• 제목/요약/키워드: Ancillary service

검색결과 60건 처리시간 0.022초

Development of HDF Browser for the Utilization of EOC Imagery

  • Seo, Hee-Kyung;Ahn, Seok-Beom;Park, Eun-Chul;Hahn, Kwang-Soo;Choi, Joon-Soo;Kim, Choen
    • 대한원격탐사학회지
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    • 제18권1호
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    • pp.61-69
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    • 2002
  • The purpose of Electro-Optical Camera (EOC), the primary payload of KOMPSAT-1, is to collect high resolution visible imagery of the Earth including Korean Peninsula. EOC images will be distributed to the public or many user groups including government, public corporations, academic or research institutes. KARI will offer the online service to the users through internet. Some application, e.g., generation of Digital Elevation Model (DEM), needs a secondary data such as satellite ephemeris data, attitude data to process the EOC imagery. EOC imagery with these ancillary information will be distributed in a file of Hierarchical Data Format (HDF) file formal. HDF is a physical file format that allows storage of many different types of scientific data including images, multidimensional data arrays, record oriented data, and point data. By the lack of public domain softwares supporting HDF file format, many public users may not access EOC data without difficulty. The purpose of this research is to develop a browsing system of EOC data for the general users not only for scientists who are the main users of HDF. The system is PC-based and huts user-friendly interface.

수명감소를 고려한 주파수 조정용 에너지저장장치의 최적 클러스터링 (Optimal Clustering of Energy Storage System for Frequency Regulation Service Considering Life Degradation)

  • 김욱원;김진오
    • 전기학회논문지
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    • 제65권4호
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    • pp.555-560
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    • 2016
  • Recently, many countries have placed great attention on energy security and climate changes. Governments are promoting the construction of renewable energy projects with regulatory support in Korea. Despite an increasing penetration of renewable resources, however, the photovoltaic and wind power are underutilized due to the endemic problems such as difficulties of output control and intermittent output. The Energy Storage System (ESS) is proposed as a good solution for solving the problems and has been studied in both the private business and the government. However, because of inefficient aspects, the research has been carried out for improving high costs and a small capacity. In addition, the ESS is currently installed for using only one purpose which is frequency regulation or transmission congestion relief such that has an economic limitation. Therefore, methods which are becoming economically justifiable to increase the penetration of the ESS is required. Thus, this paper presents in terms of operation efficiency to improve economic feasibility of the ESS currently used. mainly, there are two aspects for the operation efficiency. Firstly, it is intended to improve the utilization rate through a process that can utilize the ESS for various purposes. It is necessary to be able to use for other purposes by classifying and clustering for increasing the efficiency of availability. The clustering method is proposed to conduct the grouping the ESS. Especially, it is proposed to utilize ESS for frequency regulation service which is the one of ancillary services in the power system. Through case studies, it is confirmed to secure the necessary resources by clustering small size ESS.

Variation of Hospital Costs and Product Heterogeneity

  • Shin, Young-Soo
    • Journal of Preventive Medicine and Public Health
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    • 제11권1호
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    • pp.123-127
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    • 1978
  • The major objective of this research is to identify those hospital characteristics that best explain cost variation among hospitals and to formulate linear models that can predict hospital costs. Specific emphasis is placed on hospital output, that is, the identification of diagnosis related patient groups (DRGs) which are medically meaningful and demonstrate similar patterns of hospital resource consumption. A casemix index is developed based on the DRGs identified. Considering the common problems encountered in previous hospital cost research, the following study requirements are estab-lished for fulfilling the objectives of this research: 1. Selection of hospitals that exercise similar medical and fiscal practices. 2. Identification of an appropriate data collection mechanism in which demographic and medical characteristics of individual patients as well as accurate and comparable cost information can be derived. 3. Development of a patient classification system in which all the patients treated in hospitals are able to be split into mutually exclusive categories with consistent and stable patterns of resource consumption. 4. Development of a cost finding mechanism through which patient groups' costs can be made comparable across hospitals. A data set of Medicare patients prepared by the Social Security Administration was selected for the study analysis. The data set contained 27,229 record abstracts of Medicare patients discharged from all but one short-term general hospital in Connecticut during the period from January 1, 1971, to December 31, 1972. Each record abstract contained demographic and diagnostic information, as well as charges for specific medical services received. The 'AUT-OGRP System' was used to generate 198 DRGs in which the entire range of Medicare patients were split into mutually exclusive categories, each of which shows a consistent and stable pattern of resource consumption. The 'Departmental Method' was used to generate cost information for the groups of Medicare patients that would be comparable across hospitals. To fulfill the study objectives, an extensive analysis was conducted in the following areas: 1. Analysis of DRGs: in which the level of resource use of each DRG was determined, the length of stay or death rate of each DRG in relation to resource use was characterized, and underlying patterns of the relationships among DRG costs were explained. 2. Exploration of resource use profiles of hospitals; in which the magnitude of differences in the resource uses or death rates incurred in the treatment of Medicare patients among the study hospitals was explored. 3. Casemix analysis; in which four types of casemix-related indices were generated, and the significance of these indices in the explanation of hospital costs was examined. 4. Formulation of linear models to predict hospital costs of Medicare patients; in which nine independent variables (i. e., casemix index, hospital size, complexity of service, teaching activity, location, casemix-adjusted death. rate index, occupancy rate, and casemix-adjusted length of stay index) were used for determining factors in hospital costs. Results from the study analysis indicated that: 1. The system of 198 DRGs for Medicare patient classification was demonstrated not only as a strong tool for determining the pattern of hospital resource utilization of Medicare patients, but also for categorizing patients by their severity of illness. 2. The wei틴fed mean total case cost (TOTC) of the study hospitals for Medicare patients during the study years was $11,27.02 with a standard deviation of $117.20. The hospital with the highest average TOTC ($1538.15) was 2.08 times more expensive than the hospital with the lowest average TOTC ($743.45). The weighted mean per diem total cost (DTOC) of the study hospitals for Medicare patients during the sutdy years was $107.98 with a standard deviation of $15.18. The hospital with the highest average DTOC ($147.23) was 1.87 times more expensive than the hospital with the lowest average DTOC ($78.49). 3. The linear models for each of the six types of hospital costs were formulated using the casemix index and the eight other hospital variables as the determinants. These models explained variance to the extent of 68.7 percent of total case cost (TOTC), 63.5 percent of room and board cost (RMC), 66.2 percent of total ancillary service cost (TANC), 66.3 percent of per diem total cost (DTOC), 56.9 percent of per diem room and board cost (DRMC), and 65.5 percent of per diem ancillary service cost (DTANC). The casemix index alone explained approximately one half of interhospital cost variation: 59.1 percent for TOTC and 44.3 percent for DTOC. Thsee results demonstrate that the casemix index is the most importand determinant of interhospital cost variation Future research and policy implications in regard to the results of this study is envisioned in the following three areas: 1. Utilization of casemix related indices in the Medicare data systems. 2. Refinement of data for hospital cost evaluation. 3. Development of a system for reimbursement and cost control in hospitals.

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한국형 외래환자분류체계의 개선과 평가: 복수시술 및 항암제 진료와 내과적 방문지표를 중심으로 (Refinement and Evaluation of Korean Outpatient Groups for Visits with Multiple Procedures and Chemotherapy, and Medical Visit Indicators)

  • 박하영;강길원;윤성로;박은주;최성운;유승학;양은주
    • 보건행정학회지
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    • 제25권3호
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    • pp.185-196
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    • 2015
  • Background: Issues concerning with the classification accuracy of Korean Outpatient Groups (KOPGs) have been raised by providers and researchers. The KOPG is an outpatient classification system used to measure casemix of outpatient visits and to adjust provider risk in charges by the Health Insurance Review & Assessment Service in managing insurance payments. The objective of this study were to refine KOPGs to improve the classification accuracy and to evaluate the refinement. Methods: We refined the rules used to classify visits with multiple procedures, newly defined chemotherapy drug groups, and modified the medical visit indicators through reviews of other classification systems, data analyses, and consultations with experts. We assessed the improvement by measuring % of variation in case charges reduced by KOPGs and the refined system, Enhanced KOPGs (EKOPGs). We used claims data submitted by providers to the HIRA during the year 2012 in both refinement and evaluation. Results: EKOPGs explicitly allowed additional payments for multiple procedures with exceptions of packaging of routine ancillary services and consolidation of related significant procedures, and discounts ranging from 30% to 70% were defined in additional payments. Thirteen chemotherapy drug KOPGs were added and medical visit indicators were streamlined to include codes for consultation fees for outpatient visits. The % of variance reduction achieved by EKOPGs was 48% for all patients whereas the figure was 40% for KOPGs, and the improvement was larger in data from tertiary and general hospitals than in data from clinics. Conclusion: A significant improvement in the performance of the KOPG was achieved by refining payments for visits with multiple procedures, defining groups for visits with chemotherapy, and revising medical visit indicators.

계절별 위성자료를 이용한 미국 캔자스주 식생 분류 - 하이브리드 접근방식의 적용 - (Kansas Vegetation Mapping Using Multi-Temporal Remote Sensing Data: A Hybrid Approach)

  • 박선엽
    • 대한지리학회지
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    • 제38권5호
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    • pp.667-685
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    • 2003
  • 미국 캔자스주 정부와 연방정부가 필요로 하는 상세한 지표피복 수치지도제작을 위해, Landsat Thematic Mapper 자료를 이용하여 캔자스주 전체를 대상으로 43가지로 분류된 식생군단(vegetation alliance) 수준의 자연식 생지도를 제작하였다. 지도제작 방법으로는 봄, 여름, 가을의 계절별 위성자료를 이용하여 두 단계 분류절차를 거치는 이른바 '하이브리드(hybrid)' 방식을 채택하였다. 이 접근 방법은 첫 단계로 unsupervised classification을 이용, 자연녹지를 농경지로부터 분리해 낸 다음. 두 번째 단계에서 supervised classification, 현장확인조사. 그리고 분류 후 다양한 보강자료를 이용하여 최종적으로 자연식생을 구분ㆍ분류해 내는 것이다. 정확도 평가는 세 가지 분류 수준에서 실행되었는데, 이는 앤더슨 분류단계 I(Anderson level I), 식생군계(vegetation formation), 그리고 식생군단 수준을 포함한다. 확인결과 전반적인 정확도는 51.7%에서 89.4%에 이르는 것으로 조사되었다.

장애인 건강검진 접근성 저해요인과 개선방안 도출에 대한 질적 연구 (Accessibility Factors to Health Check-Ups for People with Disability: A Qualitative Study)

  • 홍혜수;임명준;김외숙;최은숙;김정환
    • 보건행정학회지
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    • 제30권3호
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    • pp.335-344
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    • 2020
  • Background: The purpose of this study was to identify factors inhibiting access of people with disability to health check-ups as well as identify pertinent solutions for improvement. Methods: Twenty-three people with disability older than the age of 19 who took respective health check-ups within the last 3 years were selected as participants. For the data collection, the 1:1 intensive interview was used. The data were analyzed by the grounded theory by Corbin and Strauss. Results: The results comprised nine categories, 23 subcategories, and 179 concepts. The central phenomenon was 'failure to obtain check-ups.' Causal conditions were observed as a 'lack of communication method,' 'physical difficulties,' and 'staff unfamiliar with people with disability,' Interventional conditions comprised 'physical accessibility,' 'staffs' competency,' and 'assistant manpower.' The active strategy was included 'to investigate the professional medical institution,' 'to find the medical institution of convenient traffic accessibility,' 'to overcome communication difficulties through equipment,' and 'to overcome linguistic barriers through sufficient communication.' Whereas, 'utilization of ancillary equipment,' 'the education of staffs on people with disability,' 'universal design manual,' and 'customized check-ups' were included in the passive strategy. Such processes arose in the contextual conditions of 'lack of expectations for daily lives' and 'lack of government support.' As a consequence, the subjects participated experienced the 'disadvantages,' 'discrimination,' and 'reduced reliability of the health check-ups.' Conclusion: The subjects who participated in this study emphasized 'staffs familiar with people with disability' and 'systems customized for people with disability' are mandatory to secure complete health check-ups for people with disability.

분산 재생에너지의 효율적 활용을 위한 가상발전소(VPP) 플랫폼 개발에 관한 연구 (A Development of VPP Platform for the Efficient Utilization of Distributed Renewable Energy Resources)

  • 조영혁;백승엽;최원용;정대율
    • 한국정보시스템학회지:정보시스템연구
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    • 제27권2호
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    • pp.95-114
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    • 2018
  • Purpose The recent concern over environmental problems such as greenhouse gas emission and fine dust contributes increasing interest in renewable energies. However the intrinsic characteristics of renewable energies, intermittent and stochastic generation, might cause serious problems to the stability and controllability of power grid. Therefore countermeasures such as virtual power plant (VPP) must be prepared in advance of the spread of uncontrollable distributed renewable energy resources to be one of major energy sources. Design/methodology/approach This study deals with the design concept of the VPP platform. we proposed as a technology solution for achieving the stability of power grid by guaranteeing a single power profile combining multiple distributed power sources with ICT. The core characteristics of VPP should be able to participate in the grid operation by responding to operation instructions from the system operator, KPX, as well as the wholesale electricity market. Findings Therefore this study includes energy storage device(ESS) as a controllable component as well as renewable energy resources such as photovoltaic and wind power generation. Based on this configuration, we discussed core element technologies of VPP and protype design of VPP solution platform according to system requirements. In the proposed solution platform, UX design for the integrated control center and brokerage system were included as well as ancillary service function to respond to KPX's operation instruction with utilizing the capability of ESS. In addition, a simulator was suggested to verify the VPP operations.

의료복합시설 개발을 위한 시설용도별 이용자 선택기준에 관한 연구 (A Study on the Consumer Choice Criteria based on Facility Purpsoe for Multi-Mixed Complex Medical Care Facility Development)

  • 성나영;이상엽
    • 한국건설관리학회논문집
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    • 제17권4호
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    • pp.28-39
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    • 2016
  • 소득수준 향상 및 인구특성 변화에 따라 증가하는 복합의료서비스 수요에 대응하여 본 연구는 의료복합시설을 부동산개발을 위한 독립적인 대상으로 고려하여 의료복합시설 개발을 위한 시설용도별 이용자 선택기준에 대한 분석을 실시하였다. 이를 위해 개발수요분석을 위한 기초자료로서 시설선택기준을 정의하고 AHP분석을 통해 중요도와 우선순위를 도출하였다. 의료복합시설을 구성하는 '의료관련시설', '지원시설', '보건 및 편의시설' 및 '기타시설'의 네 가지 시설용도에 따라 중요도를 비교 분석한 결과, '시설의 수준', '이용가격', '이용 편리성', '병원의 수준', '서비스', '인접성', '교통의 편리성' 등의 기준들이 서로 다른 차이를 보여 복합 시설 용도 별 이용객의 선택속성에 대한 시사점을 제공하였다. 연구결과를 통해 향후 의료복합시설 개발 시 타당성 분석 및 평가를 위한 기초적인 자료를 마련하고 용도 간의 최적의 조합을 통한 시설구성 대안을 도출하여 효율적인 개발을 위한 자료로 활용되고자 한다.

미국의 혁신의료기술 지불보상제도: 인공지능 의료기기를 중심으로 (Medicare's Reimbursement for Innovative Technologies: Focusing on Artificial Intelligence Medical Devices)

  • 이보람;임재준;양장미
    • 보건행정학회지
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    • 제32권2호
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    • pp.125-136
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    • 2022
  • The costliness index (CI) is an index that is used in various ways to improve the quality of medical care and the management of appropriate treatment in medical institutions. However, the current calculation method for CI has a limitation in reflecting the actual medical cost of the patient unit because the outpatient and inpatient costs are evaluated separately. It is desirable to calculate the CI by integrating the medical cost into the episode unit. We developed an episode-based CI method using the episode classification system of the Centers for Medicare and Medicaid Services to the National Inpatient Sample data in Korea, which can integrate the admission and ambulatory care cost to episode unit. Additionally, we compared our new method with the previous method. In some episodes, the correlation between previous and episode-based CI was low, and the proportion of outpatient treatment costs in total cost and readmission rates are high. As a result of regression analysis, it is possible that the level of total medical costs of the patient unit in low volume medical institute and rural area has been underestimated. High proportion of outpatient treatment cost in total medical cost means that some medical institutions may have provided medical services in the ambulatory care that are ancillary to inpatient treatment. In addition, a high readmission rate indicates insufficient treatment service for inpatients, which means that previous CI may not accurately reflect actual patient-based treatment costs. Therefore, an integrated patient-unit classification system which can be used as a more effective CI indicator is needed.

연안여객터미널 경영 효율성 평가 및 개선에 관한 연구 (A Study on the Evaluation and Improvement of Management Efficiency of Coastal Passenger Terminal)

  • 이충우;배후석;신용존
    • 한국항만경제학회지
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    • 제36권3호
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    • pp.1-20
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    • 2020
  • 연안 여객항로는 육지와 섬지역의 연결, 섬주민의 수송수단, 섬지역 관광과 같은 역할을 수행하기 때문에 매우 중요하다. 특히 최근 국민소득의 증대, 일과 휴식이 균형 잡힌 워라벨(Work-life balance) 문화의 확산, 주 5일제 도입 등 삶의 질이 향상됨에 따라 여가문화생활인 여행에 대한 관심이 높아졌으며, 이에 섬지역에 대한 우리 국민의 관광 수요 증가하고 있다. 이러한 연안관광 환경 변화에 의해서 연안 여객터미널 이용객수가 증가함에 따라 연안 여객터미널 시설 및 서비스에 대한 중요성과 필요성이 점점 증대되고 있다. 이러한 상황에서 여객터미널 관리 조직들이 예산을 합리적으로 집행하여 여객터미널 이용객의 이용편익을 제고할 수 있도록 연안 여객터미널을 효율적으로 관리 운영할 필요가 있다 본 연구에서는 연안 여객터미널 관리·운영기관(업체)이 수익성 중심의 경영과 공공성 중심의 경영을 효율적으로 하고 있는지에 대한 평가 및 분석을 실시하였다. 연안여객 터미널의 경여 효율성 평가를 위하여 터미널의 건물 연면적, 투입인력, 예산지출 대비 이용객수와 운영수입의 관계를 분석하고, 이들 투입 및 산출변수들을 투입한 DEA분석을 통해 경영효율성을 비교 평가하였다. 분석결과, 분석결과 15개 터미널 중 인천항 제1국제, 사동항, 포항항, 목포항 제2 연안, 부산항 연안 여객터미널의 경영효율성이 떨어지는 것으로 나타났다. 전체 연안 여객터미널과 비교하여 수익성이 낮은 것으로 평가되는 8개 터미널은 섬관광 활성화와 러시아 및 일본지역 항로 개발(동해항 국제)을 통해 이용객수 증가에 따른 터미널 이용료 수입을 증대시키고, 터미널 사무실 임대 수입 및 부대사업 수입을 증대시켜 수익성을 개선하여야 할 것이다. 공익성의 경영효율성이 낮은 8개 터미널은 섬관광 홍보 및 마케팅 강화, 일본 및 중국 연안지역 관관상품 개발, 항로 개발, 초대형 쾌속선 도입 등을 통해 이용객수를 증대시켜나가야 할 것이다. 이 연구는 연안 여객터미널의 건물 연면적, 투입인력, 예산지출의 투입지표와 운영수입 및 이용객수의 산출지표를 할용하여 경영 효율성을 최초로 평가하고, 터미널의 특성을 반영하여 수익성 및 공익성의 경영효율성 개선방안을 제시하였다는 점에서 연구의 의의가 크다고 할 수 있다.