• Title/Summary/Keyword: support fee

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Analysis of Influencing Factors on Hourly Course Fee in Vocational Competency Development Course (직업능력개발훈련과정의 시간당 수강료 영향 요인 분석)

  • Choi, Youngsup
    • Journal of Practical Engineering Education
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    • v.11 no.2
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    • pp.239-249
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    • 2019
  • Currently financial support for vocational skills development training is provided based on the NCS standard unit price set according to the NCS occupational classification. Such a standard unit price system has the advantage of reducing administrative burdens required in managing the training levy-grant system. In this paper, it is pointed out that current unit price system may distort the social integration function of vocational training policy as it is based on the tuition fees of training course. As a basis for finding a more appropriate financial support system, we analyzed what factors are influencing the training course fees set by training institutions. As a result, it was confirmed that the monopolistic nature of the training courses or the high level of willingness of pay of training participants influenced the training course fees. Therefore, the necessity of removing the influence of such factors from unit price system was suggested so as that the training policy contributes to the social integration. Furthermore, it is required to establish new support criteria centered on the government's policy judgment if the training costs of all training courses cannot be exactly estimated.

Analysis on the current status of clinical practice and training in dental hygiene students (치위생학 임상실습교육 현황 분석)

  • Won, Bok-Yeon;Jang, Gye-Won;Hwang, Mi-Yeong;Jang, Jong-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.6
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    • pp.993-1007
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    • 2016
  • Objectives: The purpose of the study was to review the current status of clinical practice and training in dental hygiene in hospitals and clinics for the students. Methods: A self-reported questionnaire was completed by 80 dental hospitals and clinics from August 8 to September 12, 2016. Except incomplete answers, 211 copies were retrieved and analyzed. The questionnaire consisted of general characteristics of the subjects (6 items), present condition of clinical education (7 items), support policy and facilities (8 items), teaching personnel (6 items), improvement direction (3 items), and general considerations (3 items). Results: The annual practice time for students was 8.4 weeks. The average number of students per each practice institution was 5.95. The evaluation of the clinical practice period was rated as 'average' by 55.3% of the respondents, while 65.4% preferred the current duration of the practice. Meanwhile, 33.0% of the respondents wanted to increase the practice period. In clinical training education support, 62.3% of the hospitals had a person in charge, 79.2% of the hospitals and clinics had a operative procedure, appointed staff and a department for student practice. But 86.5% of the hospitals did not have standards for the budget for practice and instruction fee. In the personnel for clinical training, 52.6% said they were dental hygienists. In 87.1%, the practice instruction conducted by professors was done through communication with the hospital or clinic, while the man-to-man practice instruction was 8.6%. Conclusions: It is necessary to improve the process and operation method of dental hygiene clinical training. In order to make clinical training meet education goals, a standardized set of criteria is needed to support training education and guidelines for instructors and students.

A Comparative Study on the Financial Index of Hospital in accordance with the Weight of Medical Treatment Fee for the Rehabilitative Medicine Department (재활의학과 진료비 비중에 따른 병원 재무지표 비교연구)

  • Oh, Chang Seok;Jung, Cu Jin;Park, Bo Kyung;Bae, Sung Kwon
    • The Korean Journal of Health Service Management
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    • v.1 no.1
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    • pp.125-137
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    • 2007
  • The current hospital industry is showing relatively low profitability in comparison with other industries due to the low medical fees and high costs. Therefore, our government presented the direction of improvement through model execution and support of the specialized hospitals. However, it is estimated that the specialized hospitals also will show differentiated management performances in accordance with their specialized fields due to the characteristics of medical treatment. Therefore, this study had attempted an analysis on the financial index in accordance with the weight of medical treatment items for the rehabilitative medicine department among the whole hospital groups through getting out of analyzing financial indices of individual hospitals centered at their costs. For this p개pose, this study had carried out its research by partially reciting the study on the plan for utilizing participations of private health resources to expand rehabilitative medicine services into the private people of the Korea Health Industry Development Institute(KHIDI). As its results, it was shown that the stability, profitability, activity and productivity of hospitals with high weight of medical treatment for the rehabilitative medicine department were lower than those for the general hospitals. To support smooth operations of these hospitals 'with high weight of medical treatment for the rehabilitative medicine department or of specialized rehabilitation hospitals, it is judged that the plan such as the support for hospital management fund and the additional recognition on the rehabilitative fees, etc. together with the actualization of medical fees must be provided for the institutions which are providing rehabilitative medical services more than the fixed percentage and being equipped with the sufficient medical equipment and personnel to do them.

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A Study on the Using State of Cremation Facilities in Each Jurisdiction Area and Outside of the Jurisdiction Area Targeting Users of Online Cremation Reservation Service in Funeral Information System in the Capital Area

  • Choi, Jae-sil;Kim, Jeong-lae
    • International journal of advanced smart convergence
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    • v.8 no.2
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    • pp.191-198
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    • 2019
  • On the basis of 2017, the cremation rate in capital area was 89.0% which was much higher than the national average cremation rate(84.6%). Due to the short supply of cremation facilities in accordance with the increased number of cremation cases every year, the demand for cremation from the residents outside of the jurisdiction area with no cremation facilities was increased, so that the residents in the jurisdiction area had difficulties in using the Online Cremation Reservation Service in Funeral Information System. Thus, this study aims to make suggestions for policies as follows.First, on the basis of 2017, the demand-supply rate of cremation facilities in Gyeonggi-do was 139.4%, which means that the demand for cremation largely exceeds the ability to supply cremation. Therefore, first, in the level of Gyeonggi-do, the expanded supply of cremation facilities should be induced by carrying forward policies such as financial support to the basic local governments installing cremation facilities and expansion of incentives support to the residents of regions attracting cremation facilities. Second, it would be necessary for the central government to expansively conduct the support standard price and government subsidy rate(70%) for the new construction of cremation facilities and the establishment of cremation furnaces. Third, there should be some policies to decrease the inflow of residents outside of the jurisdiction area by raising the fee for using cremation facilities outside of the jurisdiction area of Seoul Metropolitan City and also expanding the application of a sliding scale of cremation hours.

Survey on the Needs of Korean Medicine Doctor for Community Care Education Programs (한의약 건강돌봄 교육 프로그램에 대한 한의사 요구도 조사)

  • Jihye Kang;Eunji Ahn;Jihyeon Lee;Dongmin Sung;Yujin Han;Dongsu Kim
    • Journal of Society of Preventive Korean Medicine
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    • v.28 no.1
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    • pp.1-11
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    • 2024
  • Objectives : This study conducted a survey on the needs of Korean medicine doctors for health care education programs specializing in traditional Korean medicine. Methods : The study selected Korean medicine doctors who had experience participating in outpatient consultations. Data collected through surveys underwent frequency analysis on performance, importance, difficulty, and educational needs using SPSS 24.0. Additionally, an Importance-Performance Analysis (IPA) was conducted using importance and performance data. Results : According to the results of the IPA analysis, in the area of "keep up the good work" there were activities such as fee Claims (A3), comprehensive assessment (B4), care plan development (B5), client and caregiver interviews (C8), chronic disease monitoring (C9), musculoskeletal and other pain management, musculoskeletal rehabilitation (C10), mental health management (C11), and fall prevention (C15). In the "concentrate here" priority action area, skin care including pressure sore management (C13) was identified. Conclusions : The traditional Korean medicine community care service is expected to expand further, so it is anticipated that the developed educational programs will contribute to the activation of traditional Korean medicine health care business.

Suggestions for Improvement of Port Charge Discount Policies - focused on Ulsan Port

  • Sangseop Lim;Sang-Mi Im;Seok-Hun Kim
    • Journal of the Korea Society of Computer and Information
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    • v.29 no.3
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    • pp.191-198
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    • 2024
  • Korea is an import and export-oriented economy that relies on shipping transportation, and sea ports play an important role in national economic growth. To secure and maintain the competitiveness of these ports, hardware and software investments are required, but policy support can also be expected to have an effect. This study identified the irrationality of the system by exploratory analysis of the port facility fee discount system for Ulsan Port, an energy hub port, and suggested improvement measures to resolve it.This study analyzed the volume of Ulsan Port and the reduction of port facility usage fees for about 10 years and identified irrational factors that despite a special port for liquid cargo, a considerable reduction for container cargo is concentrated, and even because it was a passing ship, 100% reduction for entrance and clearance fees were provided to them, which could cause serious moral hazard.. As a way to improve the port facility charge discount system at Ulsan Port, this study proposed strengthening support for eco-friendly activities to support containers, adjusting the reduction rate for passing ships, or improving the reduction and exemption application process.

A Study on Differences of Opinions on Home Health Care Program among Physicians, Nurses, Non-medical personnel, and Patients. (가정간호 사업에 대한 의사, 간호사, 진료관련부서 직원 및 환자의 인식 비교)

  • Kim, Y.S.;Lim, Y.S.;Chun, C.Y.;Lee, J.J.;Park, J.W.
    • The Korean Nurse
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    • v.29 no.2
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    • pp.48-65
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    • 1990
  • The government has adopted a policy to introduce Home Health Care Program, and has established a three stage plan to implement it. The three stage plan is : First, to amend Article 54 (Nurses for Different Types of Services) of the Regulations for Implementing the Law of Medical Services; Second, to tryout the new system through pilot projects established in public hospitals and clinics; and third, to implement at all hospitals and equivalent medical institutions. In accordance with the plan, the Regulation has been amend and it was promulgated on January 9,1990, thus establishing a legal ground for implementing the policy. Subsequently, however, the Medical Association raised its objection to the policy, causing a delay in moving into the second stage of the plan. Under these circumstances, a study was conducted by collecting and evaluating the opinions of physicians, nurses, non-medical personnel and patients on the need and expected result from the home health care for the purpose of help facilitating the implementation of the new system. As a result of this study, it was revealed that: 1. Except the physicians, absolute majority of all other three groups - nurses, non-medical personnel and patients -gave positive answers to all 11 items related to the need for establishing a program for Home Health Care. Among the physicians, the opinions on the need for the new services were different depending on their field of specialty, and those who have been treating long term patients were more positive in supporting the new system. 2. The respondents in all four groups held very positive view for the effectiveness and the expected result of the program. The composite total of scores for all of 17 items, however, re-veals that the physicians were least positive for the- effectiveness of the new system. The people in all four groups held high expectation on the system on the ground that: it will help continued medical care after the discharge from hospitals; that it will alleviate physical and economic burden of patient's family; that it will offer nursing services at home for the patients who are suffering from chronic disease, for those early discharge from hospital, or those who are without family members to look after the patients at home. 3. Opinions were different between patients( who will receive services) and nurses (who will provide services) on the types of services home visiting nurses should offer. The patients wanted "education on how to take care patients at home", "making arrangement to be admitted into hospital when need arises", "IV injection", "checking blood pressure", and "administering medications." On the other hand, nurses believed that they can offer all 16 types of services except "Controlling pain of patients", 4. For the question of "what types of patients are suitable for Home Health Care Program; " the physicians, the nurses and non-medical personnel all gave high score on the cases of "patients of chronic disease", "patients of old age", "terminal cases", and the "patients who require long-term stay in hospital". 5. On the question of who should control Home Health Care Program, only physicians proposed that it should be done through hospitals, while remaining three groups recommended that it should be done through public institutions such as public health center. 6. On the question of home health care fee, the respondents in all four groups believed that the most desireable way is to charge a fixed amount of visiting fee plus treatment service fee and cost of material. 7. In the case when the Home Health Care Program is to be operated through hospitals, it is recommended that a new section be created in the out-patient department for an exclusive handling of the services, instead of assigning it to an existing section. 8. For the qualification of the nurses for-home visiting, the majority of respondents recommended that they should be "registered nurses who have had clinical experiences and who have attended training courses for home health care". 9. On the question of if the program should be implemented; 74.0% of physicians, 87.5% of non-medical personnel, and 93.0% of nurses surveyed expressed positive support. 10. Among the respondents, 74.5% of -physicians, 81.3% of non-medical personnel and 90.9% of nurses said that they would refer patients' to home health care. 11. To the question addressed to patients if they would take advantage of home health care; 82.7% said they would if the fee is applicable to the Health Insurance, and 86.9% said they would follow advises of physicians in case they were decided for early discharge from hospitals. 12. While 93.5% of nurses surveyed had heard about the Home Health Care Program, only 38.6% of physicians surveyed, 50.9% of non-medical personnel, and 35.7% of patients surveyed had heard about the program. In view of above findings, the following measures are deemed prerequisite for an effective implementation of Home Health Care Program. 1. The fee for home health care to be included in the public health insurance. 2. Clearly define the types and scope of services to be offered in the Home Health Care Program. 3. Develop special programs for training nurses who will be assigned to the Home Health Care Program. 4. Train those nurses by consigning them at hospitals and educational institutions. 5. Government conducts publicity campaign toward the public and the hospitals so that the hospitals support the program and patients take advantage of them. 6. Systematic and effective publicity and educational programs for home heath care must be developed and exercises for the people of medical professions in hospitals as well as patients and their families. 7. Establish and operate pilot projects for home health care, to evaluate and refine their programs.

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An Exploratory Study of the Effecitve Medical Supports for the Sexual Violence Vvictims: Based on Medical Doctors' Attitudes Toward the Victims, Medical Services Provided and Needs for Medical Supports (성폭력피해자를 위한 의료지원에 대한 전문가의견조사: 경남지역 의사의 성폭력에 대한 태도, 진료실태와 의료지원 필요도를 중심으로)

  • Lee, Myung-Shin;Lee, Gye-Min
    • Korean Journal of Social Welfare
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    • v.61 no.1
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    • pp.263-291
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    • 2009
  • This study aims to explore the possible ways to establish the effective medical supports for the sexual violence victims(svv). Using the data collected from 83 male and female doctors who are interested or involved in providing medical services for the victims, the doctors' attitudes toward the victims, medical services provided, and their needs for the possible medical supports were investigated. For comparison, 3 different groups of doctors were presented. The doctors who had treated svv(type1) seemed to have a difficulty in receiving the fee for the treatment of svv, and to have higher needs for the spermatic(fluid) test as well as the diverse supports for the testimony in courts. The doctors who had no experience of treatment, but were supposed to treat svv(type2) seemed to have negative attitudes toward the victims, and expect more difficulties in treating svv. The doctors of type2 had lower needs for the support for the specialized medical services and assessment of the sexual assault, but higher needs for the testimony supports. The doctors who had no experience of treatment, and were not supposed to treat svv(type3) appeared to have less negative attitudes toward the victims, but more knowledge of law and the community organizations for svv. The type3 doctors seemed to have higher needs for the supports for the specialized medical services, assessment for the sexual assault, and testimony in the courts. Based on the findings, the intervention strategies to create a new effective medical support system for the sexual violence victims were suggested.

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A Study on the Preference of Leisure Facilities in Apartment-Complex (공동주택단지의 여가시설 선호에 관한 연구)

  • Shin, Hwa-Kyoung
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2006.11a
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    • pp.467-471
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    • 2006
  • To design common facilities that support residents' leisure activities is one of the comtemporary issues in Korea. People became interested in the leisure facilities in near-home environments. The purpose of this study was to analyze the uses and needs of leisure facilities of residents living in apartment complexes The questionnaire survey was conducted in the selected apartment complexes, and 676 responses were used for data analysis. The statistical techniques used for data analysis included frequencies, percentage, mean, and $x^2$-test. The major finding were as follows: 1) Subjects needed the diverse leisure facilities such as sports center and resident's self government facilities. And they needed divers facilities for sports. 2) In terms of location, they needed leisure facilities which was closer to their house. 3) It was found that the respondents preferred safe and various leisure facilities, and the leisure facilities were exclusively used for the residents only, and the use by non-residents should be charged at the expense. Also, respondents were willing to pay additional fee for the better quality of leisure facilities, and sports leisure facilities congregated in one building were highly desirable.

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Factors Affecting of Long Term Care Hospital Patient's Intention of Transfer to a Nursing Home (요양병원 입원환자의 요양시설 이동의사에 영향을 미치는 요인)

  • Lee, Ji-Yun;Park, Eun-Gyung
    • Research in Community and Public Health Nursing
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    • v.19 no.2
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    • pp.196-204
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    • 2008
  • Purpose: To examine factors affecting long-term care hospital patients' intention of transfer to a nursing home. Method: A questionnaire survey was conducted in Aug. 2007 that included 655 patients from 49 long-term care hospitals. The survey aimed to assess the patients' health status, family status, cost and intention of transfer to a nursing home. Institutional characteristics were analyzed from the nationwide database of Health Insurance Review & Assessment Service. The affecting factors were examined by employing chi-square test and logistic regression using SAS 8.2. Result: Of the subjects, 32.4% had intention of transfer to a nursing home. The intention of transfer to a nursing home was affected by moderate or severe pain, living together with the primary carer, high cost uncovered by insurance, and recognition of nursing home. Conclusion; For appropriate service utilization. a higher level of care is needed to satisfy patients at nursing homes and a balanced fee schedule is needed between long term care hospitals and nursing homes. It is desirable to encourage transfer to a nursing home at which nurses support patients and their families by giving information, coordination, and to make efforts to establish a reference system.

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