• 가족자원경영과 정책
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• 제18권1호
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• pp.141-162
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• 2014

The purpose of this research is to suggest some measures to improve policy issues by analyzing policy related to a child care service program in the community. Gilbert and Terrell's social policy analysis framework is used to analyze an after-school care service program for elementary school children. Furthermore, the Elementary Care Class(including the After-school Program), Youth After-school Academy, and Community Child Center, referred to as public care services, are employed to analyze community care service programs for children. The Elementary Care Class, Youth After-school Academy and Community Child Center are very similar in terms of the contents and application of the care service program for children, and mainly serve children in low-income groups. In addition, although user overlapping is an inevitable problem because the operating time of the Elementary Care Class and After-school Program coincides with that of the Youth After-school Academy and Community Child Center, it is structurally very hard to adjust the content of service, operating time, and so on because of differences in the delivery system for each program. Therefore, it is necessary to generate a unified delivery system to manage after-school care service programs for children and create a new special control tower to solve these problems. Furthermore, it is needed to extend the services to children from general double-income family, which is a blind spot of the care service.

• 보건행정학회지
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• 제30권1호
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• pp.72-81
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• 2020

Background: The out-of-pocket maximum is one of the distinctive healthcare systems which sets a ceiling on co-payment in order to reduce the burden of households from the unpredictable medical expenditure. However, this leads to an increase in the demand for healthcare services especially in long-term care hospitals (LTCHs) in Korea. Methods: This study analyzed the influence factor of medical service overuse of 165,592 inpatients in LTCHs which out-of-pocket maximum is applied, by utilizing data from the National Health Insurance Service (2016). Based on Anderson Model, the medical service overuse, as a dependent variable, was defined as long-stay admission more than 180 days at the LTCHs. Independent variable was comprised of predisposing factors (gender, age), enabling factors (income level, types of out-of-pocket maximum) and need factors (illness level, patient use of tertiary hospital). Results: The most powerful factor of medical service overuse in LTCHs was availability of pre-payment for the out-of-maximum (odds ratio [OR], 191.66; p<0.001). This tendency was found in high income level status (p<0.001). Furthermore, mild inpatients (OR, 1.50; p<0.001) which had no experience with the tertiary hospitals (OR, 2.06; p<0.001) were more relevant to the medical service overuse in LTCHs, compared to the severe inpatients. Conclusion: It is suggested that a separate standard of out-of pocket maximum with regards to LTCHs is required to secure the beneficial functions of long-term hospitals and prevent unnecessary financial leakage to achieve sustainable and financially sound National Health Insurance.

• 한국유통학회지:유통연구
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• 제6권1호
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• pp.1-21
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• 2001

서비스의 중요성이 증대되고 서비스가 포함하는 범위가 점점 확장됨에 따라, 점포 속성의 하위차원으로 다루어지던 서비스에 대한 재정의와 범위 설정이 요구된다. 이에 본 연구에서는 기존의 점포속성을 상품 요인과 서비스 요인으로 구성된 의류점포 구성요인으로 제시하였으며, 이론적 고찰을 통해 상품요인은 가격, 품질, 유행성, 디자인, 다양성, 상표로, 서비스 요인은 물적 서비스, 판매원 서비스, 정책적 서비스로 구성하였다. 의류점포 구성요인의 차원과 이에 대한 소비자의 중요도 지각의 차이를 밝히고 의복관여와 인구통계적 특성이 중요도 지각에 영향을 미치는지 알아보고자 함이 본 연구의 목적이다. 20대 여성을 대상으로 설문지를 이용해 연구가 이루어 졌다. 연구 결과 서비스 요인은 크게 물적 서비스, 판매원 서비스, 교환/환불 태도 및 정책 서비스, 판촉정책 서비스, 편의정책 서비스로 밝혀졌다. 응답자들은 교환/환불 태도 및 정책 서비스를 가장 중요하게 지각하는 것으로 나타나 20대는 교환/ 환불에 대한 위험을 크게 지각함을 알 수 있었고, 판매원 서비스, 상품의 품질, 상품의 다양성 등이 그 다음으로 나타났다. 각 서비스 차원별 세부 내용의 중요도는 물적 서비스에서는 디스플레이, 판매원 서비스에서는 신속한 불만족 해결능력, 정책적 서비스에서는 교환/환불시 친절한 처리가 상대적으로 중요하게 나타났다. 의복관여와 인구통계적 특성도 중요도 지각에 부분적인 영향을 미치는 것으로 나타났다.

• 한국문헌정보학회지
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• 제48권4호
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• pp.135-171
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• 2014

본 연구에서는 정책정보서비스를 제공하기에 적합한 분류체계를 제안하고자 하였다. 이를 위해 BRM분류체계분석, 문헌분석, 정책정보제공사이트 분류체계분석, 분류전문가논의과정, 정책정보수요자대상 설문조사 및 면담조사, 정책정보자료의 실제적 구축을 통한 경험적 검증과정을 거쳤다. 최종적으로 BRM 분류체계를 수정 보완하여, 정책정보관련 정보자원을 제공하기에 적합한 분류체계를 제안하였다. 전문가 논의 과정을 거쳐 정책정보서비스에 적절한 BRM 분류 단계를 3단계로 확정하였다. 국내외 정책정보제공사이트를 제공하고 있는 기관의 분류체계와 서비스 조사를 통해 BRM 분류체계가 정책정보자료 제공을 위해 적합하다는 것을 확인하였다. 실무자 면담 조사를 통해 BRM의 적절성 확인과 개선점을 도출하였다. 설문조사를 통해 정책정보서비스를 위한 BRM 분류체계 사용의 적절성과 BRM 주제분야별 보완요구사항을 분석하였다. 마지막으로 경험적 검증을 통해 정책정보서비스를 위한 BRM 분류 체제의 주제 내용을 확정하였다.

• 한국국방경영분석학회지
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• 제17권1호
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• pp.43-60
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• 1991

Consider N queues without arrivals and with m identical servers. All jobs are independent and service requirements of jobs in a queue are i.i.d. random variables. At any time only one server may be assigned to a queue and switching between queues are allowed. A unit cost is imposed per job per unit time. The objective is to minimized the expected total cost. An flow approximation model is considered and an upperbound for the percentage error of best nonswitching policies to an optimal policy is found. It is shown that the best nonswitching policy is not worse than $11\%$ of an optimal policy For the stochastic model, we consider the case in which the service requirements of all jobs are i.i.d. with an exponential distribution. A longest first policy is shown to be optimal and a worst case analysis shows that the nonswitching policy which starts with the longest queues is not worse than $11\%$ of the optimal policy.

• 보건행정학회지
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• 제19권3호
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• pp.109-124
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• 2009

Background: This study aimed to examine whether cases of punishing false claimants threat general physicians to check their medical cost claims with care to avoid being suspected, and identify empirically general deterrence effects of the on-site investigation system in the Korean National Health Insurance. Methods: 800 clinics were selected among a total of 15,443 clinics that had no experience of on-site investigation until June 2007 using a stratified proportional systematic sampling method. We conducted logistic multiple regression to examine the association between factors related to provider's perception of on-site investigation and high level of perceived deterrence referring to fear of punishment after adjusting provider's service experiences and general characteristics. Results: The probability of high perceived deterrence was higher 1.7 times (CI: 1.13-2.56), 2.73 times (CI: 1.68-4.45) each among clinics exchanging the information once or more per year or once or more for 2-3 months than among clinics no exchanging the information about on-site investigation. Also, the probability of high perceived deterrence was higher 2.27 times (CI: 1.28-4.45) among clinics that knows more than 3 health care institutions having experienced an on-site investigation than among clinics knowing no case. Conclusion: A clinic knowing more punishment cases by onsite investigation and exchanging more frequently information about on-site investigation is likely to present high perceived deterrence. This result will provide important information to enlarge preventive effects of on-site investigation on fraud and abuse claims.

• 보건행정학회지
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• 제22권3호
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• pp.383-402
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• 2012

The purpose of this study is to investigate the factors affecting family caregiver financial burden of out-of pocket expenses for the nursing home service under Long-term Care Insurance System. We conducted a national cross-sectional descriptive survey from July to September 2010 to collect data based on the long-term care benefits cost specification. Total 1,016 family caregivers completed questionnaires. 185 subjects of total were excluded from the data analysis due to being answered by user(18 cases), or caregivers not to pay for services expenditures(122 cases), having a missing data on family caregivers characteristics(45 cases). Finally, 831 subjects were included in the study. The average financial burden was 3.18(${\pm}0.71$). We divided subjects into two groups by level of burden, high-burden group and low-burden group. In the result of the multiple logistic regression analysis, family caregiver financial burden was significantly higher in family caregivers with ages 40 to 49 compared to less than 40, lower educational level, unsatisfaction for long-term care service, high percentage(more than 50%) of cost-sharing and high total out-of pocket expenses(more than 300,000 won) for long-term care services. Also, Family caregivers who are spouse felt higher financial burden compared to son. This study is meaningful as the first attempt to measure family caregiver financial burden for long-term care service and to identify factors affecting the financial burden. Family caregivers felt financial burden of out-of pocket expenses for the nursing home service. The policy makers, the insurer, and the providers need to pay attention to ease family caregiver financial burden.

• 한국병원경영학회지
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• 제22권4호
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• pp.61-73
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• 2017

In the Health Insurance System of South Korea, patients must pay high out-of-pocket expenditures for the medical service by uninsured medical benefits. So, the government implemented a policy to relieve the burdens of patients by lowering the uninsured selective-medical treatment costs in August, 2014. This study investigate the policy effects of selective-medical treatment(SMT) on the medical service's usage and cost with severe lung cancer patients. The patients are selected in one university hospital(with 1,000 beds), between one year before and after policy implementation. The study find that the usages of outpatient(visit number) and inpatient (length of stay) are not changed by statistically significant. It means that there are no effect in medical service behavior between before and after the policy. In medical expenses, outpatients decreased in their out-of-pocket payments by policy, but total medical expenses and insured medical benefits is not changed, because of the increased another medical insurance fees. For inpatient, although the SMT costs are statistically significant decrease, the total out-of-pocket payments and insured medical expenses are not changed statistically significant. Those findings show that the political decision making about SMT made lowing the selective-medical expenses, but total insured cost and patient's out-of pocket money were not changed by the new increased medical insurance fees. It means that the policy about SMT gave no particular benefit for patients. So, it need another benefit plans to lower the medical expenses of severe lung cancer patients with a high medical service usage and much total medical expense.

• 한국도서관정보학회지
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• 제53권4호
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• pp.101-121
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• 2022

본 연구는 국립세종도서관의 현재 서비스인 정책정보포털(POINT)에서 향후 제공할 신정부의 120대 국정과제서비스의 확장 및 개발을 위해 수행되었다. 이를 위해 정부부처 공무원 및 정책 연구원 등을 대상으로 국정과제 희망정보자료와 서비스 요구사항, 제공을 필요로 하는 정보, 역점사항 등에 대한 설문조사와 심층면담을 진행하였다. 설문조사와 심층면담 분석결과를 통해 향후 정책정보포털(POINT)의 국정과제 서비스 지원 시 고려해야 할 방향 등을 제시했다. 분석결과 현 정책정보포털 서비스 이용이 저조한 것으로 나타났으며 정보접근의 개선, 통합검색, 정보제공 자료의 확대등이 더욱 필요한 것으로 조사되었다. 국정과제 서비스 제공 활성화를 위한 방향으로 다양한 정보를 종합적으로 제공하는 원스톱 서비스 구현, 과제별 연관자료의 체계적 정보 제공, 해외 동향 관련 자료, 핵심서비스 제공, 재가공자료 제공, 홍보 활성화, 다양한 정부부처 및 연구기관과의 협력 강화를 통한 자료 연계, 편리한 자료제공 방식, 일반시민들도 쉽게 접근할 수 있는 정보제공 및 메뉴 구성 등이 필요함을 제안하였다.

• STI Policy Review
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• 제2권2호
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• pp.1-9
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• 2011

Innovation Policy has evolved to solve social problems through technological innovation. Industrial innovation policy promotes technological innovation so that it consolidates industrial competitiveness and aims at economic growth; however, societal innovation policy promotes technological innovation in the social service domain to improve the quality of life and strengthen sustainability. A different policy regime is required because the objectives and directions of societal innovation policy are different from those of industrial innovation policy. This report consolidates the concepts and characteristics of societal innovation policy that suggest policy options.