• Title/Summary/Keyword: Cost-of-Service

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An Analysis on Appropriateness of Health Insurance Fee Using the Activity Based Costing(ABC) Approach (활동기준 원가분석을 통한 건강보험수가의 적정성 분석)

  • Kim, Han-Sung;Shin, Hyun-Woung;Cha, Jae-Young
    • Korea Journal of Hospital Management
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    • v.20 no.3
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    • pp.36-44
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    • 2015
  • The Activity Based Costing(ABC) means the process that makes clear how the actions and input resources have changed into service to calculate medical services costs. These days, the number of hospital which is using the ABC system is increasing to make their policy decision making efficient and run the hospitals more resonable. This study analyzes the unbalance in the level of health insurance service fee and the improvement plans based from 8 hospitals(ABC system) and 95 clinics(ABC survey). The cost recovery ratio has shown different levels according to each service type. A surgery service type recorded 76.8% and an evaluation & management service type is 84.6%, a treatment procedure type(85.8%), a function test type(91.6%) and health insurance fee even did not reach to the original cost. Meanwhile, a laboratory test type and imaging test type show high level of cost recovery ratio. they recorded 188.3% and 158.8%. Resultingly now of unbalance in the level of health insurance service fee accelerates supply of every test. so there is a need to make laboratory test type and imaging test type lower to keep balance with the surgery and medical service. These methods should be performed gradually with monitoring the unbalance fee ratio and for this, a panel medical institution have to be established for generalizations of studying result, fairness of selecting researching sample.

A study on the effect of ERP Construction strategy and IT Consulting Service Quality on Performance (ERP 구축 전략과 IT컨설팅 서비스품질이 도입 성과에 미치는 영향)

  • Ha, Tae-Yong;You, Yen-Yoo
    • Journal of the Korea Convergence Society
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    • v.9 no.9
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    • pp.217-228
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    • 2018
  • It is aimed at providing a guide for effective ERP implementation strategy in view of the need for differentiation and cost advantage strategy from competitors in introducing ERP centered on SMEs. The results show that differentiation and cost superiority and service quality are dependent on the introduction performance and mediating effect. First, the differentiation or cost advantage strategy supports the previous research results in financial performance. However, in the differentiation strategies, only the non-financial aspects were noted. Second, the differentiation and cost advantage strategy were analyzed to have financial performance only in the assurance of service quality factor and the remaining service quality was not significant in the introduction performance. Third, the mediating effect of consulting service quality was analyzed in terms of differentiation or cost advantage Did not do it. In conclusion, system construction is different from financial perspective in terms of construction strategy. In service quality factor, it affects the confidence that supplier provides, knowledge and confidence, and ability to give faith.

A Quality Control Model for Shared University in Service Era (서비스시대 공유대학 품질관리모델 연구)

  • Kim, Hyunsoo
    • Journal of Service Research and Studies
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    • v.8 no.4
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    • pp.1-12
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    • 2018
  • This study suggests a way to implement shared economic model of educational service in service era. As most shared economic models are innovating high-cost, low-quality structures in existing economies, there is a need for innovation models that improve high-cost low-quality structures to high-quality, low-cost structures in education services. Especially, since higher education and lifelong education are in urgent need of innovation, this study studied shared university model focused on higher education and lifelong education. In order to provide educational services at low cost and high quality, it is necessary to use idle resources, so it is necessary to introduce a shared economic model. Shared universities require a more efficient and effective supplier quality control, as the existing limited supplier group become widespread. Normative quality control is also needed to cultivate students as competent talent. In addition, in order to provide high-quality higher education services at a low cost, it is necessary to base the process quality management using advanced science and technology. Therefore, educational service quality management is a process of quality control that is well-balanced in terms of suppliers, customers, and processes.

Calculation of Construction Cost Rate to Telecommunications Engineering Service (엔지니어링대가 공사비 요율 산출방법 고찰)

  • Hong, Wan-Pyo;Choi, Kwang-Don
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.10 no.12
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    • pp.2121-2125
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    • 2006
  • This paper shows the calculation system of construction cost rate to telecommunications engineering service that is based on the tenth article of the Engineering Technique Promotion Law. The existing construction cost rate had been calculated using the experiential statistics or quoted the foreign construction cost rates. This paper apply the theoretical method to calculate the construction cost rate instead of the existing method. To calculate it more reasonably, this paper apply the characteristic own of the current construction cost rate. The result of this paper can be introduced to calculate the construction cost rate for the telecommunication engineering service.

A Study on the Method to Estimate the Cost of Hospice Care (호스피스의 수가 산정 방안에 관한 연구)

  • Cho, Hyun
    • Journal of Korean Academy of Nursing
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    • v.24 no.2
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    • pp.216-225
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    • 1994
  • The cost of hospice care should be covered by the insurance system if it is to be promoted in our country and this, in turn, requires a proper method to the estimate of this cost. The purpose of this study was to set up the method to estimate the cost of hospice care. First the cost effectiveness of hospice care were studied. By tracing the activities of hospice nurses for a given period, all the relevant data such as the scope and load of activities as well as the cost were collected. Then these were analysed and compared with the data obtained from hospice and home care. The results showed that the cost of hospice care was the most economic, and indicate its qualification as .1n in-dependent system. The main part of the cost of hospice care was found to be the labor cost which was up to 83% of the total. Therefore a method to estimate the cost should reflect the real labor cost. Several methods have been proposed in the study in terms of unit labor cost, service time, material cost, and the weight of the labor cost. All variables, including the service time surveyed in this study, can easily be translated into numerical values and it would not difficult to estmate the cost of hospice care. Hence by letting the hospice care be insured, hospice care can be expected to function as a good alternative to the present medical system.

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Moderating Effects of Switching Cost on the IT Service Switching Intention (IT서비스 전환의도에 대한 전환비용의 조절효과)

  • Kim, Soo-Hyun
    • The Journal of the Korea Contents Association
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    • v.13 no.10
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    • pp.452-460
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    • 2013
  • Nowadays IT service users meet various new IT services and are considering a switch into a new IT service. IT service providers are also developing the strategies to retain and expand their customer base. Studies on switching intention have been one of the most interesting topics in the on-line and off-line markets. In this paper we investigate the factors influencing the IT service switching intention. Our research model includes the relationship between 'switching intention' and 'habit', 'alternative attractiveness', 'present service satisfaction'. In addition, we try to find the effect that 'habit' and 'alternative attractiveness' give to 'switching intention' through 'present service satisfaction'. Finally, the moderating effects of 'switching cost' are examined. This empirical paper proves that 'habit' and 'present service satisfaction' give effects to 'switching intention', and 'alternative attractiveness' give the indirect effects to 'switching intention'. In addition, 'switching cost' has the moderating effects between 'switching intention' and 'habit'.

Cost Structure of the Hospital Drug Services and Their Directions for Price System Improvement (병원 약제행위의 원가구조 및 수가체계 개선방향)

  • Hwang, In-Kyoung;Lee, Eui-Kyoung;Rhe, Jinn-Ie;Jang, Sun-Mee
    • Korea Journal of Hospital Management
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    • v.5 no.1
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    • pp.200-231
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    • 2000
  • The price systems of the hospital drug services play key roles in the provision of quality services and the development of pharmacy service technologies. Under the premises, this study attempted to determine the costs of hospital drug service, to compare the costs calculated with the fees publicly fixed by the Government, and based on the results of the analysis, to propose directions for the improvement of the price systems. A Costing model for the study was developed based on the cost-fee relationship analysed of the Korean fee-for-service systems. Data on costs and workloads of the 25 hospitals were collected through survey forms designed for the costing' and analysis for the duration of 12 months of 1998. The results of the analysis show that a tremendous unbalance between cost and price levels of the drug services, and that overally the price level of the services is extremely low when compared to the costs of services. Based on these findings, this study suggests that unfairly high or low price level be corrected, and that service items newly developed and being practiced at tertiary hospitals, such as TDM and TPN consultation services, be compensated by fixing a proper level of price.

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A Study on Improvement of Health Center's Function through Cost-Effectiveness Analysis in Korea (1차 보건의료사업의 비용-효과분석을 통한 보건소 기능의 확대 방안 연구)

  • 김종인;윤치근
    • Health Policy and Management
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    • v.5 no.2
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    • pp.70-103
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    • 1995
  • The aim of this study sets out to discover a desirable form of public centers among the alternative ones and make a health center model. Especially, this study attempts; (i) to investigate factors that affect the performance of health centers; (ii) carry out cost-effectiveness analysis (CEA) for the various type of health centers; (iii) identify innovative strategies to increase the use of health center. Cost-effectiveness analysis is used to compare the performance of all the centers. The following is taken to create the index. Wi = Ti x Mi x Eij (Wi: weight for service item I, Ti : time spent for service I, Mi ; number of health personnel involved in service I, Eij : years of schooling for personnel j in providing service I). As a result of these analyses, policy options as follows are recommended; (i) proper manpower, especially public health physician (oriental medical doctor), should be enough to provide health care adequately; (ii) facilities ad equipments in the health center should be provided sufficiently. (iii) the utilization of health centers should be raised by active operation of mobil service, community participation and health education program. Ultimately health centers in public sector are to be fostered for the promotion of health care by enhancing the financial and quality, continuity and efficiency of health services.

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The Effect of Food Service Franchise Selection Factors on Brand Loyalty and Revisit Intention - Focusing on Consumer Survey in Tokyo - (외식 프랜차이즈 선택요인이 브랜드 충성도와 재방문의도에 미치는 영향 연구 -동경(東京)지역 한국 외식 프랜차이즈를 이용하는 소비자 설문조사를 중심으로-)

  • Kim, Seon-Hyen;Hwang, Jae-Hyun
    • Korean Journal of Organic Agriculture
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    • v.25 no.4
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    • pp.663-677
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    • 2017
  • As Korean food service franchise companies sought to advance into around 2,000 new foreign markets, the importance of global management was emphasized. They intensively expanded into Chinese and American markets in 2015 and these two markets account for approximately 40% of total food service franchise companies in foreign countries. Although Japan has huge franchise market, Korean food service franchise companies in Japan only account for 5% of total franchise companies in Asian countries. The purpose of this study is to analyze the relationship between food service franchise selection factors, brand loyalty, and revisit intention of Japanese consumers using Korean food service franchise companies in Japanese food service market, and based on the analysis results, draw the implications for the expansion of Korean food service franchise companies into the Japanese market. Food service franchise selection factors is defined as service and cleanliness, taste, safety and reliability, cost and convenience, and professionalism. The study results can be summarized as follows. First, analysis was performed to identify the effects of food service franchise selection factors on the brand loyalty, it showed that five food service franchise selection factors including professionalism, service and cleanliness, cost and convenience had positive (+) effects on the brand loyalty. One of the most important factors influencing the brand loyalty is professionalism. In order to raise food service franchise's professionalism, it is necessary for the food service franchise companies to establish stronger strategies containing professional operation systems and services compared to general restaurants. Second, analysis was performed to identify the effects of food service franchise selection factors on revisit intention, five food service franchise selection factors, service and cleanliness, safety and reliability, and cost and convenience had positive (+) effects on revisit intention. One of the most important factors influencing revisit intention is safety and reliability. Thus, in order to raise safety and reliability it is important to form trust with consumers by properly utilizing systems of food hygiene and food safety accreditation.

An Analysis of Nursing Behavior and Unit of Treatment Cost of Non- Insurance Patients (종합병원의 비보험환자 처치행위 양상과 수가분석에 관한 연구)

  • 오세영
    • Journal of Korean Academy of Nursing
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    • v.10 no.1
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    • pp.41-55
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    • 1980
  • The medical care insurance system, being put into practice nearly for three years, seem to have brought about some considerable problems as serious for the government as to consider a revision of that system. As one of the most serious problems of present system, the treatment cost of insurance patients is so remarkably low in comparison with than of non-insurance cases that normal operation of hospitals is threatened and care services of low quality are induced. The researcher carried out this survey to analyze and bring to light several aspects of treatment cost of non-insurance patients as a material for a re-assessment of the cost of insurance cases which shows a a considerable difference in amount at the standpoint of hospitals with than of non-insurance cases and further, hoping the significant blind spot of present insurance system(that is, the absence of regulations' for cost assessment by patterns or types of health care treatment) will be mended in near future. The survey was carried out with the treatment invoice sheets of total 902 in-hospital Patients of a general hospital in Seoul during the period of the 2 nd quarter of the year(1979). Among total 902 patients, 694 cases were used for analysis, because those disease or syndromes shared by less than 10% of the patients were put aside before procession. The data were analyzed by kinds or types of diseases, demographic characteristics of patients, hospitalization patterns, types of nursing treatment, etc. The result of analysis was as follows 1. Among all the non-insurance cases, those who received one or more kinds of nursing treatment mounted up to 96. 7 %. The invoice issue frequency per person was 7.2 times, while that frequency per day for a person was 0.8, : the treatment cosr per person was ₩22,650 while its daily average was ₩2,430, due to the average 9.3 in-hospital days per person. 2. As to the nursing treatment types by the demographic characteristics of patients and hospitalization patterns. a. The unit cost female patients was generally more expensive them that of males, and independent nursing service was more given than other types of treatment. As to age, higher age groups received independent nursing service most, while the youngest group received instrumental and integrated nursing services. b. As to room grade, the unit cost of I.C.U. cases was the highest : and the cast of private room patients was higher than that of public room patients. By in-hospital days, the curve of function showed L. type : that is, the longer stay, the lower function. 3. State of treatment types by kinds of disease were ; a. Dependent nursing service showed comparatively high availability in surgical and neurologic disease and independent nursing service was most received by medical, obstetrical and urological patients, while instrumental and integrated services were most available for respiratory disease and obstetrical and neurologic diseases next. b. The invoice issue frequency per day for a patient was highest in obstetrical disease 3.8 times, and the unit cost(per one invoice sheet) was also highest in obstertrical disease(₩10,880) and next in neurologic cases(₩ 4,690 ). 4. As to the pertained departments. a. Cost amount per person was highest in department of Psychiatries daily cost was highest in obstetrical cases : while the invoice issue frequency was highest in obstetrics and next in pediatrics. b. In departments in need of surgical operation, dependent nursing care was highly availabl : while in internal medicine and obstetrics, independent service was higher. Psychiatrics showed the highest the of integrate nursing while pediatrics and obstetrics higher of instrumental services. The variation co-efficien of treatment cost came out to be relatively in high in special surgery, opthalmology and internal medicine. 5. State of treatment cost by types of nursing behavior was. a. The average frequency of invoice issue was 3.5 (times). Among the type four types of treatment, instrumetal service (4.3) and independent nursing behavior(3.9) showed higher frequency than average respectively. But as to unit cost (per invoice). dependent (₩5,200) and integrated (₩5,340) nursing care services were higher than average and considerably higher than the other two types. b. In repect patient distribution. independent nursing behavior(80.3% ) was the highest and depend ent nursing (31.7% ) the lowest. The variation co-efficient of treatment cost appeared highest in dependent nursing be havior as a whole, and among that, doctor's diagnosis showed the highest coefficient value (100.7). In conclusion, the variaty of treatment cost(treatment itself ) by various characteristics and treatment types pro- that treatment various sort of patients and treatment cost of various types of nursing behavior cannot be uniform. Therefore, to attain the equalization of health care service and its cost both for insurant and non-insurant patients, a more specific provision for assessment of cost should be added to the present medical care insurance system and, in addition, the cost of nursing treatment is desired to be inserted into the treatment invoice.

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