• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.8 no.4
• /
• pp.946-951
• /
• 2007

R&D institutes, supporting development in industry, are required to provide an economic basis of their R&D investments. In this paper, we apply prospective cost-benefit analysis to evaluate the economic impact of R&D investments. We compute main metrics with cost and benefit estimated via counter-factual evaluation model. Among many projects of KRISS to improve measurement reliability, three projects are evaluated by applying prospective cost-benefit analysis.

• Journal of The Korean Digital Architecture Interior Association
• /
• v.3 no.2
• /
• pp.1-7
• /
• 2003

Remodeling has improved through many interests of people and governmental positive support. Accordingly, this study precedes definition and typology of remodeling. As well, it analyzed the type of remodeling preference group who asked consulting on internet following items and researched a special feature of construction case. - Area, Age, Size and Type of Building, Prospective Cost, Constructing Period, Range of Remodeling- Then, remodeling will have a big effect and be needed lasting evaluation.

• Health Policy and Management
• /
• v.23 no.2
• /
• pp.103-111
• /
• 2013

Seven diagnosis-related groups (DRGs) prospective payment system is going to expand to all hospitals including university hospitals this year. However there are few studies on the change of practice pattern under prospective payment system in the university hospital setting. So This study was intended to predict the practice pattern change after the introduction of 7 DRGs prospective payment system in a university hospital setting. To predict the change of practice pattern, this study used simulation technique. Five hundred and nineteen patients classified as 5 DRGs in a university hospital were selected for simulation. The change of practice pattern were predicted based on clinicians' opinion. We also predicted payment change by service items. Major findings of this study are as follows. First, the total medical payment was reduced by 14.4%. The drug payment change (8.8%) took most of total payment reduction. The followings are the change of treatment material cost (3.2%), the change of laboratory tests cost (1.8%), the change of room charge (0.5%), and other payment change (0.1%), respectively. Second, most of the reduction in total medical payment resulted from the decreased amount of medical services themselves. The transfer of medical services to outpatient setting took up only 4.9% of the total payment reduction. The change of unit price or composition took up 5.5% of the total payment reduction. In this study we found that it is possible to reduce the inpatient services through practice pattern change in university hospital setting. However, it needs to be careful to adjust DRG payment after the reduction of provided services, because most of reduction was not due to service transfer but to service volume reduction. It is desirable to utilize the saving from practice pattern change as incentive to improve quality of care.

• Quality Improvement in Health Care
• /
• v.12 no.2
• /
• pp.75-83
• /
• 2006

Background : Utilization review has been adopted as a vehicle for cost and utilization control of health care services. Its role was further stressed and expanded through the establishment of Health Insurance Review Agency in 2001. This article is to introduce concept, activities, and effect of utilization review based on the experiences of U.S. and to suggest important characteristics for ideal utilization review activities at the national level in Korea. Method : Twenty-five articles related with utilization review were reviewed after being selected through web site search through Med Line and Richis. Result : Utilization review was introduced mainly for health care expenditure control either by insurer, provider or the third parties under the pressure of increasing health care cost. It's activities can be categorized to prospective, concurrent and retrospective review according to the time of service provision. Based on most of studies, utilization review has been effective in controling rising health care cost and utilization. However it's effectiveness assumes a reimbursement structure of managed care like capitation payment. More worse, it is still unknown it's effectiveness on quality of care. Conclusion : Utilization review should be employed to increase the cost effectiveness of medical care by optimizing quality and patient's outcomes while also attempting to reduce the use of resources. So, it should consider outcomes before expenditures, check for both under and over-use, and construct an structure in which consumption is reduced equitably. Aggressive adoption of utilization review in Korean health care setting with fee-for-service reimbursement structure might not be a cost-effective approach before adoption of prospective payment system such as D.R.G. and capitation.

• Korean System Dynamics Review
• /
• v.7 no.2
• /
• pp.57-80
• /
• 2006

Nuclear technology made a great contribution to the national economy and society by localization of nuclear power plant design, and by stabilization of electricity price, etc. It is very important to conduct the retrospective analysis for the nuclear technology contribution to the national economy and society, but it is more important to conduct prospective analysis for the nuclear technology contribution. The term "technology value" is often used in the prospective analysis to value the result of technology development. There are various definitions of technology value, but generally it means the increment of future revenue or the reduction of future cost by technology development. These technology valuation methods are widely used in various fields (information technology or energy technology, etc). The main objective of this research is to develop valuation methodology that represents unique characteristics of nuclear power technology. The valuation methodology that incorporates market share changes of generation technologies was developed. The technology valuation model which consists of five modules (electricity demand forecast module, technology development module, market share module, electricity generation module, total cost module) to incorporate market share changes of generation technologies was developed. The nuclear power technology value assessed by this technology valuation model was 3 times more than the value assessed by the conventional method. So it was confirmed that it is very important to incorporates market share changes of generation technologies. The valuation results of nuclear power technology in this study can be used as policy data for ensuring the benefits of nuclear power R&D (Research and Development) investment.

• Annals of Hepato-Biliary-Pancreatic Surgery
• /
• v.27 no.3
• /
• pp.287-291
• /
• 2023

Backgrounds/Aims: Pancreaticoduodenectomy (PD) is commonly performed pancreatic procedure for tumors of periampullary region. Delayed gastric emptying (DGE) and pancreatic fistula are the most common specific complications following PD. DGE can lead to significant morbidity, resulting in prolonged hospital stay and increased cost. Various factors might influence the occurrence of DGE. We hypothesized that kinking of jejunal limb could be a cause of DGE post PD. Methods: Antecolic (AC) and retrocolic (RC) side-to-side gastrojejunostomy (GJ) groups in classical PD were compared for the occurrence of DGE in a prospective study. All patients who underwent PD between April 2019 and September 2020 in a tertiary care center in south India were included in this study. Results: After classic PD, RC GJ was found to be superior to AC in terms of DGE rate (26.7% vs. 71.9%) and hospital stay (9 days vs. 11 days). Conclusions: Route of reconstruction of GJ can influence the occurrence of DGE as RC anastomosis in classical PD provides the most straight route for gastric emptying.

• New & Renewable Energy
• /
• v.4 no.2
• /
• pp.52-60
• /
• 2008

More people have become interested in hybrid vehicles - which have been heralded as environmentally friendly automobiles - recently as the opening of domestic hybrid vehicle market draws near. Since gasoline, diesel and LPG hybrid vehicles will be produced, a need exists to conduct economic feasibility study of each vehicle type. This research analyzed projected benefits of these hybrid vehicles based on the 1600cc model. There are two categories of benefits: 1) reduced fuel costs for the owners of the vehicles; and 2) reduced environmental pollution cost. We conducted a sensitivity analysis and estimated the domestic consumer fuel costs based on the international oil prices of 100USD, 150USD, and 200USD per barrel. The analysis showed savings of 2 to 4 million Won in fuel cost and 1 to 2 million Won in environmental pollution cost; therefore, the hybrid vehicles are not economically feasible if they are between 3 to 5 million Won more expensive than the conventional internal combustion engine vehicles.

• Health Policy and Management
• /
• v.9 no.1
• /
• pp.1-29
• /
• 1999

The Government has recently planned to improve the medical insurance drug price systems by removing the drug margin occurring from the difference between the official and purchasing prices, and instead by setting prices through adding drug administration casts calculated to the purchasing costs. In the circumstances, the major policy and implementing issues are how to define the drug administrance cost and how to calculate them. This study attempts to provide for the conceptional and operational definitions and thereby develop a costing model for the cost. The relationship between the current systems of medical services costs and prices were reviewed to define the concept of the costs. The study defined the costs from the narrow and wide prospective of meaning, and three operational definitions were provided. The costing model was developed applying the departmental costing principles. Finally, several prerequisites that have to be considered for the implementation of the definition and the model from the practical viewpoint.

• Proceedings of the KIEE Conference
• /
• 1999.07f
• /
• pp.2537-2539
• /
• 1999

In order to widen the radius of electric vehicle (EV) travel recharging points must be provided in sufficient numbers and at convenient places. The cost of providing side an infrastructure is at preset, not well documented and this lack of information acts as a detersent to prospective insestors in EV technology. This paper acts as a preliminancy investigation into the cost of infrastructure is the different situation i.e for the private owner, the fleet owner or for the public. It provides an overview of the items required and this relative costs. Cost will however, vary from country to country and application to application, and this paper two acts purely as guide to the type of equipment and its relative costs.

• KEPCO Journal on Electric Power and Energy
• /
• v.6 no.3
• /
• pp.315-319
• /
• 2020

The modern transportation and mobility sector is expected to encounter high penetration of Electric Vehicles (EVs) because EVs contribute to reducing the harmful emissions from fossil fuel-powered vehicles. With the prospective growth of EVs, sufficient and convenient facilities for fast charging are crucial toward satisfying the EVs' quick charging demand during their trip. Therefore, the Fast Electric Vehicle Charging Stations (FECS) will be a similar role to gas stations. In this paper, we study a charging scheduling problem for the FECS with solar photovoltaic (PV) and an Energy Storage System (ESS). We formulate an optimization problem that minimizes the operational costs of FECS. There are two cost and one revenue terms that are buying cost from main grid power, ESS degradation cost, and revenue from the charging fee of the EVs. Simulation results show that the proposed scheduling algorithm reduces the daily operational cost by effectively using solar PV and ESS.