 days. On the average cesarean section has a longer of stay as much as by 4.3 days and cost 3.6 times more than normal deliveries. Cesarean section rates vary among medical facilities 19.8% at clinics 37.6% in small-scale hospitals, and 29.1% in general hospitals. The regional variation of cesarean section rates was also fairly prominent. The South Cheju Gun has the highest rate of cesarean section, 56.2%. Meanwhile no cesarean section cases has been reported in Sunchang Gun during the period of this study. The variation is noted among provinces. The rate for Cheju province has been 3.4 times higher than that for Chunnam. The number of cesarean section per 10 thousand insured people vary greatly among regions, too. This study has found that there exists significant regional variations among various geographic units in terms of average length of stay, average cost, number of obsretricians and number of beds. Multiple regression analysis was done to identify factors explaining the regional variance of various cesarean section rates : In the urban areas, no significant explaining variables were noted except the number of beds for the dependent variable of cesarean section cases per 10 thousand insured eligible females. The smaller the number of bed, the more cases of cesarean section was noted for an urban area. The is mostly because the rate of cesarean section is higher in medium-size hospitals than in large general hospitals. In the rural areas, the factor of education has been found significant for all three deplendent variables. The higher the educational level, the rate of cesarean section is most likely to rise. An income variable measured by the amount of monthly insurance contribution has been identified a powerful predictor in explaining the valiance of cesarean section rates. The same has been noted for the number of obstetricians. Similar findings are observed for the country as a whole. The income level has veen found as the most powerful explaining factor in the regional variance of cesarean section rates. In general the rate is higher in the urban areas, and lower in the area with more small hospitals. As this is the initial attempt to identify the factors relevant to the regional difference in the rates of cesarean section, more elaborated study is urgently required.

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선박보검과준의 결정요인에 관한 연구 (A Study on Determining Factors of Hull Insurance Rate)

  • 김경건;민성규
    • 한국항해학회지
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    • 제18권4호
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    • pp.59-81
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    • 1994
  • Korean property and liability insurance companies have underwrited hull insurance without proper undrewriting ability. But after April 1996. in case of Korean insurance market being opened the companies have to make hull insurance rate by themselves. Accordingly, in this study, the writer embodies important factors in making hull insurance rate by an empirical survey. In empirical survey, the writer used a questionnaire, 74 proper data was obtained from 96 officers working in making hull insurance rate in 12 Korean property and liablity insurance companies and 24 the foreign companies at home. Reliability was tested by Cronbach's Alpha and a conceptual validity by Factor Analysis. Hypothesis estabilished in this study was tested by Correlation and Multiple Regression Analysis. Results of testing hypothesis are as follows: Firstly, the traits of insurer and the assured influence significantly(P<0.05) on making hull insurance rate. Secondly, expected loss ratio, ship manager, ship's age, insured amount, level of the cost of repairing and salvage, shipowner, period of insurance, level of overseas rating, profit and expense, trading limits, ship's classification, conditions of insurance, and ship's size influence significantly(P<0.05) on making hull insurance rate.

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Use of Random Coefficient Model for Fruit Bearing Prediction in Crop Insurance

  • Park Heungsun;Jun Yong-Bum;Gil Young-Soo
    • Communications for Statistical Applications and Methods
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    • 제12권2호
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    • pp.381-394
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    • 2005
  • In order to estimate the damage of orchards due' to natural disasters such as typhoon, severe rain, freezing or frost, it is necessary to estimate the number of fruit bearing before and after the damage. To estimate the fruit bearing after the damages are easily done by delegations, but it cost too high to survey every insured farm household and calculate the fruit bearing before the damage. In this article, we suggest to use a random coefficient model to predict the numbers of fruit bearing in the orchards before the damage based on the tree age and the area information.

피보험자 건강진단의 비용-편익 분석 (Cost-benefit Analysis of Health Screening Test for the Insured)

  • 유승흠;손명세;조우현;박은철;이영두;이규식;전기홍
    • Journal of Preventive Medicine and Public Health
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    • 제22권2호
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    • pp.248-258
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    • 1989
  • As a result of cost-benefit analysis by making a macroscopic approach to the health screening projects conducted 4 times since 1950 for the insured people of the Korea Medical Insurance Corporation, the following conclusions were reached. 1. The direct costs put into the health screening project, and the time costs which were paid by examinees or calculated in terms of social costs have been estimated. The results is that the lowest estimation was 10,337 million won and the highest 15,141 million won when a minimum of 1.5 hours of time spent and a maximum 4 hours were applied. 2. In terms of the psychiatric benefits, the lowest estimation was 5,341 million won while the highest was 5,585 million won. 3. In terms of the benefits for each kind of diseases, the lowest estimation of 37,188 million won and highest estimation of 74,383 million won have been calculated for the liver diseases. And for the cardiovascular diseases, the minimum estimation was 14,475 million won while the maximum was 20,532 million won. In case of pulmonary tuberculosis, with external effect benefits being included, the estimation ranged from the minimum of 1,649 million won to the maximum of 1,832 million won. And the estimation of benefits for diabetes mellitus and renal diseases ranged from 89 million won to 92 million won and from 4,567 million won to 7,598 million won respectively. 4. In comparing costs and benefits, as a results of comparing each highest and lowet estimation a range of minimum 46,708 million won and maximum 98,071 million won of benefits has been gained.

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금융기관의 반응 및 가계자산 포트폴리오를 고려한 특별예금보험료의 가계 손실분담구조 (Special Surcharge on Deposits, Reaction of Financial Institutions, and Household Burden Structure)

  • 강동수;성태윤
    • KDI Journal of Economic Policy
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    • 제25권1호
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    • pp.3-54
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    • 2003
  • 본 연구는 공적자금상환을 위해 도입된 특별예금보험료 부과의 함의를 분석한다. 금융기관은 특별예금보험료를 추가적인 비용으로 인식하여 그 비용의 일부를 금융소비자에게 전가하려는 행위를 보일 것으로 예상된다. 계량분석 결과 금융기관은 금리에 민감하게 반응하는 대출보다는 예금으로 비용의 전가를 시도할 것으로 추정되었다. 그리고 부보대상예금의 상대적 비중이 고자산계층보다 저자산계층에서 높다는 가계자산 포트폴리오의 특징으로 인해 특별예금보험료 부과는 저자산계층에게 보유자산에 대비하여 상대적으로 높은 손실분담구조가 될 수 있음을 시사한다.

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LFM 기법을 이용한 플래시 메모리 스와핑 파일 시스템 설계 (A Design of a Flash Memory Swapping File System using LFM)

  • 한대만;구용완
    • 인터넷정보학회논문지
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    • 제6권4호
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    • pp.47-58
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    • 2005
  • 플래시 메모리는 NOR 형과 NAND 형의 플래시 메모리 형태로 구분 할 수 있다. NOR 형태의 플래시 메모리는 빠른 읽기 속도와 Byte I/O 형태를 지원하기 때문에 ROM BIOS 와 같은 코드저장용으로 개발되어 진다. NAND 형태의 플래시 메모리는 NOR 형태의 플래시 메모리 보다 값이 싸고 임베디드 리눅스 시스템의 대용량 처리 장치 등에서와 같이 폭 넓게 사용되고 있다. 본 논문에서는 NAND 형태의 플래시 메모리를 이용하여 시스템의 성능을 저하 시키는 Swapping을 감소시키고, 수행시간을 보장할 수 있는 플래시 메모리 Swapping 알고리즘을 제안하여, 임베디드 시스템을 기반으로 하는 파일시스템을 설계한다. 실험과 플래시 파일 시스템 구현을 통하여 임베디드 시스템에서 요구하는 NAND 형 플래시 파일 시스템의 성능을 개선한다.

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건설재해손실 영향요인 및 우선순위 분석 - 비보험비용 항목을 중심으로 - (An Analysis of Influential Factors and their Prioritization in Association with the Loss from Construction Disasters with a Focus on Uninsured Categories)

  • 양용구;김병석
    • 대한안전경영과학회지
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    • 제16권3호
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    • pp.23-34
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    • 2014
  • With a view to analyzing the influential factors and their prioritization in association with the loss from construction disasters, this study has presented relative weighted value and importance for each category of loss by making a systematic classification of costs for non-insured categories (indirect costs) and conducting AHP analysis based on results of a survey of specialists. Through the study, first, I have divided the larger classification of loss factors into human loss factor, financial loss factor, special cost factor, and managerial loss factor, and, second, have presented prioritization of loss categories by allotting scores based on weighted values after calculating weighted value through pairwise comparison of loss levels. Based on these results of the study, we should be able to qualitatively calculate the loss costs that construction disasters inflict on business, promote rational decision-making and efficiency in spending related to a disaster, and compare it against safety investment designed to reduce disaster loss from the perspective of business strategy.

Incoterms(R) 2010의 보험계약조항에 관한 고찰 (A Study on the Clauses of Insurance Contracts on Incoterms(R) 2010)

  • 김희길
    • 무역상무연구
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    • 제53권
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    • pp.135-153
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    • 2012
  • Incoterms is a standard transaction terms and conditions which is established to provide goods delivery, cost and risks between the seller and the buyer as a principle concerned. Incoterms is made of international rules about regular uses of transaction terms and condition. It removes uncertainty of misunderstanding and applying rules, commercial customs and etc, between nations. Incoterms does not have an enforcement like an unified rules or an agreements established between different nations. Therefore, it is just considered as a standard formal terms and conditions from International Chamber of Commerce. For those reasons, validity of Incoterms applies only when parties of contract come to an agreement not by officially adopted or applied by law in each nation. Incoterms 2010 contains specific and clear articles which is fixed version of incoterms 2000, it has insufficient points on insurance contract article. Though, insurance contract belongs to sales contract, it sustains independence itself. It is difficult to sustain perfection until establishment of insurance contract and expiration by fixing the articles. As a result, it is necessary for sellers and buyers take a full responsibility of making complete insurance contract. This paper is written for those reasons in this filed.

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보건의료체계의 발전과 성찰 (Development and Reconsideration of Korea Healthcare System)

  • 이규식
    • 보건행정학회지
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    • 제23권4호
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    • pp.303-313
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    • 2013
  • During last 65 years, Korea has achieved very rapid economic growth and social reformation including healthcare system. Many foreigners have praised that Korea healthcare system is very good in the respect of ease accessibility to healthcare under the lowest cost among the industrialized countries. Whole population are covered by the National Health Insurance. Also utilizations of healthcare among different income classes are even. However Korea healthcare system faced with several challenges, in terms of the an aging population and a rise in chronic disease problem, new threats of communicable disease due to globalization, the rapid increase of healthcare expenditure and high financial burden of patients even though they are insured. To cope with these challenges, we need reconsider the healthcare system as followings; to set up ideology of healthcare as normative public goods, to rebuild paradigm of healthcare for 21 century, to reform public health for strengthening health promotion, to develop new method for healthcare management including quality improvement and consumer responsiveness, to build new governance for health and to view new perspective on healthcare as a kind of industry.