• 보건행정학회지
• /
• 제25권3호
• /
• pp.197-206
• /
• 2015

Background: The purpose of this study was to propose a method for developing a measure of hospital-wide all-cause risk-standardized readmissions using administrative claims data in Korea and to discuss further considerations in the refinement and implementation of the readmission measure. Methods: By adapting the methodology of the United States Center for Medicare & Medicaid Services for creating a 30-day readmission measure, we developed a 6-step approach for generating a comparable measure using Korean datasets. Using the 2010 Korean National Health Insurance (NHI) claims data as the development dataset, hierarchical regression models were fitted to calculate a hospital-wide all-cause risk-standardized readmission measure. Six regression models were fitted to calculate the readmission rates of six clinical condition groups, respectively and a single, weighted, overall readmission rate was calculated from the readmission rates of these subgroups. Lastly, the case mix differences among hospitals were risk-adjusted using patient-level comorbidity variables. The model was validated using the 2009 NHI claims data as the validation dataset. Results: The unadjusted, hospital-wide all-cause readmission rate was 13.37%, and the adjusted risk-standardized rate was 10.90%, varying by hospital type. The highest risk-standardized readmission rate was in hospitals (11.43%), followed by general hospitals (9.40%) and tertiary hospitals (7.04%). Conclusion: The newly developed, hospital-wide all-cause readmission measure can be used in quality and performance evaluations of hospitals in Korea. Needed are further methodological refinements of the readmission measures and also strategies to implement the measure as a hospital performance indicator.

• 자원ㆍ환경경제연구
• /
• 제28권2호
• /
• pp.177-200
• /
• 2019

전력수급계획의 근간이 되는 전력수요 전망은 GDP와 기상변수 등 다양한 요인에 의해 영향을 받기 때문에 확률 프로세스로 이해할 수 있다. 이 전망치를 바탕으로 전력설비의 구성 방안이 수립되는데, 실제 의사결정 과정은 주어진 확률분포에 대한 정보가 온전하다고 가정한다는 한계를 가진다. 그러나 현실적으로는 확률분포 자체의 중첩 불확실성이 존재하기 때문에 강건한 최적계획(robust optimization)의 수립이 필요하다. 본 논문은 중첩 불확실성을 포함한 발전설비 조정의 최적의사결정을 연구한다. 구체적으로 원자력의 감축투자 관련 실물옵션 모형을 수립하고 우리나라 전력수급기본계획의 특성을 고려한 중첩 불확실성하에서 원전감축 투자를 분석한다. 분석 결과, 현재의 원전축소 정책은 전력수요 증가율이 낮다는 것을 전제로 한 정책으로서 전력수요 증가에 대응할 수 있는 정책 강건성을 갖추지는 못한다는 것을 보여준다.

• 한국시스템다이내믹스연구
• /
• 제12권2호
• /
• pp.37-67
• /
• 2011

This study first attempted to point out fundamental reasons behind the failure to have WiBro services off the saddle, investigating the previous studies, and second to screen the WiBro promotion policies after reviewing the major steps conducted thus far by the government. In order to put the screened policies in order by the importance, an AHP analysis was conducted targeting WiBro professionals in various fields such as government offices, universities, research institutes, and industry. One step further, causal loop diagramming on the system dynamics methodology was conducted to examine the dynamic structure of the WiBro market in holistic standpoint of view. Finally, a simulation model was developed based on the causal loop diagrams and the results of the AHP analysis in order to examine how various policy scenarios influence the growth of the WiBro market over time, and to compare the mix of policy options. Finally, the study attempted to draw some implications for WiBro vitalization.

• 보건행정학회지
• /
• 제18권1호
• /
• pp.21-42
• /
• 2008

This study investigates economies of scale, cost complementarity and economies of scope for healthcare organizations using econometric approaches. The economies of scale appear to exist in each service provided by a hospital such as inpatient treatment services, outpatient treatment services, and other patient treatment services, respectively. When we test all services in aggregate level, it also indicates that the healthcare industry on average exhibits the economies of scale of 6 percent, which implies that scaling up hospital sizes will bring substantial cost savings to them Evidence shows that cost complementarity exists between outpatient services and other services for patients and, i.e., these other services for patients experience the reduction in marginal costs as the outputs of the outpatient services increase. For the economies of scope, they are present in most service areas; aggregate level services, outpatient services, and other services for patients, respectively. Inpatient treatment services, however, do not show any evidence of the economies of scope. Results show that the economies of scope are achieved by the general hospital type that provides all service areas such as inpatient treatments, outpatient treatments, and other services for patients. The existence of the economies of scope provides the rationale for extending the existing line of business in a hospital into more diverse areas of services where its benefit comes in the form of cost savings. In sum, it overall provides evidence that the M&As in this industry are encouraged to achieve cost reductions from the economies of scale and scope by changing the size and the output mix.

• 보건행정학회지
• /
• 제19권1호
• /
• pp.62-80
• /
• 2009

The purpose of this study was to examine the factors influencing the attitude toward the increasing role of private health insurance(PHI). In the Korea Welfare Panel Data 2007, a sample of 1,675 (adjusted by weight value: 1,607) respondents on an opinion on promoting PHI was used in the study. With independent variables including socio-demographic characteristics, health status, health-related behavior, and opinions on welfare service, ordered-probit model was used to analyze the attitude toward PHI. Negative opinion on the increasing role of PHI were responded by 54.6%(n=877) of the respondents, whereas 22.2%(n=373) were positive and 23.2%(n=357) were neutral. Old people, the better off, those with worse self-assessed health status, and those having an experience of health examination tend to have the positive attitude toward the increasing role of PHI. Women, those with chronic diseases or disorders and those who do not agree that comprehensive welfare benefits reduce work incentive showed negative attitude toward PHI. When comparing the needs for PHI before and after medical utilization, ex-ante need tends to strengthen the tendency to support private health insurance. This study will contribute to the discussion on the optimal mix of public and private health insurance in Korea by a better recognition of attitude toward PHI and health care system.

• 한국항공운항학회지
• /
• 제27권1호
• /
• pp.57-68
• /
• 2019

The emission trading system implemented in Korea is a system in which the government allocates or sells emission rights by setting the emission allowable amount to economic players subject to the emission trading system, allowing companies to freely trade shortfall or extra money through the emission trading market. Korea also had implemented its first emission trading system scheme period of time from 2015 to 2017. As a result of the first planning period in which total of seven Korean airlines were targeted, the emission amount was about 5.51 million KAU, while the quota amount was only about 4.85 million KAU, about 116% of the actual quota was emitted and Domestic airlines have incurred additional costs of about 10.7 billion won. Due to ICAO's implementation of CORSIA, the airlines are expected to have to shoulder additional costs because purchasing exceed quota will be increased in order to offset excess emissions not only on domestic but also on international routes. Thus, this paper had analyzed the characteristics of the carbon trading system of air transport industry and suggested a mix of regulatory policies as an improvement method.

• Nuclear Engineering and Technology
• /
• 제55권3호
• /
• pp.908-918
• /
• 2023

The Saudi National Atomic Energy project aims to adopt peaceful nuclear technologies and be part of the country's energy mix. As emerging nuclear energy, it is essential to understand public concerns and acceptability of nuclear energy, as well as the factors influencing acceptance to develop nuclear energy policy and implement nuclear energy programs. The purpose of this study is to analyze the public attitudes and acceptance of nuclear energy among Saudi Arabian citizens by utilizing protection motivation theory and theory of planned behavior. A total of 1,404 participants answered a questionnaire which was distribute by convenience sampling approach. A Structural Equation Modeling framework was constructed and analyzed to understand public behavior toward building the country's first Nuclear Power Plant (NPP). Before analyzing the data, the model was validated. The research concluded that the benefits of nuclear power plants were essential in determining people's acceptance of NPPs. Surprisingly, the effect of the perceived benefits was found higher than the effect of the perceived risks to the acceptance. Furthermore, the public's participation in this study revealed that the NPPs location has a significant impact on their acceptance. Based on the finding, several policy implementations were suggested. Finally, the study's model results would benefit scholars, government agencies, and the business sector in Saudi Arabia and worldwide.

• 기술혁신학회지
• /
• 제18권2호
• /
• pp.358-386
• /
• 2015

본 논문에서는 유사한 성격을 지닌 정부 혁신 정책의 이중지원으로 발생하는 중복효과에 대해서 살펴보고자 하였다. 이를 위해 혁신형 중소기업에 대한 대표적인 지원정책인 벤처인증정책과 이노비즈인증 정책을 대상으로 중복지원의 효과에 대한 분석을 수행하였으며, 특히 혁신형 중소기업들이 다수 분포되어 있는 ICT 산업에 초점을 맞추어 논의를 진행하였다. 또한 정부의 정책 지원에 따른 성과 평가를 함에 있어서 흔히 발생할 수 있는 선택편의 문제를 해결하기 위해 성향점수매칭법(Propensity score matching)을 활용하였다. 분석 결과를 살펴보면 두 정책을 중복으로 지원받고 있는 기업들은 하나의 정책만을 지원받는 기업들보다 기업의 성장성, 자금조달능력, 혁신성 등에서 양의 효과가 나타남을 확인할 수 있었다. 이 결과를 그대로 받아들이면 인증 정책의 중복 지원은 크게 문제가 되지 않는 것으로 해석될 수 있다. 하지만 본 논문에서 제시하고 있는 중복 효과 개념에서 바라보면 이 결과는 다른 해석이 가능하다. 우선, 기업의 성장성을 보여주는 종업원수 증가율에서 벤처인증과 이노비즈인증은 시너지 효과가 나타났는데, 이는 정부로부터의 복수의 지원을 받은 기업들이 고용 시장에 더 유리한 위치를 선점할 수 있다는 것을 보여주는 결과이다. 반면, 기업의 자금조달능력이나 혁신성 지표에서는 중복 효과는 비효율적임을 확인할 수 있었다. 이는 정부가 정책을 지원함에 있어서 이미 정책 지원을 받고 있는 기업에게 정책을 중복하여 지원하는 방식보다는 아직 정부로부터 정책 지원을 받지 못한 기업들에게 지원하는 방식이 더 큰 정책 효과를 보일 수 있음을 시사하는 결과라고 볼 수 있다. 특히, 벤처인증이나 이노비즈인증은 기업의 혁신역량을 강화하려는 목표를 가지고 있다는 점에서 지원 받은 기업의 혁신성과가 더 크게 나타날 수 있도록 관련 협회 간 기능 조정이나 제도 정비가 필요할 것이다.

• 한국신재생에너지학회:학술대회논문집
• /
• 한국신재생에너지학회 2007년도 춘계학술대회
• /
• pp.269-275
• /
• 2007

태양광 분야에서 일본은 기술 및 보급에 성공한 대표적인 사례로서 거론된다. 태양광의 에너지자원화를 목표로 30여 년간 지속적으로 국가차원의 기술개발 및 보급을 정책 사업화하여 진행시켰고 성공적인 선행 단계를 밟아 왔다. 현재까지의 성공을 기반으로 [태양광 비전 2030]을 수립하여 실현가능한 장기 목표를 구체화하는 단계에 있다. 이에 일본 태양광 산업 및 기술개발 방향에 대한 분석을 통해 오늘 우리에게 주는 시사점을 도출하여 차세대 성장 동력 산업이 될 국내 태양광분야의 발전을 위한 지표로 삼고자 한다.

• 한국신재생에너지학회:학술대회논문집
• /
• 한국신재생에너지학회 2006년도 추계학술대회
• /
• pp.213-216
• /
• 2006

풍력발전의 보급확대는 전력시장의 특성으로 인하여 국가적 차원의 정책에 의존될 수밖에 없는 태생적 한계를 지니고 있다. 역설적으로, 풍력발전은 정부기획에 의하여 시장조성(설계)이 가능하고, 따라서 풍력발전과 관련한 설비제조업, 발전사업 단지건설업 및 서비스업 등으로 구성되는 '풍력산업' 은 국가적 차원의 적정한 정책 수단으로 육성될 수 있는 새롭게 부상하는 산업부문이다 선진 외국의 전력시장에서 관찰되는 풍력산업의 출현 및 성숙과정을 참고로, 우리나라에서의 풍력발전의 보급확대를 위한 전략을 원론적 차원에서 모색하고자 하였다. 기술경영학적 관점에서 풍력산업의 육성도 결국 '기술주도'가 아닌 '시장주도에 의한 것이 효과적일 수밖에 없으며, 풍력발전의 보급확대를 통한 수요의 창출은 에너지믹스(Energy Mix)와 관련한 국가차원의 정책적 의지와 선택의 문제일 뿐이다