• 보건행정학회지
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• 제19권3호
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• pp.142-165
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• 2009

Although providing universal coverage for health care through the National Health Insurance(NHI) is a remarkable achievement, the issue of limited benefit coverage of the NHI has been at the core of national debate over how to improve its coverage. This study aims to evaluate benefit extension strategies and implemented policies with regard to the NHI since 1989 using 'policy window theory' proposed by John W. Kingdon. Understanding problem stream, policy stream, political stream, and coupling streams regarding the NHI, in particular benefit extension, would contribute to broaden policy debates and to develop more effective strategies for the future. Historically, political stream had opened policy window in the past two decades and policy streams can be characterized by three waves. Three streams have been coupled since 2003 and the government had a strong will to fulfill better performance of NHI coverage. Study findings indicate that identification of problem structure regarding NHI benefit was not connected with policy stream tightly. In addition, there has been limited discussion on policy goal and principles for extension coverage of the NHI. Policy strategies to improve coverage of the NHI should be linked to characteristics of problem and sought solutions under the principle which is expected to be sustainable through consensus in the society.

• 한국초지학회:학술대회논문집
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• 한국초지조사료학회 2005년도 춘계 학술대회
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• pp.23-45
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• 2005

• 보건교육건강증진학회지
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• 제29권5호
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• pp.37-48
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• 2012

Objectives: The economic evaluation of health promotion programs has increasingly become an imperative activity for securing public fund or budget. The purpose of this study is to conduct an economic evaluation for the healthy school canteen program using the contingent valuation method(CVM). Methods: To estimate the benefit from the healthy school canteen program, double-bounded dichotomous choice method as a sort of willingness to pay was employed. Four hundred parents who lived in Seoul and have students at middle or high schools, were administrated by semi-constructive questionnaire containing the necessary information for benefit estimation. Cost estimation of healthy school canteen program was made referring to three types of pilot programs. Finally, the benefit against the cost was worked out according to the three levels of estimated cost. Results: Cost estimate is 8,488 and 9,311 won depending on the two senarios about how to invest on the program, respectably. The results of benefit estimate shows that the average cost willingness to pay(WTP) for healthy school canteen program is 21,275 won(16,963-59,838 won, 95% CI) and total benefits turned out 14.7 billion won. According to the cost-benefit analysis, average benefit-cost ratio is from 2.3 to 3.6. Conclusions: Healthy school canteen program could be economically accepted, and government can take consideration of expanding beneficiaries of healthy school canteen program for health promotion.

• 자원ㆍ환경경제연구
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• 제14권1호
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• pp.101-134
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• 2005

정부가 시행하는 환경정책등의 공공사업에 대한 경제적 타당성 분석은 그 성격이 영리 조직과는 질적으로 다르다. 공공사업의 경제적 타당성 분석에서 고려되어야 할 편익(benefit)으로는 계량적으로 측정할 수 있는 경제적 편익뿐만 아니라 시장에서 평가할 수 없는 공익적 편익까지도 고려되어야만 사업시행 여부에 대한 정확한 타당성 분석이 이루어질 수 있다. 그러나 시장가격이 존재하지 않는 공익적 편익의 추정은 매우 어렵다. 본 연구의 목적은 구미시의 하수관거정비 사업의 경제적 타당성 분석의 사례를 통해 보다 정확하고 엄밀한 타당성 분석 모델을 제시함에 있다. 이를 위해 시장에서 평가할 수 없는 환경보전이나 생활환경개선 등과 같은 공익적 편익을 경제학 분야에서 널리 이용되고 있는 조건부가치평가법(Contigent Valuation Method : CVM)을 이용하여 추정하였다. 조건부가치평가법(CVM)에 의해 추정된 구미시 하수관거정비 사업에 대한 주민들의 가구당 월평균 지불의사액(willing-to-pay : WTP)은 2,865원으로 추정되었다. 추정된 생활환경개선 편익을 경제적 타당성 분석에 포함시켜 분석한 결과, 구미시 전체의 편익/비용 비율(B/C Ratio)은 0.97로 1보다 작은 것으로 나타났다. 본 연구는 조건부가치평가법(CVM)을 활용하여 공공사업에 대한 경제적 타당성 분석의 전형적인 모형을 처음으로 제시하였다는 점에서 향후 공공사업의 시행여부에 대한 정책적 의사결정과 학문발전에 크게 기여할 것으로 기대된다.

• Journal of Preventive Medicine and Public Health
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• 제22권2호
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• pp.259-267
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• 1989

The objective of this study was to analyze the influence of the hospital and insurer in causing delayed reimbursement of medical insurance benefits. We analyzed major variables at three different sized hospitals to examine the effect of the hospital and insurer using the two-way ANOVA method. The results were as follows: 1. The time interval between claim by hospitals and payment of the benefit was statistically different according to hospital in both admission and outpatient care. 2. The time needed by the insurer for investigating the claims was statistically different according to hospital and insurer in both admission and outpatient care. There was interaction between the hospital and insurer factors in outpatient care. 3. Although there was interaction between the hospital and insurer factors in admission care, the time interval between claim and payment was statistically different. In outpatient care, the payment interval between claim and payment was also statistically different according to the hospital and insurer.

• Asian Pacific Journal of Cancer Prevention
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• 제15권13호
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• pp.5133-5136
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• 2014

Objective: To use health economics methodology to assess the screening program on gastric cancer in Zhuanghe, China, so as to provide the basis for health decision on expanding the program of early detection and treatment. Materials and Methods: The expense of an early detection and treatment program for gastric cancer in patients found by screening, and also costs of traditional treatment in a hospital of Zhuanghe were assessed. Three major techniques of medical economics, namely cost-effective analysis (CEA), cost-benefit analysis (CBA) and cost-utility analysis (CUA), were used to assess the screening program. Results: Results from CEA showed that investing every 25, 235 Yuan on screening program in Zhuanghe area, one gastric cancer patient could be saved. Data from CUA showed that it was cost 1, 370 Yuan per QALY saved. Results from CBA showed that: the total cost was 1,945,206 Yuan with a benefit as 8,669,709 Yuan and an CBR of 4.46. Conclusions: The early detection and treatment program of gastric cancer appears economic and society-beneficial. We suggest that it should be carry out in more high risk areas for gastric cancer.

• 한국시스템다이내믹스연구
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• 제14권3호
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• pp.105-134
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• 2013

Electrical construction business has public and professional characters. It may require appropriate interventions of the government because these business activities stand for not only profit-seeking competition, but also supplies of one of the key functions in our society. In other words, public benefit and private benefit are still in existence. The government therefore considers such an aspect of public importance of the business sector and needs to plan to adjust technical and engineering manpower of this market. This study focuses on the imbalance for labor supply and demand of technical engineer in electrical construction business. A system dynamics analysis is applied to understand and simulate the imbalance as a soft approach. It has the merit of causal loop diagram to alleviate the limitation of data lack problem. We find that excess demand is expected from 2010 to 2011, and excess supply is predicted from 2012 to 2021 about the manpower of technical engineer. It shows considerable disagreement between the supply and demand of human resource. So we suggest that it is strong necessity to construct statistics infrastructure for a manpower supply and demand plan.

• 한국인공지능학회지
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• 제12권1호
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• pp.7-16
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• 2024

This study aims to explore driving factors of Artificial Intelligence application for city marketing strategy with perspectives of millennials and generation Z. This study proposed the following research questions: i) how perceived place branding factor, public service factor, affective factor, immersive experience factor, cognitive factor, cost benefit factor, social networking factor, and promotional value factor affect attitude toward AI application for city marketing; and ii) how attitude affect satisfaction and prospect toward AI application for city marketing? This study conducted an online survey with the assistance of a well-known research agency and applied factor and regression analysis to test hypotheses. The results found that effects of place branding, cognitive, social networking, and promotional value affect attitude significantly in the case of millennials, while effects of public service, affective, cost benefit, social networking, and promotional value affect attitude significantly in the case of generation Z. The results found that effects of attitude on satisfaction and prospect of AI showed significance. The results provide implications and different aspects for AI application of city marketing strategy with perspectives by generations, while millennials and generation Z perceived effects of promotional value as the most significant factor for AI application of city marketing strategy.

• 한국융합학회논문지
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• 제8권2호
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• pp.163-168
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• 2017

기존의 공공사업 타당성 평가는 경제성분석을 위주로 추진되었으나, 계층분석법(AHP: Analytic Hierarchy Process)을 도입하면서 정책성, 지역균형발전, 기술성 등의 항목이 추가로 평가되고 있다. 이 연구는 최근 3년간 건설사업과 연구개발사업의 예비타당성조사 데이터를 분석하고, 비용편익비(Cost-Benefit Ratio)와 계층분석의 가중치(weight) 간의 상관관계 분석을 통해 상호 관련성을 검증하고자 한다. 연구결과 비용편익비와 AHP 가중치의 상관관계가 건설사업의 경우 0.744, 연구개발사업의 경우 0.899로 나타났다. 즉, 사업시행 여부를 결정하는 AHP 결과가 비용편익분석 결과에 의해 크게 좌우됨으로, 경제성 위주의 평가를 보완하기 위해 도입된 AHP가 당초 기대와는 달리 종합적 분석의 역할을 충분히 수행하지 못하고 있다. 따라서 AHP 분석의 효과를 극대화 할 수 있는 다양한 연구설계가 지속적으로 논의될 필요가 있다.

• 보건행정학회지
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• 제30권3호
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• pp.286-300
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• 2020

In 2019, the Seoul metropolitan government established its own 'Seoul-type paid sick leave project'. Although the central government had to introduce such a system, which is also called sickness benefits, it was not implemented. In order to understand the process by which the Seoul government has implemented such a policy, this study used Kingdon's multiple streams framework. As a result, in the problem stream, it was found that the economic burden of sickness has been considered only in terms of medical expenses in the past of Korea. Then Songpa's three women and Middle East respiratory syndrome incidents raised awareness of the necessity of the sickness benefit system in 2014 and 2015. In the political stream, several social affairs such as national health insurance huge surpluses and the 2017 presidential election opened policy window. At that time, Seoul Mayor actively promoted sickness benefits as a policy entrepreneur. In the policy stream, the sickness benefit system has gained new attention through political events. To summary, these three streams flowed separately and then they assembled around huge political affairs. As a result, it was confirmed that Kingdon's model is the most effective theory than any other models in analyzing the health care policy decision process in Korea.