• 에너지공학
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• 제21권4호
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• pp.339-345
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• 2012

최근 안정성 및 경제성 측면에서 완전방호식 LNG 저장탱크(full-containment LNG storage tank)의 대안으로 검토되고 있는 멤브레인 LNG 저장탱크(membrane LNG storage tank)에 대해서 정량적 위험성 평가 방법(QRA; Quantitative Risk Analysis)과 유한요소해석법(FEM; Finite Element Method)을 통하여 안전성 평가를 수행하였다. 본 논문에서는 유한요소해석법(FEM)을 통한 구조안전성 평가에서 140,000 $m^3$ 저장용량을 갖는 LNG 저장탱크의 두 가지 모델은 저장탱크 시스템에 대한 강도 안전성과 누출 안전성 측면에서 해석한 결과에 의하면 모두 안전한 것으로 평가되었다. 또한, 고장수목분석(FTA; Fault Tree Analysis)을 통하여 멤브레인 LNG 저장탱크에 안전성을 강화하기 위해 설계 초기모델에 안전장치로서 멤브레인 바닥부의 충격흡수장치(impact absorber structure), 1차 멤브레인 저장 파손 시 콘크리트 외부탱크(outer tank) 코너부(corner part)의 열충격(thermal stress)을 감소시킬 수 있는 열보호장지(secondary barrier) 및 펌프 낙하 시 안전장치로서 펌프캐쳐(pump catcher)를 보완하고 평가하였다. 결론적으로 개선된 멤브레인 LNG 저장탱크는 안전성 측면에서 완전방호식 LNG 저장탱크와 대등하다는 결론을 도출할 수 있었다.

• 보건행정학회지
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• 제2권2호
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• pp.131-151
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• 1992

The contents of prescription service were comparatively analysed between health centers(HC) and private clinics(PC). Medical chart review was done for 330 otu-patients diagnosed with upper respiratory tract infection(UR) of 120 adults and 90 children, and gastritis or duodenitis of 120 adults. Emphasis on comparison was the prime cost of medication which used in prescription service. The results were as follows; 1. The prime costs fro the medication per visit of HC group were significantly higher than PC group in all three diseases, and the out of pocket payments of patients per visit were significantly lower in the HC group than PC group. 2. The reason for high prime costs of medication per visit of HC in adult case of URI were due to the idverse use of medication and long prescription period per visit. And high medication costs in children cases of URI in HC group were due to the longer prescription day. In cases of gastritis, the prime cost of medication was also higher because of longer prescription period and the higher prime cost of medication. The proportions of medications for injection in the HC and PC groups showed similar features. 3. In depth analysis of the prescription services showed the differences of the contents of medication. In adults cases of URI, the averaged cost of oral medication was significantly lower in HC group, but that of medication for injection was higher in HC group. In children cases of URI, the averaged cost of oral medication and medication for injection was lower in HC group than in PC group. But in the cases of gastritis it was was higher in HC group than in PC group. The prescription periods were longer in HC group than in PC group in all three diseases. As a conclusion prime medication cost and quality of prescription services of HC group were higher than PC group. In terms of health care the cost containment and quality assurance in physician visit for common disease, public sector utilization is good option for those perspectives. But it should not be generalized unless future study about structure and outcome research for quality assurance.

• 보건행정학회지
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• 제3권1호
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• pp.53-83
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• 1993

A small number of high cost patients usually spend a larger proportion of scarce health resources. Korea is no exception. Under the national health insurance, 12% of the insured persons have consumed approximately half of the national health insurance expenditures. Therefore, it is necessary to identify the characteristics of the high cost patient group, if we would like to reduce them. This study has defined high cost patients as those who have spent one and half million won and over per 6 months. The study reveals that high cost users are those who have a longer length of stays(LOS), 40days of LOS in the 6 months, have multiple admissions, 2 to 3 admissions per 6 months and are the elderly patients. They have spent 814.126won per on the average, and commonly suffered from malignant neoplasms, circulatory diseases, fracture, diabetes mellitus, etc. Unlike the case of western developed countries, early readmissions are not the major causes of high cost spending in Korea. Undoubtedly, a lengthy admission is the main cause of large spending. Health policies should vigorously be explored to respond appropriately. There are evidences that hospital beds are often misused. As the Korean health care system is lacking in a mechanism of patient evaluation under the fee-for-service remuneration system, an idea of progressive patient care needs to be tested. The Goverment should set up health policy to diversify the role of long-term care facilities and encourage people to establish them. Further studies are needed to identify factors influencing large medical bills necessary for formulating the health policy on cost containment.

• Asian Pacific Journal of Cancer Prevention
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• 제17권7호
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• pp.3173-3177
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• 2016

Background: The Ministry of Public Health (MOPH) in Lebanon provides cancer drugs free of charge for uninsured patients who account for more than half the total case-load. Other categories of cancer care are subsidized under more stringent eligibility criteria. MOPH's large database offers an excellent opportunity to analyze the cost of cancer treatment in Lebanon. Materials and Methods: Using utilization and spending data accumulated at MOPH during 2008-2013, the cost to the public budget of cancer drugs was assessed per case and per drug type. Results: The average annual cost of cancer drugs was 6,475$ per patient. Total cancer drug costs were highest for breast cancer, followed by chronic myeloid leukemia (CML), colorectal cancer, lung cancer, and Non-Hodgkin's lymphoma (NHL), which together represented 74% of total MOPH cancer drug expenditure. The annual average cancer drug cost per case was highest for CML ($31,037), followed by NHL ($11,566). Trastuzumab represented 26% and Imatinib 15% of total MOPH cancer drug expenditure over six years. Conclusions: Sustained increase in cancer drug cost threatens the sustainability of MOPH coverage, so crucial for socially vulnerable citizens. To enhance the bargaining position with pharmaceutical firms for drug cost containment in a small market like Lebanon, drug price comparisons with neighboring countries which have already obtained lower prices may succeed in lowering drug costs.

• 보건행정학회지
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• 제8권1호
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• pp.1-14
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• 1998

Analysis of practice variations has been one of important issues in trying to contain costs as well as to manage quality in health care. This study was conducted to provide statistical model for analysing variations in inpatient costs by type of hospitals. Four K-DRGs including Cesarean section, appendectomy, cataract extraction, and pediatric pneumonia with CC class 0 were selected, and means and dispersions of inpatient procedure and operation costs were simultaneously compared between type of hospitals. The results indicated that joint modelling of means and dispersions by gamma distribution was a very useful analytic tool for identifying factors which might have relationship with variations in inpatient costs. This model can be expanded to test the significance of several independent variables in analysing cost variations. In surgical conditions, means and unit variations of procedure and operation costs showed consistent pattern which was tertiarty hospital, general hospital, and hospital in descending order. Different findings were identified in pediatric pneumonia, from which mean and unit variation of procedure and operation cost was the highest in general hospital. The practical implication of this difference could not be drawn from this study. It will be done by further sophisticated researches. In order to develop health policy for cost containment and quality management in Korea, it is essential to find out manageable factors affecting variations in practice patterns which include characteristics of population, providers, regions, and so on. The statistical model presented in this study will give health services researchers useful insights for future investigations in analysing cost variations.

• 보건행정학회지
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• 제21권1호
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• pp.115-131
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• 2011

Several common issues are encountered by countries - Germany, Japan, and the United States - that adopted long-term care (LTC) system. First, the demand for LTC and its associated costs have steeply risen following the implementation of the LTC policy. Second, ensuring the quality of services have been difficult. Third, the coordination of services among providers and between LTC and medical care has been inadequate. Learning from their experience, we suggest ways to improve the LTC system in Korea. The basic approach aims for efficiency over equity in the system. This would require promoting provider competition and consumer choice. We propose several policy options according to the major stakeholders. For consumers, cash benefits at fixed rates and personal savings accounts are feasible options to self-contain the demand and cost of services. On the insurer's side, creating an environment of multiple insurers will engender competition, leading to cost savings and quality care. For providers, delivery of quality services through competition, cost-containment through capitated reimbursements, and coordination of services through integrated delivery system can be achieved. From the assessors' perspective, establishing an information system to monitor the activities of insurers and providers would be important, empowering consumers with information to choose cost-effective service providers. In summary, the suggested approach would provide cost-effective LTC services by guaranteeing consumer choice and promoting major stakeholder accountability. Further studies are needed to test the feasibility of this model in ensuring quality LTC in Korea.

• Smart Structures and Systems
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• 제4권3호
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• pp.305-318
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• 2008

The development of a digital signal processor based prototype is described in relation to continuing efforts for realizing a fully self-contained active sensor system utilizing impedance-based structural health monitoring. The impedance method utilizes a piezoelectric material bonded to the structure under observation to act as both an actuator and sensor. By monitoring the electrical impedance of the piezoelectric material, insights into the health of the structured can be inferred. The active sensing system detailed in this paper interrogates a structure utilizing a self-sensing actuator and a low cost impedance method. Here, all the data processing, storage, and analysis is performed at the sensor location. A wireless transmitter is used to communicate the current status of the structure. With this new low cost, field deployable impedance analyzer, reliance on traditional expensive, bulky, and power consuming impedance analyzers is no longer necessary. A complete power analysis of the prototype is performed to determine the validity of power harvesting being utilized for self-containment of the hardware. Experimental validation of the prototype on a representative structure is also performed and compared to traditional methods of damage detection.

• 항공우주시스템공학회지
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• 제8권2호
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• pp.21-26
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• 2014

The aircraft manufacturers are constantly driving to reduce manufacturing lead times and cost at the same time as the product complexity increases and technology continues to change. Integrated Modular Avionics (IMA) is a solution that allows the aviation industry to manage their avionics complexity. IMA defines an integrated system architecture that preserves the fault containment and 'separation of concerns' properties of the federated architectures. In software side, the air transport industry has developed ARINC 653 specification as a standardized Real Time Operating System (RTOS) interface definition for IMA. It allows hosting multiple applications of different software levels on the same hardware in the context of IMA architecture. This paper describes a study that provided the avionics software design for separation of fault and backup of core function to reduce workload of pilot with cost efficiency.

• 한국산학기술학회논문지
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• 제19권1호
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• pp.587-595
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• 2018

세계에서는 지구온난화 등에 따른 기후 변화에 대응하여 원전 건설을 금지해오던 국가들도 점점 허용하는 추세이다. 따라서 앞으로의 원전 건설이 늘어날 것이며 이에 대한 경쟁 또한 심화될 것이다. 원전 프로젝트는 일반 건설 공사와 비교하여 공사 기간이 매우 길다. 원전 건설 프로젝트에서 경쟁 우위를 확보하기 위해 원전 공사 기간을 줄일 수 있는 기술을 개발하는 것이 필요하다. 따라서 본 연구의 목적은 원자로 건물 외벽 거푸집의 높이를 3m에서 4m로 증가시킴으로써 공사 기간을 감소시키기 위한 원자로 건물 외벽 거푸집을 개발하는 것이다. 개발된 거푸집을 원전 프로젝트에 적용하기 위해 구조적 안전성과 시공성 및 경제성을 분석하였다. 현장 적용 가능성을 평가한 결과 개발된 거푸집은 구조적으로 안전했다. 그리고 시공 단수가 감소함으로써 공사 기간이 단축되고 공사비 또한 절감되는 효과를 확인하였다. 본 연구의 결과는 향후 원자로 건물의 공사 기간 단축을 위한 지속적인 기술 개발을 위한 자료로 활용하여 한국의 세계 원전시장에서의 경쟁력 확보에 기여할 수 있을 것으로 사료된다.

• 한국가스학회지
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• 제18권4호
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• pp.8-12
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• 2014

본 연구는 가스충전소 등에서 운용하는 저장탱크에 대하여 퓨(Pugh) 방법을 통하여, 기존의 지상형과 지하형의 장점과 단점을 비교 판정하여 경제적 시공으로 고객만족을 실현시키기 위함이다. 특히 대규모 저장시설에서의 가스사고를 획기적으로 줄여 사회적으로 심각한 안전문제를 해결하고자 한다. 가스를 대량으로 취급 저장하는 시설에서 운용하는 저장탱크의 설치방법을 퓨 방법으로 판단하면 기존의 지상형과 지하매몰형, 지하격납형 중에서 안전성과 토지이용률이 우수한 형태는 지하격납저장탱크가 가장 효과적이다.