• 한국병원경영학회지
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• 제28권1호
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• pp.1-13
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• 2023

Purpose: This study purposed to analyze the economic feasibility of introducing a third party logistics system as a strategic alternative to hospital management. Methods: Economic analysis was performed by measuring changes in costs and benefits before and after implement the third party logistics system and estimating the size of net benefits for the next five years for the target hospital. A questionnaire survey and in-depth interview with stake-holders were conducted to find out the satisfaction and effectiveness of the system. Findings: According to results, the cost-benefit ratio for the implementation of the system was 1.18. For the next five years, the cost-benefit ratio was 1.48, the net present value was about 1.7 billion won, and the internal rate of return was 64%. The satisfaction of internal stake-holders was relatively high, in terms of improving the concentration of unique tasks and increasing the efficiency of inventory management. Practical Implications: It was found that the increase in benefits had a greater effect on the change in the cost-benefit ratio than the increase in costs resulting from the expansion of logistics, and the increase in the present value of net benefits gradually decreased as the cost increased. In addition, overall job satisfaction and satisfaction with outsourcing companies were relatively low, which means that stabilization of the new system is important. Further study is needed for more accurate economic analysis.

• 보건행정학회지
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• 제24권3호
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• pp.228-241
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• 2014

Background: The purpose of this study is to evaluate the effect of health insurance coverage expansion for cancer patients on equity in health care utilization and catastrophic expenditure. Methods: To analyze the causal relationship between the policy to expand benefit coverage and the change in health care utilization and out-of-pocket payments of cancer patients, this study employed a difference-in-differences (DID) method. In the DID model, the change in health care utilization, such as health care expenditure, visit days and length of stay, of cancer patients was compared with that of liver disease patients, using Korea Health Panel Data in 2009 and 2010. Results: The policy of reducing cost sharing from 10% to 5% for cancer patients did not have significant effects on equity in health care utilization. The results of this study were different from those of the previous study that showed that the reduction of cost sharing from 20% to 10% significantly improved the equity in health care utilization of cancer patients. In addition, the result of catastrophic expenditures analysis showed the policy did not change the probability of catastrophic expenditures. Conclusion: The results of this study imply that payment for non-covered services account for high out-of-pocket payments, and the reduction in cost sharing for covered services alone may have a limited effect on total financial burden on patients.

• 에너지공학
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• 제25권4호
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• pp.141-151
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• 2016

전 세계적으로 폐자원 에너지화에 대한 관심이 지속적으로 상승되고 있다. 국내에서는 하수슬러지를 처리하는 과정에서 발생되는 바이오가스를 에너지로 활용하는 방안에 관심을 갖고 있다. 그 한 가지 대안으로 바이오가스 열병합발전 시설이 운영되고 있고, 이로 인한 수익이 창출되고 있다. 향후 하수슬러지의 발생량은 지속적으로 증가할 것으로 예측되고, 이에 대한 처리비용도 늘어날 것으로 예상되고 있다. 이와 같은 문제를 해결하기 위하여, 하수슬러지를 처리하면서 부생되는 바이오가스를 에너지로 활용하는 시설의 확대와 함께 많은 재원이 투자될 것으로 보인다. 따라서 이와 같은 시설에 대한 정량적인 정보가 요구되고 있다. 이에 본 연구는 하수슬러지에서 발생되는 바이오가스를 열병합발전 시설에 공급하여 수익을 창출하고 있는, 서남 바이오가스 열병합발전 시설에 대한 경제성 분석을 수행하고자 한다. 열병합발전 시설은 열과 전력을 생산하는 시설이다. 따라서 편익 항목으로 열과 전력을 생각할 수 있다. 그런데 서남 바이오가스 열병합발전 시설의 경우, 생산된 열은 서남물재생센터의 소화조 가온에 전량 공급된다. 따라서 열병합발전 시설의 편익이 아닌, 서남물재생센터의 비용절감 효과로 나타난다할 수 있다. 결과적으로 본 연구에서는 편익 항목으로 전력만 고려하여 용도별 (주택용, 일반용, 산업용) 전력공급 편익을 산정하였다. 2015년 기준 전력의 용도별 평균 가격은 각각 123.69원, 130.46원, 102.59원으로 계산되었고, 경제적 편익은 용도별로 각각 310.21원, 378.49원, 222.87원이다. 경제성 분석 결과 순현재가치 721.82억원, 편익/비용 1.90, 내부수익률 37%로 계산되어 경제적으로 타당성이 있는 것으로 판단된다.

• Journal of Computational Design and Engineering
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• 제3권1호
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• pp.37-52
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• 2016

To injection mould polymers, designing mould is a key task involving several critical decisions with direct implications to yield quality, productivity and frugality. One prominent decision among them is specifying sprue-bush conduit expansion as it significantly influences overall injection moulding; abstruseness anguish in its design criteria deceives direct determination. Intuitively designers decide it wisely and then exasperate by optimising or manipulating processing parameters. To overwhelm that anomaly this research aims at proposing an ideal design criteria holistically for all polymeric materials also tend as a functional assessment metric towards perfection i.e., criteria to specify sprue conduit size before mould development. Accordingly, a priori analytical criterion was deduced quantitatively as expansion ratio from ubiquitous empirical relationships specifically a.k.a an exclusive expansion angle imperatively configured for injectant properties. Its computational intelligence advantage was leveraged to augment functionality of perfectly injecting into an impression gap, while synchronising both injector capacity and desired moulding features. For comprehensiveness, it was continuously sensitised over infinite scale as an explicit factor dependent on in-situ spatio-temporal injectant state perplexity with discrete slope and altitude for each polymeric character. In which congregant ranges of apparent viscosity and shear thinning index were conceived to characteristically assort most thermoplastics. Thereon results accorded aggressive conduit expansion widening for viscous incrust, while a very aggressive narrowing for shear thinning encrust; among them apparent viscosity had relative dominance. This important rationale would certainly form a priori design basis as well diagnose filling issues causing several defects. Like this the proposed generic design criteria, being simple would immensely benefit mould designers besides serve as an inexpensive preventive cliché to moulders. Its adaption ease to practice manifests a hope of injection moulding extremely alluring polymers. Therefore, we concluded that appreciating injectant's polymeric character to design exclusive sprue bush offers a definite a priori advantage.

• 대한예방한의학회지
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• 제4권2호
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• pp.1-24
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• 2000

This study was conducted to examine utilization patterns and determinants of oriental medical services. Data were collected from 545 residents in Taegu city The results of this study are summarized as follows 1) 37.8% of subjects used oriental medical services in the past year. Especially, the female, the ages of 50 and 60 over, the single. low-educated. high-income class, white-collar class, medical insured tended to use more oriental medical services than another groups. 2) 46.7% of users of oriental medical services reported that number of visits in the past year was 2 - 5 times 37 1% of them was 1 times, and 4.5% over 10 times. 3) According to the reasons to choose the oriental medical facilities, most was 'on their own judgement'(48.8%) and 'by the advice of relatives and friends'(42.0%) Regarding to the objectives of using oriental medicine, 68.3% was 'treatment', 31.7% 'health counselling and promotion'. And among diseases of users, diseases of musculo-skeletal system was the highest(54.5%). 4) 57.9% of oriental medical services users had experience of utilizing western medicine on the same diseases. Among peoples with experiencing western medicine on the same diseases. 54.4% received oriental medical services 'in addition to western medicine', 45.6%'in place of western medicine 'And 41.2% of using both services reported that they had difficulty in deciding to choose the type of services -oriental medical services or western medicine-for their diseases. 37.3% of them answered that 'providing relevant information' was the most desirable measure to solve this problem, 27.3% 'establishment of effective referral system between oriental and western medical facilities '23.6% 'cooperative medical treatment systems in the same facilities', 11.8%'integration of oriental medicine into western medicine 5) According to the satisfaction level with each items of oriental medical services, the respondents had positive views on efficacy, kindness, and side-effects. They, however, had negative view on the cost of oriental medical services. 6) In regarding to the priority of improvement of oriental medical system,'expansion of insurance benefit package 'ranked first. 'expansion of insurance benefit Package 'ranked second, 'improvement of scientific methods and diagnostic technique 'third, and 'safety of herbal medicine' fourth in order. 7) The significant factors influencing the utilization of oriental medical services were kindness of oriental medical practitioners, efficacy , travel time, age To be brief, utilization rate of oriental medical services in urban area generally tends to be high. There, however, have been various barriers to limit oriental medical services, such as incomplete benefit package of oriental medical insurance and lack of coordination and referral system between oriental and western medical services, lack of scientific diagnostic procedures, high price etc . For the development of oriental medical services, Much attention to remove these limiting factors should be placed. In addition, kindness of oriental medical practitioners , which is expected to be more important factor in the consumer - focused health care environment than ever, should be kept high consistently. Since this study was conducted for specific residents of an urban city. further research including more sampling in different urban areas should be required to generalize the results of the study.

• 보건행정학회지
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• 제24권2호
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• pp.181-190
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• 2014

Background: Demands are recently rising for the securement of procedural justification of policy decision-making. This study aims to improve the procedure of making a decision to expand health insurance benefit package from the perspective of building a social consensus. Methods: Major priority principles were firstly derived through literature search. Weights for such principles were calculated through an analytic hierarchy process, based upon the survey conducted for the health policy experts. Priority for 11 non-covered services was assessed by applying the weights as above to the results of the questionnaire survey targeted at people including members of related committees or societies. Results: Weights for priority principles were in the order of 'severity/urgency (0.428)', 'cost-effectiveness (0.318)', 'substitutability (0.164),' and 'accountability (0.090)'. What was obtained by applying these weights to the results of the questionnaire survey was considerably in line with what health experts classified those items into 3 groups depending on their own judgement of service necessity (consistent with 9 services out of 11). Conclusion: Results of the study are suggestive as to how far a brief assessment by experts could be utilized in case there are constraints on time and expenses in implementing all the process to secure procedural justification. Various attempts and endeavors need to be made to secure procedural justification that will not mar efficiency of decision-making in the days to come.

• 한국산림과학회지
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• 제66권1호
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• pp.68-73
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• 1984

현대사회(現代社會)는 국민경제(國民經濟)의 고도성장(高度成長)에 수반(隨伴)되는 산업활동(産業活動)의 고도화(高度化), 도시집밀화사회(都市集密化社會)의 형성(形成), 생활수준(生活水準)의 향상(向上)에 따르는 여가선용(餘暇善用) 있어서, 삼림(森林)에 대(對)한 공익기능(公益機能)의 발휘(發揮)를 최대한(最大限)으로 요청(要請)하고 있다. 즉(卽), 삼림(森林)이 잠재적(潛在的)으로 보유(保有)하고 있는 야외(野外) recreation 자원(資源), 수자원(水資源), 야생조수(野生鳥獸), 어류(魚類), 목재(木材), 목초(牧草) 등(等)의 천연자원(天然資源)은 공익적(公益的), 경제적(經濟的) 양기능면(兩機能面)에서 복합적(複合的)으로 이용(利用)할 수 있게 하여야 한다. 특(特)히, 삼림(森林)의 공익기능(公益機能)의 수량화(數量化)가 필수부가결(必須不可缺)의 위치(位置)를 점(占)하게 됨으로 이에 대(對)한 연구개발(硏究開發)이 활성화(活性化)되어야 한다.

• 자원환경지질
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• 제47권3호
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• pp.219-225
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• 2014

전국의 지하수 관정은 2012년 기준 1,474 천 개소이며 지하수 이용량이 총 용수 이용량의 12%를 차지하고 있다. 수자원장기기본계획은 2021년 전국 용수 수요가 공급을 초과할 것으로 전망하고 있어 지하수 이용이 더욱 중요한 과제가 되고 있다. 우리나라는 지하수 활용을 위한 인공함양이나 강변여과 보다 관정에 크게 의존하고 있으므로 관정의 경제성에 대한 평가가 우선적으로 이루어져야 할 것이다. 따라서 본 논문은 관정에 의한 지하수자원 활용이 경제적인지 아닌지를 분석하는 것에 목적을 둔다. 관정의 편익은 크게 3가지로 나누어 첫째, 활용가치로 음용수 및 농공용수의 공급가치, 둘째 비활용 가치로 잠재활용 대비 미래를 위한 부존가치를 포함하고 있다. 또한 비용은 관정의 설치비용 및 교체비용, 관리비용, 그리고 폐공의 환경오염 비용 등을 모두 포함한다. KDI의 수자원사업 예비타당성 가이드라인과 미국 환경청 그리고 세계은행의 지하수자원 비용-편익분석 모델을 원용하여 관정의 비용편익 비율을 계산하였다. 그 결과 지하수 관정의 편익이 비용보다 2.98배 높아 지하수 관정에 의한 지하수자원 공급이 경제성이 있는 것으로 나타났다.

• 한국가스학회지
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• 제15권3호
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• pp.19-25
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• 2011

냉방용 에너지는 크게 전력과 가스로 대별할 수 있는데, 전기냉방 시스템은 하절기 최대전력을 상승시키는 요인이 되고 있다. 전기에너지는 수요 공급 특성상 저장이 불가능하기 때문에 예상되는 최대전력을 상회하는 공급능력을 보유해야 하며 매년 하절기의 사회문제로 대두되어 왔다. 한편 가스냉방의 경우 흡수식 시스템과 GHP 시스템이 있다. 그러나 가스냉방 보급용량은 전기 냉방에 비해 매우 적으며 소형시장은 대부분 전기냉방에 의존하고 있는 상황이다. 본 논문에서는 국내 냉방에너지 현황을 살펴보고 에너지원간의 부하분담 비중을 분석하여 냉방에너지의 합리적인 방향을 제시하고자 2024년까지 장기적인 가스냉방 보급 규모를 전망하였으며, 이를 바탕으로 가스냉방 보급효과를 분석하여 가스냉방의 확대 필요성을 뒷받침 하고자 하였다.

• 한국기술혁신학회:학술대회논문집
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• 한국기술혁신학회 2015년도 추계학술대회 논문집
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• pp.479-487
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• 2015

전국의 지하수 관정은 2012년 기준 1,474 천 개소이며 지하수 이용량이 총 용수 이용량의 12%를 차지하고 있다. 수자원장기기본계획은 2021년 전국 용수 수요가 공급을 초과할 것으로 전망하고 있어 지하수 이용이 더욱 중요한 과제가 되고 있다. 우리나라는 지하수 활용을 위한 인공함양이나 강변여과 보다 관정에 크게 의존하고 있으므로 관정의 경제성에 대한 평가가 우선적으로 이루어져야 할 것이다. 따라서 본 논문은 관정에 의한 지하수자원 활용이 경제적인지 아닌지를 분석하는 것에 목적을 둔다. 관정의 편익은 크게 3가지로 나누어 첫째, 활용가치로 음용수 및 농공용수의 공급가치, 둘째 비활용 가치로 잠재활용 대비 미래를 위한 부존가치를 포함하고 있다. 또한 비용은 관정의 설치비용 및 교체비용, 관리비용, 그리고 폐공의 환경오염 비용 등을 모두 포함한다. KDI의 수자원사업 예비타당성 가이드라인과 미국 환경청 그리고 세계은행의 지하수자원 비용-편익분석 모델을 원용하여 관정의 비용편익 비율을 계산하였다. 그 결과 지하수 관정의 편익이 비용보다 2.98배 높아 지하수 관정에 의한 지하수자원 공급이 경제성이 있는 것으로 나타났다.