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청구 자료를 활용한 A보험사의 건강보험상품 위험요인 비교 연구
신은규 ( Eun Kyu Shine ),정기택 ( Ki Taig Jung ) 경희대학교 경영연구원 2013 의료경영학연구 Vol.7 No.4
The purpose of this study is for analyzing utilization of each individual insurer at health care insurance market through risk equalization for expenditure spending risk of the people. This study considered cases of netherlands about Risk Equalization to help understanding of risk equalization introduction. To know what is the closest correlation between variables for estimating expenditure spending risk and healthcare expenditure, this study analyzed data of indemnity private health care insurance. The result of this study presents that every utilization of Insurer about risk equalization is different in the case of considering reality that insurers feel more delicately than government or central agency operating risk equalization fund in the whole health care insurance system. This study suggest that risk equalization introduction could bring every insurer utilization of incentives`s deduction for selection is high and efficient incentives for expenditure saving is low on the competitive health care insurance market. Therefore, this study is valuable that risk equalization is analyzed in Korea for the first time before enrolling risk equalization policy, and expectable to do an important role of health care reform process.
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병원도산분석에 기초한 효율적인 병원지원방안에 관한 연구
정기택,이훈영 한국병원경영학회 1999 병원경영학회지 Vol.4 No.2
This study used the Data Envelopment Analysis, a mathematical linear programming method, to evaluate cost efficiency of hospitals in Korea. DEA method was applied to 244 hospitals : 31 bankrupt hospitals and 213 survived hospitals. Among the 213 sound hospitals, 11 hospitals showed efficiency score 100, but more than 40 hospitals recorded efficiency scores lower than 60. This result implies that more hospitals can be bankrupt in the restructuring process of the industry within 1-2 years. Among the 31 bankrupt hospitals, the highest technical efficiency score was 0.821 and 11 hospitals showed technical efficiency lower than 0.6. This implies that selective financial support based on cost efficiency by the government will be valuable to prevent bankruptcy of these hospitals. The logistic analysis showed statistically significant relationship between bankruptcy and efficiency of hospitals in Korea.
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오승원,정기택,박지령 大韓産業醫學會 2007 대한직업환경의학회지 Vol.19 No.4
Objectives: This study sought to provide evidence for the relationship between health risks and self-reported absenteeism and presenteeism. Methods: A cross-sectional analysis of 496 employees of an electric company was conducted. Participants responded to a self-questionnaire including the assessment of 7 health risks (obesity, current smoking, problem drinking, lack of exercise, chronic disease, depressive mood, high stress) and the Work Productivity and Activity Impairment - General Health Questionnaire (WPAI-GH). Logistic regression analyses were used to determine the significance of health risks on work impairment. Results: As a result of the analysis of all the participants, problem drinking (absenteeism) and high stress (absenteeism and presenteeism) were significantly associated with work impairment. In the analysis of a sub-group, current smoking (Presenteeism), lack of exercise(absenteeism), and high stress (Presenteeism and absenteeism) were significantly associated with reduced productivity among the blue-collar workers. However, the analysis of the white-collar workers showed no significant relationship between health risks and work impairment. Conclusions: This investigation suggests that employees who have more health risks will experience more absenteeism and presenteeism than employees with fewer risks, and this association is affected by employment type. 목적: 일개 사업장 근로자를 대상으로 건강위험요인과 결근율,프라젠티즘의 관련성을 알아보는 데 있다. 방법: 일개 사업장 근로자들을 대상으로 자가 기입을 통한 설문조사를 시행하였다. 설문을 제출한 대상자의 수는 총 553명이었으며 변수가 누락된 경우와 결과에 영향을 줄 수 있는 질병을 가진 경우를 제외하고 최종 분석에 포함된 대상자는 496명이었다. 비만,만성질환,현재흡연,문제음주,운동부족,우울상태,고스트레스 등 총 7개의 건강위험요인과 WPAI-GH (Work Productivity and the Impairment-General Health)를 이용한 결근율,프리젠티즘 정도의 관련성을 로지스틱 회귀분석을 이용해 분석하였다. 분석과정에서 성별,연령,학력,월 평균소득,결혼상태 등의 사회경제상태와 근무기간,직무 종류,직위 등의 근무상대를 보정하였다. 결과: 전체 연구 대상자의 경우 문제음주는 결근율 (WPAI-GH)에 대해 통계적으로 유의한 관련성이 있었으며(OR 2.12. p-value=0.038),고스트레스는 세 가지 종속변수에 대해 모두 통계적으로 유의한 관련성을 보였다. 직무별 분석을 시행한 결과,생산직에서 현재흡연은 프라젠티즘(WPAI-GH)에 대해 유의한 관련성을 보였으며(OR 1.79, p-value=O.029) 운동부족은 결근율(1 year)과 유의한 관련성을 보였다(OR 1.87,p-value=0.038) 고스트레스는 결근율과 프리젠티즘 모두에 대해 유의한 관련성을 보였다. 하지만 관리직에서는 각각의 건강위험요인과 종속변수 간에 통계적으로 유의한 관련성을 찾을 수 없었다. 결론: 본 연구 결과는 금연,금주,신체활동에 대한 교육,스트레스 관리 등 건강위험요인 관리를 통해 근로자의 결근율과 프라젠티즘을 줄일 수 있으며,건강위험요인 관리에 있어 위험요인별, 직무별 차별화가 필요함을 시사 한다.
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