• Title/Summary/Keyword: Healthcare cost

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Heuristics for Locating Two Types of Public Health-Care Facilities

  • Kim, Dong-Guen;Kim, Yeong-Dae;Lee, Tae-Sik
    • Industrial Engineering and Management Systems
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    • v.11 no.2
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    • pp.202-214
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    • 2012
  • This paper discusses the problem of determining locations for public health-care facilities and allocating patients to the public facilities with the objective of minimizing the total construction cost. The public health-care facilities have two types of facilities: public hospitals and health centers. The public hospital provides both hospital services and homecare services, while the health center provides only homecare service. We present an integer programming formulation for the problem, and develop two types of heuristics, based on priority rules and approximate mathematical formulation. Results of a series of computational experiments on a number of problem instances show that the algorithms give good solutions in a reasonable computation time.

What Is Integrative Medicine?

  • Jung, Seungpil
    • Journal of Yeungnam Medical Science
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    • v.30 no.2
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    • pp.79-82
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    • 2013
  • The demand for complementary and alternative medicine (CAM) is increasing worldwide. High-technology medicine is not always effective and is often accompanied by neglected self-care and high cost. Also, conventional medicine has become dependent on expensive technological solutions to health problems. Integrated medicine is not simply a synonym for complementary medicine. It involves the understanding of the interaction of the mind, body, and spirit and how to interpret this relationship in the dynamics of health and disease. Integrative medicine shifts the orientation of the medical practice from a disease-based approach to a healing-based approach. In South Korea, CAM education was first provided 20 years ago, and integrative medicine is becoming part of the current mainstream medicine. Increasing numbers of fellowships in integrative medicine are being offered in many academic health centers in the U.S. Also, it has emerged as a potential solution to the American healthcare crisis and chronic diseases, which are bankrupting the economy. It provides care that is patient-centered, healing-oriented, emphasizes the therapeutic relationship, and uses therapeutic approaches originating from conventional and alternative medicine.

Design of Filter to Reject Motion Artifacts of PPG Signal by Using Two Photosensors

  • Lee, Ju-Won;Nam, Jae-Hyun
    • Journal of information and communication convergence engineering
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    • v.10 no.1
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    • pp.91-95
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    • 2012
  • The photoplethysmography (PPG) signal measured from a mobile healthcare device contains various motion artifacts occurring from a patient’s movements. Recently, to reject the motion artifacts, the method of using an acceleration sensor was suggested, but such sensors are very expensive. Therefore, this study deals with a novel sensor device to replace the acceleration sensor, and evaluated the performance of the proposed sensor experimentally. In the results of the experiments, it is shown that the proposed sensor device can reconstruct the PPG signal despite the occurrence of motion artifacts, and also that the variation rate in heart rate analysis was 1.22%. According to the experimental results, the proposed method can be applied to design a low-cost device.

Effect of private health insurance on health care utilization in a universal health insurance system: A case of South Korea (민간 의료 보험 가입이 의료 이용에 미치는 영향)

  • Lee, You Jin;Lee, Jinhyung
    • Korea Journal of Hospital Management
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    • v.23 no.2
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    • pp.42-53
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    • 2018
  • Purpose: this study investigates the effect of private health insurance on healthcare utilization. Methodology: For the analysis, we employed the three level nested two part model. Findings: the private health insurance adoption was associated with higher health care utilization. In particular, indemnity and fixed insurances adoption was associated with higher probability of outpatient visit, the number of outpatient visit and outpatient cost. While indemnity insurance adoption was associated with higher inpatient admission probability and inpatient days, fixed insurance adoption was associated only with higher inpatient admission probability. Practical Implications: indemnity and fixed insurance adoption were related with the adverse selection as well as moral hazard.

e-Transformation Strategy : From EDI to Web-based e-Business Standard Framework

  • Kim, Min-Soo;Kim, Dong-Soo;Kim, Hoon-Tae;Yoon, Jung-Hee
    • Proceedings of the CALSEC Conference
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    • 2005.03a
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    • pp.149-154
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    • 2005
  • Recently, lots of EDI-VAN (Electronic Data Interchange-Value Added Network) companies challenge to convert their business systems into Web-based e-business frameworks to avoid high cost and closed structure of EDI system. This research proposes e-Transformation strategies for EDI-VAN companies to adopt Web-based e-business standard frameworks such as ebXML (e-business using XML) and RosettaNet. Four migration strategies for EDI companies are presented, and their properties are described in detail. Transformation procedures of two representative strategies are also provided fur the convenience of medium-sized companies. The result of this work can be used as a practical guideline for EDI companies to develop there own transformation strategy suitable to its scale and capability, while minimizing the impacts on the pre-existing business processes.

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Implementation of Heart Rate Monitoring System using PPG Sensor (PPG 센서를 이용한 심박 모니터링 시스템 구현)

  • Lee, Won-Seok;Jung, Kyung Kwon
    • Journal of the Institute of Electronics and Information Engineers
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    • v.54 no.5
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    • pp.138-142
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    • 2017
  • Photoplethysmography (PPG) is a simple and low-cost optical technique that can be used to detect blood volume changes in the microvascular bed of tissue. It is often used non-invasively to make measurements at the skin surface. In this paper, we described the implementation heart rate monitoring system using PPG sensor. Proposed system is collected data using PPG sensor and heart rate was detected using second derivative method. In order to verify the effectiveness of the proposed method, we performed the measurements of RR-intervals with a commercial medical device.

What Factors Are Linked to Profitability among Hospitals?: A Review on the Research Trends (병원의 수익성은 무엇으로 결정되는가?: 국내 연구의 동향 분석)

  • Choi, Jae-Young;Kim, Jee-Hyun
    • Health Policy and Management
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    • v.23 no.4
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    • pp.397-414
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    • 2013
  • There have been numerous attempts at finding factors associated with profitability among hospitals in the Republic of Korea. Factors that have been shown to be related to hospital profitability have not yet been systematically reviewed. The purpose of this study was to compile and summarize published works investigating the factors associated with hospital profitability in the Republic of Korea. We searched Research Information Sharing Service, Korea studies Information Service System, Database Periodical Information Academic, Korean Medical Database, KoreaMed, and Google Scholar from 1980 to November 2013. In addition, we manually searched reference lists from eligible studies. Review of 20 peer-reviewed articles revealed that very few of the variables employed in the eligible studies exerted consistent association with profitability, with the exception of personal cost (i.e., employee salaries). Future studies should take our findings into consideration before conducting research on hospital profitability.

A Study on the Information System Maintenance Activities and Performance

  • Lee, Young-Joo;Choi, Young-Jin
    • Journal of the Korea Society of Computer and Information
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    • v.20 no.12
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    • pp.175-180
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    • 2015
  • It is important to maintain information system (IS) following the business and institutional change. Even if successfully developed information systems, we cannot gain the benefit from the systems without the proactive maintenance activities. However, the importance of IS maintenance has not been considered as much as the system development, and we don't have any specific performance management structure. The objective of this study is to identify the relationship between IS maintenance activities and utilization. For empirical test of the hypothesis model, the sample data is collected from public information system sites. Results from multiple regression analysis reveal that proactive maintenance activities including IS maintenance cost increase, improving functionality, and enhancing ease of use have a causal effect on the IS utilization.

Financial Structural and Operational Characteristics and Management Decision-making Behavior of the Red-figured Hospitals (적자병원의 재무구조 및 운영적 특성과 경영의사결정 행태)

  • Hwang, In-Kyoung
    • Korea Journal of Hospital Management
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    • v.4 no.2
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    • pp.305-329
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    • 1999
  • Financial ratio indicators of the 46 sample hospitals provided by the Korea Health Industry Development Institute, together with the survey data responded by the 57 sample hospitals, were analysed to identify the characteristics of the red-figured hospitals' financial structure, financial operational efficiency and management decision-making behavior, The financial characteristics identified through the analysis include high dependency to liabilities, high salary expenses and overhead costs, low profitability of the unduly large amount of fixed assets, and low managerial efficieny of inventory. The hospitals, in face of the IMF economic impasse, took the necessary decision-making and counter measures to cut down salary expenses, to increase the number of patient and medical revenue, and to reduce investment to fixed assets. Based on these findings this study suggested that the hospitals should take more active cost containment measures, financial structural reorganization, and developoment of the strategies that can contribute to increase of the number of patient and medical revenue and that do not. require much capital funds.

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