• Title/Summary/Keyword: Cost-sharing

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Impact of Selective Health Benefit on Medical Expenditure and Provider Behavior: Case of Gastric Cancer Surgery (선별급여 도입이 위암수술의 건강보험 진료비 및 진료행태에 미치는 영향)

  • Cho, Su-Jin;Ko, Jung-Ae;Choi, Yeonmi
    • Health Policy and Management
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    • v.26 no.1
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    • pp.63-70
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    • 2016
  • Background: Selective health benefit was introduced for decreasing economic burden of patients. Medical devices with economic uncertainty have been covered as selective health benefit by National Health Insurance since December 2013. We aimed to analyze impact of selective health benefit to medical expenditure and provider behavior focused on electrosurgery (ultrasonic shears, electrothermal bipolar vessel sealers) for gastric cancer patients covered since December 2014. Methods: We used the National Health Insurance claims data of 2,698 patients underwent gastric cancer surgery between August 2014 and March 2015. Medical cost and patient sharing per inpatient day were analyzed to verify that covering electrosurgery increased medical expenditure and changed provider behavior from open surgery to endoscopic or laparoscopic surgery. Additionally, we analyzed the claim rate of medical device or goods relating gastric endoscopic and laparoscopic surgery. Results: Medical cost and patient sharing per inpatient day were increased after covering electosurgery as selective health benefit (39,724/1,421 won). However, there were no medical expenditure increases after adjusting claim of electosurgery and patient sharing was decreased 1,057 won especially. The coverage of selective health benefit did not increase the claim rate of medical device or goods related endoscopic or laparoscopic surgery, either. Conclusion: Covering electosurgery decreased patient economic burden and did not change of provider behavior. Expanding selective health benefit is needed to decrease economic burden of severe patients. Further study should evaluate the long term effect with accumulated data.

Linear Resource Sharing Method for Query Optimization of Sliding Window Aggregates in Multiple Continuous Queries (다중 연속질의에서 슬라이딩 윈도우 집계질의 최적화를 위한 선형 자원공유 기법)

  • Baek, Seong-Ha;You, Byeong-Seob;Cho, Sook-Kyoung;Bae, Hae-Young
    • Journal of KIISE:Databases
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    • v.33 no.6
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    • pp.563-577
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    • 2006
  • A stream processor uses resource sharing method for efficient of limited resource in multiple continuous queries. The previous methods process aggregate queries to consist the level structure. So insert operation needs to reconstruct cost of the level structure. Also a search operation needs to search cost of aggregation information in each size of sliding windows. Therefore this paper uses linear structure for optimization of sliding window aggregations. The method comprises of making decision, generation and deletion of panes in sequence. The decision phase determines optimum pane size for holding accurate aggregate information. The generation phase stores aggregate information of data per pane from stream buffer. At the deletion phase, panes are deleted that are no longer used. The proposed method uses resources less than the method where level structures were used as data structures as it uses linear data format. The input cost of aggregate information is saved by calculating only pane size of data though numerous stream data is arrived, and the search cost of aggregate information is also saved by linear searching though those sliding window size is different each other. In experiment, the proposed method has low usage of memory and the speed of query processing is increased.

A Study on the Influence of User Experience of Fashion Sharing Application on Acceptance: Based on UTAUT Model (패션 공유 어플리케이션의 사용자 경험이 수용에 미치는 영향 연구: UTAUT 모형을 중심으로)

  • Kim, Gi-Hyung
    • The Journal of the Korea Contents Association
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    • v.19 no.5
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    • pp.82-93
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    • 2019
  • Fashion cannot encourage co-consumption with other people as a personal item, but it can lead to new consumer needs if fashion sharing service can professionally replace the time and cost of purchasing and managing goods. The purpose of this study is to empirically investigate the factors influencing the acceptance of fashion-sharing services based on the integration theory of user acceptance and utilization (UTAUT), and to discuss the virtuous cycle and sustainability pursuit of resources through the activation of the sharing. In this study, the research model for the acceptance of fashion sharing applications is schematized, and the survey was conducted 300 women aged 20~49 years. The screens of 'Project Anne', a representative fashion sharing service in Korea, were provided as a visual data. Reliability analysis, correlation analysis, confirmatory factor analysis, structural equation analysis, and multiple group analysis were performed using SPSS 23.0 and AMOS 22.0 statistical package for statistical analysis. As a result, efficiency and social influence positively influenced behavioral intention to use, and age has found that efficiency and social influences modulate the intensity of behavioral intention to use. Therefore, for the consumer acceptance and activation of fashion sharing services, marketing activities emphasizing efficiency and strengthening social influence factors are essential. Also, it is necessary to maintain the existing target group, 30~40s, and also construct additional products and price services for the 20s. This study is of academic significance in presenting basic data for empirical research on consumer acceptance of fashion sharing, and suggests a study on the influence relationship among user experience components for real users in the future.

The Effects of Profit-Sharing Schemes on Productivity through Firm's Contribution to the Employee Welfare Fund (사내근로복지기금제도를 통한 이윤공유참여의 생산성효과)

  • Cin, Beom Cheol
    • Journal of Labour Economics
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    • v.26 no.3
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    • pp.115-147
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    • 2003
  • This paper scrutinizes the robustness of the profit-sharing findings first employing an original panel data on the Employee Welfare Fund over the period from 1992 to 2000. In examining the effects of profit-sharing schemes on labor productivity, it controls for simultaneity among profit-sharing, production factors, and productivity using both the two-stage least squares procedure and the lagged variable method. The empirical results show that an increase in firm's contribution to the Employee Welfare Fund is associated with capital-embodied and disembodied productivity enhancement, which is both statistically and economically highly significant. The empirical results are in contrast with predictions of both agency and transaction cost theories, and they imply that more tax benefits and financial incentives for expansion of the Employee Welfare Fund should be required to get productivity gains.

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Development of Smart Health Client based on Real-Time Health Information Sharing Framework (실시간 의료 정보 공유 프레임워크 기반의 스마트 의료 클라이언트 개발)

  • Im, Seokjin;Hwang, Hee-Joung
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.14 no.3
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    • pp.131-137
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    • 2014
  • The advent of various smart devices like smart phones and tablets has triggered the changes in information systems of medical centers. Especially, diversifying devices of clients and the need for N-Screen services increase necessities for sharing effectively information in medical centers. However, developing and managing clients for each OS like iOS and Android cost high and make it hard to provide seamless service through multi devices. Also, in the aspect of security it is necessary to share information between clients and health information systems. In this paper, we develop a smart health information client based real-time health information sharing framework. The developed client is based on hybrid app, that enables to share information in real time between N devices through health information sharing framework and to adopted to developments of various clients.

Research to define facility type, project consideration and restriction when conceiving civil-military sharing facilities, by applying the Delphi technique (델파이기법을 활용한 민군간 공용 시설유형 및 고려요소 판단 연구)

  • Gong, Keum Rok;Kang, Han-Seung;Ahn, Jin-Ho;Park, Young Jun
    • Journal of the Architectural Institute of Korea Structure & Construction
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    • v.34 no.2
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    • pp.57-66
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    • 2018
  • When developing projects to build facilities to be shared by both military bases and surrounding communities, strategies are needed to achieve two objectives: 1) minimize missteps and opposition from local communities in the process of developing and implementing such projects, and 2) promote cost-benefit optimization and user-satisfaction. With aim of promoting co-operation and co-existence between military bases and adjust communities, this research proposes esthetical factors to be considered in conceiving civil-military sharing facilities. It seeks experts' opinions on the development of civil-military sharing facilities, and examines critical factors (economic feasibility, security, and satisfaction, etc.) for project development as well as building types suitable for shared-use between military bases and local residents. It then establishes a method to prioritize facility-type and narrow down design factors (considerations and restrictions) in project development by applying quantitative analysis. The methodological approach of the research employs the Delphi survey method to quantitatively analyze qualitative information drawn from experts' opinions. At the first round of the survey, facility types, items for consideration and restrictions are drawn, and then at the second round of the survey, criticality of each item is analyzed. Finally, it reaches a conclusion on suitability of facility types for civil-military sharing facilities, and selects project considerations and restrictions when developing this kind of project.

Development ofn Sharing Space Access Management System based on Mobile Key and RCU(Room Control Unit) (모바일 키 및 RCU에 기반한 공유공간 출입관리 시스템 개발)

  • Jung, Sang-Joong
    • Journal of the Institute of Convergence Signal Processing
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    • v.21 no.4
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    • pp.202-208
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    • 2020
  • Recently, the importance of non-face-to-face has been emphasized due to COVID-19, and the use of sharing spaces is also expanding. The use of uncontact check-in technology for access control of sharing spaces reduces waiting time and optimizes workers' efficiency, resulting in operational cost savings. In this paper, we propose a sharing space access management system based on a mobile key and RCU (Room Control Unit), access to the facility using a mobile key, and monitor the facility using an RCU. Proposal system is for shared accommodation, rental field (residence, sale-selling hotel), shared office, etc. when there is a one-time visitor on a specific day and time, the corresponding password is delivered to the mobile platform to expose and key the existing password. It is supported by a field-adaptive system that can reduce discomfort such as delivery. In order to test the operation of the proposed integrated system, tests were conducted according to scenarios to understand the overall status of the user's reservation, check-in, and check-out, and a 100% success rate was derived for each item by setting performance indicators to prove test reliability.

Design and Implementation of Wireless LAN Information Sharing Based on SNS (SNS 기반 무선랜 정보 공유 시스템 설계 및 구현)

  • Woo, Yeon-Kyung;Choi, Jun-Hyuk;Park, Jong-Tae
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.37C no.9
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    • pp.821-828
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    • 2012
  • Recently, in order to provide the mobile multimedia service cost-effectively, the user's demand has been greatly increasing to use wireless LAN (WLAN). But existing WLAN (Wireless LAN) is vulnerable to attack of outside, as users are connecting AP using Open Authentication. In this article, we have designed and implemented WLAN Information Sharing System using social network service (SNS) which is efficiently managing. WLAN secure key. A proposed WLAN Information Sharing System model has been proposed in which the social trust strength between people is employed for WLAN access control.

Adaptive Cooperative Spectrum Sharing Based on Fairness and Total Profit in Cognitive Radio Networks

  • Chen, Jian;Zhang, Xiao;Kuo, Yonghong
    • ETRI Journal
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    • v.32 no.4
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    • pp.512-519
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    • 2010
  • A cooperative model is presented to enable sharing of the spectrum with secondary users. Compared with the optimal model and competitive model, the cooperative model could reach the maximum total profit for secondary users with better fairness. The cooperative model is built based on the Nash equilibrium. Then a conceding factor is introduced so that the total spectrum required from secondary users will decrease. It also results in a decrease in cost which the primary user charges to the secondary users. The optimum solution, which is the maximum total profit for the secondary users, is called the collusion state. It is possible that secondary users may leave the collusion state to pursue the maximum of individual profit. The stability of the algorithm is discussed by introducing a vindictive factor to inhabit the motive of deviation. In practice, the number of secondary users may change. Adaptive methods have been used to deal with the changing number of secondary users. Both the total profit and fairness are considered in the spectrum allocating. The shared spectrum is 11.3893 with a total profit of 65.2378 in the competitive model. In the cooperative model, the shared spectrum is 8.5856 with the total profit of 73.4963. The numerical results reveal the effectiveness of the cooperative model.

Modified droop control scheme for load sharing amongst inverters in a micro grid

  • Patel, Urvi N.;Gondalia, Dipakkumar;Patel, Hiren H.
    • Advances in Energy Research
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    • v.3 no.2
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    • pp.81-95
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    • 2015
  • Microgrid, which can be considered as an integration of various dispersed resources (DRs), is characterized by number of DRs interfaced through the power electronics converters. The microgrid comprising these DRs is often operated in an islanded mode. To minimize the cost, reduce complexity and increase reliability, it is preferred to avoid any communication channel between them. Consequently, the droop control method is traditionally adopted to distribute active and reactive power among the DRs operating in parallel. However, the accuracy of distribution of active and reactive power among the DRs controlled by the conventional droop control approach is highly dependent on the value of line impedance, R/X i.e., resistance to reactance ratio of the line, voltage setting of inverters etc. The limitations of the conventional droop control approach are demonstrated and a modified droop control approach to reduce the effect of impedance mis-match and improve the time response is proposed. The error in reactive power sharing is minimized by inserting virtual impedance in line with the inverters to remove the mis-match in impedance. The improved time response is achieved by modifying the real-power frequency droop using arctan function. Simulations results are presented to validate the effectiveness of the control approach.