• 보건행정학회지
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• 제5권2호
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• pp.35-69
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• 1995

The managerial environment of hospitals in Korea characterized by low levels of medical insurance fees is worsening by increasing government regulations as to the utilization of medical services, rising costs of labor, material, and medical equipments, growing patient expectations concerning the quality of services, and escalating competitions among large hospitals in the market. Hospitals should seek for their survival strategies in this harsh environment and they should have information about costs of their products in doing so. However, it has not been available due to the complexity of the production process of hospital services. The objectives of this study were to develop a service-based cost accounting model and to apply the developed model to a study hospital to obtain cost information of hospital services. A model commonly used for the job-order product cost accounting in the manufacturing industry was modified for the use in hospitals in Korea. Actual costs, instead of standard costs, incurred to produce a unit of services during a given period of time were estimated in the model. Data required to implement the model included financial information, statistics for the allocation of supportive cost center costs to final cost centers, statistics for the allocation of final cost center costs to services, and the volume of each services charged to patients during a study period. The model was executed using data of a university teaching hospital located in Seoul for the fiscal year 1992. Data for financial information, allocation statistics fo supportive service costs, and the volume of services, most of them in electronic form, were available to the study. Data for allocation statistics of final cost center costs were collected in the study. There were 15 types of evaluation and management service, 2, 923 types of technical service, and 2, 608 types of drug and material service charged to patients in the study hospital during the fiscal year 1992. Labor costs of each of seven types of pesonnel, material costs of 611 types of drugs and materials, and depreciation costs of 212 types of medical equipments, miscellaneous costs, and indirect costs incurred in producing a unit of each services were estimated. Medical insurance fees for basic services such as evaluation and management of inpatients and outpatients, injection, and filling prescriptions, and for operating procedures were found to be set lower than costs. Infrequent services which use expensive medical equipments showed negative revenuse as well. On the other hand, fees for services not covered by the insurance such as CT, MRI and Sonogram, and for laboratory tests were higher than costs. This study has a significance in making it possible for a hospital to obtain cost information for all types of services which produced income based on all types of expenses incurred during a given period of time. This information can assist the management of a hospital in finding an effective cost reduction strategy, an efficient service-mix strategy under a given fee structure, and an optimum strategy for within-hospital resource allocations.

• KIEAE Journal
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• 제17권2호
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• pp.35-43
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• 2017

Purpose: The purpose of this study is to find out the characteristics of service (landfill) costs (hereinafter, the "landfill costs") applied to the dissolution promotion committee and analyze the characteristics of landfill costs at the time where the dissolution of promotion body is increasing with the authority of the head of local government regarding the territory difficult with the continuous promotion by delaying or suspending the project for a prolonged period or suspending the project through the dissolution of the project body by the promotion committee and cooperative union since the flawless promotion of the maintenance project. Method: After revising the law in February 2012, the survey and analysis is made for the status of applying landfill costs and maintenance project scale of the dissolution promotion committee not confirmed in details around a total of 20 regions, including, 9 regions of redevelopment projects completed with the advance review, 7 regions of re-construction projects and 4 regions of urban environment maintenance projects from the total of 59 regions, Result: The influence on the landfill costs is shown to be greatest in the service expenses and management and supervision on this field has significance for the maintenance project perceived as private project, rather than public project, that the public management is neglected with insufficient presentation of operation criteria and so forth that it displays the tendency to lead to the discrete operation of the project body. In order to enhance the transparency of operating costs for the projects that are led by private capital, it is required to strengthen the role of public sector through enthusiastic intervention by the public sector in standardization of operation criteria, presentation of guideline and so forth.

• 사회복지연구
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• 제39호
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• pp.253-286
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• 2008

노인장기요양보험 수가는 서비스시장에게 국가가 노인장기요양정책을 이끌고 나가고자 하는 정책방향을 보여주는 정책적 신호의 의미를 지닌다. 본 논문에서는 첫째, 한국의 노인장기요양보험의 급여종류별 수가가 어떠한 방법과 근거를 가지고 개발되었는가를 살펴보고, 그 특성을 규명하고자 하였다. 둘째, 평가기준을 가지고 수가개발의 타당성과 현실적 적절성 등을 평가해보고자 하였다. 셋째, 수가가 노인장기요양보험 시장의 합리적 형성 및 운영을 위한 중요한 요인임을 감안하여, 가격결정자와 규제자로서의 국가의 역할에 주안점을 두고 정책과제를 도출해보고자 하였다.

• 대한치과보철학회지
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• 제52권1호
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• pp.18-26
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• 2014

연구 목적: 본 연구의 목적은 가장 최근에 수행된 치과의원의 경영 분석 자료를 바탕으로 상향식 방법을 적용하여 임플란트 원가를 산정하는데 있다. 연구 재료 및 방법: 본 연구에서는 진료행위 각각에 소요되는 직간접 비용을 모두 합산하는 상향식 방식으로 산출하였다. 상향식 원가계산의 경우 총원가는 인건비, 재료비, 관리비, 의료사고비용, 투자자본의 기회비용 등으로 구성이 된다. 이를 임플란트 원가 구성요소로 구분하면 인건비, 기공료, 재료비, 감가상각비 등의 직접비용과 관리운영비를 포함하는 간접비용, 치과의원 투자분에 대한 기회비용으로 구성된다. 결과: 상부보철물의 종류에 따라 금속관일 경우 1,449천원, 도재관일 경우 1,583천원, 오버덴쳐의 경우 2,471천원으로 산정되었다. 임플란트 원가는 인건비, 재료비, 관리비, 기타비용으로 나누어지는데 총 원가 중 인건비가 차지하는 비율은 50%, 재료비 33%, 관리비 15%, 기타비용2%로 나타났다. 이를 직접비, 간접비, 투자비용으로 구분하면 상부 보철물이 금속관일 경우 각각 원가의 83%, 15%, 2%를 차지한다. 결론: 전체 원가 중 인건비가 73만원(약 50%)으로 가장 많은 비중을 차지한다. 상향식 원가계산 결과 관행수가에 근접하게 나타났는데 금속관의 경우 145만원, 도재관일 경우 158만원 추계되었다.

• 한국윤활학회:학술대회논문집
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• 한국윤활학회 1998년도 제27회 춘계학술대회
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• pp.3-43
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• 1998

Technical and business transformations are reshaping the business of Diesel engine builders, Diesel lubricant marketers and additive companies. Key issues facing engine builders and end users under these transformations include: -Emission regulations -Vehicle operating costs -Evolving business environments With these challenges come opportunities. For equipment builders and lubricant marketers, these include: -Lubricants meeting global performance requirements -High value lubricant applications -Profitable new businesses

• 대한간호학회지
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• 제43권4호
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• pp.507-516
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• 2013

Purpose: The purpose of this study was to use cost-benefit analysis of activity to clarify the economic effect of prepared nurses versus atmospheric environment managing engineers as healthcare managers. Methods: For the study 111 workplaces were surveyed, workplaces in which nurses or atmospheric environment managing engineers were employed as healthcare managers. The survey content included annual gross salaries, participation in external job training, costs in joining association covered by the company, location and year of construction of the healthcare office, various kinds of healthcare expenditures, costs in operating healthcare office, health education, and activity performance in the work of environment management. Results: In the case of the healthcare manager being a nurse, benefit was larger than input costs at a ratio of 2.31. On the other hand, in the case of healthcare manager being an atmospheric environment managing engineer, input costs were larger than benefits (benefit-cost ratio 0.88). Conclusion: Results indicate that nurses are an effective healthcare human resource and can offer good quality healthcare service. Therefore companies should hire nurses and actively promote the economic efficiency of nurses in workplace.

• 간호행정학회지
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• 제14권2호
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• pp.118-130
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• 2008

Purpose: The purpose of this study was to estimate of home-visiting nursing costs for low-income elderly with chronic disease in a metropolitan city using the severity classification and ABC(active-based costing). Methods: First, the HHC activity pool was established. The performance time of each nursing activity were estimated. Second, nursing resources(labor costs, operating costs, and traffic expenses) were analyzed and nursing cost per minute was calculated. And then the cost of each activity was estimated. Third, 202 visiting cases were classified into three group by their severity. And then nursing cost per visit according to their severity was estimated. Results: 59 nursing activities were included in HHC activity pool. The average working time of 59 nursing activity was 6.7minutes and nursing cost per minute was 489 won. According severity, nursing cost per visit were in class I, 54,296 (won), class II 83,124(won), and class III 93,455(won).

• 한국병원경영학회지
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• 제11권3호
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• pp.73-93
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• 2006

This study aims at providing necessary informations for management decision-making to the hospital manager, such as ratios of fixed and variable cost to total operating expense, and variable cost ratio to operating revenues, and determinant factors affecting cost behavior. A study model and related hypotheses were established, data were collected from 41 private university hospitals for the 6years from 1998 to 2003, and regression analyses were performed to test the hypotheses. The results of the analyses and conclusions are as follows; First, labor cost and administration cost within the same number of beds have not only fixed quality of the cost, but variable quality of that. Also, the ratio of the variable costs to operating revenue of the metropolitan was estimated 76.9% and that of other area hospitals was 80.1%. Second, the major factors affecting the increase rate of the operating expense were the increase rates of the number of inpatients, the number of employee, and the number of hospital operating bed. This result implies that maintaining a optimal hospital bed size and efficient operation of the beds are important strategic factors of hospital management.

• 한국국방경영분석학회지
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• 제35권3호
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• pp.31-45
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• 2009

시스템의 성능과 안전성을 보장하기 위해서는 개발 초기부터 신뢰도에 대한 연구가 이루어져야 한다. 시스템의 목표 신뢰도를 수립하고, 이를 달성하기 위하여 하부시스템 및 부분품에 신뢰도를 할당해야 한다. 시스템의 획득 및 개발에 있어서 성능이 우수하고 비용이 저렴하더라도 고장이 빈번하게 발생한다면 원활한 임무 수행에 많은 영향을 미치고, 막대한 운영유지비용이 소요될 것이다. 본 연구에서는 신뢰도 할당 모형과 운영 유지비용과의 관계를 알아보기 위하여 기존의 알려진 신뢰도 할당 모형들을 검토 및 평가하였다. 신뢰도 할당모형의 평가는 차기 개발 함정용 디젤 엔진을 대상으로 하였으며, 다양한 신뢰도 할당 모형에 목표 신뢰도를 고려하여 신뢰도를 할당하고, 현재 운영하는 함정용 디젤 엔진의 자료를 바탕으로 시뮬레이션을 수행하여 운영유지비용을 최소화하는 신뢰도 할당 모형을 선정하였다.

• 한국산학기술학회논문지
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• 제13권8호
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• pp.3417-3426
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• 2012

본 연구는 기본적으로 소유구조(내부 외국인 지분율)가 대리인 비용(자산효율성 비중 영업외비용 비중)에 어떠한 영향을 미치는 가에 대한 실증연구이다. 그러나 소유구조와 대리인 비용의 상관성에 대한 기존연구들이 단순히 Pooled OLS Model을 사용하고 있기에 본 연구에서는 단순 Pooled OLS Model이 방대한 양의 패널형 자료의 검증에는 통계적 신뢰성이 부족하다는 전제하에, Pooled-OLS Model의 적합성 검증 결과를 토대로, 자료형성의 시점 및 기업의 효과를 반영하는 Fixed Effect Model과 Random Effect Model을 추가적인 연구모형으로 형성하고 이를 비교분석함으로써 실증분석 결과의 신뢰성 및 통계적 타당성을 높이고자 하였다. 연구 자료는 IMF 경제 위기 이후인 1998~2007년까지 10년간이며 금융업을 제외한 331개 기업을 대상으로 하였다. 주요 결과로는 모델의 적합성 검증결과 대리인 비용 항목 중 자산효율성 비중은 Random Effect Model을 사용하는 것이 적절하였으나 이에 반하여 영업외비용 비중은 Fixed Effect Model의 사용이 적합하였다. 이에 따른 실증분석결과는 Pooled OLS Model에서 채택되었던 가설이 대부분 기각되는 결과가 나왔다. 이는 실증분석에 있어서 사용하는 모형에 따라 다른 분석결과의 도출이 가능하다는 점을 보여주어 연구 자료에 따른 적합한 연구모형의 형성이 통계적으로 유의한 실증결과의 도출을 위해 무엇보다 중요하다는 점을 시사하고 있다.