• Title/Summary/Keyword: sharing expenses

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Cost Sharing System of Oriental Medical Services in the National Health Insurance (한방의료의 건강보험 본인부담 실태분석)

  • Byun, Jin-Seok;Lee, Sun-Dong;Yoo, Wang-Keun;Kim, Jin-Hyun
    • Journal of Society of Preventive Korean Medicine
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    • v.10 no.2
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    • pp.95-120
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    • 2006
  • The purpose of this paper is to investigate the structure of cost-sharing for oriental medical services in the national health insurance. Out-of-pocket payment in ambulatory oriental medical care is a co-payment of KRW3,000 up to total expenses of KRW15,000, and co-insurance rate of 30% thereafetr. The empirical analysis based on medial claims data shows that the frequency of medical claims for outpatient care are mostly concentrated just below a total expenses of KRW15,000, and it decreases beyond a total expense of KRW15,000, while it rebounds between KRW17,000${\sim}$20,000. This means the current co-payment(KRW3,000) in oriental medical services should be applied up to a total payment of KRW17,000${\sim}$20,000, or the level of co-payment should be adjusted upward to KRW45,000 in order to be consistent in cost-sharing, between co-payment and co-insurance.

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Magnitude of Patient's Cost-sharing for Hospital Services in the National Health Insurance in Korea (의료보험 환자가 병원진료시 부담하는 본인부담 크기)

  • 김창엽;이진석;강길원;김용익
    • Health Policy and Management
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    • v.9 no.4
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    • pp.1-14
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    • 1999
  • The purpose of this study was to estimate the magnitude of patient's actual cost-sharing for hospital services in the National Health Insurance which has been estimated with only a few hospitals or limited number of patients. Also we aimed at analysis of factors influencing the magnitude. Sources of analyzed data were two databases. 1997 medical benefits record of the National Federation of Medical Insurance and 1997 Statistics for Hospital Management from the Korea Institute of Health Services Management(KIHM). We merged two databases and related records for 224 hospitals. based on the identification details of each hospital. The average percent of patients' cost-sharing was 51.7% of total hospital revenues from the insurance. with 40.3% of revenue in inpatient and 67.4% in outpatient. respectively. The contributing hospital factors to the magnitude of cost-sharing were size of hospitals. teaching status. location. number of employed physicians. etc. Larger and university hospital. urban location. and with more physicians were positively correlated with higher level of cost-sharing. Additionally, the higher the expenses of inpatient's treatment was, the higher the size of patient's cost-sharing was. These findings suggest that present level of patients' cost-sharing is quitely high and it is urgent to reduce the patient's cost-sharing to the reasonable level. It would be necessary to extend the coverage of insurance benefits and to develop policies focusing on larger hospitals and inpatient services.

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Factors Related to Family Caregiver Financial Burden of Out-Of Pocket Expenses for the Nursing home service under Long-term Care Insurance System (노인장기요양보험 시설서비스 본인부담금에 대한 가족수발자의 경제적 부담감 영향요인)

  • Han, Eun-Jeong;Lee, Jung-Suk;Kwon, Jinhee
    • Health Policy and Management
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    • v.22 no.3
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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.

A STUDY ON THE PREREQUISITE LEARNING THROUGH COOPERATIVE LEARNING

  • Oh, Hyeyoung
    • Korean Journal of Mathematics
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    • v.20 no.4
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    • pp.463-475
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    • 2012
  • Cooperation is an essential element in mathematics education with independence. We observe cooperative learning and apply it to the education spot. We conducted cooperative learning experiment with students who were not ready for the prerequisite learning of college mathematics. We try to make up the prerequisite learning through collaborative learning to them. We discuss how cooperative learning affects the students who were not ready for the prerequisite learning of college mathematics.

A Clinical History Recording Management Scheme on the Multimedia Telemedicine

  • Kim Seok-Soo
    • Journal of information and communication convergence engineering
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    • v.2 no.3
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    • pp.157-160
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    • 2004
  • The paper's suggestion is about hereditary facts between family members. Diagnosing patients from the point of patients temporary conditions, and so performing primitive examinations and treatments, can lead not only to frequent wrong diagnoses, and to huge medical expenses and times to the patients, but even to critical situation of patients or taking lives away. As a means to cut these cases down to a minimum, sharing medical treatment information between family members is suggested. This approach makes possible understanding physical constitution and environment between family members, and can result in bringing a faster treatment effect if some family member suffers from a similar disease. This approach, since a participation in a family membership effectuates all of family members, can minimize the membership fees, thus enabling inter-family health care on a home doctor basis.

Female Workers' Stress from Nurturing with Preschool Children (미취학자녀를 둔 여성 임금근로자의 양육스트레스)

  • Im, Jong-Ho
    • The Journal of the Korea Contents Association
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    • v.14 no.5
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    • pp.132-143
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    • 2014
  • This study discusses factors that affect on female workers' stress from nurturing. Referring to the first research (2008) and the second research (2009) of KLoWF, the study analyzed the data of 218 female workers with one or more preschool children. The results from the analysis are as the following. First, the female workers who acknowledge her image as a traditional woman are more likely to be exposed to greater stress. Therefore, now working mothers need to free themselves from the traditional idea. Second, since it was clearly observed that husbands' who share family responsibilities has a significant impact on women's stress from nurturing, a new focus should be on the effectiveness of husband's sharing of family responsibilities, whereas it has been mainly focused on education of working mothers. Third, considering the result that nurturing expense variable showed a significant statistics, there is a desperate need of a political task to support nurturing expenses.

A Study on Introduction and Activation Plan of P2P Car Sharing -For the Apartment Complex in Seoul- (P2P 카셰어링 도입 및 활성화 방안 연구 -서울시 아파트 단지를 대상으로-)

  • Jang, Jun-Seok;Rho, Jeong-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.2
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    • pp.47-60
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    • 2017
  • Car sharing, which is considered as a good example of innovation in the transportation sector, is a type of use in which a plurality of people share a single vehicle for a short period of time. It is divided into various types, NFP (Not For Profit) operated by a non-profit organization, B2C (Business to Customer), which is operated by a company, and Peer to Peer (P2P), which is directly connected to an individual. Among them, P2P car sharing is a method of sharing personal vehicles owned by individuals. It has the merit of reducing traffic congestion and providing for efficient traffic demand management by reducing the purchase rate of additional vehicles and minimizing the number of idle ones. This study examines the introduction of P2P car sharing in order to develop a traffic demand management policy and facilitate the transition to a sustainable transportation system. The spatial extent of the study consisted of apartment complexes in Seoul. In apartment complexes, it is possible to minimize the level of expenditure, such as operating expenses, by utilizing the APT management office and there is no difficulty in securing the necessary parking space. Therefore, apartment complexes were selected as the spatial range.

The Effect of Private Health Insurance on the Subjective Burden of Medical Expenses (민간의료보험 가입 여부가 본인부담 진료비의 주관적 부담 수준에 미치는 영향)

  • Hong, Jin Hyuk;Noh, Jin-Won;Park, Kisoo;Lee, Yejin;Kwon, Young Dae
    • The Journal of the Korea Contents Association
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    • v.17 no.6
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    • pp.63-70
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    • 2017
  • Although the National Health Insurance, many people sign up for private health insurance to alleviate their financial burden. In this study, we analyzed the relationship between private health insurance and subjective financial burden about cost sharing. To confirm the effect we conducted the binary logistic regression by utilizing the Health Care Policy related to public survey. The private health insurance have a significantly association with the subjective financial burden about cost sharing. People who uninsured to purchase private health insurance were more likely to have the burden. Therefore, given the low participation rate of private medical insurance for high age and low income group, we suggest the need for redefining the role of private insurance to enhance the function and resolve equity issues to prepare for the burden.

A Study on Efficient Integrated Kitchen Management of Restaurant (외식업체 통합주방의 효율적인 운영관리에 관한 연구 -통합주방의 중앙공급에 따른 효율화 사례중심으로-)

  • 박종훈;조용범
    • Culinary science and hospitality research
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    • v.9 no.4
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    • pp.54-68
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    • 2003
  • This study aims at efficiency of kitchen management by adoption of a systematic central kitchen and conversion of conventional kitchen to convenience kitchen at ' H ' restaurant. First, integrated menu control of banquet buffet functions became more competitive with quality menu and eventually brought about guests satisfaction. Second, systematic central kitchen made possible standardization and mass production through simplified production line. Efficiency through quick service and shortened preparation time was realized, and food materials were recycled effectively at the same time. Integrated ordering lowered purchasing price and built an efficient cost control system. Third, conversion of conventional kitchen to convenience kitchen and strengthened central kitchen system facilitated agreeable work conditions and optimal work flow with butcher's and even sauce making utensils. Fourth, integrated supply system of buffet menu and sauce from western restaurants saved about 520 million won of labor costs. Last, one integrated kitchen out of two was easier in sanitation control with pleasant restaurant space. Sharing kitchen facilities and equipments also saved about 30% of maintenance fee. Power, water, and gas were also saved and eventually curtailed overall expenses.

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A Negotiation Method Based on Opportunity Cost in the Trucking Cargo Transportation Market (육상화물운송시장에서 기회비용을 고려한 협상방법론 연구)

  • Kim, Hyun-Soo;Cho, Jae-Hyung
    • The Journal of Information Systems
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    • v.21 no.3
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    • pp.99-116
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    • 2012
  • As a way to allocate lots of orders to many participants for vehicle allocation problem, this study has used an agent negotiation based reverse auction model. This agent negotiation provides coordination functions allowing all participants to make a profit, and accomplishing Pareto optimum solution from the viewpoint of a whole trucking cargo transportation network. In order to build a strategic cooperation relationship based on information sharing, this agent negotiation provides a coordination mechanism in which all the participants including consignors, brokerage firms, and car owners are able to attain their own profits, and also that ensure a competitive market. This study has tried to prove that the result of an agent-based negotiation is the Pareto optimal solution under the present market environment. We established a mathematical formulation for a comparison with the Integer Programming model, and analysing e-Marketplace, structure of shipping expenses and brokerage system in the trucking cargo transportation industry.