• 간호행정학회지
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• 제11권4호
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• pp.449-467
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• 2005

Purpose: This study aims to offer the fundamental data in order to cost the nursing service on the basis of the NIC and a close examination of the interventions that are contained in the health insurance cost list under the system of the current health insurance. Methods: The data is handled with the SPSS 10.0 program. The participants' general peculiarity is calculated in terms of the real number and the percentage, and the performing frequency of the nursing interventions is calculated in terms of the mean and the standard deviation. the correlation between the participants' general peculiarity and the performing frequency of the nursing interventions is analysed with t-test or one way ANOVA of SPSS. Results: In the performing frequency of the nursing interventions, the domain of "the physiological: basic" was the highest as 2.69${\pm}$1.21, the domain of "the behavioral" was the lowest as 2.11${\pm}$1.12. There were 50 core interventions in the medical unit, 48 in the surgical unit, 24 in the MICU and 33 in the SICU. The health insurance cost items contained commonly in the core interventions of each unit were 12, and the health insurance cost items except 12 items contained commonly in the core interventions of each unit were appeared 14 items in the medical unit, 6 in the surgical unit, 7 in the MICU and 2 in the SICU. The core interventions contained commonly in four units of the medical unit, the surgical unit, the MICU & the SICU are 18. And among these, the core interventions contained in the health insurance cost items are 10; pain management, hyperglycemia management, analgegic administration, medication administration: intravenous, oxygen therapy, pressure ulcer prevention, fluid management, fluide monitoring, intravenous(IV) insertion, intravenous(IV) therapy. As the result of the comparison & analysis between the core interventions of the NIC and the health insurance cost items, the core interventions contained in the health insurance cost list are 21(29 as the health insurance cost items). Conclusion: In the performing frequency of the nursing interventions, the domain of "the physiological: basic" is being performed most frequently, and in the performing frequency of the core interventions, the interventions of the domain of "the physiological: complex" is being performed most frequently. On the basis of these results, the writer hopes that the attempts to interlink the nursing interventions into the nursing cost by using of standard terms and the efforts to cost the nursing services would also be made in the future constantly.

• Journal of Preventive Medicine and Public Health
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• 제11권1호
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• pp.123-127
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• 1978

The major objective of this research is to identify those hospital characteristics that best explain cost variation among hospitals and to formulate linear models that can predict hospital costs. Specific emphasis is placed on hospital output, that is, the identification of diagnosis related patient groups (DRGs) which are medically meaningful and demonstrate similar patterns of hospital resource consumption. A casemix index is developed based on the DRGs identified. Considering the common problems encountered in previous hospital cost research, the following study requirements are estab-lished for fulfilling the objectives of this research: 1. Selection of hospitals that exercise similar medical and fiscal practices. 2. Identification of an appropriate data collection mechanism in which demographic and medical characteristics of individual patients as well as accurate and comparable cost information can be derived. 3. Development of a patient classification system in which all the patients treated in hospitals are able to be split into mutually exclusive categories with consistent and stable patterns of resource consumption. 4. Development of a cost finding mechanism through which patient groups' costs can be made comparable across hospitals. A data set of Medicare patients prepared by the Social Security Administration was selected for the study analysis. The data set contained 27,229 record abstracts of Medicare patients discharged from all but one short-term general hospital in Connecticut during the period from January 1, 1971, to December 31, 1972. Each record abstract contained demographic and diagnostic information, as well as charges for specific medical services received. The 'AUT-OGRP System' was used to generate 198 DRGs in which the entire range of Medicare patients were split into mutually exclusive categories, each of which shows a consistent and stable pattern of resource consumption. The 'Departmental Method' was used to generate cost information for the groups of Medicare patients that would be comparable across hospitals. To fulfill the study objectives, an extensive analysis was conducted in the following areas: 1. Analysis of DRGs: in which the level of resource use of each DRG was determined, the length of stay or death rate of each DRG in relation to resource use was characterized, and underlying patterns of the relationships among DRG costs were explained. 2. Exploration of resource use profiles of hospitals; in which the magnitude of differences in the resource uses or death rates incurred in the treatment of Medicare patients among the study hospitals was explored. 3. Casemix analysis; in which four types of casemix-related indices were generated, and the significance of these indices in the explanation of hospital costs was examined. 4. Formulation of linear models to predict hospital costs of Medicare patients; in which nine independent variables (i. e., casemix index, hospital size, complexity of service, teaching activity, location, casemix-adjusted death. rate index, occupancy rate, and casemix-adjusted length of stay index) were used for determining factors in hospital costs. Results from the study analysis indicated that: 1. The system of 198 DRGs for Medicare patient classification was demonstrated not only as a strong tool for determining the pattern of hospital resource utilization of Medicare patients, but also for categorizing patients by their severity of illness. 2. The wei틴fed mean total case cost (TOTC) of the study hospitals for Medicare patients during the study years was $11,27.02 with a standard deviation of $117.20. The hospital with the highest average TOTC ($1538.15) was 2.08 times more expensive than the hospital with the lowest average TOTC ($743.45). The weighted mean per diem total cost (DTOC) of the study hospitals for Medicare patients during the sutdy years was $107.98 with a standard deviation of $15.18. The hospital with the highest average DTOC ($147.23) was 1.87 times more expensive than the hospital with the lowest average DTOC ($78.49). 3. The linear models for each of the six types of hospital costs were formulated using the casemix index and the eight other hospital variables as the determinants. These models explained variance to the extent of 68.7 percent of total case cost (TOTC), 63.5 percent of room and board cost (RMC), 66.2 percent of total ancillary service cost (TANC), 66.3 percent of per diem total cost (DTOC), 56.9 percent of per diem room and board cost (DRMC), and 65.5 percent of per diem ancillary service cost (DTANC). The casemix index alone explained approximately one half of interhospital cost variation: 59.1 percent for TOTC and 44.3 percent for DTOC. Thsee results demonstrate that the casemix index is the most importand determinant of interhospital cost variation Future research and policy implications in regard to the results of this study is envisioned in the following three areas: 1. Utilization of casemix related indices in the Medicare data systems. 2. Refinement of data for hospital cost evaluation. 3. Development of a system for reimbursement and cost control in hospitals.

• 한국산업보건학회지
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• 제25권4호
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• pp.433-445
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• 2015

Objectives: The major objectives of this study are to review the issues surrounding trade secret claims in the Chemicals Control Act and Amendment on Occupational Safety and Health Act(1917-227) and to propose a way of improving the reliability of chemical information in MSDSs, labels and National Chemical Survey results. Materials: To review the issues on trade secret claims, we made an analysis frame which was divided into three steps: Value and Problem Recognition; New Regulation Design; and Enforcement and Amendment. We then compared Korean issues with issues from the United States' Hazard Communication Standard and Emergency Planning & Community Right-to-Know Act, Canada's Workplace Hazardous Materials Information System and Hazardous Materials Information Review Act and the European Union's Regulation on Classification, Labelling and Packaging of substances and Mixtures. Results: The stage of right-to-know development in Korea has passed the Value and Problem Recognition phase, so efforts are needed to elaborately design new regulation. Conclusions: We recommend two ways to improve right-to-know in Korea. First, strict examination of the quality of documents for trade secret claims is very important. Second, trade secrets should be limited to less-hazardous substances.

• 한국환경복원기술학회지
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• 제23권2호
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• pp.17-31
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• 2020

In the field of environmental landscape architecture, the internet medium is used as an effective communication tool not only in the private level but also in the policy level. Recently, the active utilization of mobile web service is emphasized as the time changes, but there is not much improvement or advance in services due to lack of relevant studies. Therefore, this study is intended to provide basic data needed for improvement and advance by researching the quality of mobile web service among multichannel services provided in environmental landscape architecture related internet media. The model for measuring service quality is SERVQUAL, which was verified in the study of Choi(2015), Choi and Koo(2016), and the final valid samples are total 230. First, the subjects were analyzed as the representative media that are possible to acquire comprehensive knowledge related to environmental landscape architecture. Second, the highest importance level in each subsection was 'protection and security maintenance of customer information' followed by 'Reliability about accurate information supply'. Regarding performance level, 'Reliability about accurate information supply' and 'professional knowledge to communicate with users' are highly evaluated. Third, regarding Importance-Performance Analysis(IPA), the first priority management should is 'Tangibles', and the next are 'Responsibility' and 'Empathy'. The ones for maintenance of the status quo are 'Reliability' and 'Assurance', and there is none for effort reduction. Meanwhile, regarding the importance of each factor and difference in the quality of PC web service and mobile web service studied before, the biggest difference is in 'Tangibles', followed by 'Assurance', 'Empathy', 'Responsibility' and 'Reliability'. It is suggested that the revitalization of Landscape information science(LB1106) presented in the National Science&Technology Standard Classification System is needed. In the future, it is necessary to research the change trend on users' response through continuous evaluation of improved mobile web service.

• 한국산학기술학회논문지
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• 제13권12호
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• pp.6176-6186
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• 2012

건축분야에서는 IFC 표준과 BIM 적용에 대한 다수의 연구 및 적용 사례가 있으나 토목분야는 미흡한 실정이다. 또한, 최근 공공 발주기관에서 토목사업에 BIM 도입을 계획하고 있으나 국가차원에서 BIM 표준 및 납품체계가 마련되지 않아 이에 대한 요구가 증가하고 있다. 이에 토목분야에 대한 BIM과 IFC 국제표준의 현황을 분석하고 토목분야의 표준과 납품체계 구축을 위해 토목분야 BIM 개발을 위한 로드맵을 수립한다. 또한 토목분야에 대한 BIM의 단계적 개발 및 적용을 위하여 도로건설분야에 대한 BIM 도입 연구를 우선 수행하고, 현행 도로건설공사를 대상으로 건설정보 분류체계를 확장 적용한 BIM 정보모델을 작성하고 분석한다.

• 한국의상디자인학회지
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• 제22권1호
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• pp.33-44
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• 2020

The purpose of this study is to guide the research direction for securing the competitiveness of the textile industry by analyzing the trends of patent technology development for flexible materials and platform technologies of domestic and overseas textiles used for wearable devices. The study is based on patents from Korea (KIPO), USA (USPTO), Japan (JPO), Europe (EPO), PCT (WO), and China (SIPO), which were registered as of December 31, 2017. The analysis utilized 3,643 patents acquired from the WINTELIPS search DB. The technology classification system for patent analysis was divided into evangelist-based textile technology developments: human body (AA), fiber attachment patch development (AB), and service platform development (AC). The analysis findings are as follows: 1. The development of flexible materials and platform technologies for textile-based wearable devices has increased since 2000. In particular, China (SIPO) had the most patents. 2. In China, Japan, and Korea, most patent applicants are applied for by natives, but the US has a high proportion of foreigners applying for patents. 3. As for the amount of development of the evangelist-based textile technology (AA) was the most common with 1,203 (33%) cases. As a result of the above IP historical analysis, it can be seen that as a result of the global competition, domestic companies need to acquire IRP and standard technology, and promote commercialization by applying their products to smart wearables devices and other products.

• 대한기계학회논문집A
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• 제37권5호
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• pp.707-713
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• 2013

커플링 볼트는 조립, 분해 시 작업자의 안전이 고려되는 부분이나 공정 중단의 비용이 중요한 부분에서 기존의 일반볼트를 대체한다. 해양과 발전분야에서 세계적으로 광범위하게 적용되어, 회전하는 플랜지 결합에 사용되어 왔고, 국제적인 국가 선급 협회나 규제기관의 사용을 승인받아 왔었다. 커플링 볼트는 유압식으로 인장되어 플랜지 사이를 안정적으로 단단히 결합한다. 본 논문에서는 발전소 커플링 볼트의 국산화를 위해, 역설계를 통해 현재 사용 중인 볼트의 치수를 측정, 역학적인 수식을 통해 권장 체결하중의 기준을 살펴보았다. 마찰계수는 실험을 통해 선정하였고, 구조해석을 통해 체결상태를 확인하였다. 형상변수에 따른 접촉압력의 변화를 볼트 재설계시 참고할 수 있도록 나타내었다.

• 해양환경안전학회지
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• 제20권5호
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• pp.579-585
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• 2014

미래 친환경 선박 기술 중의 하나로 주목 받고 있는 연료전지 시스템의 선박 적용을 위해서 기술의 개발과 함께 필요한 것이 제도의 정비이다. 본 연구에서는 선박용 연료전지 개발동향, 연료전지시스템을 선박에 탑재하기위한 관련 국제기준으로 SOLAS와 IACS의 UR 및 UI을 검토하였고, IMO MEPC, IMO BLG 및 주요 선급 규정 등 연료전지 기준의 표준화 동향, 선박용 연료전지 기술기준의 개발시 고려되어야 할 사항 및 관련 제도의 국내도입을 위한 시사점까지 검토하였다. 현재 IMO에서 개발중인 IGF Code에는 연료전지 관련 부분이 포함되어, 본 규정 개발에 정부 및 국내 관련 기업체의 적극적인 참여가 필요하며 향후 IMO에서의 관련 규정개발 동향을 면밀하게 분석하고 적극적으로 대응할 필요가 있다.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2003년도 추계학술대회 논문집 전력기술부문
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• pp.122-124
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• 2003

In recent, the various electric & electronic machines are newly developed everyday and the electricity supply system & environment on the process from generation to consumption of electricity also is being changed. In other words, both supplier and consumer of electricity are required to be responsible for their interruption costs. So, it is very important and meaningful work for evaluating the interruption costs in quantitative. Additionally, since the restructuring of electric industry is on going in world wide, after restructuring, most of all electric utilities and consumer have to consider the supply reliability and quality as a important element of the calculating the related costs and contract because it takes costs to keep the supply reliability and quality highly. Especially, the interruption or the supply reliability will have influence on the bilateral contract between supplier and customer as a key point to determine the once in competitive electric market. Therefore, it has very important moaning to calculate the interruption costs in the present that it is prepared to open the competitive electric market. In this paper, international standards, i.e. IEC, IEEE, are applied to the analysis on the interruption costs used in the questionnaires which are newly designed including short duration interruption by the authors instead of traditional interruption criteria. Firstly, using the questionnaires, the authors got related data from industries according to the standard industry classification which are being used in electric utility and other national statistics in Korea. However, analysis results are hard to say typical value because of the not so many samples. So, the authors are going to survey and focus on not all kinds of industry but a few kinds of them that their facilities are effected or stop by short duration interruptions, so there are large economical damages. Finally, the authors hope to find the reliable and meaningful model in interruption costs of industrial customer.

• 한국환경복원기술학회지
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• 제12권3호
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• pp.130-141
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• 2009

The spatial range of EIA is mainly related to landscape ecological factors such as topography, geology, animals, and plants. Problems were detected involved land, soil, noise, oscillation, the atmosphere, animals, and plants in the natural-environment. First of all, the current EIA lacks explicit spatial ranges and sections in terms of scientific exactitude and objectivity for assessment. Secondly, there are overlapping influence-area problems resulting in cumulative impacts of unit developments that accumulate. Finally, some developments have no regard for ecological and conservational value in relation to determining which effect ecological stability, and which should be regarded as Regional Ecological Resources. Therefore, this study suggests that EIA should be improved in the following manner. First, the standard classification of landscape unit for analysis should be established 10 regulate each spatial range on a wide-landscape scale. Secondly, the impacts resulting from the interaction of overlapping influence-area developments between individual development should be assessed. Third, Minimization of the of the environmental effects is needed by applying the cumulative effects to the influence-area where developments occur in the same time or in a sequence. Fourth, individual characteristics of landscape elements such as roads, rivers, and green networks need to be considered separately in the analysis. Finally, regional ecological habitats should be included in the analysis in order to achieve stable ecosystems.