• Title/Summary/Keyword: uninsured cost

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A Study on Quantitative Estimation of Uninsured Cost (비보험비용의 정량적 산출방안에 관한 연구)

  • Lee, Tae-Yeong;Lee, Jong-Bin;Chang, Seong-Rok
    • Journal of the Korean Society of Safety
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    • v.24 no.5
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    • pp.69-76
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    • 2009
  • The estimation of costs from industrial accidents is very important because they have a serious effect on individuals, companies, and nation. The department of labor estimates the cost of accidents by using the "Heinrich" method. From that method, the scale of accident cost can be approximately computed, but accurate calculation of uninsured cost is not easy. Therefore, a better method of calculating uninsured cost caused by industrial accident is necessary. This study aimed to construct an estimation method of uninsured cost according to domestic circumstances. The results of this study are as follows: (1) This study derived applicable factors for quantitative estimation of industrial accident cost (2) This study made the equation that the calculation of each item of uninsured cost was possible (3) This study applied the uninsured cost by degrees of disaster to individual items (4) The subjects and types of occurrence in uninsured cost were analyzed and presented. Theses results will provide a basis for further researchers of uninsured cost.

A Study on the Importance of Uninsured (Indirect) Cost Item of Workplace Accidents

  • Jung, Cecil;Baek, Jong-Bae
    • Korean Chemical Engineering Research
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    • v.55 no.4
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    • pp.497-502
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    • 2017
  • Estimation of accident cost is a sound and great safety indicator on determining accurate occupational safety and health prevention. Just like in Korea, Heinrich ratio analysis of (1:4) between direct and indirect costs has been become widely used in safety management because of its simplicity. In this study four major categories of uninsured (indirect) cost items and 18 sub-categories of uninsured (indirect) cost items were identified. To determine and validate the importance and necessity of the results of a literature review an expert or professional surveyed had been analyses using the SPSS 18.0, where in the participants whose expertize is in the field of compensation and safety. Based on the results of survey all participants all uninsured (indirect) cost items classified was important and necessary when accidents occurred. Despite recognition of expert on the classification of uninsured (indirect) cost items, it is quite difficult to make generalization for all kind of costs in occupational accident case due to different nature of business for each industry.

Development of System for Assessment of Uninsured Costs (비보험비용 산정 System 개발에 관한 연구)

  • Lee, Tae-Yeong;Lee, Jong-Bin;Chang, Seong-Rok
    • Journal of the Korean Society of Safety
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    • v.25 no.4
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    • pp.84-89
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    • 2010
  • In Korea, the method of assessing uninsured costs is not adopted in a direct way, but in an indirect way on the basis of the insured cost. From this method, the cost of accidents can be approximately calculated, but accurate calculation of uninsured costs is not easy. Therefore, a better method of assessing uninsured costs caused by industrial accidents is necessary. In this study, the system program and database for assessing uninsured costs from industrial accidents were developed on the basis of the results of previous studies. This program and database could quantitatively assess uninsured costs more accurately and quickly than other studies. This system would contribute to the efficient analysis of industrial accident costs.

A Study on Development of Simple System for Assessment of Uninsured Cost (비보험비용 산정을 위한 Simple System 개발에 관한 연구)

  • Lee, Jong-Bin;Lee, Tae-Yeong;Chang, Seong-Rok
    • Journal of the Korean Society of Safety
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    • v.26 no.4
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    • pp.96-101
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    • 2011
  • In previous studies, a system was developed for classifying items of uninsured cost and for generating factors and formulas by item for calculating accident loss costs. However, the loss cost of stopped production was not considered when the system was being developed. In addition, the system which was developed in previous studies had problems such as input error and data collection, owing to numerous input items. Therefore, this study developed a Revised system which considers the loss cost of stopped production, and a Simple system for improving the problems in input errors and data collection. In this study, unquantifiable factors were not considered. Further study that takes these factors into consideration is necessary.

A Study on Korean Oriental Medical Doctors' Use of Uninsured Herbal Extracts and How to Promote the Insurance Coverage of Such Herbal Extracts (한의사의 복합과립제 사용 실태 조사 및 복합과립제 건강보험 급여 시행방안에 대한 연구)

  • Son, Chi-Hyoung;Kim, Yong-Ho;Lim, Sabina
    • The Journal of Korean Medicine
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    • v.30 no.4
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    • pp.64-78
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    • 2009
  • Objectives: To research Korean oriental medical doctors' use of uninsured herbal extracts and how to bring about the insurance coverage of such herbal extracts. Methods: We surveyed Korean oriental doctors about the following issues from October 17th to November 15th, 2008: (1) Korean oriental medical doctors' knowledge about herbal extract insurance and the circumstances of oriental medicine in Korea, (2) their opinion on the coverage of currently uninsured herbal extracts and the dispensing of herbal extracts from pharmacies rather than from their clinics, (3) their use of herbal extracts, and (4) how to bring about insurance coverage of uninsured herbal extracts. Results: Over 70% of the respondents said that herbal medicine prescriptions have been reduced recently and that the existence of herbal medicine is in danger. In addition, 63.64% respondents agreed with expanding insurance coverage to include currently uninsured herbal extracts in spite of the fact that patients might have to obtain herbal extracts from pharmacies rather than from Korean oriental medical clinics. The average patient number per month of uninsured herbal extracts was 13.64 people, the average dosage was 5.64g, the average cost per day was 3,859 won, and the average prescription period was 2.65 days. Korean oriental medical doctors asked an average of 12,486 won for the medical examination-prescription fee and 3,292 won in fees for prescriptions obtained outside the hospital. If insurance coverage expands to include these herbal extracts, their usage is expected to increase 2.31 times. Conclusions: This study shows Korean oriental medical doctors' use of herbal extracts and their opinions about execution of herbal extracts' insurance. A periodic study such as this one will hopefully aid in establishing polices for uninsured herbal extracts' insurance.

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An Analysis of Safety Control Effectiveness in Construction (건설업 안전관리 효과분석에 관한 실증적 연구)

  • 갈원모;손기상;채준석
    • Journal of the Korean Society of Safety
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    • v.11 no.1
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    • pp.121-128
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    • 1996
  • Estimating the cost of injuries and "accidents" to an organization is very important to figure out about how much well each organization has run his company and how much efficiently he has got the results using a certain amount of the expense for safety. Despite the potential usefulness to management of information as to the cost of a company's "accidents", it is not customary accounting practice to make these data available. Of the two general kinds of costs forced on a company by its occupational injuries and "accidents", the insurance cost and uninsured cost, -the former is by far the easier to find out. But actually, this uninsured cost should be figured out at each company. Authors have designed the generalized model to figure out the above problem costs to establish its efficient safety control. One construction company has been a pilot for this study. It is found that efficient safety control cost should be 1.2%~l.3% of total selling amount by analyzing actual data for three years.g actual data for three years.

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A Study on the Classification of Uninsured Cost Occurrence (비보험비용의 발생 단계 분류에 관한 연구)

  • Lee, Tae-Yeong;Lee, Jong-Bin;Chang, Seong-Rok
    • Journal of the Korean Society of Safety
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    • v.23 no.6
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    • pp.158-163
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    • 2008
  • Although prior researches have been investigated the impact of insured cost(direct cost) on employers and employees, little work has attempted to categorize the items of unsecured cost(indirect cost) by accidents. On this basis, the goal of this study was to achieve a better understanding of the nature of accident cost of unsecured cost. Specifically, this study aimed to categorize the unsecured cost items according to the domestic industry circumstances and use these results for a basis of other accident cost related studies. The results of this study are as follows: (1) accident development steps were categorized as twelve items for improved management according to each step of accident development (2) the points of occurrence and termination of the unsecured cost were identified for the improved management according to each step of accident development and (3) characteristics of each item in unsecured cost were studied and identified for a better control of accident costs. These results provide a basis for further researches on the unsecured cost.

An Analysis of Influential Factors and their Prioritization in Association with the Loss from Construction Disasters with a Focus on Uninsured Categories (건설재해손실 영향요인 및 우선순위 분석 - 비보험비용 항목을 중심으로 -)

  • Yang, Yong Koo;Kim, Byung Suk
    • Journal of the Korea Safety Management & Science
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    • v.16 no.3
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    • pp.23-34
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    • 2014
  • With a view to analyzing the influential factors and their prioritization in association with the loss from construction disasters, this study has presented relative weighted value and importance for each category of loss by making a systematic classification of costs for non-insured categories (indirect costs) and conducting AHP analysis based on results of a survey of specialists. Through the study, first, I have divided the larger classification of loss factors into human loss factor, financial loss factor, special cost factor, and managerial loss factor, and, second, have presented prioritization of loss categories by allotting scores based on weighted values after calculating weighted value through pairwise comparison of loss levels. Based on these results of the study, we should be able to qualitatively calculate the loss costs that construction disasters inflict on business, promote rational decision-making and efficiency in spending related to a disaster, and compare it against safety investment designed to reduce disaster loss from the perspective of business strategy.

Determinants analysis of uninsured herbal medicine utilization in the Korean Medicine outpatient service (한의 외래에서 첩약을 포함한 비급여 조제 한약 이용결정요인 분석)

  • Kim, Dongsu;Kim, Hyunmin;Lim, Byungmook
    • Journal of Society of Preventive Korean Medicine
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    • v.22 no.1
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    • pp.1-14
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    • 2018
  • Objectives : This study aimed to analyze the characteristics of uninsured herbal medicine(UHM) users and the economic and social barriers of UHM utilization. Methods : We used the Korea Health Panel Data, representative national survey on medical utilization and cost, provided by National Health Insurance Service and Korea Institiute of Health and Social Affairs. The frequency analysis was used to identify the characteristics of the respondents, and the cross-analysis (${\chi}^2-test$) was used to verify the relationship between their characteristics and the usage of UHM. In order to analyze the determinants of using the UHM considering the individual's characteristics, logistic regression analysis and multiple regression analysis were conducted for those who used the Korean medicine (KM) outpatient service in 2015. Results : The usage of UHM was significantly lower for those (1) who's age of 20 to 65; (2) who have the university or higher education degree; (3) who live in Jeju province, and (4) who bought the herbal medicine for other health related purposes. On the other hand, the usage of UHM for those (1) who have the first quintile of household income; (2) who have the chronic respiratory disease; (3) who have been taking the medicine for health promotion purpose for more than 3 months and (4) who have purchased the food which has health promotion function was significantly higher than others. The patients who have chronic musculoskeletal diseases accounted the most among the UHM users. Conclusions : There was the considerable inequality in the usage of UHM among household income groups, which provides policy rationale for UHM to be covered by national health insurance. To facilitate the coverage expansion, restrictive covering model can be considered for children and adolescents, or for patients with muskuloskeletal diseases who have the high demand for UHM.

The Effects of Changed Selective Treatment System on Medical Service Usage and Payments for Lung Cancer Patients (선택진료제도 개선이 폐암환자 의료이용 및 본인부담액에 미치는 영향)

  • Jeon, Insook;Lee, Haejong
    • Korea Journal of Hospital Management
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    • v.22 no.4
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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.