• Title/Summary/Keyword: 비용 추계

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Optimal Nursing Workforce and Financial Cost to Provide Comprehensive Nursing Service in the National Health Insurance System (국민건강보험 간호·간병통합서비스의 전면 도입을 위한 간호인력 및 재정비용 추계)

  • Kim, Jinhyun;Kim, Sung-jae;Lee, Eunhee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.6
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    • pp.119-128
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    • 2017
  • This study estimated the optimal nursing workforce and financial costs of providing comprehensive nursing services at hospitals under the national health insurance system. Data on registered nurses, nursing aids, medical institutions, and number of patients were obtained from the Health Insurance Review and Assessment Service. The optimal size of the nursing workforce was calculated using the workload model. A bottom-up approach was used to estimate the annual total financial cost of comprehensive nursing services. The number of registered nurses and nursing aids would need to be increased by 81.75% and 83.23%, respectively, in order to fully apply comprehensive nursing care on a national scale. The additional financial costs for comprehensive nursing services at all hospitals was estimated to be as much as 110.39% of the current cost. For the comprehensive nursing service, nurses with a career and newcomers need to be retained at their hospitals, and the validity of the nurse-patient ratio should be continuously checked. The financial shock to the national health insurance system could be minimized by gradually extending the system to all hospitals.

A Study on the Effective Economic Appraisal of Port Remodeling Project (항만투자평가 개선방안에 관한 연구 - 항만 리모델링사업을 중심으로 -)

  • Lee, Jin-Woo
    • Journal of Korea Port Economic Association
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    • v.26 no.2
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    • pp.58-81
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    • 2010
  • The economic appraisal of a port remodeling project must be transparent and persuasive to the public over the entire stage of the project. A project evaluator need to be familiar with the guidelines on evaluation, and to do his best to follow the guidelines to evaluate the given project. To make the right decision on investment, the evaluator must take into consideration not only economic efficiency, but also equity issues such as income redistribution and balanced development between regions. Port remodeling projects tend to produce externalities to the environment. However, these externalities are of qualitative nature, and hard to measure in monetary terms, so these are liable to be ignored in the process of project evaluation. Two different approaches - RP(revealed preference) and SP(stated preference) have been tried to assess the value of these non-market goods. Government authorities need to set minimum guidelines which project evaluators must follow in order to make the evaluation more reliable.

Genetic Algorithms for Optimal Augmentation of Water Distribution Networks (유전자 알고리즘을 이용한 배수관망의 최적 확장 설계)

  • Lee, Seung-Cheol;Lee, Sang-Il
    • Journal of Korea Water Resources Association
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    • v.34 no.5
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    • pp.567-575
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    • 2001
  • A methodology is developed for designing the minimum-cost water distribution network. The method is based on network simulations and an optimization scheme using genetic algorithms. Being a stochastic optimization scheme, genetic algorithms have advantages over the conventional search algorithms in solving network problems known for their nonlinearities and herculean computational costs. While existing methods focus on the design of either entirely new or parallel augmentation of network systems, the proposed method can be applied to problems having both new branches of tree-type and paralle augmentation in loops. The applicability of the method was shown through a case study for Baekryeon water supply system. The optimized design resulted in the maximum 5.37% savings compared to the conventional design without optimization, while meeting the hydraulic constraints.

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A Study on Inventory Control of Supply Chain Using Simulation (시뮬레이션을 활용한 공급망 재고 관리 정책 결정에 관한 연구)

  • 박현영;김경섭
    • Proceedings of the Korea Society for Simulation Conference
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    • 2001.05a
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    • pp.142-142
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    • 2001
  • 재고 관리 정책은 크게 정기 점검 재고 정책과 연속 점검 재고 정책의 두 가지로 구분할 수 있다. 정기 점검 재고 정책에는 (R, Q), (R, S), (R, s, S) 등의 재고 정책이 있으며, 연속 재고 점검정책에는 (s, Q), (s, S) 등의 재고 정책이 연구되어 왔다. 공급망 관리는 하나의 기업이 아닌 관련된 모든 기업을 대상으로 하는 기법이며, 급변하는 기업 환경에 적극적으로 대응하고자 많은 기업들이 관심을 기울이고 있는 분야이다. 그리고 공급망 관리의 최종 목적은 고객의 만족도를 최대화시키는 것이다. 일반적으로 재고량과 고객의 만족도는 서로 상반되는 양상을 보인다. 따라서 각 기업에게 있어서 적절한 재고 정책의 수립은 매우 중요한 일이다. 그러나 고객 수요 패턴의 불확실성으로 인하여 공급망의 상위 단계로 갈수록 재고 변동폭이 커지는 양상을 보이는 등 적절한 재고 정책을 수립하는 것은 쉬운 일이 아니다. 더구나 취급 제품이 여러 개일 때는 공급망 전체의 재고 비용을 최소화할 수 있는 각 기업의 최적 재고 정책을 수립하기란 쉽지 않다. 따라서 본 연구는 복수 제품에 대하여 수요 패턴이 불확실한 공급망 모델을 가정하여 전체 공급망의 재고 비용을 최소화할 수 있는 각 기업의 재고 정책을 수립하고자 한다. 추계적인 양상을 보이는 수요 패턴에서 동적 계획법을 이용하여 (s, S) 재고 정책의 적합한 재주문점과 목표 재고점을 찾고, 시뮬레이션을 통해 그 결과를 검증하는 것이 본 연구의 목적이다.

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Discounted Cost Model of Condition-Based Maintenance Regarding Cumulative Damage of Armor Units of Rubble-Mound Breakwaters as a Discrete-Time Stochastic Process (경사제 피복재의 누적피해를 이산시간 확률과정으로 고려한 조건기반 유지관리의 할인비용모형)

  • Lee, Cheol-Eung;Park, Dong-Heon
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.29 no.2
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    • pp.109-120
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    • 2017
  • A discounted cost model for preventive maintenance of armor units of rubble-mound breakwaters is mathematically derived by combining the deterioration model based on a discrete-time stochastic process of shock occurrence with the cost model of renewal process together. The discounted cost model of condition-based maintenance proposed in this paper can take into account the nonlinearity of cumulative damage process as well as the discounting effect of cost. By comparing the present results with the previous other results, the verification is carried out satisfactorily. In addition, it is known from the sensitivity analysis on variables related to the model that the more often preventive maintenance should be implemented, the more crucial the level of importance of system is. However, the tendency is shown in reverse as the interest rate is increased. Meanwhile, the present model has been applied to the armor units of rubble-mound breakwaters. The parameters of damage intensity function have been estimated through the time-dependent prediction of the expected cumulative damage level obtained from the sample path method. In particular, it is confirmed that the shock occurrences can be considered to be a discrete-time stochastic process by investigating the effects of uncertainty of the shock occurrences on the expected cumulative damage level with homogeneous Poisson process and doubly stochastic Poisson process that are the continuous-time stochastic processes. It can be also seen that the stochastic process of cumulative damage would depend directly on the design conditions, thus the preventive maintenance would be varied due to those. Finally, the optimal periods and scale for the preventive maintenance of armor units of rubble-mound breakwaters can be quantitatively determined with the failure limits, the levels of importance of structure, and the interest rates.

Dental implant bottom-up cost analysis (치과 임플란트 상향식(bottom-up) 원가산정)

  • Kim, Min-Young;Choi, Ha-Na;Shin, Ho-Sung
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.1
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    • pp.18-26
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    • 2014
  • Purpose: The purpose of this study was to estimate the cost of dental implant using the bottom-up approach with the current data from dental clinics. Materials and methods: In this study, direct and indirect costs required for each treatment were calculated using the bottom-up approach. In the bottom-up costing, the average monthly total cost of dental clinic includes labor and material costs, administrative expenses, medical malpractice costs, and opportunity costs of invested capital. For the dental implant cost components, those include direct costs (labor costs, laboratory costs, material costs, depreciation or other operating costs), indirect costs (administrative costs), and the opportunity costs of investment for dental clinic. Results: Dental implant costs of metal crown, porcelain crown and over-denture were 1,449,000 won, 1,583,000 won, and 2,471,000 won respectively. The proportion of cost components was as follows. The labor cost were 50%, and material, administrative and other cost were 33%, 15% and 2%, respectively. For direct, indirect and investment cost, the ratio were 83%, 15% and 2%, respectively. Conclusion: The labor costs were evaluated to comprise largest proportion (about 50%, 730,000 won). Dental implant cost using Bottom-up costing was 1,450,000 won for metal crown and 1,580,000 won for porcelain crown.

Socioeconomic Cost of Obesity in Korea (과체중-비만의 사회경제적 비용 추계)

  • Ahn, Byung-Chul;Joung, Hyo-Jee
    • Journal of Nutrition and Health
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    • v.38 no.9
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    • pp.786-792
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    • 2005
  • With dramatic transitions from a traditionally food-insecure to a food-sufficient society, over weight and/or obesity are an increasing health concern in Korea. In 2000, $35.9\%$ of Korean adults were over weight (BMI>25) with increasing trends. It is well known that obesity is highly correlated with chronic diseases, such as diabetes, hypertension, cardiovascular disease, cancer and high cholesterol. In 2003, the social cost of obesity is estimated at $529.5\~799.3$ billion won (direct cost) and at $1,200\~1,817$ billion won (including indirect cost). The share of the direct cost is estimated at $2.6\~3.9\%$ of total medical bill 20,742 billion won. These costs are underestimated and would surely be higher if the expenditures outside of the official medical insurance system of Korea were included. Based on the rapid increase of obesity rate among the Korean youth, it is crucial to develop and implement appropriate policies to curb the obesity epidemic.

Estimating the Alcoholic Intangible Costs and Benefits by use of Demand Curve (수요곡선을 이용한 무형의 음주비용 혜택의 추계)

  • Yoo, Il-Geon;Cho, Sung-Gi
    • IE interfaces
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    • v.18 no.2
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    • pp.126-135
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    • 2005
  • Since the alcohol involves a wide variety of adverse health and social consequences, there is a strong need for improved estimates on economic costs and benefits of alcohol drinking to reduce the social alcohol abuse and to obtain some useful informations for targeting programs. However, there is no research for the intangible costs and benefits so far that are essential to estimate the real overall costs and benefits incurred by alcohol use. Thus this paper finds out and represents a general model for estimating the intangible costs and benefits by use of alcohol demand curve. The calculated monetary values, as a example, of them in 2002 show as big as 7,900 billion won and 4,200 billion won respectively.

Cost Estimation Model for Introduction to Virtual Power Plants in Korea (국내 가상발전소 도입을 위한 비용 추정 모델)

  • Park, Hye-Yeon;Park, Sang-Yoon;Son, Sung-Yong
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.15 no.2
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    • pp.178-188
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    • 2022
  • The introduction of virtual power plants is actively being discussed to solve the problem of grid acceptability caused by the spread of distributed renewable energy, which is the key to achieving carbon neutrality. However, a new business such as virtual power plants is difficult to secure economic feasibility at the initial stage of introduction because it is common that there is no compensation mechanism. Therefore, appropriate support including subsidy is required at the early stage. But, it is generally difficult to obtain the cost model to determine the subsidy level because of the lack of enough data for the new business model. In this study, a survey of domestic experts on the requirements, appropriate scale, and cost required for the introduction of virtual power plants is conducted. First, resource composition scenarios are designed from the survey results to consider the impact of the resource composition on the cost. Then, the cost estimation model is obtained using the individual cost estimation data for their resource compositions using logistic regression analysis. In the case study, appropriate initial subsidy levels are analyzed and compared for the virtual power plants on the scale of 20-500MW. The results show that mid-to-large resource composition cases show 29-51% lower cost than small-to-large resource composition cases.

Optimal Design of Municipal Water Distribution System (관수로 시스템의 최적설계)

  • Ahn, Tae Jin;Park, Jung Eung
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.14 no.6
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    • pp.1375-1383
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    • 1994
  • The water distribution system problem consists of finding a minimum cost system design subject to hydraulic and operational constraints. Since the municipal water distribution system problem is nonconvex with multiple local minima, classical optimization methods find a local optimum. An outer flow search - inner optimization procedure is proposed for choosing a better local minimum for the water distribution systems. The pipe network is judiciously subjected to the outer search scheme which chooses alternative flow configurations to find an optimal flow division among pipes. Because the problem is nonconvex, a global search scheme called Stochastic Probing method is employed to permit a local optimum seeking method to migrate among various local minima. A local minimizer is employed for the design of least cost diameters for pipes in the network. The algorithm can also be employed for optimal design of parallel expansion of existing networks. In this paper one municipal water distribution system is considered. The optimal solutions thus found have significantly smaller costs than the ones reported previously by other researchers.

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