• 제목/요약/키워드: ratio insurance

검색결과 485건 처리시간 0.023초

간호사 확보수준이 입원 환자의 병원사망과 입원 30일 이내 사망에 미치는 영향 (Effects of Nurse Staffing Level on In-hospital Mortality and 30-day Mortality after Admission using Korean National Health Insurance Data)

  • 김윤미;이경아;김현영
    • 임상간호연구
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    • 제28권1호
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    • pp.1-12
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    • 2022
  • Purpose: The purpose of this study is to investigate the association between the nurse staffing level and the patient mortality using Korean National Health Insurance data. Methods: The data of 1,068,059 patients from 913 hospitals between 2015 and 2016 were analyzed. The nurse staffing level was categorized based on the bed-to-nurse ratio in general wards, intensive care units (ICUs), and hospitals overall. The x2 test and generalized estimating equations (GEE) multilevel multivariate logistic regression analyses were used to explore in-hospital mortality and 30-day mortality after admission. Results: The in-hospital mortality rate was 2.9% and 30-day mortality after admission rate was 3.0%. Odd Ratios (ORs) for in-hospital mortality were statistically lower in general wards with a bed-to-nurse ratio of less than 3.5 compared to that with 6.0 or more (OR=0.72, 95% CI=0.63~0.84) and in ICUs with a bed-to-nurse ratio of less than 0.88 compared to that with 1.25 or more (OR=0.78, 95% CI=0.66~0.92). ORs for 30-day mortality after admission were statistically lower in general wards with a bed-to-nurse ratio of less than 3.5 compared to that with 6.0 or more (OR=0.83, 95% CI=0.73~0.94) and in ICUs with a bed-to-nurse ratio of less than 0.63 compared to that with 1.25 or more (OR=0.85, 95% CI=0.72~1.00). Conclusion: To reduce the patient mortality, it is necessary to ensure a sufficient number of nurses by improving the nursing fee system according to the nurse staffing level.

Use of Herbal Decoction and Pharmacopuncture in Individuals with Chronic Disease: findings from a nationally representative panel

  • Chan-Young Kwon;Sunghun Yun;Bo-Hyoung Jang;Il-Su Park
    • 대한약침학회지
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    • 제27권2호
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    • pp.110-122
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    • 2024
  • Objectives: This study analyzed the Korea Health Panel Annual Data 2019 to investigate factors related to the use of non-insured Korean medicine (KM) treatment in individuals with chronic diseases. The non-insured KM treatments of interest were herbal decoction (HD) and pharmacopuncture (PA). Methods: Among adults aged 19 or older, 6,159 individuals with chronic diseases who received outpatient KM treatment at least once in 2019 were included. They were divided into three groups according to the KM treatment used: (1) basic insured KM non-pharmacological treatment (BT) group (n = 629); (2) HD group (n = 256); (3) PA group (n = 184). Logistic regression analysis was used to explore factors associated with favoring HD or PA use over BT. Potentially relevant candidate factors were classified using the Andersen Behavior Model. Results: Compared to BT, the 1st to 3rd quartiles of income compared to the 4th quartile (odds ratio: 1.50 to 2.06 for HD; 2.03 to 2.83 for PA), health insurance subscribers compared to medical aid (odds ratio: 2.51; 13.43), and presence of musculoskeletal diseases (odds ratio: 1.66; 1.91) were significantly positively associated with HD and PA use. Moreover, the presence of cardiovascular disease (odds ratio: 1.46) and neuropsychiatric disease (odds ratio: 1.97) were also significantly positively associated with HD use. Conclusion: The presence of some chronic diseases, especially musculoskeletal diseases, was significantly positively associated with HD and PA use, while low economic status was significantly negatively associated with HD and PA use, indicating the potential existence of unmet medical needs in this population. Since chronic diseases impose a considerable health burden, the results of this study can be used for reference for future health insurance coverage policies in South Korea.

지방의료원의 재정 및 운영효율성에 영향을 미치는 요인 (An Analysis of Factors Affecting Financial and Operating Efficiency at Regional Public Hospital)

  • 노진원;전희원;김정회;김정하;방효중;이해종
    • 보건행정학회지
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    • 제33권3호
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    • pp.355-362
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    • 2023
  • Background: Financial efficiency in monetary units and operational efficiency in non-monetary units are separately classified and evaluated. This is done to prevent the duplication of monetary units and non-monetary units in inputs and outputs. In addition, analyses are conducted to determine the factors that affect each aspect of efficiency. To prevent duplication of monetary and non-monetary units in inputs and outputs, financial efficiency, consisting of monetary units, and operational efficiency, comprising non-monetary units, are separately classified and evaluated. Furthermore, an analysis is conducted to identify the factors that affect each aspect of efficiency. Methods: This study conducted a panel analysis of 34 regional public hospitals and influencing factors on efficiency for 5 years from 2015 to 2019. Financial efficiency and operational efficiency were calculated through data envelopment analysis. Moreover, multiple regression analysis was conducted to identify the factors that influence both financial efficiency and operational efficiency. Results: The factors that affect financial efficiency include the number of medical institutions within the treatment area and the ratio of patients receiving medical care. Additionally, operational efficiency is influenced by the type of medical institution, the number of medical institutions within the treatment area, and the number of nursing positions per 100 beds. Conclusion: In order for regional public hospitals to faithfully fulfill their functions and roles as regional base public hospitals, several measures are necessary. Firstly, continuous monitoring and reasonable support are required to ensure efficient operation and performance. Secondly, a financial support plan tailored to the characteristics of local medical centers is needed. Additionally, local medical centers should strive to enhance their own efficiency.

한의사인력(韓醫師人力) 공급(供給)의 적정화방안(適定化方案) 연구(硏究) (The Rearch Of Method in the Appropriate number of Demand and Supply of OMD)

  • 이종수
    • 대한한의학회지
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    • 제19권1호
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    • pp.299-326
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    • 1998
  • 1. Comparison of demand and supply A. Assumption of estimation of demand and supply we will briefly assumptions used for presumption once more before comparing the result of estimation of demand and supply examined previously 1) supply - The average applying rate for state. examination of graduate: ${\alpha}$=1.03109 - The ratio of successful applicants of state examinations: ${\beta}$=0.97091 - Mortality classified by age : presumed data of the Bureau of statistics - Emigrating rate: 0 % - Time of retire: unconsidered - An army doctor number: unconsidered and regard number of employed oriental medicine doctor. - Standard of 1995 : The number of survival oriental medicine doctor is 8195. the number of employed oriental medicine doctor is 7419. 2) demand - derivated demand method Daily the average amount of medical treatment: according to medical insurance federation data. there is 16 or 6 non allowance patient, we consider amount of medical treatment as 22 persons in practical because 21.94 persons (founded practical examination) are converted to allowance in comming demand. Daily the proper amount of medical treatment: 7 hours form -35 persons 5 hours 30 minutes form -28 persons. Yearly medical treatment days: 229 days. 255 days. 269 days . Increasing rate of visiting hospital days: -1996 year. 1997 year. 1998 year- . Rate of applying insurance: yearly average 71.51% (among the investigated patient) B. Comparison of total sum result 1) supply (provision) Table Ⅳ-1 below shows the estimation of the oriental medicine doctor in the future.

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  • 교량 공사 프로젝트의 정량적 리스크 평가에 관한 연구 (A Study on the Quantitative Risk Assessment of Bridge Construction Projects)

    • 안성진
      • 한국건축시공학회지
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      • 제20권1호
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      • pp.83-91
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      • 2020
    • 최근의 교량 건설 프로젝트는 교량 건설의 증가추세에 따라 위험 손실에 대비하기 위해 보다 정교한 리스크 관리 조치와 손실 예측을 요구하고 있다. 본 연구는 교량 건설 사업에 대한 국내 주요 보험사의 과거 보험료 지급 실적을 토대로 실제 교량 건설에서 목적물의 손실을 유발하는 위험 요인을 분석하고, 정량화된 예측 손실 모델을 개발하고자 하였다. 정량적 교량건설 손실모형 개발을 위해 사고 건당 보험지급액을 총공사비로 나눈 손실비율을 종속변수로 선정하였고, 독립변수로는 1)기술적 요인: 상부 구조 유형, 하부 구조 유형, 상부 가설방법, 교량 길이 2) 자연재해요인 : 태풍, 홍수 3) 프로젝트 정보: 공사기간, 총공사비를 채택하였다. 선정된 독립변수 중 상부구조, 가설방법 및 프로젝트 기간이 교량건설 손실 비율에 영향을 미치는 지표로 나타났다. 본 연구 결과로 도출된 리스크 지표와 손실예측 함수는 정부 관련기관, 교량 건설 설계 및 시공사, 보험회사에 정량적 피해 예측 및 위험 평가 서비스를 제공하며, 향후 기초 교량 리스크 평가 개발 연구의 가이드라인으로 활용할 수 있다.

    국립의료원 치과에 래원한 환자중 의료보험환자가 전체가 외래환자에 차지하는 비율의 월별 통계 및 그에 따르는 문제점(의로보험수가를 중심으로) (The Monthly Statistics of Medicare Dental Patients in ratio of Total Number of Patients treated by the Dental Department in the National Medical Center(A Report Problems with Special Reference to Medical Insurance Charge))

    • 최구영
      • 대한치과의사협회지
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      • 제17권11호통권126호
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      • pp.845-847
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      • 1979
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    국민건강보험 간호·간병통합서비스의 전면 도입을 위한 간호인력 및 재정비용 추계 (Optimal Nursing Workforce and Financial Cost to Provide Comprehensive Nursing Service in the National Health Insurance System)

    • 김진현;김성재;이은희
      • 한국산학기술학회논문지
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      • 제18권6호
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      • pp.119-128
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      • 2017
    • 본 논문은 병원에서 간호 간병통합서비스가 전국에 확대 적용되었을 경우 필요한 간호인력과 재정비용을 추계한 연구이다. 연구자료는 건강보험심사평가원으로부터 받은 2012년 기준 간호사 수, 간호조무사 수, 의료기관 수, 환자 수를 이용하였다. 간호 인력의 규모는 결정론적 방법으로 개발된 작업부하모델에 의해 추정되었다. 간호간병통합서비스 연간 총 재정비용을 계산하는데 상향식 추정방법이 사용되었다. 간호사 및 간호조무사 수는 각각 81.8%, 83.2% 더 증가되어야 간호 간병통합서비스가 전국 규모로 적용가능한 것으로 추정되었다. 전국의 모든 일반병동에 간호 간병통합서비스가 적용되기 위해 필요한 재정적 비용은 110.4% 더 증가해야 할 것으로 추정되었다. 이 새로운 시스템을 성공적으로 구현하려면, 인력공급의 양적확대 전략뿐만 아니라 숙련된 간호사와 신규간호사의 이직을 최소화해야 한다. 또한 간호사-환자 비의 타당성을 지속적으로 확인할 필요가 있다. 새로운 시스템을 모든 병원에 단계적으로 확대하여야 국민건강보험의 재정부담을 최소화할 수 있을 것이다.

    실업안전망 국제비교연구: 실업보험, 사회부조, 적극적노동시장정책의 제도조합과 유형화 (A Comparative Study on Unemployment Insurance, Social Assistance and ALMP in OECD Countries)

    • 이승윤
      • 한국사회정책
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      • 제25권1호
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      • pp.345-375
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      • 2018
    • 본 연구는 OECD 12개 국가를 대상으로, 실업보험, 사회부조, 그리고 적극적 노동시장 정책의 제도배열로서 '실업안전망 정책조합'을 분석하며 레짐별 유사성 및 특수성을 구체화한다. 이를 통해 해당 국가들이 실업자에 대한 사회보장정책을 어떻게 구성하여 이들의 실직과 소득보장 문제에 대응하는지 비교분석하였고, 방법론으로는 퍼지셋 이상형 분석(fuzzy-set ideal type analysis)을 활용하였다. 2005년과 2010년의 정책조합을 분석한 결과, '부조형', '재진입과 소득보장 결합형', '재진입 집중형', '광범위한 실업안전망형', '부실한 실업안전망형', '소득보장 집중형'으로 대상 국가들의 실업안전망이 유형화되었다. 우리나라의 경우, 지속적으로 부실한 실업안전망 유형에 속하였고, 사회보험, 사회부조 그리고 적극적노동시장의 퍼지점수가 모두 본 연구의 국가들과 비교하였을 때 최하위권이다. 부실한 실업안전망 유형에서도 구체적인 정책별 소속 점수를 살펴보면 사회부조 정책의 소속점수가 그나마 다소 높고 적극적노동시장 정책의 소속점수는 매우 낮았다. 부실한 실업안전망 유형에 속한 우리나라의 경우, 자산조사 방식의 소득보장제에 의존하여 급여를 제공하는 것은 재정적으로 부담이 가장 적은 정책으로 분석결과에서도 확대경향이 나타났으나, 본 연구는 장기적으로 사회부조 방식이 불안정노동자 및 실업자의 소득보장에 얼마나 지속적인 효과를 가질 수 있는지 문제제기한다. 본 연구는 국가 간 비교연구를 수행함으로써 실업안전망 비교연구에 대한 이론적 실증적 논의에 기여하고, 실업과 관련한 정책들을 조합으로 구성하여 분석함으로써 향후 노동시장 변화와 정합한 실업안전망 설계를 위한 함의를 제공하고자 하였다.

    Cost-Effectiveness Analysis of Breast Cancer Screening in Rural Iran

    • Zehtab, Nooshin;Jafari, Mohammad;Barooni, Mohsen;Nakhaee, Nouzar;Goudarzi, Reza;Zadeh, Mohammad Hassan Larry
      • Asian Pacific Journal of Cancer Prevention
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      • 제17권2호
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      • pp.609-614
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      • 2016
    • Background: Although breast cancer is the most common cancer in women, economic evaluation of breast cancer screening is not fully addressed in developing countries. The main objective of the present study was to analyze the cost-effectiveness of breast cancer screening using mammography in 35-69 year old women in an Iranian setting. Materials and Methods: This was an economic evaluation study assessing the cost-effectiveness of a population-based screening program in 35-69 year old women residing in rural areas of South east Iran. The study was conducted from the perspective of policy-makers of insurance. The study population consisted of 35- to 69-year old women in rural areas of Kerman with a population of about 19,651 in 2013. The decision tree modeling and economic evaluation software were used for cost-effectiveness and sensitivity analyses of the interventions. Results: The total cost of the screening program was 7,067.69 US$ and the total effectiveness for screening and no-screening interventions was 0.06171 and 0.00864 disability adjusted life years averted, respectively. The average cost-effectiveness ratio DALY averted US$ for screening intervention was 7,7082.5 US$ per DALY averted and 589,027 US $ for no-screening intervention. The incremental cost-effectiveness ratio DALY averted was 6,264 US$ per DALY averted for screening intervention compared with no-screening intervention. Conclusions: Although the screening intervention is more cost-effective than the alternative (noscreening) strategy, it seems that including breast cancer screening program in health insurance package may not be recommended as long as the target group has a low participation rate.

    의료기관 및 중환자실 특성에 따른 간호사 배치수준 (Variations in Nurse Staffing in Adult and Neonatal Intensive Care Units)

    • 조성현;황정해;김윤미;김재선
      • 대한간호학회지
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      • 제36권5호
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      • pp.691-700
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      • 2006
    • Purpose: This study was done to analyze variations in unit staffing and recommend policies to improve nursing staffing levels in intensive care units (ICUS). Method: A cross-sectional study design was used, employing survey data from the Health Insurance Review Agency conducted from June-July, 2003. Unitstaffing was measured using two indicators; bed-to-nurse (B/N) ratio (number of beds per nurse), and patient-to-nurse (P/N) ratio (number of average daily patients per nurse). Staffing levels were compared according to hospital and ICU characteristics. Result: A total of 414 institutions were operating 569 adult and 86 neonatal ICUs. Tertiary hospitals (n=42) had the lowest mean B/N (0.82) and P/N (0.76) ratios in adult ICUs, followed by general hospitals (B/N: 1.34, P/N: 0.97). Those ratios indicated that a nurse took care of 3 to 5 patients per shift. Neonatal ICUs had worse staffing and had greater variations in stafnng ratios than adult ICUs. About 17% of adult and 26% of neonatal ICUs were staffed only by adjunct nurses who had responsibility for a general ward as well as the ICU Conclusion: Stratification of nurse staffing levels and differentiation of ICU utilization fees based on staffing grades are recommended as a policy tool to improve nurse staffing in ICUs.