• 제목/요약/키워드: private insurance

검색결과 369건 처리시간 0.025초

PB 시장에서의 보험사 경쟁력 강화방안 연구 (A study on the reinforcing competitiveness plan for insurer from PB market)

  • 곽봉환;함영진
    • 통상정보연구
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    • 제9권2호
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    • pp.41-64
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    • 2007
  • A life insurance industry's market is reaching a state of saturation recently, and the competition is as time goes by intense among the non-life insurance industry. Consequently, the insurance companies must grope a new source of revenue and develop a new business model for a stability growth. At the forked road, the insurance companies must group the existing and new customers in order to find the royal customers, and develop a new service with them. Accordingly, it is the time to study the advance of PB field and the royal customer management that will maintain and expand the new relations with them. Besides, the PB was the service to begin in needs of the specific group, but now it is regarded as a new source of high profit in the age of universal financial service among the financial circles. As a consequence, the PB marketing is introduced in haste, and such trend seems to be continued. Therefore, the plans that help the domestic insurance company reflect the characteristic of the insurance and expand the scope of business into the scope of property management according to the needs of customers under a universal financial service trend will be studied.

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정확성을 보장하는 결정적 Private Matching (Deterministic Private Matching with Perfect Correctness)

  • 홍정대;김진일;천정희;박근수
    • 한국정보과학회논문지:시스템및이론
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    • 제34권10호
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    • pp.502-510
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    • 2007
  • Private Matching은 각기 다른 두 참여자가 가진 데이타의 교집합을 구하는 문제이다. Private matching은 보험사기 방지시스템, 항공기 탑승 금지자 목록 검색, 의료 정보 검색 등에 이용될 수 있으며 다자간의 계산으로 확장하면 전자투표, 온라인 게임 등에도 이용될 수 있다. 2004년 Freedman 등 [1]은 이 문제를 확률적으로 해결하는 프로토콜을 제안하고 악의적인 공격자 모델과 다자간 계산으로 확장하였다. 이 논문에서는 기존의 프로토콜을 결정적(deterministic) 방법으로 개선하여 Semi-Honest 모델에서 결과의 정확성을 보장하는 한편, 이를 악의적인 공격자 모델에 확장하여 신뢰도와 연산속도를 향상 시키는 새로운 프로토콜을 제안한다.

영국의 NHS 개혁 및 의료시장 동향에 관한 연구 (NHS Reforms and Healthcare Market in the United Kingdom)

  • 남은우;전기영
    • 한국병원경영학회지
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    • 제8권4호
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    • pp.1-25
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    • 2003
  • The wave of globalisation initiated by marketisation has increasingly penetrated into all sectors across the world, accordingly, the health & hospital service sector could not be made no escapes, and it currently faces the order of more marketised competition more than ever. Traditionally, the characteristic of the hospital services in the UK has considered as a model of social provision by government. However, contrary to our knowledge, the sphere of the hospital service in the UK has already been immersed in by the marketisation, in which the private actors have been embedded in order to tweak the activities of the hospital service with in the European Union. As the methodology of this research, the qualitative analysis, namely the interview with some doctors in Surgery, NHS Trusts staffs and relevant specialists in has been performed on April to May, 2003. And on the other hand, the various documents related to its service have been analysed. Thus, this paper will review the characteristics of the health service sector in the UK. In doing so, it will illuminate what would be the structural factors derived from its existing system, as a result, it will shed light on how the UK government makes an effort to resolve the problematic situation by reviewing the policy direction of Foundation Hospital proposed recently. In the next stage, it will analyse how all elements consist of the hospital management in the UK has been adjusted and be likely to be changed within Europe. More specifically focuses on how the private hospital service has been managed and related with the activities of its public hospital service-NHS Trusts. Also, under the circumstance, what private health insurance companies function will be studied. In conclusion, it will be concluded that what will be the implication of Korean hospital service market so as to correspond to globally open market by WTO. Now the UK health service system has faced a turning point of becoming more health care market internally and externally pressed by global and regional factors. Thus it is meaningful to scrutinize how a key part of social provision in the health care market system tends to adjust to globally marketised regulation.

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무역결제방식의 변화에 따른 수출보험제도의 개선방안에 관한 연구 (A Study on the Improvement of Export Risk Management in the Changing of Export Payment Methods)

  • 김병학;홍길종
    • 통상정보연구
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    • 제8권3호
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    • pp.99-119
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    • 2006
  • The recent trend in the payment terms of international trade shows the gradual shift toward more diversified payment methods (from L/C to not L/C) in order to cope with the increasingly dynamic international transactions in a more flexible manner. The reasons behind this recent shift are as follows : first, the global trade market is breaking away from the traditional L/C methods based on letters of credit toward a not L/C methods. nother reason for the changing trade payment methods is the increasing volume of intra transactions between headquarters and their foreign subsidiaries based on collection payment methods. Having mentioned the above problems that impede the Korean export insurance system, some suggestions can be put forward through a comparative analysis with foreign export insurance system. First, inducing private investments is one way of strengthening financial health of the KEIC. The KEIC also needs to diversify its insurance coverage adapting to the changing international trade environments.

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2015년 국민보건계정과 경상의료비 (2015 National Health Accounts and Current Health Expenditures in Korea)

  • 정형선;신정우
    • 보건행정학회지
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    • 제27권3호
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    • pp.199-210
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    • 2017
  • Background: This paper aims to demonstrate current health expenditure (CHE) and National Health Accounts of the years 2015 constructed according to the SHA2011, which is a new manual of System of Health Accounts (SHA) that was published jointly by the Organization for Economic Cooperation and Development (OECD), Eurostat, and World Health Organization in 2011. Comparison is made with international trends by collecting and analysing health accounts of OECD member countries. Particularly, financing public-private mix is parsed in depth using SHA data of both HF as financing schemes as well as FS (financing source) as their revenue types. Methods: Data sources such as Health Insurance Review and Assessment Service's publications of both motor insurance and drugs are newly used to construct the 2015 National Health Accounts. In the case of private financing, an estimation of total expenditures for revenues by provider groups is made from the Economic Census data; and the household income and expenditure survey, Korean healthcare panel study, etc. are used to allocate those totals into functional classifications. Results: CHE was 115.2 trillion won in 2015, which accounts for 7.4 percent of Korea's gross domestic product. It was a big increase of 9.3 trillion won, 8.8 percent, from the previous year. Government and compulsory schemes's share (or public share) of 56.4% of the CHE in 2015 was much lower than the OECD average of 72.6%. 'Transfers from government domestic revenue' share of total revenue of HF was 17.8% in Korea, lower than the other contribution-based countries. When it comes to 'compulsory contributory health financing schemes,' 'Transfers from government domestic revenue' share of 14.9% was again much lower compared to Japan (44.7%) and Belgium (34.8%) as contribution-based countries. Conclusion: Considering relatively lower public financing share in the inpatient care as well as overall low public financing share of total CHE, priorities in health insurance coverage need to be repositioned among inpatient care, outpatient care and drugs.

우리나라 치과 외래의료비 지출규모와 치과 외래의료비 지출에 미치는 요인 (Expenditure in ambulatory dental care and factors related to its spending)

  • 김혜성;김명기;신호성
    • 보건행정학회지
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    • 제22권2호
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    • pp.207-224
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    • 2012
  • This study estimates the total health expenditure of ambulatory dental care and explores the factors related to disbursements. The study used two waves of a 2008 Korea Health Panel (KHP) survey, of which each wave is composed of 7866 households and 24,659 persons. The KHP includes missing expanses of reimbursement data of the National Health Insurance (NHI), such as out-of-pocket, drugs, and private health insurance. The study estimates total monthly ambulatory dental expenditure and the sub-special categories of dental care. For influential factors analyses, the study exploits log-linear model with age, gender, education, job, equivalence income, the status of chronic diseases, means-tested benefit recipients, private insurance, and the composite deprivation index as independent variables. The total monthly outpatient health spending is estimated to be 102,468 won per household, and for dental, each household spends 31,115 won per month. Older age, means-test recipients, non-regular workers are more likely to spend less money on dental care, whereas private insurers, high income, and those who live in less deprived areas are more likely to spend more money for dental services. From the study we found that the KHP data are more suitable to estimate the total amount of health care markets, especially when the NHI coverage is low, such as for dental care in Korea.

의료의 공공성제고와 공공의료기관 확충 논의의 검토 (Review of Debate over the Expansion of Public Medical Facilities to Enhance the Public Role in the Medical Care Sector)

  • 이규식
    • 보건행정학회지
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    • 제11권1호
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    • pp.107-130
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    • 2001
  • During the last year, we had a very severe situation with the strike of physicians working in medical facilities. From that time, many politicians and scholars insisted on the expansion of public hospitals to enhance the public role in the medical care sector. They think that private medical facilities work for profit motivation and that the high proportion of private to whole facilities is an obstacle to the public function of medical care under social insurance system. They found that one of the reasons for failing to prevent the physicians' strike was the high proportion of private facilities. Others insisted that the strike was not a good reason for the expansion of public hospitals. The physicians' strike was a very rare case, and it is not a good basis for generalization of the discussion of public hospitals. Last year almost all apprentice physicians in public facilities took part in the strike, and consequently the public hospitals also lost the role of public function. They view this increasing involvement of government in the medical sector as improper and the cause of inefficiencies. In this paper we review the debate over the expansion of public facilities. To clarify the debate, we review traditional criteria for the role of government in a market system and to apply these criteria to medical care. There are two traditional areas where government Is acknowledged to have a role in a market system: market imperfections and market failure. Where market imperfections and market failure exist, there may be a role for government. The justifications for government intervention are consumer protection and the existence of externalities. One of externalities is to provide medical care for the poor. The appropriate measures to provide medical owe to the poor can be sought in both demand and supply side subsidies. National health insurance is a method of demand subsidies and establishment of public hospitals is a method of supply side subsidies. Under the National Health Insurance System, the expansion of public hospitals is not an appropriate subsidy policy.

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베이비부머세대의 과부담 의료비 지출에 미치는 영향 (Factors Affecting the Catastrophic Health Expenditure of BabyBoomer Generation)

  • 김윤정
    • 한국콘텐츠학회논문지
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    • 제22권1호
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    • pp.484-492
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    • 2022
  • 본 연구는 베이비부머세대의 과부담 의료비에 미치는 요인을 파악하기 위하여 한국의료패널조사 2017년 원자료를 분석자료로 이용하여, 베이비부머세대 808명을 최종 분석대상으로 하였다. 분석은 빈도분석, 교차분석, 로지스틱 회귀분석을 실시하였고, 모든 검증은 p=.05를 유의수준으로 하였다. 베이비부머세대의 교육수준, 배우자 유무, 의료보장형태, 가구소득, 음주여부, 흡연여부, 주관적 건강상태, 외래진료여부, 입원진료여부가 통계적으로 유의한 차이가 있었다. 베이비부머세대의 평균 질환수는 8.14개 이었고, 남자 7.97개, 여자 8.99개 이었다. 외래 진료평균횟수는 16.81회 이었고, 남자 14.81회, 여자 26.89회 였다. 과부담 의료비 발생률 중 지불능력 40% 이상은 남자 15.3%, 여자 26.3% 였다. 과부담 의료비 지출에 미치는 영향 요인은 남자는 민간보험가입여부, 가구소득, 음주여부, 입원진료여부 이었고, 여자는 민간보험가입여부, 가구소득, 음주여부였다.

한국 노인대상 민간의료보험에 관한 선행연구 고찰 (Literature Review on Private Health Insurance for Korean older adults)

  • 최형심
    • 한국산학기술학회논문지
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    • 제22권4호
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    • pp.75-82
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    • 2021
  • 본 연구는 2015년부터 2019년까지 국내외에서 발표된 한국 노인 대상 국내외 민간의료보험에 관한 선행연구의 경향을 분석하고 이를 바탕으로 향후 노인 대상 민간의료보험 관련 연구 및 활용 방향에 대한 시사점을 제시하기 위한 문헌 고찰 연구이다. 본 연구에는 양적 학술연구 논문 19편이 분석에 포함되었으며, 논문 발표 시기, 연구 목적, 자료원, 연구 설계 등으로 나누어 자료를 분석하였다. 분석 결과 노인의 민간의료보험 가입 결정을 방해하는 요인으로 고령, 저소득, 저학력, 만성질환 등이 유의미한 요인으로 확인되었다. 민간의료보험 가입과 의료 이용과의 관계는 긍정적인 영향을 미치기도 하고 부정적인 영향을 미치기도 하여 어느 한 방향으로 일관되지 않았으나 민간의료보험 가입과 주관적 건강상태, 건강관련 삶의 질 등의 건강 성과와는 대부분 긍정적인 관련이 있는 것으로 분석되었다. 따라서 의료 이용과 의료요구도가 높은 노인에게 민간의료보험이 보충적 의료의 역할을 담당하기 위해서는 노인에 대한 민간의료보험 가입 장벽을 해소할 수 있는 국가 차원의 개선 정책이 개발되어야 하며, 민간의료보험 활용의 근거 생성을 위하여 노인을 대상으로 의료 이용과 건강 성과와 관련 다양한 실증연구를 수행하여야 한다.

Reimbursement for Preventive Health Services: The U.S. Experience

  • Davis, Karen
    • Journal of Preventive Medicine and Public Health
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    • 제22권1호
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    • pp.1-7
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    • 1989
  • This paper examines the failure to promote adequate preventive health care in the U.S. It focuses specifically on the preventive health services of screening, counseling, and immunization. It explores evidence on their effectiveness, as well as coverage under current private and public health insurance plans. It concludes with a proposal to expand health insurance coverage for preventive services and to reimburse physicians directly for preventive health services provided to patients.

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