• Title/Summary/Keyword: Claim Factor

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Does Correction Factor Vary with Solar Cycle?

  • Chang, Heon-Young;Oh, Sung-Jin
    • Journal of Astronomy and Space Sciences
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    • v.29 no.2
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    • pp.97-101
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    • 2012
  • Monitoring sunspots consistently is the most basic step required to study various aspects of solar activity. To achieve this goal, the observers must regularly calculate their own correction factor $k$ and keep it stable. Relatively recently, two observing teams in South Korea have presented interesting papers which claim that revisions that take the yearly-basis $k$ into account lead to a better agreement with the international relative sunspot number $R_i$, and that yearly $k$ apparently varies with the solar cycle. In this paper, using artificial data sets we have modeled the sunspot numbers as a superposition of random noise and a slowly varying background function, and attempted to investigate whether the variation in the correction factor is coupled with the solar cycle. Regardless of the statistical distributions of the random noise, we have found the correction factor increases as sunspot numbers increase, as claimed in the reports mentioned above. The degree of dependence of correction factor $k$ on the sunspot number is subject to the signal-to-noise ratio. Therefore, we conclude that apparent dependence of the value of the correction factor $k$ on the phase of the solar cycle is not due to a physical property, but a statistical property of the data.

The Effect of Hospital, Department and Physician Factors on Hospital Resource Use (입원 환자의 병원내 자원 이용에 영향을 미치는 병원, 진료과 및 의사의 특성 분석)

  • 안형식
    • Health Policy and Management
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    • v.7 no.1
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    • pp.125-154
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    • 1997
  • The hospital, clinical department and the physician factor in explaining variations of hospital resource use in surgically admitted patients was compared. This analysis was based on 6, 361 discharges in 28 hospitals for three surgical conditions - lens procedures anal and stomal procedures, uterine and ovarian procedures using medical insurnce claim data. The results were as follows: 1. Regression analysis indicated that the hospital and clinical department characteristics, such as hospital ownership and size, were more significant predictors of the resource use indicators than the physician and patients' social characteristics. 2. Regarding to the physician factors, the hospital where the physician received the residency training and the medical shool where he/she graduated had less effect compared to the hospitals where he/she currently works. Between the residency trained hospital and medical school, the is more important than the latter. 3. When the hospital charges were divided into type of service provided i. e. room, drug, laboratory & radiologic, procedure & operation, and anesthesic charges, variance due to the hospital factor was larger than that due to the physician factor in each item. In summary, the hospital and clinical departmental factor played an important role than physician factor ; indicating to reduce the variation in hospital resource use, the policy that affects hospital behavior would be more effective than that targets individual physician behavior.

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Determinant Factors for Expenditure of the Medical Insurance Program for Self-Employeds (지역의료보험(地域醫療保險) 재정지출(財政支出)의 결정요인(決定要因))

  • Kam, Sin;Park, Jae-Yong;Yeh, Min-Hae
    • Journal of Preventive Medicine and Public Health
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    • v.28 no.1 s.49
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    • pp.153-174
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    • 1995
  • This study was conducted to examine the determinant factors for expenditure of the medical insurance program for self-employeds based on the analysis of 1991 'The Medical Insurance Program for Self-Employeds Statistical Yearbook', and also similar yearbooks in the metropolitan and other provinces. The major findings are as follows : We have divided benefits into these four components such as the utilization rate for out-patients, expenses per claim for out-patients as paid by the insurer, utilization rate for in-patients, and the expenses per claim for in-patients as paid by the insurer, in order to examine the determinant factors for it. The results of the study revealed the following findings, in urban areas, the supply of medical care had more influence on the benefits than other demographic and economic variables, while, in county areas, both the supply of medical care and the rate of those aged over 65 affected the provision of benefits. The determinant factors for financial balance of the medical insurance program for self-employeds are, first, the determinant factor for administrative expenses was the number of households. The more the number of households, the less the administrative expenses per the insured. This shows that the economy of scale is being. And so, the administrative district must be taken into consideration in the incorporation of small regional medical societies and should be re-organized for more efficient management. Second, in urban areas, the supply of medical care had more influence on utilization rate and expenses per claim as paid by insurer, and therefore it is necessary to control it. In county areas, the supply of medical care and the rate of those aged over 65 raised the utilization rate and expenses per claim as paid by insurer. For the financial stability of county areas, a common fund for medical care for the aged and expansion of finance stabilization fund would be necessary. But, in county areas, it would be unnecessary to control the supply of medical care because it was much more insufficient than in urban areas. The vitalization of public health facilities must be carried out in county areas, for they reduced benefits. Sice the more insured in a single household, the less the utilization of the medical insurance program, benefits for habilitation at home should be given consideration. The law of majority and the economy of scale were applied here, and therefore the incorporation of regional medical societies must be taken into consideration. In integrating regional medical societies, it would be absolutely necessary to review the structural differences among all regional medical societies, the medical demand of each region, and also the local characteristics of each region.

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A Study on the Improvement Method of Utilization of Multi-purpose Space in Elementary School in Busan (부산지역 초등학교 다목적공간의 이용실태와 활용성 개선방향에 관한 연구)

  • Park, Chun-Kwen;Yoo, Kil-Joon;Ha, Seong-Tae
    • Journal of the Korean Institute of Educational Facilities
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    • v.12 no.1
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    • pp.29-40
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    • 2005
  • The purpose of this study is to comprehend the utilization, the establishment and the claim of multipurpose space which was corresponded to the 7th National Curriculum, and to examine the use of multipurpose space. The subjects of this study are new or second amenable elementary schools. The conclusion of this study is as follow. 1) Teachers partly agree to the induction and the direction of the 7th National Curriculum, but they think that it is too early to carry it out and most of them think that it is better than old curriculum. 2) According to a report of contentment of multipurpose space, most of teachers are satisfied by multi- purpose space. The main factor responded by 59.8% of total respondents is to study variously. It means teachers highly evaluate the need of various system of studying. 3) The depth of a multipurpose space including the depth of a hallway is suitable 7.2m as 31.3% of respondents and 6.0m as 30.4%. 4) The main factor of dissatisfaction is noisy and ventilation because of the protection between the multipurpose spaces.

Exploring Conventional Models of Purchase Intention: Consumer Attitudes Towards Smartphones Advertisement

  • Manaf, Ahmad Azaini;Lee, Sung-Pil
    • Science of Emotion and Sensibility
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    • v.17 no.2
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    • pp.13-24
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    • 2014
  • Mobile phone makers compete for market shares through domination in media advertisements. These include domination of advertisements (Ads) in TV and the internet. However, the abundance and complexity of the competitions of Ads in TV does not guarantee advertising success which can influence consumers' emotion and the purchase intention towards the brand. This research analyses the case of a directional model on Attitude-towards-the-Ad model as a baseline into a new proposed correlation models (MacKenzie, Scott, &Lutz, 1989). The survey targets the involvements of Asian smartphone owners' attitude on advertisements, brands and purchase intentions. CFA (Confirmatory factor Analysis) was used in the research experiments, including hypothesis testing, the outcome of model fit which revealed significant levels and were successful. The study revealed that all three paths have consistently high coefficient paths (Attitude to Ads - Attitude to Brands - Purchase Intention), showing significant value of (${\beta}$=>.80), which supported each correlation factors. Therefore, this structural model, could set standards for creative managers and advertising teams to improve the brands visibility and build strong influences on attitudes in advertisements and improve purchase intentions.

The Prediction of Survival of Breast Cancer Patients Based on Machine Learning Using Health Insurance Claim Data (건강보험 청구 데이터를 활용한 머신러닝 기반유방암 환자의 생존 여부 예측)

  • Doeggyu Lee;Kyungkeun Byun;Hyungdong Lee;Sunhee Shin
    • Journal of Korea Society of Industrial Information Systems
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    • v.28 no.2
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    • pp.1-9
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    • 2023
  • Research using AI and big data is also being actively conducted in the health and medical fields such as disease diagnosis and treatment. Most of the existing research data used cohort data from research institutes or some patient data. In this paper, the difference in the prediction rate of survival and the factors affecting survival between breast cancer patients in their 40~50s and other age groups was revealed using health insurance review claim data held by the HIRA. As a result, the accuracy of predicting patients' survival was 0.93 on average in their 40~50s, higher than 0.86 in their 60~80s. In terms of that factor, the number of treatments was high for those in their 40~50s, and age was high for those in their 60~80s. Performance comparison with previous studies, the average precision was 0.90, which was higher than 0.81 of the existing paper. As a result of performance comparison by applied algorithm, the overall average precision of Decision Tree, Random Forest, and Gradient Boosting was 0.90, and the recall was 1.0, and the precision of multi-layer perceptrons was 0.89, and the recall was 1.0. I hope that more research will be conducted using machine learning automation(Auto ML) tools for non-professionals to enhance the use of the value for health insurance review claim data held by the HIRA.

A Study on Improvement of Quality System Level Using System FMEA (시스템 FMEA를 이용한 품질 시스템의 수준향상에 관한 연구)

  • 우정열;황승국;강성수
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.24 no.69
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    • pp.107-119
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    • 2001
  • In this paper, we propose a model of improvement of quality system level using system FMEA. The system FMEA is developed to a system analysis technique using the concepts of conventional FMEA. This is know what is important factor to manage the ISO 9000 Quality System. Therefore, it is used the system FMEA as the main method of the proposed model. The important factors of this model are internal quality audits, corrective and preventive action, customer claim review management review. This model is considered to be guideline for improvement of quality system level. We show the efficiency of the proposed model by means of a case study.

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A Empirical Study on the Employee's Workplace Satisfaction for Internal Marketing by Group Based Demographic Aspects (내부마케팅을 위한 인구통계특성별 종업원 그룹의 직장만족 영향요인 연구)

  • Kim, Jong Won;Kim, Jae Tae
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.11 no.6
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    • pp.51-59
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    • 2016
  • Recently the company is getting bigger and has many employees. Therefore, sometimes, the uniform internal marketing devices for whole employees are inappropriate because they are different demographic aspects. To find efficient internal marketing factors, this paper analyzes empirically the determinants of employee's satisfaction to their firm, by group based demographic aspects(male and female : 2 groups, ages : 3 group, employment period : 3 groups), for a insurance claim adjuster company As a result, it is found that the psychological factor has the statically significant determinant in all the 8 groups, with biggest positive coefficient in the 7 groups. Other factors, such as the organizational factor, the individual factor and spatial factor are statically significant determinant depending on the groups differently.

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Parabiosis and Aging Researches (개체병렬결합 그리고 노화 연구)

  • Chung, Kyung Tae
    • Journal of Life Science
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    • v.27 no.12
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    • pp.1515-1522
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    • 2017
  • Most people have a desire to live longer. According to ancient Chinese and Korean mythology, Dongfang Shuo (Dongbang Sahk) lived for 18,000 years. According to a WHO report, the average longevity of humans has extended from 50-odd years in the 1960s to 75-85 years in 2016. Parabiosis, the joining to circulatory systems of two animals, was described as early as the 1860s. It provides a powerful experimental model to investigate the effects of one animal on its partner animal in vivo. Research on reverse aging is an immensely popular in parabiosis studies. In this review, the origin of the parabiosis model and important historical findings based on parabiosis models are presented. Surprising and debated discoveries in aging research are also introduced. Using heterochronic parabiosis of connecting circulatory systems of a young mouse and old mouse, various groups claim to have identified a reverse aging factor, growth differentiation factor 11 (GDF11), which was significantly reduced in blood of old mice. Although the potential existence of any one factor or factors that could reverse aging remains to be confirmed, studies have shown that the parabiosis model is powerful enough to detect reverse aging factors.

The Role of Acquired Capability in the Relationship between Non-Suicidal Self-Injury and Suicide according to Interpersonal Psychological Theory of Suicide (비자살적자해와 자살 간의 관계에서 습득된 자살잠재력의 역할 : 자살에 대한 대인관계적 심리이론에 기반하여)

  • Kim, Cholong;Park, Yeonsoo;Chang, Hyein;Lee, Seung-Hwan
    • Anxiety and mood
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    • v.13 no.2
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    • pp.60-65
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    • 2017
  • Non-suicidal self-injury (NSSI) has been noted as a significant risk factor for possible suicide attempts. According to the Interpersonal Psychological Theory of Suicide, individuals can attempt suicide after they have acquired the capability to commit it. The acquired capability for suicide can be defined as one's habituated level to the pain and fear associated with suicidal behaviors. This is obtained through constant exposure to painful and provocative events, NSSIs being a prime example. This article reviews prior related studies to determine the extent to which the acquired capability for suicide can be utilized as a predictive factor for fatal suicide attempts following NSSIs. Our review finds a total of 11 studies that directly or indirectly support the claim that the acquired capability for suicide should be considered as a relevant factor linking NSSIs and suicide attempts. Given that NSSIs are most frequently observed in clinical settings, our findings suggest that the acquired capability for suicide will be a useful indicator for clinicians to predict the risk of future suicide attempts by patients.