• 대한건축학회논문집:구조계
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• 제36권3호
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• pp.147-157
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• 2020

With the increasing obligation to reduce greenhouse gas emissions to the building sector, the government has been gradually expanding its obligation to zero-energy buildings since 2020. Since the ZEB certification took effect in 2017, 48 preliminary and main certifications have been completed as of March 2019, and most of them are public buildings or even certified, but have earned Grade 5 of ZEB. This means that compared with the number of annual building permits registered in Korea, the figure is insignificant, and that it receives little if not mandatory. Therefore, this study investigated empirical cases of ZEB additional construction cost and conducted cost benefit analysis according to changes in ZEB additional construction cost based on a preliminary feasibility analysis project recently conducted by the KDI. In addition, considering the public buildings, the social costs were considered, and the cost-benefit analysis method was the same as the KDI's preliminary feasibility analysis method. The analysis shows that if the ratio of ZEB additional construction cost is more than 5 percent, it is analyzed that there is no economic feasibility, and considering that the ratio of additional construction cost in the cases of ZEB in Korea is 17 percent to 38 percent, it will not be easy to obtain ZEB certification in terms of cost. Finally, to narrow these differences in cost and economic aspects, the overseas low energy and ZEB incentive examples proposed measures such as the concept of subsidy payment in Illinois and the compensation of social costs to private ZEB.

• 한국사회복지학
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• 제69권2호
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• pp.171-190
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• 2017

본 연구는 국내의 가계부채 규모가 지속적으로 증가하고 가계의 재정건전성은 약화되는 상황에서 높은 가계부채 수준이 정신건강, 구체적으로 우울감 및 자살생각에 미치는 영향을 살펴보았다. 이를 위해 한국복지패널 4~10차(2009~2015년 조사) 자료를 사용하였고, 패널확률효과모형과 패널고정효과 모형을 결합한 하이브리드 방법을 적용하여 인과관계를 종단분석하였다. 연구결과는 높은 가계부채 수준이 우울감의 위험을 상당히 높임을 보여주었다. 가처분소득 대비 총부채액 비율이 400%를 넘는 경우 그 비율이 100% 미만인 경우보다 우울감의 위험이 1.5배 높아졌고, 가처분소득 대비 부채상환액 비율이 30%를 넘는 경우 10% 미만일 때보다 우울감의 위험이 1.66배 상승하였다. 이 연구는 경제적 측면뿐만 아니라 비경제적 측면까지 고려한 신용회복 지원제도의 마련과 함께 과중채무자에 대한 정신건강 서비스 연계의 필요성을 시사한다. 또한 부채수준이 정신건강에 영향을 미치는 중요한 사회경제적 요인임을 확인하여 건강결정요인에 관한 이론을 풍부히 하는데 기여하였다.

• 한국산학기술학회논문지
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• 제4권2호
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• pp.102-107
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• 2003

지난 50년 이상 무기장사업자에 적용해 온 표준소득률제도가 금년 소득세 신고시부터 기준경비율제로 변화된다. 병의원간의 의료전달체계가 제자리를 잡지 못하고 전문의들이 경제적 이유 등 여러 가지 이유로 개원 시를 이루고 있는 현재 의료계 상황에서 기준경비율 제도의 도입은 과거와 같이 무원칙, 무계획적인 지출을 더 이상 수용하지 않는다. 따라서 비용으로 공제받을 수 있는 증빙을 잘 준비하는 세무계획이 필연적으로 요구된다 본 연구에서는 새로 시행되는 기준경비율 제도의 취지, 내용, 효과, 보완점 등을 알아보고 이 제도 하에서 적격 증빙의 수취 등 합리적인 세무관리를 알아보았다. 비록 기준경비율제도가 수입 측면에서의 투명성을 확보하는데는 한계가 있으나 비용지출 측면에서 진일보한 정책이며 이 제도가 성공적으로 시행 발전되는 경우 전문가 그룹의 자의적인 세무신고는 어느 정도 줄어들 것으로 판단된다. 나아가 비급여 진료행위가 많은 진료과들의 수입을 보다 투명하게 밝힐 수 있는 제도의 보완이 이루어질 것으로 예상되므로 의원 경영과 관련된 작은 지출에 대해서도 본 연구에서 제시된 것과 갊은 증빙을 갖추도록 노력해야 할 것이다.

• Journal of Preventive Medicine and Public Health
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• 제35권1호
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• pp.1-12
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• 2002

Objective : To estimate the socioeconomic costs of obesity in Korea,1998. Methods : The 1998 National Health and Nutrition Examination Survey(1998 NHNES) data was used and 10,880 persons who had taken health examinations were selected for study. Essential hypertension, NIDDM(non insulin-dependent diabetes mellitus), dyslipidemia, osteoarthritis, coronary heart disease, stroke were included as obesity related disease. The data of direct costs of obesity was obtained from the National Federation of Medical Insurance. The category of indirect costs was the loss of productivity caused by premature death and admission, time costs, traffic costs, nursing fees due to obesity. Multiple logistic regression model was developed to estimate prevalence odds ratio by obesity class adjusted demographic and socio-ecnomic factors and calculate PAF(Population Attributable Fraction) of obesity on obesity related disease. And we finally calculated the socioeconomic costs of obesity in relation to BMI with PAF. Results : The direct costs of obesity were 2,126 billion${\sim}965$ billion Won in considering out of pocket payment to uninsured services, and the indirect costs of obesity were 2,099 billion${\sim}1,086$ billion Won. Consequently, in considering out of pocket payment to uninsured services, the socioeconomic costs of obesity were 4.225 billion${\sim}2,050$ billion Won, which corresponded to about $0.094%{\sim}0.046%$ of GDP and $1.88%{\sim}0.91$ of total health care costs in Korea. Conclusions : Obesity represents a major health problem with significant economic implications for the society. This results are conservative estimates as far as all obesity related disease and all health care and indirect costs were not included due to missing information. further studies are needed to caculate socioeconomic costs of obesity more exactly.

• Journal of Preventive Medicine and Public Health
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• 제33권2호
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• pp.150-156
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• 2000

Objective : To analyze the factors affecting the participation rate in the health screening program of medical insurance. Method : We investigated the factors associated with the participation rate in the health screening program in Korea. Data were collected at the aggregate level from 145 employee health insurance societies and 227 self-employed health insurance societies from 1995 to 1997 Data were also collected at the individual level from four health insurance societies. This study hypothesized that the participation rate of the health screening program was related to 1) the characteristics of its members and the size of the health insurance society; 2) the specifications of the health screening program; 3) the venue of the health screening institution and the interests of individuals in the health screening program; and 4) the activities of the health insurance society. We used bivariate and multiple regression models to examine the factors on the participation rate of the health screening program. Results : First, in the case of dependents of on employee health insurance society, the ratio of dependents 40 years old and over, the average monthly contribution per household, the interest and satisfaction level of individuals in health screening, and the level of refunds for over-payment were all associated with the participation rate in the health screening program, accounting for 54.4% of the participation rate. Second, in case of those insured by the self-employed health insurance society, the interest and satisfaction level of individuals in health screening, the level of refunds for over-payment, and the performance level of on-the-spot health screening were statistically significant, accounting for 40.1% of the participation rate. Conclusion : The factors concerning the participation rate in the health screening program of medical insurance, in both a health insurance society and for individuals, were closely related to the age and gender of individuals and household contributions.

• 대한교통학회지
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• 제20권4호
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• pp.27-38
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• 2002

교통운영의 효율성과 안전성을 획기적으로 향상시키는 차세대교통체계인 ATIS 하부시스템 중 공공성과 사업성을 동시에 가지는 VTIS는 매우 중요하다. 특히, 특정이용자의 수요에 따라 상세한 교통정보를 제공할 뿐만 아니라, 민간부문의 참여도가 높아 부가적인 파급효과의 기대가 크므로 시급한 도입이 예상된다. 하지만 VTIS 서비스 제공매체는 상당히 다양하기에 각 제공매체별로의 적정요금과 요금지불방식도 상당히 다양해지므로, 이에 대한 적절한 기준이나 연구가 시급한 실정이다. 하지만 기존 연구들은 최적경로 산정에만 치중되어 있어 서비스 이용수요와 이용자의 입장이 고려된 적정이용료 산정에 대한 연구는 전무하다. 따라서 본 연구는 가상의 다른 가격시나리오 하에서 VTIS 서비스의 이용여부를 설문조사하고, 이항로짓모형을 이용하여 운전자들의 이용수요를 예측하였다. 그리고 설문조사시 이용응답자를 대상으로 순서형 프로빗 모형을 이용하여 각 지불방식별로 이용행태 범주별로 이용률을 산정하고 이에 민감도 분석을 실시하여 월별 지불방식에서는 2800원, 통화당 지불방식에서는 한 통화당 145원의 적정이용료를 산정하였으며 이때의 VTIS 서비스 이용률은 각각 65%와 75%로 나타났다.

• 한국병원경영학회지
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• 제6권2호
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• pp.138-155
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• 2001

This study was designed to find out the factors which influence on the financial performance of the hospital. Out of 32 provincial hospitals which were established by the government, 10 hospitals were selected as sample hospitals. Ten hospitals were divided into two groups(5 hospitals each), one of which was profit-making and the other loss-making. The criteria in selecting profit or loss-making hospitals was net profit to total revenue. The major finding of the study was as follows; 1. Whether or not a hospital had specialized in certain departments was proved to be the major factor influencing on the financial performance. Three out of five profit-making hospitals could harvest following results by operating specific departments. (1) Man powers needed for the operation of specific departments were 14.6 persons per 100 bed, which was only 1/7 of the general hospital. (2) The number of doctors has not increased in proportion to the increase of the number of beds. (3) Ratio of total revenue to MD.'s payroll expenses of the profit-making hospitals was 75.0% higher than the loss-making hospitals. (4) The average length of stay of specific department was very long(388.1 days). However, the specific departments were found to have contributed much to the financial performance because the occupancy rate of such departments was very high(94.5%). 2. The headcount per 100 bed of the profit-making hospitals was 23.9 persons(24.0%) less than the loss-making hospitals and the ratio of payroll expenses to total revenue 15.1% less. 3. Averagel revenue per specialist of the profit-making hospitals was 100 million(25.1%) more than loss-making hospitals and the ratio of total revenue to MD's payroll expenses of profit-making hospital was 75.0% higher. 4. Profit-making hospitals have introduced new systems or renovation in 36 fields, such as incentive payment system, utilization of contracted man powers, change of the payroll structure of the nurses, specialization in certain departments, etc; however, loss-making hospitals introduced only 25 new systems or renovations. These kind of renovation could not be achieved without the cooperation of the labor union and the strong will of the top management. Therefore, it could be said that the labor union of the profit-making hospitals seems to have been very cooperative compared with that of loss-making hospitals.

• 대한예방한의학회지
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• 제19권2호
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• pp.37-50
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• 2015

Objective : In order to understand the scale of medicinal expenditure in the Korean medicine, an analysis has been made of Korean National Health Account and statistic archives used to estimate the Korean National Health Account and also of such archives as are contributory to learn the scale of total health expenditures in the Korean medicine. Method : From the Korean National Health Account archives, an analysis has been made of National health insurance statistic annual reports, National health insurance non-payment items, Korean Economic Census (The Service Industy Survey), and Korea Health Panel data. Moreover, in order to know the sales of overall Korean medicine clinics, relevant data have been utilized and cited from investigations into National tax statistics, Korean medicine medical institutions and Korean medicines used, and current states of medicinal herbs and Korean medicine industry. Results : It is found that the average scale of each section of the medical expenditures archives in the Korean medicine in 2012 was KRW 3.5638 billion and that the average medical expenditures in the Korean medicine derived from Total Health Expenditure, The Service Industy Survey, National tax statistic, and Korean medicine industry are approximately KRW 3.3901, 3.4796, 3.7218 and 3.9634 billion. And the average expenditures derived from National health insurance patients and Korea Health Panel data are 2.5162 and 2.2292 billion won and those from the users and consumers of Korean medicines and herbs are 5.6,461 billion won. In order to verify the appropriateness of estimated medical expenditures in the Korean medicine included in the archives, an analysis has been made of uninsured costs which come from the aggregate sales amount surveyed minus health insurance treatment expenditures and it is found that the ratio of insured costs against total health expenditures in 2006 was 50.67% and 41.92% in 2012 and that the ratio based on National tax statistics and The Service Industy Survey was 52.19% and 49.28% in 2006 and 50.54% and 50.64% in 2012 and that the ratio of uninsured costs against Korean medicines and herbs and Korean medicine industry was 37.5% and 58.27% in 2013. Conclusion : It calls for the improvement of the accuracy of an investigation into Total Health Expenditure which comprise the actual conditions of health insurance and Korea Health Panel, the development of statistic schemes for understanding and classifying medical expenditures of all the Korean medicine medicinal institutions like medicinal clinics, and enhanced methods for independent panels to comprehensively collect and analyze the number of sampled Korean medicine medical institutions.

• 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.

• 대한치과기공학회지
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• 제13권1호
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• pp.79-97
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• 1991

To improve the management of dental laboratory through the research on the actual condition, this study posed questions on 36 dental laboratories. The results are as follows : 1. The establishment of dental laboratory in Chunbuk was increased between in 1980 and 1986. Especially it has been more increased since 1989. According to the proportion of population the number of the dental laboratories in Chunbuk was much more than that of other provinces and took the first place in september 1990. 2. The ratio between the unlicensed dental technician and the licensed was 24.83% and 67.11% each . The former must be replaced by the licensed. And the latter ought to try to improve their culture and technique. 3. Overtime payment must be paid for those who work above eight hours. 4. It takes 5 days at a minimum for the production of dental prosthesis with both stability and esthetics. 5. Every Saturday afternoon, Sunday and national holiday must be free. 6. Bonus must be paid 600% a year at a minimum. The system of retirement allowance should be active. All dental technicians ought to be affliated with their labor union and medica insurance. 7. Such dental restoration as porcelain and crown and bridge prosthesis must by increased to a degree between 30% and 50% at a minimum and the reduction system of charge for a dental technique has to be abolished. 8. The general working conditions of dental laboratory, especially pay and working hour must be improved. 9. To advance the service improvement of dental treatment and the banishment of illegal one, the medical insurance of crown and bridge prosthesis must be generally practised. 10. Ill case of the staff cull:lloyulent of dental laboratory, minimem wage system must be observed. 11. Directing dentist system on the ertablisment of dental laboratory must be abelished or wholly improved.