• 제목/요약/키워드: 100 beds

검색결과 168건 처리시간 0.024초

기준병상수와 상급병상수의 적정규모에 관한 연구 (A Study on the optimum scale of the number of beds of both the standard and the high-class)

  • 백승준;유승흠;손태용
    • 한국병원경영학회지
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    • 제6권3호
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    • pp.109-129
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    • 2001
  • The purpose of this study was the acquisition of the optimum scale of the apportionment of standard & high-class bed for the maximum profit representative of the desire of customers in a General Hospital with 1,100 beds located in Seoul. This investigation was proceeded by the analysis of the result of the simulation with the survey of both the patients' needs for bed and the degree of the medical service by the grade of the ward. And finally the consequence was obtained as follows: 1. The result of the investigation of the inpatients' preference for the grade of ward classes shows that a private ward reflected 4.3 percent, a semi-private ward 1.7 percent, a three-bed ward 0.1 percent, and a ward with six beds 93.9 percent each other. 2. A questionnaire poll was paralleled of service terms of a medical doctor and a nurse by ward class, the data were used for the standard of the allotment of labor cost by the ward class. The poll shows that the service tenn of a medical doctor and a nurse based on a ward with six beds by ward class showed 1.7 times in internal medicine and 1.9 times in surgery at a private ward; 1.4 times in internal medicine and 1.7 times in surgery at a semi-private room; and 1.2 times both in internal medicine and in surgery at a three-bed ward 3. The resultant findings revealed the most profit per bed and per patient in a private ward. However, an analysis of profit with a standard of unit area by ward class represented a higher profit in both the internal medicine and the surgery semi-private ward than other ward classes. 4. The result of the analysis through simulation based on the data of the prime cost per the ward class proved the optimum scale of the distribution of beds by class as follows: sixteen beds of the internal medicine and twenty three beds of the surgery in the private ward; two hundreds and two of the internal medicine and one hundred and ninety eight of the surgery in the semi-private room; three of both the internal medicine and the surgery each other in the three-bed ward; one hundred and ninety eight of the internal medicine and two hundred and fifty two of the surgery in the ward with six beds. The result of this research exhibits that the income and expenditure of the hospital could be improved by changing parts of wards into private ones(containing the maximum profit per a unit of width) in case the scale of the number of beds is reset with the consideration of the profit per the unit width. In the near future it's strongly expected that the research for the more scientific standard of the allotment of labour cost by ward class and for definition of the optimum scale of the number of beds that actualize the maximum profit with the change of the three elements of the prime cost: cost of materials; labor costs; management expenses.

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DEA를 이용한 한방병원의 경영효율성 분석: 환자수를 기준으로 (Analysis of the Efficiency of the Oriental Hospital using the DEA(Based on the Number of Patients))

  • 김영식;이우천
    • 벤처창업연구
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    • 제11권1호
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    • pp.75-84
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    • 2016
  • 본 연구는 DEA를 이용하여 한방병원의 경영효율성을 분석하고, 효율성 점수를 종속변수로 사후분석을 실시하여 한방병원의 경영효율성 향상방안을 제시하고자 한다. 투입변수는 의사수, 간호사수, 의료기사수와 병상수이고, 산출변수는 연외래환자수와 연입원환자수이며 분석도구는 EnPas와 IBM SPSS 19.0을 사용하였다. 연구결과, 설립형태별 효율성 분석에서는 학교법인 소속 병원의 효율성 점수가 가장 높았고 개인병원이 가장 낮았다(p<.05). 그리고 병상규모별 분석에서는 101-150병상 범주의 효율성 점수가 가장 높았고 100병상 이하의 한방병원들이 대체로 낮은 효율성을 보였다(p<.05). 또한 소재지별 분석에서는 서울지역 한방병원의 효율성이 가장 높았으며 광역시 소재병원의 효율성이 가장 낮게 나타났으나 통계적으로 유의한 차는 없었다(p<.05). 그리고 효율성 결정요인 파악을 위한 이항로지스틱 분석결과로 간호사 1명이 증가하면 효율성이 약 1.045배 증가함을 알 수 있었다.

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과산화수소 촉매분해 모델링을 이용한 추력기 촉매대 최적설계 (Optimization of Thruster Catalyst Beds using Catalytic Decomposition Modeling of Hydrogen Peroxide)

  • 정상우;최석민;권세진
    • 한국추진공학회:학술대회논문집
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    • 한국추진공학회 2017년도 제48회 춘계학술대회논문집
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    • pp.746-752
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    • 2017
  • 최근 고농도 과산화수소는 추력기의 친환경 추진제로 연구가 활발히 진행되고 있다. 과산화수소는 추력기의 촉매대에서 촉매분해되어 추력을 발생시킨다. 촉매대의 최적화 된 설계를 위하여 기존에 존재하는 촉매대 모델을 활용하였다. 모델의 검증을 위하여 100 N 과산화수소 단일추진제 추력기를 사용하여, 다양한 설계 조건들에 대해 실험을 진행하였다. 모델의 예측결과를 실험결과와 대조하여 다양한 조건들에서도 비교적 높은 정확도를 보임을 확인하였다. 검증된 모델을 이용하여 다양한 설계조건들에 대해 최적화된 Catalyst Capacity값과 압력강하량을 계산하였으며, 이를 분석하여 압력강하량과 유량 및 세장비 사이의 관계식을 도출 할 수 있었다. 최적화된 Catalyst Capacity값과 압력강하량 관계식을 이용하여 최적화된 촉매대를 설계할 수 있다.

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100병상미만 의료기관대상 퇴원환자조사 시범운영 및 평가 (National hospital discharge survey for the hospitals with fewer than 100 beds: A pilot project and evaluation)

  • 최행정;김광환
    • 한국산학기술학회논문지
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    • 제11권9호
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    • pp.3336-3340
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    • 2010
  • 2007년1월1일부터 12월 31일까지 퇴원환자조사에서 제외되었던, 100병상미만 의료기관을 조사대상으로 선정하였다. 퇴원환자조사를 위해 조사 기반자료인 의무기록을 토대로 손상퇴원환자의 일반적 특성, 진료비지불방법, 질병 및 수술 양상과 의료이용 실태를 파악하였다. 2007년 한 해 동안 전국 100병상미만의 급성기 의료기관을 퇴원한 추정 환자 수는 총 4,697,095명으로 이는 전체 인구의 9.7%에 해당한다. 인구 10만 명당 퇴원 율은 9,693명이며 평균재원일수는 9.8일이었다. 퇴원후 귀가한 퇴원환자수는 전체 4,538,861명이었고 이중 남성은 1,784,041명, 여성은 2,754,821명이었다. 타병원으로 이송된 환자는 119,378명이었으며 의뢰병원으로 회송된 환자도 8,970명 이었다.이상과 같은 결과는 특정 손상에 대한 고위험군을 파악하고 중재가 필요한 곳을 확인하여 손상을 예방함으로써 공중보건비용을 줄이는 사업계획에 활용할 수 있으며, 지속적으로 수집되는 손상감시자료는 손상예방프로그램의 효율성을 감시 하고 평가하는데도 활용될 수 있다.

초정압방전램프(UCD)와 나트륨램프를 적용한 식물재배에 관한 연구 (A Study on the Plant Cultivation by comparing Ultra Constant Discharge (UCD) Lamp lighting and Hi-Pressure Sodium Lamp lighting)

  • 정풍기;김영철;양현수
    • 한국기계기술학회지
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    • 제13권1호
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    • pp.31-40
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    • 2011
  • This study was conducted to research how UCD(Ultra Constant Discharge) lamp lighting affects plant cultivation. To get the results within a short time, lettuce seedling was selected as a plant and nutrient hydroponic beds were used in a dark room for 100% artificial lighting. Two beds were installed for same distance lighting condition with UCD lamp and Hi-pressure Sodium lamp each and another two beds were installed for same light intensity condition with each type of lamp. After 15 days of cultivation, for both conditions, the yields under UCD lamp were weighed more than that under Hi-pressure Sodium lamp. The result can be analyzed that the spectrum of UCD lamp having near sunlight characteristic is much superior to that of Hi-pressure Sodium lamp having a line spectrum characteristic on yellow and red wavelengths for plant cultivation.

충적하천(沖積河川)의 하상마찰(河床摩擦) 변화(變化)에 대한 조사(調査)·분석(分析) (An Investigation of Changes in Bed Roughness of Selected Alluvial Rivers)

  • 유권규;김형섭;김활곤;우효섭
    • 대한토목학회논문집
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    • 제13권4호
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    • pp.111-121
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    • 1993
  • 본 연구는 충적하천(沖積河川)에서 실측된 자료를 이용하여 한 하천지점에서 유량의 변화에 따른 하상형태의 변화와 그에 따른 하천마찰의 변화를 검토하는 것이다. 본 연구는 다음과 같은 조건의 하천상태에 국한한다: (1) 하폭 100m 내외의 중규모 하천, (2) 하천선형이 직선이고 하천단면의 변화가 적어 하상마찰 이외에 특별한 에너지 손실요인이 없는 하천, (3) 프루우드 수가 0.5 이하인 저수류영역(低水流領域) 하천. 본 연구에서 얻은 주요 결론을 요약하면 다음과 같다: (1) 매닝의 조도계수(粗度係數)는 평탄하상(平坦河床)의 경우 0.02정도에서 사구(砂丘) 형성시 0.05 정도로 2배 이상 증가한다. (2) 충적하천의 조도계수는 Strickler 공식 형태의 고정상 하천에 대한 조도계수 추정방법으로는 얻을 수 없다. (3) 기존의 하천시설기준에 수록된 이동상 하천에서의 조도계수 추정방법은 실제하천에 적용하는데 있어 한계가 있으며, 우리나라 자료를 이용한 구체적인 연구가 요망된다.

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시계열 자료를 이용한 병원 간호 인력의 변화 추이 및 병원 간호사 확보를 위한 정책의 효과 평가 (Trend analysis of the number of nurses and evaluation of nursing staffs expansion policy in Korean hospitals)

  • 박보현;이태진;박형근;김철웅;정백근;이상이
    • 보건행정학회지
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    • 제22권3호
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    • pp.297-314
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    • 2012
  • Purpose : The purpose of this study was to analyze the trend of the number of nursing staffs and skill mix and to assess the effectiveness of hospital nurse expansion policies in Korea. Methods : The trend of the number of nursing staffs and skill mix were analyzed using time series data, which composed of yearly series data from 1975 to 2009. The impact of hospital nurse expansion policies was estimated by autoregressive integrated moving average(ARIMA) intervention model. Results : The number of general hospital and hospital nurses per 100 beds was decreased in late 1980s and late 1990s due to rapid growth of beds. As a result of the number of nurse aids per 100 beds decreased, skill mix became high in general hospital but nurse ratio among hospital nursing staffs was about 50%. Expansion of new nurse and revised differentiated inpatient fee were only effective in expansion of hospital nursing staffs. But they had no effect in general hospitals. Conclusion : In Korea, a few policies related to expansion of hospital nurses have an effect on increasing the number of hospital nurse. Nevertheless, level of hospital nursing staffs is inferior to that of general hospital.

한강하류지형면의 분류와 지형발달에 대한 연구 (양수리에서 능곡까지)

  • 박노식
    • 동굴
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    • 제68호
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    • pp.23-73
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    • 2005
  • Purpose of study; The purpose of this study is specifically classified as two parts. The one is to attempt the chronological annals of Quaternary topographic surface through the study over the formation process of alluvial surfaces in our country, setting forth the alluvial surfaces lower-parts of Han River area, as the basic deposit, and comparing it to the marginal landform surfaces. The other is to attempt the classification of micro morphology based on the and condition premising the land use as a link for the regional development in the lower-parts of Han river area. Reasons why selected the Lower-parts of Han river area as study objects: 1. The change of river course in this area is very serve both in vertical and horizontal sides. With a situation it is very easy to know about the old geography related to the formation process of topography. 2. The component materials of gravel, sand, silt and clay are deposited in this area. Making it the available data, it is possible to consider about not oかy the formation process of topography but alsoon the development history to some extent. 3. The earthen vessel, a fossil shell fish, bone, cnarcoal and sea-weed are included in the alluvial deposition in this area. These can be also valuable data related to the chronological annals. 4. The bottom set conglometate beds is also included in the alluvial deposits. This can be also valuable data related to the research of geomorphological development. 5. Around of this area the medium landform surface, lower landform surface, pediment and basin, are existed, and these enable the comparison between the erosion surfaces and the alluvial surfaces. Approach : 1. Referring to the change of river beds, I have calculated the vertical and horizontal differences comparing the topographic map published in 1916 with that published in 1966 and through the field work 2. In classifying the landform, I have applied the method of micro morphological classification in accordance with the synthetic index based upon the land conditions, and furthermore used the classification method comparing the topographic map published in 1916 and in that of 1966. 3. I have accorded this classification with the classification by mapping through appliying the method of classification in the development history for the field work making the component materials as the available data. 4. I have used the component materials, which were picked up form the outcrop of 10 places and bored at 5 places, as the available data. 5. I have referred to Hydrological survey data of the ministry of Construction (since 1916) on the overflow of Han-river, and used geologic map of Seoul metropolitan area. Survey Data, and general map published in 1916 by the Japanese Army Survbey Dept., and map published in 1966 by the Construction Research Laboratory and ROK Army Survey Dept., respectively. Conclusion: 1. Classification of Morphology: I have added the historical consideration for development, making the component materials and fossil as the data, to the typical consideration in accordance with the map of summit level, reliefe and slope distribution. In connection with the erosion surface, I have divided into three classification such as high, medium and low-,level landform surfaces which were classified as high and low level landform surfaces in past. furthermore I have divided the low level landform surface two parts, namely upper-parts(200-300m) and bellow-parts(${\pm}100m$). Accordingly, we can recognize the three-parts of erosion surface including the medium level landform surface (500-600m) in this area. (see table 22). In condition with the alluvial surfaces I have classified as two landform surfaces (old and new) which was regarded as one face in past. Meamwhile, under the premise of land use, the synthetic, micro morphological classification based upon the land condition is as per the draw No. 19-1. This is the quite new method of classification which was at first attempted in this country. 2. I have learned that the change of river was most severe at seeing the river meandering rate from Dangjung-ni to Nanjido. As you seee the table and the vertical and horizontal change of river beds is justly proportionable to the river meandering rate. 3. It can be learned at seeing the analysis of component materials of alluvial deposits that the component from each other by areas, however, in the deposits relationship upper stream, and between upper parts and below parts I couldn't always find out the regular ones. 4. Having earthern vessel, shell bone, fossil charcoal and and seaweeds includen in the component materials such as gravel, clay, sand and silt in Dukso and Songpa deposits area. I have become to attempt the compilation of chronicle as yon see in the table 22. 5. In according to hearing of basemen excavation, the bottom set conglomerate beds of Dukso beds of Dukso-beds is 7m and Songpa-beds is 10m. In according to information of dredger it is approx. 20m in the down stream. 6. Making these two beds as the standard beds, I have compared it to other beds. 7 The coarse sand beds which is covering the clay-beds of Dukso-beds and Nanjidobeds is shown the existence of so-called erosion period which formed the gap among the alluvial deposits of stratum. The former has been proved by the sorting, bedding and roundness which was supplied by the main stream and later by the branch stream, respectively. 8. If the clay-beds of Dukeo-bed and Songpa-bed is called as being transgressive overlap, by the Eustatic movement after glacial age, the bottom set conglomerate beds shall be called as being regressive overlap at the holocene. This has the closest relationship with the basin formation movement of Seoul besides the Eustatic movement. 9. The silt-beds which is the main component of deposits of flood plain, is regarded as being deposited at the Holocene in the comb ceramic and plain pottery ages. This has the closest relationship with the change of river course and river beds.

요양병원 노인 입원환자의 특성 및 ADL (일상생활수행능력) 관련 요인 : 환자조사 자료 (2013-2014)를 이용하여 (Characteristics and ADL (Activities of Daily Living) Associated Factors of Elderly Inpatients in Long-Term Care Hospitals : A Survey of Patients (2013-2014))

  • 박영희
    • 보건의료산업학회지
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    • 제10권3호
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    • pp.159-171
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    • 2016
  • Objectives : This study was performed to investigate the characteristics and ADL(Activities of Daily Living) associated factors of elderly inpatients in long-term care hospitals. Methods : Data were collected from the nationwide data of 'Survey of Patients (2013-2014)' administerd by the Ministry of Health & Welfare. The data included in this study consisted of 27,606 cases of elderly inpatients in long-term care hospitals. Results : The survey scores for the elderly inpatients were as follows: 57.6% 'Needed much and total help' with ADL, followed by 26.6% who 'Needed much help', and 15.8% who 'needed minimal supervision' in long-term care hospitals. The ADL score was high in the following categories: women, old age, referred visit, health insurance type, not-recovered & death, transferred, corporate hospitals, small hospital size, low number of physicians per 100 beds, and high number of nursing staff per 100 beds. The inpatients with 'diseases of the nervous system', 'diseases of the circulatory system' and 'diseases of the genitourinary system' were more likely to have high ADL scores. Conclusions : The results of this study suggest that long-term care hospitals should provide active and proper care for patients with high ADL scores and improve medical personnel training as well provide more medical care.

Studies on the Effect of Vinyl Mulching on Pleurotus Cultivation - Bunch Formation an Pleurotus sajor-caju(III) -

  • Oh, Se-Jong;Shin, Pyung-Gyun;Jang, Kab-Yeul;Kim, Hee-Kyu
    • Mycobiology
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    • 제31권1호
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    • pp.54-56
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    • 2003
  • Perforated vinyl mulching technique was performed on Pleurotus sajor-caju beds to assess fruitbody formation. Individual fruitbody of P. sajor-caju was transformed into bunch type on vinyl mulching bed. It was effective to grow the mushroom without waterlogging and abortion of small pins on the beds as well as hygienical bed management. A bunch showed 79 fruitbodies and 225 g of weight. Available site for fruiting was reduced up to 20% in comparison of 100% for conventional bed. The color of fruitbody turned on brownish white from treated vinyl mulching bed.