• Title/Summary/Keyword: 재원일

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The Development of Convergence Optimized LOS Management System (융복합 맞춤형 재원일수 관리 시스템 개발)

  • Choi, Youn-Hee;Kim, Yun-Jin
    • Journal of Digital Convergence
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    • v.15 no.2
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    • pp.273-283
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    • 2017
  • This study aims to develop a convergence optimized LOS(Length of Stay) management system that can provide efficient by predicting LOS on outpatient information for inducing the LOS to manage their own activities. web program has been implemented to comput in real-time predicting LOS by using the predicted LOS model of outpatient information. The predict model was derived management targets of long term predicted patient group and intensive care patient group. The optimized LOS(Length of Stay) management system was confirmed efficient for optimizing management of LOS that can provide by the long-term predicting alarm and over LOS alarm service for long term predicted patient group and intensive care patient group. Therefore the trial operating policy alternative on extension of predicted LOS is needed to utilized convergence optimizing system on LOS.

Alternative Financial Resource and Option for the Funding of Public Broadcasting (공영방송의 대안적 재원과 재원산정구조의 모색)

  • Shim, Young Sub
    • Korean journal of communication and information
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    • v.72
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    • pp.121-145
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    • 2015
  • The public broadcasting in Korea are currently financed primarily through license fees paid by anyone who holds a TV set. This paper aimed for other options; How can we have a stable cash flow for public broadcasting account for right incentives, lack of sufficient government intervention, efficiency and quality? As this paper shows, bringing taxes more efficient and fairer, while a solid foundation for the public broadcasting finance; combined with an incentive based payment system this may be a sensible alternative to the forthcoming poll tax.

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The Development of Convergence Bench-making system on length of stay (융복합 재원일수 벤치마킹 시스템 개발)

  • Choi, Youn-Hee;Kim, Yun-Jin;Kang, Sung-Hong
    • Journal of Digital Convergence
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    • v.13 no.5
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    • pp.89-99
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    • 2015
  • This study aims to develop a LOS(Length of Stay) bench-making system that can provide efficient by comparing the LOS management of other hospital and level evaluation for inducing the LOS to manage their own activities. The convergence LOS bench-making web program has been implemented to compare a variety of beds, regional group, followed reporting with excel files downloads by using the severity-adjusted LOS model of Korean National Hospital Discharge in-depth Injury Survey data. Features that are computed in real-time severity-adjusted LOS was also implemented. Trial operating results, bench-making system was confirmed efficient for management of LOS on the long-term care and group of disease in hospital from the staff or medical department, receive requests comparative statistics by area and disease group. Therefore the policy alternative on extension of severity-adjusted LOS is needed to utilized bench-making system on LOS.

The comparison of lengh of stay between residence and Seoul area hospitalization (거주지 입원과 서울 입원의 재원일수 비교+T4)

  • Nam, Mun-Hee
    • Proceedings of the KAIS Fall Conference
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    • 2010.11b
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    • pp.509-512
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    • 2010
  • 본 논문에서는 지방환자의 서울진료의 추이와 치료결과를 살펴보기 위해 2005년, 2008년의 퇴원환자 조사 자료를 재원일수를 이용하여 분석하였다. 그 결과 2005년 퇴원환자 333,280명과 2008년 퇴원환자 419,873명의 성별, 연령별, 주진단 분포는 유사한 것으로 나타났으며 치료결과 재원일수는 2005년에 30일 이상이 7.2%, 20~29일이 5.9%인데 비해 2008년은 30일이상이 6.2%, 20~29일 6.0%로 나타나 재원일수는 절감되었다. 전체퇴원환자의 재원일수에 영향을 끼치는 요인에 대해 회귀분석 결과 연도, 성, 보험유형, 의료기관유형, 입원경로, 내원 경유, 주진단, 거주지의 효과를 통제한 후 지방환자의 진료지역에 따른 재원일수를 살펴본 결과 서울이 가장 낮은 것으로 나타났다. 또한 암환자의 재원일수에 영향을 끼치는 요인에 대해서도 연도, 성, 보험유형, 의료기관유형, 입원경로, 내원 경우, 주진단, 거주지의 효과를 통제한 후 지방환자의 진료지역에 따른 재원일수를 살펴본 결과 서울이 가장 낮은 것으로 나타났다. 즉, 지방환가 거주지에서 진료를 받는 것에 비해 서울에서 진료를 받는 것이 치료결과가 짧았다. 이는 타 지역 진료의 간접의료비 영향으로 서울지역에서 조기 퇴원하여 거주지에서 진료하였거나 서울 진료자가 중증도가 낮은 환자가 많아 재원일수가 낮을 수 있다는 것도 배제 할 수 없다. 이에 대한 중증도 보정 후 서울 진료환자의 재원일수가 낮은 요인을 분석하는 추후 연구가 필요하다.

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The Impact of financial Sources on Service Delivery in Non-profit Social Welfare Organizations (민간 사회복지조직의 재원(財源)이 서비스 전달에 미치는 영향)

  • Kim, Young-Jong
    • Korean Journal of Social Welfare
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    • v.50
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    • pp.209-233
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    • 2002
  • This study is to identify the relationship in non-profit social welfare organizations(SWOs) between financial sources and service delivery. Especially the impact of the former to the latter is its main concern. For this purpose, gathered are the 1992, 1999 financial reports of those study organizations, and some qualitative data on a number of the organizations collected by the author is also used for verifying and interpreting the data. Gronbjerg's study(1992) provided an analytical tool for decomposing financial structure of human service organizations, and resource-dependency perspective was a theoretical framework for interpreting the impact of financial composition to service delivery. The findings are as follows: (1) Between 1992 and 1999, there was a noticeable change in financial composition among SWOs. Government subsidies has increased in terms of both amounts and percentages, for residential facilities 75% to 82% and for nonresidential facilities 37% to 47%. Funding from donations shows no abrupt changes, although absolute amounts were slight increasing. Fees were sharply decreasing, especially for the non-residential facilities which previously enjoyed them as valuable resources for preventing unnecessary influence from government. (2) The funding sources of SWOs and their strategies to acquire them has impact on service delivery. Although non-government fundings(donations and fees) were found to give elasticity to SWOs, various problems associated with acquiring them (i.e., changing the clientele) would prohibit SWOs from fully concentrating to those fundings. Meanwhile, government fundings are characterized as stable, and, as such, most of the SWOs prefers. Limited elasticity, red-tape, 'sacrifice of quality of service' over efficiency, etc. are referred to the problems.

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The effective management of length of stay for patients with acute myocardial infarction in the era of digital hospital (디지털 병원시대의 급성심근경색증 환자 재원일수의 효율적 관리 방안)

  • Choi, Hee-Sun;Lim, Ji-Hye;Kim, Won-Joong;Kang, Sung-Hong
    • Journal of Digital Convergence
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    • v.10 no.1
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    • pp.413-422
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    • 2012
  • In this study, we developed the severity-adjusted length of stay (LOS) model for acute myocardial infarction patients using data from the hospital discharge survey and proposed management of medical quality and development of policy. The dataset was taken from 2,309 database of the hospital discharge survey from 2004 to 2006. The severity-adjusted LOS model for the acute myocardial infarction (AMI) patients was developed by data mining analysis. From decision making tree model, the main reasons for LOS of AMI patients were CABG and comorbidity. The difference between severity-adjusted LOS from the ensemble model and real LOS was compared and it was confirmed that insurance type and location of hospital were statistically associated with LOS. And to conclude, hospitals should develop the severity-adjusted LOS model for frequent diseases to manage LOS variations efficiently and apply it into the medical information system.

The Variation of Factors of severity-adjusted length of stay(LOS) in acute stroke patients (급성 뇌졸중 환자의 중증도 보정 재원일수 변이에 관한 연구)

  • Kang, Sung-Hong;Seok, Hyang-Sook;Kim, Won-Joong
    • Journal of Digital Convergence
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    • v.11 no.6
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    • pp.221-233
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    • 2013
  • This study aims to develop the severity-adjusted length of stay(LOS) model for acute stroke patients using data from the hospital discharge survey and propose management of length of stay(LOS) for acute stroke patients and using for Hospital management. The dataset was taken from 23,134 database of the hospital discharge survey from 2004 to 2009. The severity-adjusted LOS model for the acute stroke patients was developed by data mining analysis. From decision making tree model, the main reasons for LOS of acute stroke patients were acute stroke type. The difference between severity-adjusted LOS from the decision making tree model and real LOS was compared and it was confirmed that insurance type and bed number of hospital, location of hospital were statistically associated with LOS. And to conclude, hospitals should manage the LOS of acute stroke patients applying it into the medical information system.

A Study on the Understanding of Fire Service Officers to the Procurement Circumstances and the Alternatives for Procuring Fire Service Funds (소방재원의 조달여건 및 조달방안에 대한 소방공무원의 인식에 관한 연구)

  • Choi, Nag-Soon;An, Sang-Bong
    • Fire Science and Engineering
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    • v.21 no.2 s.66
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    • pp.87-97
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    • 2007
  • This study is to investigate the problems of procurement circumstance of the current fire service funds and to suggest the alternatives for procuring the fire service funds for dealing with increasing demand on the fire service in the local autonomous era. The results are as the followings. First, most fire service officers see the procurement circumstances as premature stage and perceive the necessity of the improvement of this condition. In particular, the officers at the fire center recognize this problem as an urgent question than the officers at the front fire branches. In addition, as for the alternatives of the procurement of fire service funds, both groups prefer the long term plan to the short term plan, and show positive responses to the National Emergency Management Agency and central government as the entity to raise fire funds. As for the alternatives to improve financial system, both groups show the most positive responses on the way to increase the current common facilities tax. As for the specific procurement alternatives of fire funds, both groups agree the alternative to increase common facilities tax mostly, and to the next they agree the alternative to insecure fire funds by restructuring current financial system and by establishing fire service hospital and fire equipment maintenance center.

Corporate Interest Costs and Debt Financing (기업 이자비용과 기업 부채재원 조달)

  • Lee, Sang-Wook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.2
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    • pp.290-295
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    • 2021
  • This paper analyzed the relationship between corporate debt financing and interest costs using micro firm-level data. We also analyzed the differences in this relationship by the year of 2008 financial crisis. We did not find a negative relationship between corporate interest costs and debt financing. Prior to the 2008 financial crisis, we found a negative relationship between corporate interest costs and debt financing. However, following the 2008 financial crisis, we found a positive relationship between corporate interest costs and debt financing. The impacts of the decrease in corporate interest costs on the increase in corporate debt financing are not significant in the Korean economy. After the 2008 financial crisis, the decrease in corporate interest costs is followed by a decrease in corporate debt financing.

Development of Severity-Adjustment Model for Length of Stay in Hospital for Percutaneous Coronary Interventions (관상동맥중재술 환자의 재원일수 중증도 보정 모형 개발)

  • Nam, Mun-Hee;Kang, Sung-Hong;Lim, Ji-Hye
    • The Journal of the Korea Contents Association
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    • v.11 no.9
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    • pp.372-383
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    • 2011
  • Our study was carried out to develop the severity-adjustment model for length of stay in hospital for percutaneous coronary interventions so that we would analysis the factors on the variation in length of stay(LOS). The subjects were 1,011 percutaneous coronary interventions inpatients of the Korean National Hospital Discharge In-depth Injury Survey 2004-2006 data. The data were analyzed using t-test and ANOVA and the severity-adjustment model was developed using data mining technique. After yielding the standardized value of the difference between crude and expected length of stay, we analysed the variation of length of stay for percutaneous coronary interventions. There was variation of LOS in regional differences, size of sickbed and insurance type. The variation of length of stay controlling the case mix or severity of illness can be explained the factors of provider. This supply factors in LOS variations should be more studied for individual practice style or patient management practices and healthcare resources or environment. We expect that the severity-adjustment model using administrative databases should be more adapted in other diseases in practical.