• Title/Summary/Keyword: Benefit Cost Structure

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An Analytic Case Study on the Management of an Upper-level General Hospital(2010-2012)

  • Park, Hyun-Suk;Lee, Jung-Min;Baek, Hong-Suck;Lee, Jun-Ho;Park, Sang-Sub
    • Journal of Korean Clinical Health Science
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    • v.2 no.1
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    • pp.1-16
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    • 2014
  • Purpose. For a more efficient hospital management, this study aims to provide basic data so that the hospital management and staff in charge of hospital administration may systematically classify and collect hospital information, by analyzing the ordinary characters of an upper-level general hospital system and its common-type balance sheet, common-type profit and loss statement and financial ratio. Methods. By using information about an upper-level general hospital in C Province, provided by Alio(www.alio.go.kr), a public organization information provision site, Health Insurance Review & Assessment Service(www.hira.or.kr) and Ministry of Health and Welfare(www.mw.go.kr), this study analyzed 3 year's data from 2010 to 2012 and provided basic data by analyzing the ordinary characters of an upper-level general hospital system, and its common-type balance sheet, common-type profit and loss statement and financial ratio. Results. After analyzing the ordinary characters, common-type balance sheet, common-type proft and loss statement and financial ration of this general hospital, based on the 2010 to 2012 data, this study came to the following conclusions. Firstly, out of all the 1,069 hospital staff, there were 272 doctors working for 24 medical departments, out of whom the majority was 33 physicians. Most of the nurses were third-class ones, and about 2,000 outpatients and 600 inpatients on average were treated per day. Secondly, as a result of analyzing the common-type balance sheet, this study discovered that intangible assets out of fixed assets accounted for 41%, the majority, out of which usable and profitable donation asset buildings were of great importance, and the liquid assets increased more in 2012 than 2011. In the financial structure, the ratio of liquid liabilities was over 50% out of all the liabilities in 2012, and the ratio of purchase payables was high as well. The ratio of fixed liabilities reached up to 40%, out of which the retirement benefit appropriation fund was quite high. The capital was over 80%, but the surplus was in a deficit state. Compared to the capital, the ratio of total liabilities was about 90%, which indicates the financial structure of this general hospital was vulnerable. Thirdly, as a result of analyzing the common-type profit and loss statement, this study found out that the medical profits from inpatients were higher than profits from outpatients. The material cost was related to the medical quality of this general hospital, and it was as high as 30% out of the total costs and was about 45% of the labor cost. This general hospital showed 10% in the ratio of non-medical profits, and it seemed because of government subsidies. The ratios of medical profits and current net income were gradually changing for the better in 2012, compared to 2011. Lastly, as a result of analyzing the financial ratio, it was found that the liquidity ratio kept decreasing, from 110.7% in 2010 and 102.0% in 2011 to 77.2% in 2012. Besides, it was analyzed that the liquidity ratio and the net working capital ratio greatly decreased, while the quick ratio and the liquid ratio kept decreasing. Conclusions. 1. It is necessary to take the risk management into more consideration, and particularly, it is needed to differentiate and manage the levels of risk in detail. 2. By considering the fact that investments into hospital infrastructures were mostly based on liabilities, it is needed to deal with the scale of losses when evaluating risks. 3. By reflecting the character that investments into hospital infrastructures were based on liabilities, it is necessary to consider the ratio of ordinary profits as well as the ratio of operating profits to sales, and it is also important to consider sales productivity factors, such as the sales amount per a sickbed, by comparing them with other hospitals. As for limitations of this study, there may be some problems in terms of data interpretation because of the lack of information about the number of inpatients and the number of outpatients per year, which are needed for the break-even point analysis. Besides, to suggest a direction for the improvement of hospital management through analyses, non-financial factors should be reflected, such as the trend of economy, medical policies, and politic backgrounds. However, this study only focused on the common-type balance sheet, common-type profit and loss statement and financial ratio, so this study is actually limited to generalizing all the factors by analyzing public data only.

The Spatial Construction of Conflicts : The Politics of Scales in the Conflicts over "Southeastern New International Airport" in Korea (갈등의 공간적 구성: 동남권 신공항을 둘러싼 스케일의 정치)

  • Lee, Jin-Soo;Lee, Hyeok-Jae;Jo, Gyu-Hye;Chi, Sang-Hyun
    • Journal of the Korean association of regional geographers
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    • v.21 no.3
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    • pp.474-488
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    • 2015
  • Conflicts in the construction of large public facilities carried out as national projects are crucial issues we have to deal with. There are growing concerns for and oppositions to large construction projects in terms of environmental deterioration and the dissolution of local communities. In the case of projects that promise the creation of jobs and investment, the competition and disputes are increasing and being intensified. Therefore, there is a considerable amount of study on the competitions and conflicts between regions. Previous studies have focused on the procedures of public policy, governance structure, the role of local media. Contrary to the previous studies, this study investigates the spatial ways of constructing conflicts. Based on the analysis of the project of "Southeastern New International Airport", there is a mismatch between the spatial boundary of cost/benefit and agents (regions) of disputes. The agents of conflicts also show the politics of multiple scales by constructing alliances and breaking the network in the process of the airport project. The findings suggest that the conflicts on regional development should be understood as the construction of dynamic regional politics on regional development rather than as the by-product in the practice of policies.

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Estimation of Post Evaluation Index of Natural Disaster Prevention Projects using Structure Equation Modeling (구조방정식모델을 이용한 자연재해예방사업의 사후 평가 지수 산정)

  • Heo, Bo Young;Song, Jai Woo;Yoon, Sei Eui;Lee, Seung Oh
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.34 no.6
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    • pp.1807-1814
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    • 2014
  • Natural disaster has been hard to prevent the occurrence of itself, thus in order to reduce the economic damages and loss casualties, it is important to be prepared in cases that the disasters should occur in advance. Interest of the related project to prevent various natural disasters has been grown along with an investment in Korea. Along with this movement, when investments related to natural disaster prevention projects were built on, the post evaluation that can verify the ripple effects of those investments on the community should be emerging as an essential task. For evaluating the effects of public investment projects such as natural disaster prevention projects in this study, the related researches would continue through qualitative analyses, for example, cost-benefit analysis. Even the qualitative analysis alone cannot fully explain the effects of those projects, the diverse methods of analyzing and evaluating those effects might not have been presented in those fields. For the post evaluation of natural disaster prevention projects through the qualitative analysis, this study derived subjects that had effects on the post evaluation of natural disaster prevention projects. Also, employing the structural equation modeling (SEM), the causation between post evaluation subjects and the effects of projects were quantitatively analyzed, and the weighting factors of evaluation items were calculated respectively. Based on these results, post evaluation index formula was proposed for the natural disaster prevention projects in Korea.

A Beacon antenna of GPS impact and performance improvement implementation the proposal (중파 안테나의 GPS영향과 성능개선 구현 및 제안)

  • Choi, Yong-Kwon;Jeong, Jin Ho;Lee, Sang Jeong
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2015.10a
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    • pp.279-282
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    • 2015
  • Fisheries development of the basic law pursuant to article 15 (marine safety management, etc.) one of maritime safety and maritime traffic facilities nationwide network of DGPS in accordance with the building maximize infrastructure utilization and country. Source technology has been improving steadily raised for the benefit daegukmin. In particular, look at the type of product for the marine supply medium-wave receiver Performance products that satisfy most of the IMO Advisory. The antenna and receiver are separate structural supply for some integrated model with a very high Rather it is used as a portable receivers for marine positioning cheap integrated model development is needed. Correction of satellite navigation receivers for the current Marine GPS module, medium-wave modules can be developed one low cost Integrated in independent operating environments do not support the model development done look at what the problem is 285kHz ~ 315kHz in DGPS Beacon receiver structure using a medium wave or Beacon The medium-wave antenna and a GPS receiver signal to noise ratio was studied GPS signal attenuation on the DGPS performance looked at each GPS manufacturer medium-wave signal-to-noise ratio and normalized impact by GPS manufacturers noise power ratio per bandwidth for medium-wave GPS signals affect it was implemented to improve performance.

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Case study on soil conditioning for EPB tunneling and troubleshooting in various grounds (다양한 지반에서의 EPB TBM 첨가제 사용 및 문제 해결 사례 연구)

  • Han-byul Kang;Sung-wook Kang;Jae-hoon Jung;Jae-won Lee;Young Jin Shin
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.25 no.2
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    • pp.65-85
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    • 2023
  • The use of TBM (Tunnel boring machine) has increased worldwide due to its performance together with the benefit of being safely and environmentally friendly compared to conventional tunneling. In particular, EPB (Earth Pressure Balanced) TBM is widely used because it can be applied to various grounds compared to Open TBM. Also EPB TBM has a simple mechanical structure and advantages in cost, requires less ground area than Slurry TBM. EPB TBM has advantages in soft ground, and more importantly, can extend its applicability by use of appropriate soil conditioning, which improves mechanical and hydrological properties of excavated soil and increases the excavation performance of EPB TBM. Various studies suggested the proper mixing ratio and injection ratio, but almost they are limited to laboratory test under atmospheric pressure such as slump test. Actual field conditions may differ depending on the ground and mechanical condition. In this study, first the amount of used soil conditioning used in the field with various grounds from hard rock to soft ground was estimated through laboratory tests and compared with the estimate in design stage. And also it was compared with the amount used during actual excavation. In addition, experience of soil conditioning for the problems of cutter head clogging and groundwater inrush that occurred during excavation is discussed. Finally, lesson learned for the use of soil conditioning in difficult ground condition such as mixed ground are reviewed.

Fundamental Economic Feasibility Analysis on the Transition of Production Structure for a Forest Village in LAO PDR (라오스 산촌마을의 생산구조전환을 위한 투자 경제성 기초 분석)

  • Lee, Bohwe;Kim, Sebin;Lee, Joon-Woo;Rhee, Hakjun;Lee, Sangjin;Lee, Joong-goo;Baek, Woongi;Park, Bum-Jin;Koo, Seungmo
    • The Journal of the Korean Institute of Forest Recreation
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    • v.22 no.4
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    • pp.11-22
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    • 2018
  • This study analyzes the economic feasibility on the transition of production structure to increase income for a local forest village in Laos PDR. The study area was the Nongboua village in Sangthong district where the primary product is rice from rice paddy. Possible strategies were considered to increase the villagers' revenue, and Noni (Morinda citrifolia) was production in the short-term. We assumed that the project period was for 20 years for the analysis, and a total of 1,100 Noni tree was planted in 1 ha by $3m{\times}3m$ spacing. This study classified basic scenario one, scenario two, scenario three by the survival rate and purchase pirce of Noni. Generally Noni grows well. However, the seedlings' average survival rate (= production volume) was set up conservatively in this study to consider potential risks such as no production experience of Noni and tree disease. The scenario one assumed that the survival rate of Noni seedlings was 50% for 0-1 years, 60% for 0-2 years, and 70% for 3-20 years; the scenario two, 10% less, i.e., 40%, 50%, and 60%; and the scenario three, 10% less, i.e., 40%, 50%, 60% and purchase price 10% less, i.e., $0.29 to $0.26, respectively. Our analysis showed that all 3 scenarios resulted in economically-feasible IRR (internal rate of return) of 24.81%, 19.02%, and 16.30% of with a discounting rate of 10%. The B/C (benefit/cost) ratio for a unit area (1ha) was also analyzed for the three scenarios with a discounting rate of 10%, resutling in the B/C ratio of 1.71, 1.47, and 1.31. The study results showed that the Nongboua village would have a good opportunity to improve its low-income structure through planting and managing alternative crops such as Noni. Also the results can be used as useful decision-making information at a preliminary analysis level for planning other government and public investment projects for the Nonboua village.

Stem cell attached 3-dimentional printed polycarprolactone scaffold (줄기세포 탑재 3차원 프린팅 polycarprolactone 스캐폴드)

  • Hong, Gyusik;Cho, Jeong Hwan;Yun, Seokhwan;Choi, Eunjeong;An, Seongmin;Kim, Jung Seok;Lee, Jae Sam;Shim, Jin-hyung;Jin, Songwan;Yun, Won-Soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.8
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    • pp.618-626
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    • 2019
  • Stem cell therapy is not expected to bestow any therapeutic benefit because of the low engraftment rates after transplantation.Various cell-carrying scaffolds have been developed in order to overcome this problem. When the scaffold is formed by 3-dimensional (3D) printing, it is possible to create various shapes of scaffolds for specific regions of injury. At the same time, scaffolds provide stem cells as therapeutic-agents and mechanically support an injured region. PCL is not only cost effective, but it is also a widely used material for 3D printing. Therefore, rapid and economical technology development can be achieved when PCL is printed and used as a cell carrier. Yet PCL materials do not perform well as cell carriers, and only a few cells survive on the PCL surface. In this study, we tried to determine the conditions that maximize the cell-loading capacity on the PCL surface to overcome this issue. By applying a plasma treated condition and then collagen coating known to improve the cell loading capacity, it was confirmed that the 3% collagen coating after plasma treatment showed the best cell engraftment capacity during 72 hours after cell loading. By applying the spheroid cell culture method and scaffold structure change, which can affect the cell loading ability, the spheroid cell culture methods vastly improved cell engraftment, and the scaffold structure did not affect the cell engraftment properties. We will conduct further experiments using PCL material as a cell carrier and as based the excellent results of this study.

The Effects of Female Wage on Fertility in Korea (여성의 임금수준이 출산율에 미치는 영향 분석)

  • Kim, Jungho
    • KDI Journal of Economic Policy
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    • v.31 no.1
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    • pp.105-138
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    • 2009
  • Although the decline in fertility rate is generally observed along the history of economic development throughout the world, the continuing decline hitting below the replacement level in Korea over the recent years gathered serious social concerns on the ground that it accelerates the process of population aging. The total fertility rate in Koreareached 2.08 in 1983, and gradually fell to the levels of 1.08 in 2005 and 1.26 in 2007. The policy debate over the role of the government has been focused mainly on the level of theoretical discussion without substantial basis on firm empirical evidence and the determinants of fertility. The objective of the paper is to empirically investigate the fertility effect of the female wage, which is understood as one of the most important determinants of fertility in Koreasince 1980 focusing on one aspect of fertility, namely birth spacing. Using the Korean National Fertility Survey conducted in 2006, I estimate a duration model of first and second births taking into account individual heterogeneity, which turned out to be an important factor to control for. Compared with previous studies in the literature on the Korean fertility, the study has an advantage of using the complete pregnancy history of women in a more representative sample. Unlike the previous studies, the analysis also deals with the endogeneity of marriage by treating a certain age, rather than age at marriage, as the time in which a woman becomes exposed to the risk of pregnancy. The study shares the common problem in the literature on birth spacing of lacking relevant wage information for respondents in a retrospective survey. I estimate the wage series as a function of the basic characteristics using the annual Wage Structure Survey from 1980 to 2005, which is considered as a nationally representative sample for wage information of employees. The results suggest that the increase in female wage by 10 percent leads to a decrease in second birth hazard by 0.56~0.92 percentage points and that the increase in spouse's wage by the equal amount is accompanied by the increase in second birth hazard by 0.36~1.13 percentage points. These estimates are more precisely estimated and of smaller magnitude than those presented by the previous studies. The results are robust to the different specifications of the wage equation. The simulation analysis based on the predicted values shows that about 17% of the change in the second birth hazard over the period 1980 to 2005 was due to the change in the female wage. Although there is some limitation in data, the results can be viewed as one estimate of the role of female wage on the recent fertility decline in Korea. The question raised by the paper is not a normative one of whether a government should promote childbearing but a positive one thatexplains fertility decline. Therefore, if there is a wide consensus on promoting childbearing, the finding suggests that the policies designed to reduce the opportunity cost of women in the labor market would be effective. The recent movement of implementing a wide range of family-friendly policies including child care support, maternity leave, parental leave and tax benefit in developed countries should be understood in this context.

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The Policy of Park Asset Transfers in England: A Move toward Community Ownership and Park Management (커뮤니티의 공원 소유와 관리·운영 방안으로서 영국의 공원 커뮤니티자산이전 정책)

  • Kim, Yeun-Kum
    • Journal of the Korean Institute of Landscape Architecture
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    • v.43 no.1
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    • pp.108-119
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    • 2015
  • Recently, the ways in which individual communities own and manage parks have been both discussed and realized in America and England. Some benefits of these asset transfers are that local governments can reduce the financial cost of management as well as improve the service of the parks. In addition, communities can develop these parks as unique assets. Ultimately, this is a new understanding of parks as community commons. This study examines the policy of park asset transfers to communities in England. These transfers, which involve reallocating land and building management and/or ownership from the public sector to a community group, are part of a policy agenda known as "Big Society", which aims to create a "small government" within a "big society". The agenda is pursued by both the English Conservative and Unionist Party governments. Eight case studies of community park asset transfers in England were examined in this study, under three categories-transfer process, partnership among stakeholders, and financial structure-and synthesized along three issues-financial contribution, level of public transparency, and closeness of the relationship between park and community. In some cases, new community groups were created specifically to receive park assets, while in other communities, existing groups became the park trustees. For most parks, community groups raise park maintenance funding through diverse methods; however, these groups are often not entirely financially independent from local government. Thus, many park trustees have already created, or are planning to create, other assets from which parks can benefit. Second, some efforts for public transparency include trusts that are registered as charities, of which their public nature is admitted officially. These trusts resolve important decisions through boards of trustees, in an effort to promote income-generating business while not excluding users. Ultimately, a close relationship between park and community empowers the community to participate in managing and maintaining the park; in turn, the park's capacities are improved. Current struggles include the many limits involved in communities accepting ownership and management of a park, and a lack of local government experience regarding public-private management and maintenance of a public asset. This study, however, details interesting policy implications for Korean community involvement as well as diverse financial methods to facilitate park management.