• Title/Summary/Keyword: Expenditures

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A Study on the Reasonable Personnel Management of Radiology Department -Centering around the General Hospitals in Seoul- (진단방사선과(診斷放射線科)의 적정인력(適正人力) 관리(管理)에 관(關)한 연구(硏究) -서울시내 종합병원(綜合病院) 중심(中心)으로-)

  • Chung, Soon-Kuy
    • Journal of radiological science and technology
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    • v.11 no.2
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    • pp.27-64
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    • 1988
  • Most hospital administrators in our country have doubted whether or not the size of their hospital personnel staffs, and the personnel management styles implemented are efficient or not. Actually, increased personnel expenditures due to sophisticated specialization of medical practices has become the biggest hospital expense. Therefore, it is said that hospitals can be run move efficiently by implementing reasonable management strategies for hospital personnel management. In this paper, the departments of diagnostic radiography in 16 general hospitals in Seoul, which were classified into 4 groups by the scale of hospital beds, were used as sample cases. Then, the data for the number of X-ray examination by diagnostic item was collected from sample hospitals. The unit hour spent on X-ray examinations in each diagnostic service was quoted from "A Study on setting-up of the relative value units of medical services and on the structure of current fee schedules" written by Mr. Ik Je Seong. The data analysis results are as follows; First, the number of hours per day spent on X-ray examinations in 13 hospitals out of 16 hospitals, was shorter than the general daily working hours (8 hours). Second, in the morning there was not enough time to work for X-ray examinations required, with the available manpower. In the afternoon, however, the situation was diametrically opposed to that in the morning. Third, in light of above results, though most hospitals employ sufficient personnel for the quantity of the actural work, they were always short-handed where their works were performed Fourth, this study tells us that there is a maldistribution of the work in the schedule : too much work for the available personnel in the morning. The following recommendations are resulted from the data analysis described above. First, it is recommended that all out-patients coming again, except specific patients(G. B. or I.V.P. etc) who have to have their X-ray examinations on an empty stomach in the morning among out-patients, be required to visit the hospital in the afternoon. Second, it is recommended that all new out-patients be required to make a reservation in order to equalize the number of patients throughout the day. Third, it is recommended that all in-patients, except specified patients, be arranged to have their X-ray examinations in the afternoon. Fourth, it is recommended that part time workers be employed during peak hours. This recommendation, if applied in a wider scale, would allow hospitals to overcome the problem of the maldistribution of work and personnel, and then more efficient hospital management through the appropirate personnel management procedures could be expected.

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Development and Evaluation of Korean Diagnosis Related Groups: Medical service utilization of inpatients (한국형 진단명기준환자군의 개발과 평가: 입원환자의 의료서비스 이용을 중심으로)

  • Shin, Young-Soo;Lee, Young-Seong;Park, Ha-Young;Yeom, Yong-Kwon
    • Journal of Preventive Medicine and Public Health
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    • v.26 no.2 s.42
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    • pp.293-309
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    • 1993
  • With expanded and extended coverage of the national medical insurance and fast growing health care expenditures, appropriateness of health service utilization and quality of care are concerns of both health care providers and insurers as well as patients. An accurate patient classification system is a basic tool for effective health care policies and efficient health services management. A classification system applicable to Korean medical information-Korean Diagnosis Related Groups (K-DRGs)-was developed based on the U.S. Refined DRGs, and the performance of the developed system was assessed in this study. In the process of the development, first the Korean coding systems for diagnoses and procedures were converted to the systems used in the definition of the U.S. Refined DRGs using the mapping tables formulated by physician panels. Then physician panels reviewed the group definition, and identified medical practice patterns different in two countries. The definition was modified for the differences in K-DRGs. The process resulted in 1,199 groups in the system. Several groups in Refined DRGs could not be differentiated in K-DRGs due to insufficient medical information, and several groups could not be defined due to procedures which were not practiced in Korea. However, the classification structure of Refined DRGs was retained in K-DRGs. The developed system was evaluated fur its performance in explaining variations in resource use as measured by charges and length of stay(LOS), for both all and non-extreme discharges. The data base used in this evaluation included 373,322 discharges which was a random sample of discharges reviewed and payed by the medical insurance during the five-month period from September 1990. The proportion of variance in resource use which was reduced by classifying patients into K-DRGs-r-square-was comparable to the performance of the U.S. Refined DRGs: .39 for charges and .25 for LOS for all discharges, and .53 for charges and .31 for LOS for non-extreme discharges. Another measure analyzed to assess the performance was the coefficient of variation of charges within individual K-DRGs. A total of 966 K-DRGs (87.7%) showed a coefficient below 100%, and the highest coefficient among K-DRGs with more than 30 discharges was 159%.

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Managerial Ownership and R & D Investment in the Chinese Firms : Comparison between State_Owned Firms and Private_Owned Firms (경영자 지분이 연구개발투자에 미치는 영향: 중국 국유기업과 민영기업 비교를 중심으로)

  • Cho, Young-Gon;Zhou, Xiao Long;Zhang, Xiao Pan
    • The Journal of the Korea Contents Association
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    • v.17 no.5
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    • pp.8-17
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    • 2017
  • Using 1855 observations from 5 years-371 firms panel data during 2010 to 2014 in Chinese stock exchanges, this study examines the impact of managers' ownership on R & D expenditures. The empirical study finds that when firms are state-owned, managers' ownership have negative relation with the level of R & D expenses as well as the likelihood of executing R & D investment, implying that managers are less likely to invest in high risky projects due to managerial ownership's entrenchment effects to pursue private benefits rather than alignment of interest effect as shareholders. The empirical study also finds that when firms are private-owned, managerial ownership are inverse U shaped related to the level of R & D expenses, implying that managers are less likely to invest in high risky projects due to increasing risk aversion resulting from concentration of private wealth at its high level while managers are more likely to invest in high risky projects due to increasing incentives as shareholders at its low level. The results support that the effects of managerial ownership on R & D expenses may be different according to the ownership type of Chinese listed firms.

A Study on Daily Energy Expenditure of Co-eds in a University (여대생 집단의 에너지 소비량에 관한 연구)

  • 김석영;차복경
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.22 no.2
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    • pp.149-153
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    • 1993
  • Daily energy expenditures (DEE) of 82 co-eds in a University were estimated simultaneously by use of calorie counter and 15-min check list diary for 3 days, including a weekend day. The results are summarized as follows. The mean values of DEE from 15-min check list diary and calorie counter were 1967kcal and 1649kcal, respectively. DEE obtained with 15-min check list diary seems to be consistent with the results made by others concerning DEE of college female in Korea, but DEE by calorie counter was lower than that. However, DEE by calorie counter show high correlations with anthropometric indices of subjects and DEE by 15-min check list diary. Therefore, DEE by 15-min check list diary was taken as standard and regression equation for predicting DEE of subjects were developed: DEE by 15-min check list diary =3.31186 + 1.18837 $\times$ DEE by calorie counter. This technique for measuring DEE permits us to have more accurate estimate of DEE and acceptable to the subjects. When the subjects classified as underweight, normal, overweight according to relative body weight(RBW), DEE and DEE per kg of body weight were significantly different from each other between three groups based on RBW. The frequency of 15-minute periods with a categorical value of 1 was significantly higher in overweight than underweight and normal groups and the frequency of a categorical value 3 was significantly lower in overweight than underweight group. From the results shown above, physical activity level of overweight group was lower than that of normal and underweight groups.

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A Study on Economical Analysis of Yarding Operation by Cable Crane (케이블클레인을 이용(利用)한 집재작업(集材作業)의 경제성(經濟性)에 관(關)한 연구(硏究))

  • Woo, Bo Myeong;Park, Jong Myeong;Lee, Joon Woo;Chung, Nam Hun
    • Journal of Korean Society of Forest Science
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    • v.79 no.4
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    • pp.413-418
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    • 1990
  • Since 1945, the periodical reforestation projects considered as the fundamental apparatus of the forest policy of the Government have been continuously carried out during last 40 years in Korea. As a result, some of the forests are ready to be harvested, especially in well-managed plantations as well as in the natural forests. This requires to pay more attention to harvesting the timber rather than planting trees. At the present, such timber harvesting operations such as cutting, felling, bucking, and skidding and yarding, particularly yarding operations in mountain areas with harsh terrains are in the most cases depend upon man power. However, the yarding operations should be more mechanized in the near future in Korea mainly because of the high cost of labour couppled with the lack of labour in forested areas. The Forest Work Training Center attached to the Forest Administration imported and tested the smallsized cable crane(K-300) with movable tower. The result of economic analysis of the yarding operation expenditures shows that the cable crane yarding costs more than the man yarding at the present time. As the labour cost will gradually increase and the efficiency of machine operation will improve, the results of the study indicates that the yarding operation by cable crane will be more cost-effective in the future.

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A Review on the Relationship of the Life Salvage and its Remuneration (해상인명구조와 보상체계에 관한 고찰)

  • Lee, Jung-won
    • Journal of Legislation Research
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    • no.53
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    • pp.491-524
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    • 2017
  • Under the general maritime law, a life salvor has no claim against the person saved, and a pure life salvor has no right to compensation from the owner of the ship or its cargo. This harsh rule, which treats the salvor of life less generously than the salvor of property, has been modified by international conventions, statutes, so that life salvors may expect a reward in most cases. It is, especially, unreasonable that a prerequisite of a salvage award is that at least some of the property must be saved, because life of a person can not be compared to values of goods such as vessels and cargoes. Also it is not understandable that only pure life salvors can not expect a reward for the saving of life from the owners of the property. In the meantime, according to Article 39 of the Korean Maritime Search and Rescue Act (hereunder, KMSARA), any person who has gave assistance and rescued in accordance with a governmental officer's order may get a compensation for their time and labour. The above mentioned compensation which is stemmed from the KMSARA may play a role as a compliment for the lack of enough compensation to a life salvor. This means that even though a life salvor failed to save property, he may expect a minimum compensation from the KMSARA. However, it should be recognized that when a life salvor is entitled to both remuneration for the salvage of life and recourse of expenditures from the KMSARA, the total remuneration shall be paid only if and to the extent that such remuneration is greater than any reward recoverable by the salvor under the Korean Commercial Code and the KMSARA.

A Study on the Change of Employment Rates of Persons with Disabilities in 10 OECD Countries using PCSE analysis (OECD 10개국의 장애인 고용률의 변화에 대한 연구 : 패널수정 표준오차(PCSE) 분석의 활용)

  • Lee, Soo-kyung;Lee, Sun-woo
    • Korean Journal of Social Welfare Studies
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    • v.48 no.1
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    • pp.5-21
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    • 2017
  • The purpose of this study was to examine the effects of the employment policy for persons with disabilities on their employment rates. The subjects were 10 OECD counties of which policies are based on quotas or the prohibition of discrimination. The time-series data for the analysis were collected for 12 years from 2000 to 2011. A Panel-Corrected Standard Error(PCSE) analysis was conducted for the time-series cross-sectional data of this study. As a result, unemployment rates, proportions of persons with disabilities, and public expenditures on disability and sickness benefits(in % GDP) were statistically significant among control variables, while the coverages of discrimination prohibition and the types of delivery systems of vocational rehabilitation for persons with disabilities among the employment policy variables. The wider the coverages of discrimination prohibition are, the higher the employment rates of the disabled are. In addition, the employment rates of the disabled are higher in countries with specialized delivery systems for vocational rehabilitation than in countries with general delivery systems for vocational rehabilitation.

Industry Analyses on the Research & Development Expenditures for Korean Chaebol Firms (국내 재벌 계열사들의 연구개발비에 대한 재무적 산업효과 분석)

  • Kim, Hanjoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.6
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    • pp.379-389
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    • 2019
  • The study empirically investigates financial factors that may influence on corporate R&D intensity during the post-era of the global financial turmoil (from 2010 to 2015) to mitigate possible spillover effect associated with the crisis. Concerning the empirical research settings of the study, chaebol firms listed in the KOSPI stock market are used as sample data with adopting various econometric estimation methods to enhance validity of the results. In the first hypothesis test, it is found that there exist inter-industry financial differences in terms of the ratio of R&D expenditure across all the sample years, but the statistical differences may arise from only a few domestic industries beloning to the high-growth sector. Moreover, it is also interesting to identify that, for the high-tech sector, 3 explanatory variables such as R&D intensity in a prior year, firm size and change in cash holdings are proved to be financial factors to discriminate between chaebol firms and their counterparts of non-chaebol firms, whereas a proportion of tangible assets over total assets as well as the former two variables are shown to be significant factors on the R&D intensity for the low-tech sector.

Determinant Factors in Cost to Feed for Long-Term Care Facilities Residents (장기요양 시설서비스 식사재료비 크기 결정요인 분석)

  • Kwon, Jinhee;Han, Eun-Jeong;Jang, Hyemin;Lee, Hee Seung
    • Health Policy and Management
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    • v.29 no.2
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    • pp.195-205
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    • 2019
  • Background: The food and food service influence the quality of life and the general health condition of older persons living in long-term care (LTC) facilities. Purchasing good food materials is a ground of good food service. In Korea, the residents in LTC facilities should pay for the cost of food materials and ingredients out of their pocket because it is not covered by LTC insurance. This study explored what factors affect the cost of food materials paid by LTC facility residents and which factor affects most. Methods: We used data from the study on out-of-pocket payment on national LTC insurance, which surveyed 1,552 family caregivers of older residents in LTC facilities. We applied conditional multi-level model, of which the first level represents the characteristics of care receivers and caregivers and its second level reflects those of LTC facilities. Results: We found that the facility residents with college-graduated family caregivers paid 11,545 Korean won more than those with less than elementary-graduated ones. However, the income level of family caregivers did not significantly affect the amount of the food material cost of the residents. The residents in privately owned, large, metropolitan-located facilities were likely to pay more than those in other types of facilities. The amount of the food material cost of the residents was mainly decided by the facility level factors rather than the characteristics of care recipients and their family caregivers (intra-class correlation=82%). Conclusion: These findings suggest that it might be effective to design a policy targeting facilities rather than residents in order to manage the cost of food materials of residents in LTC facilities. Setting a standard price for food materials in LTC facilities, like Japan, could be suggested as a feasible policy option. It needs to inform the choice of LTC users by providing comparable food material cost information. The staffing requirement of nutritionist also needs to be reviewed.

A Study on the Regional Economic Multiplier Impacts of Jeju International Wind Ensemble Festival (제주국제관악제의 지역경제파급효과 분석에 관한 연구)

  • Ko, Hye-young;Yang, Jeong-Cheol;Lim, Jung-Hyun;Hwang, Kyung-Soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.9
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    • pp.323-332
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    • 2019
  • The purpose of this study is to measure the effects on the regional economy from the Jeju International Wind Ensemble Festival. In order to examine the economic ripple effects of the festival, we examine its impact on the local economy using two regional (Jeju-National) industry-related models based on the 2013 Jeju Region Input and Output Table. We also compare how the Jeju International Wind Ensemble Festival is growing and affecting the regional economy through a comparison between 2017 and 2018. Comparing the results of a production-inducing and value added-effect analysis of the induced industries from investment expenditures for the Jeju International Wind Ensemble Festival, the production-inducing effects increased by 2.1 times-from 9.05 billion won in 2017 to 18.7 billion won in 2018. The value-added effect increased by 2.2 times, from nearly 4.3 billion won in 2017 to nearly 9.2 billion won in 2018. The analysis shows that the Jeju International Wind Ensemble Festival contributes greatly to an income increase for local residents. In order to enhance the effects of the Jeju International Wind Ensemble Festival, it is necessary to use policies that link culture and tourism in Jeju.