• Title/Summary/Keyword: Cost-Distance Analysis

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A Study on the Informal Cost Burden of the Patients Admitted to the Hospital (입원환자의 비공식적 의료비용 부담에 관한 연구)

  • Han, Mi-Hyun
    • Journal of Korean Academy of Nursing Administration
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    • v.7 no.1
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    • pp.5-14
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    • 2001
  • To estimate total burden of hospital admission over patient of gamily, we need to know the unofficial private expenses in addition to explicit hospital admission fees. This study was conducted from June 29, 2,000 to August 10, 2,000. Subjects were 104 patient at university hospital located at chungnam province. After thorough explanation of purpose and procedures, notebooks are given to each patient or guardian. They are requested to recorded all relevant expenditures occurred during hospital stay. Incomplete records were filled-up by direct personal contact or phones. Datas were summarized and analyzed using SAS statistical package. P-value less than 0.05 was considered significant. The results of the study are as follows: 1. In 96.1% of the patient, guardians stayed at hospital to take care of patients. In 38,8% one of the family members get work-leave or temporary resting from job. Average date of leave was 7.5days. 2. Average informal cost burden per patient was 204,467 won (14,330 won${\sim}$1,594,870 won). Average hospital cost paid by the patient was 1,061,807 won. The ratio of informal cost burden to hospital cost paid by the patient was 0.327. 3. According to the regression analysis, the relevant factors affection informal cost burdens were distance from home to hospital(p=0.018), and duration of hospitalization(p=0.0001). 4. Informal cost burden was composed of expenses for personal expense of care giver (126, 720 won/patient), meal (86,924 won/patient), transportation (77,648 won/patient), necessaries of life (18,789 won/patient), tests and treatments not covered by insurance (17,289 won/patient), medical supplies not covered by insurance (15,280 won/patient), treat for visitors (14,757 won/patient), TV coin (8,247 won/patient), and others (7,582 won/patient). In addition to the hospital cost paid by the patient for hospital admission, the informal cost burdens should be recognised explicitly because it is not small. Significant proportion of informal cost burden is composed of care-giver's personal expense, transportation, meal. It is suggested that some polices are to be devised and implemented enabling that this portion of informal expenses be directed to formal professional nursing care. Thus we can improve the quality of care and decrease discomfort of patient's relatives.

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Robust Design Method for Complex Stochastic Inventory Model

  • Hwang, In-Keuk;Park, Dong-Jin
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 1999.04a
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    • pp.426-426
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    • 1999
  • ;There are many sources of uncertainty in a typical production and inventory system. There is uncertainty as to how many items customers will demand during the next day, week, month, or year. There is uncertainty about delivery times of the product. Uncertainty exacts a toll from management in a variety of ways. A spurt in a demand or a delay in production may lead to stockouts, with the potential for lost revenue and customer dissatisfaction. Firms typically hold inventory to provide protection against uncertainty. A cushion of inventory on hand allows management to face unexpected demands or delays in delivery with a reduced chance of incurring a stockout. The proposed strategies are used for the design of a probabilistic inventory system. In the traditional approach to the design of an inventory system, the goal is to find the best setting of various inventory control policy parameters such as the re-order level, review period, order quantity, etc. which would minimize the total inventory cost. The goals of the analysis need to be defined, so that robustness becomes an important design criterion. Moreover, one has to conceptualize and identify appropriate noise variables. There are two main goals for the inventory policy design. One is to minimize the average inventory cost and the stockouts. The other is to the variability for the average inventory cost and the stockouts The total average inventory cost is the sum of three components: the ordering cost, the holding cost, and the shortage costs. The shortage costs include the cost of the lost sales, cost of loss of goodwill, cost of customer dissatisfaction, etc. The noise factors for this design problem are identified to be: the mean demand rate and the mean lead time. Both the demand and the lead time are assumed to be normal random variables. Thus robustness for this inventory system is interpreted as insensitivity of the average inventory cost and the stockout to uncontrollable fluctuations in the mean demand rate and mean lead time. To make this inventory system for robustness, the concept of utility theory will be used. Utility theory is an analytical method for making a decision concerning an action to take, given a set of multiple criteria upon which the decision is to be based. Utility theory is appropriate for design having different scale such as demand rate and lead time since utility theory represents different scale across decision making attributes with zero to one ranks, higher preference modeled with a higher rank. Using utility theory, three design strategies, such as distance strategy, response strategy, and priority-based strategy. for the robust inventory system will be developed.loped.

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Predictors of HPV Vaccination Status in Female Nursing University Students: HPV related Knowledge and Perception (여자 간호대학생의 HPV 예방접종 상태에 영향을 미치는 요인: HPV 지식과 인식을 중심으로)

  • Park, Hyunju
    • Journal of the Korean Society of School Health
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    • v.29 no.3
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    • pp.123-131
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    • 2016
  • Purpose: Human Papillomavirus(HPV) vaccination is the best prevention for cervical cancer. Therefore, this study was to examine the best predictors of HPV vaccination status in female nursing university students. Methods: Five hundred and forty junior and senior female nursing students from Seoul and provinces of Kyunggi, Chungcheong and Gyungsang completed paper and pencil questionnaires. Descriptive statistics, $x^2$ test, t-test, and multiple logistic regression with dummy variables were conducted using SAS 9.2. Results: Of the total students, 56.8% were vaccinated. As a result of the analysis of the bivariate relationships, family economic status, school type, perceived susceptibility, perceived benefit and perceived barriers (cost, time, distance from hospital and side effects) were significantly related to vaccination status. After controlling for the general characteristics and the HPV related knowledge score, higher family economic status (Adjusted Odds Ratio [AOR]: 3.78, 95% Confidence Interval [CI]: 1.21~11.76), private university (AOR: 1.69, 95% CI: 1.14~2.53), higher perceived benefit (AOR: 1.80, 95% CI: 1.47~2.20), lower perceived barrier (cost) (AOR: 0.86, 95% CI: 0.74~0.99), lower perceived barrier (time) (AOR: 0.71, 95% CI: 0.61~0.84), and lower perceived barrier (side effects) (AOR: 0.82, 95% CI: 0.72~0.94) were significantly related to HPV vaccination. Perceived benefit, perceived barrier (time) and perceived barrier (side effects) were the top 3 predictors of HPV vaccination status. Conclusion: This study suggests that vaccinated female nursing students were more likely to be from higher family economic status and private universities and have a higher perception of benefit and a lower perception of barriers (cost, time, and side effects). Thus, efforts to increase HPV vaccination rates of female nursing students should focus on improving their perception of benefit while lowering their perception of barriers, particularly cost, time and side effects.

Effect Analysis of Structural Reform of Korea Railroad - Focusing on Comparison of Operating Cost - (철도구조개혁 성과분석 -운영비용을 중심으로-)

  • Sung, Myoung-Joon;Suh, Sun-Duck
    • Proceedings of the KSR Conference
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    • 2009.05a
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    • pp.1395-1411
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    • 2009
  • The Korea railroad industry has experienced the operating deficit annually since 1980. And the ridership has been reduced since 1990. Therefore, a structural reform of the Korea railroad industry conducted at 2003. Basic principles of their structural reform are no differences among the Korea and advanced counties. But different outcomes depending on each country situation appears. These cost functions appear the existence of all economic of scale. And when increase the average transport distance annually, the average cost reduce annually. The results of structural reform by comparing before and after, the average cost was lower than previously. The Structural reform and the operation of the KTX, the two effects at the same time, the synergy effect has occurred. Because of the synergy effect, the performance is estimated to be larger. Due to the effective operation of structural reform that could reduce costs.

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WSN Lifetime Analysis: Intelligent UAV and Arc Selection Algorithm for Energy Conservation in Isolated Wireless Sensor Networks

  • Perumal, P.Shunmuga;Uthariaraj, V.Rhymend;Christo, V.R.Elgin
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.9 no.3
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    • pp.901-920
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    • 2015
  • Wireless Sensor Networks (WSNs) are widely used in geographically isolated applications like military border area monitoring, battle field surveillance, forest fire detection systems, etc. Uninterrupted power supply is not possible in isolated locations and hence sensor nodes live on their own battery power. Localization of sensor nodes in isolated locations is important to identify the location of event for further actions. Existing localization algorithms consume more energy at sensor nodes for computation and communication thereby reduce the lifetime of entire WSNs. Existing approaches also suffer with less localization coverage and localization accuracy. The objective of the proposed work is to increase the lifetime of WSNs while increasing the localization coverage and localization accuracy. A novel intelligent unmanned aerial vehicle anchor node (IUAN) is proposed to reduce the communication cost at sensor nodes during localization. Further, the localization computation cost is reduced at each sensor node by the proposed intelligent arc selection (IAS) algorithm. IUANs construct the location-distance messages (LDMs) for sensor nodes deployed in isolated locations and reach the Control Station (CS). Further, the CS aggregates the LDMs from different IUANs and computes the position of sensor nodes using IAS algorithm. The life time of WSN is analyzed in this paper to prove the efficiency of the proposed localization approach. The proposed localization approach considerably extends the lifetime of WSNs, localization coverage and localization accuracy in isolated environments.

Trend Analysis and Diagnosis for BWTS Remote Monitoring (BWTS 원격 모니터링을 위한 트렌드 분석 및 진단)

  • Choi, Wook-Jin;Kim, Chin-Hoon;Choi, Hwi-Min;Lee, Kwang-Seob;Choi, Woo-Jin;Kim, Joo-Man
    • IEMEK Journal of Embedded Systems and Applications
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    • v.9 no.3
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    • pp.127-135
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    • 2014
  • On lot of ships, Ballast Water Treatment Systems(BWTS) are in use, or the newly built ship should be mandatory installation by 2017. It is IMO(International Maritime Organization) regulations. Because the vessel is in long distance, It is managed this system only in the vessel and it may occur considerable cost of maintenance when a problem arises from BWTS. We describe in this paper how to monitor treated ballast water to make sure the ballast water and BWTS on a ship is in proper condition, but before the port entrance. In addition, analysing and forecasting trend signal to prevent failure. Also we can expect reduce the cost of BWTS maintenance. We can monitor the sensor data value's change which collected through satellite from BWTS. And we can observate the ballasting and de-ballasting state of the vessel easily.

Factors Influencing Participation in Barter Trade by Rural Farming Households in Ondo State, Nigeria

  • Adejobi, A.O.;Sanusi, O.G.;Mafimisebi, T.E.
    • The Journal of Economics, Marketing and Management
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    • v.3 no.4
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    • pp.5-11
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    • 2015
  • The study examined the socio-economic factors influencing the participation of rural farming households in barter trade in Ondo State, Nigeria. The objectives were to compare the socio-economic characteristics of the participants and non-participants in barter trade, analyze the preference for barter trade and identify the constraints to it. Also, the factors affecting respondents' participation in barter trade were identified. Empirical results indicated that there were significant differences in the socio-economic characteristics of the participants and non-participants in barter trade. The SWOT analysis showed that possession of agrarian attributes by the locality where the trade is practiced was the strongest factor ensuring the survival of barter in the study area. Double coincidence of wants was found to be the most prevailing weakness associated with barter while the major reason for participation by some households was that the quantity of commodities received is usually higher compared with cash transactions. Transportation cost to barter markets was found to be the greatest threat to the continued existence of barter trade in the area. The results of the Probit model showed that age, household size, transportation cost to cash markets, farm size, distance to barter markets, and formal education significantly affected the probability participating in barter trade.

Exploring Reasonable Pricing System for Inland Container Cargo Transportation Using GIS Service Area Analysis (GIS 서비스 권역분석을 활용한 컨테이너 육상운송운임 산정방안)

  • Joo, Seung-Min;Um, Jung-Sup
    • Spatial Information Research
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    • v.20 no.3
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    • pp.1-14
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    • 2012
  • This paper has investigated the unreasonable pricing system for container cargo with special reference to inland transport since it is determined by administrative boundary without considering travelling distance. This research is primarily intended to improve the current pricing system by introducing a pricing support system about the container cargo in the country which applies GIS service area analysis to transportation data. Price simulation maps were generated to find out reasonable pricing strategy. Pricing alternative integrating travelling distance into administrative zoning brings about more desirable results than individual driving cost alone. The research can contribute to more reasonable pricing for the fuel consumption expense and serve as useful instruments for planning pricing system for container cargo. It is anticipated that this research output could be used as a valuable reference to increase the scientific and objective pricing for container cargo by overcoming serious constraints suffered from the past non-GIS-based approach.

Measurement of Bow in Silicon Solar Cell Using 3D Image Scanner (3D 스캔을 이용한 실리콘 태양전지의 휨 현상 측정 연구)

  • Yoon, Phil Young;Baek, Tae Hyeon;Song, Hee Eun;Chung, Haseung;Shin, Seungwon
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.37 no.9
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    • pp.823-828
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    • 2013
  • To reduce the cost per watt of photovoltaic power, it is important to reduce the cell thickness of crystalline silicon solar cells. As the thickness of the silicon layer is reduced, two distinctive thermal expansion rates between the silicon and the aluminum layer induce bowing in a solar cell. With a thinner silicon layer, the bowing distance grows exponentially. Excessive bowing could damage the silicon wafer. In this study, we tried to measure an irregularly curved silicon solar cell more accurately using a 3D image scanner. For the detailed analysis of the three-dimensional bowing shape, a least square fit was applied to the point data from the scanned image. It has been found that the bowing distance and shape distortion increase with a decrease in the thickness of the silicon layer. An Ag strip on top of the silicon layer can reduce the bowing distance.

The Selection of Spoil-Bank for Reduction of Carbon Emission based on GIS Analysis (탄소배출량 저감을 위한 GIS분석기반의 사토장 선정)

  • Park, Dong Hyun;Kang, In Joon;Kim, Sang Suk;Han, Ki Bong
    • Journal of Korean Society for Geospatial Information Science
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    • v.20 no.4
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    • pp.3-9
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    • 2012
  • The exhaustion of fuel and tremendous greenhouse gas emissions are caused by the sharp increase in the use of fossil fuel. Especially, accounting for over 25% of carbon dioxide emissions, Construction is main environmental problem. So, in this study, we applied network analysis in the selection of spoil-bank to reinforce the GIS to decrease carbon dioxide emissions in construction sites. As a result, we could calculate the expected carbon dioxide emission and transportation cost of the proposed sites by the shortest distance and the least amount of time. We found that if spoil-bank is chosen based on the result, carbon dioxide emissions will be decreased as much as we plant a pine tree. We can also decrease largely by considering and applying complex causes which affect carbon dioxide emissions in construction.