• 대한예방한의학회지
• /
• 제14권2호
• /
• pp.57-66
• /
• 2010

Backgrounds : Since December 1, 2009, National Health Insurance began to reimburse for three physical therapies of Korean medicine. The extension of insurance coverage is demanded by Korean medicine societies. Objectives : This study aimed to measure the resource-based relative value scale (RBRVS) scores for thirty four physical therapies of Korean medicine and to estimate the insurer's expenditure for them in National Health Insurance. Methods : To measure the physician's work and the practice expense, the 'magnitude estimation method (MEM)' and the 'fully distributed cost - attributable cost method (FDC-ACM)' were applied respectively. We collected the frequency data of physical therapies from Korean medicine hospitals and clinics to estimate the total expenditure. Results : The resource-based relative value scale scores of physical therapies were measured from 23.44 to 160.66. Total insurer's expenditure was calculated to be 95.5 billion won as of 2009. Conclusions : Based on the result that showed minor increase of total expenditure, most physical therapies of Korean medicine need to be reimbursed in the National Health Insurance.

• 한국안전학회지
• /
• 제24권5호
• /
• pp.48-56
• /
• 2009

This paper presents the procedure for the optimal design of a PSC-I girder bridge considering life cycle cost (LCC). The load carrying capacity curves for the concrete deck, PSC-I girder and $\pi$-type pier were derived and used for the estimate of service lives. Total life cycle cost for the service life was calculated as sum of initial cost, damage cost, maintenance cost, repair and rehabilitation cost, user cost, and disposal cost. The advanced First Order Second Moment method was used to estimate the damage cost. The optimization method was applied to the design of PSC-I girder bridge. The objective function was set to the annual cost, which is defined by dividing the total life cycle cost by the service life, and constraints were formulated on the basis of Korean Standards. The optimal design was performed for various service lives and the effects of design factors were investigated.

• 한국산학기술학회논문지
• /
• 제16권3호
• /
• pp.1920-1927
• /
• 2015

본 연구는 뇌졸중 환자의 작업치료 보험수가를 분석하고자 실시하였다. 연구대상자는 2010년 뇌졸중 유병자 중에서 의료기관에 입원하거나 외래로 작업치료를 받은 사람을 대상으로 하였으며, 작업치료 검사비용은 건강보험심사평가원의 2010년 보험청구자료를 주자료원으로 분석하였고, 작업치료의 종류는 2010년 작업치료보험수가를 토대로 구분하여 분석하였다. 연구결과 작업치료를 받은 인원은 입원의 경우 전문재활치료료가 가장 많았고 외래는 신경계기능검사료가 가장 많았다. 작업치료 비용은 전문재활치료료가 253억원으로 가장 많았으며, 병원종별 이용건수는 상급종합 및 종합병원이 18만건으로 가장 많았으나 총비용은 요양병원이 104억으로 가장 많았다. 보험종별로는 의료보험이 40만건으로 의료급여보다 많았으며 평균비용은 의료급여가 6만 1,626원으로 의료보험보다 더 많았다. 지역별 작업치료 이용건수와 비용은 서울과 경기가 가장 많았다. 본 연구는 전국 뇌졸중 환자의 자료를 이용하여 작업치료 비용을 분석한 최초의 연구라는 점에서 의의가 있으며 연구 결과는 향후 보험수가 개선에 필요한 기초자료로 활용될 수 있을 것이다.

• Korean Journal of Hydrosciences
• /
• 제8권
• /
• pp.31-40
• /
• 1997

Flow carrying capacity of water distribution systems is getting reduced by deterioration of pipes in the systems. The objective of this paper is to present a managerial decision-making model for the rehabilitation of water distribution systems with a mininum cost. The decisions made by the model also satisfy the requirements for discharge and pressure at demanding nodes in the systems. Replacement cost, pipe break repair cost, and pumping cost are considered in the economic evaluation of the decision along with the break rate and the interest rate to determine the optimal replacement time for each pipe. Then, the hydraulic integrity of the water distribution system is checked for the decision by a pipe network simulator, KYPIPE, if discharge and pressure requirements are satisfied. In case the system does not satisfy the hydraulic requirements, the decision made for the optimal replacement time is revised until the requirments are satisfied. The model is well applied to an existing water distribution system, the Seoul Metropolitan Water Supply System (1st Phase). The results show that the decisions for the replacement time determined by the economic analysis are accepted as optimal and hydraulic integrity of the system is in good condition.

• 대한임상전기생리학회지
• /
• 제2권2호
• /
• pp.61-76
• /
• 2004

This research tries to find out the methods to enhance the rehabilitation ability of Cerebro Vascular Accident(CVA) patients and their family members. For this purpose, the authors identify the factors that may affect the medical rehabilitation process as well as the rehabilitation itself. Furthermore, the current status of the rehabilitation ability and the desires of CVA patients and their family members are surveyed in this research. The results of this research are as follows: Firstly, the surveyed CVA patients, most of whom are over fifties in the age, have cerebral infection and hemorrhage in a numerical order. The survey showed that the larger cities they live in, the more CVA occur to them. Secondly, the survey for the treatment cost demonstrated that the lower are their living level and their education level, the more pressure is put on the CVA patients and their family. The statistical data proved this conclusion is reasonable. Thirdly, as for the safisfaction for the rehabilitation treatment, the statistical survey showed that it is directly proportional to their financial income. Moreover, those who have lower income generally want the rehabilitation services from a public health center. On the other hand, those who have higher income want the home therapy services.

• 한국도로학회논문집
• /
• 제8권2호
• /
• pp.49-54
• /
• 2006

The purpose of this study was to determine the effect of expansion joint spacing (slab size) on the life cycle costs of owning Portland Cement Concrete (PCC) airfield pavements. Previous research has shown that slab size has a statistically significant impact on pavement performance. A probabilistic life cycle cost analysis was performed to determine if the effect of slab size on pavement performance would affect the total cost of ownership of PCC pavements. Data from 48 Pavement Condition Index (PCI) inspections of military and civilian airfields were used to develop probability-of-distress-by-condition curves, which were then used to develop probabilistic cost-of-repair-by-condition curves. A present worth life cycle cost analysis was then performed for various slab sizes, using construction costs, rehabilitation costs, and maintenance costs. Maintenance costs were determined by assuming a condition deterioration rate appropriate for each slab size and applying the cost-by-condition curves. The probabilistic cost-of-repair-by-condition curves indicated that smaller slabs are more expensive to repair on a unit cost basis. Life cycle cost analysis showed that larger slabs have a higher total cost of ownership than smaller slabs due to a faster rate of deterioration.

• 한방재활의학과학회지
• /
• 제23권3호
• /
• pp.159-175
• /
• 2013

Objectives Herniated Intervertebral Disc of C-spine is one of the most common diseases that causes posterior neck pain. This study was designed to analyze the general distribution and hospital cost by day and case of Korean medical treatment for Cervical Herniated Intervertebral Disc (HIVD). Methods The 132 impatients for treatment of HIVD were analyzed according to the distribution of sex, age, the duration of HIVD, the contributory factors, the Clinical grade at admission, the clinical findings at admission, the duration of hospitalization, the clinical grade at admission and the hospital cost per day and case. Results 1) The total hospital cost per case averaged 1,985,600 Won, which was consisted of room charge 584,044 Won (29.41%), performance fee 511,463 Won (25.76%), herbal medication 381,517 Won (19.21%), Korean medical physiotherapy 296,310 Won (14.92%), food expenses 199,997 Won (10.07%) in order. 2) The total hospital cost per day averaged 137,285 Won, which was consisted of room charge 39,036 Won (28.43%), performance fee 33,594 Won (24.47%), herbal medication 30,642 Won (22.32%), food expenses 12,870 Won (9.37%), and the average duration of hospitalization was 15.1 days. 3) There was statistically significant difference in the consultation fee, room charge, and herbal medication on the part of sex. 4) There was statistically significant difference not only in the performance and consultation on the part of duration of hospitalization but also the in the duration of average duration of hospitalization. 5) There was statistically significant difference in the Korean medical physiotherapy and herbal medication on the part of clinical findings. 6) There was statistically significant difference in the Korean medical physiotherapy and herbal medication on the part of duration of HIVD. 7) There was statistically significant difference in the Korean medical physiotherapy and herbal medication on the part of clinical outcome. 8) There was not only statistically significant difference in the performance, but also in the herbal medication on the part of clinical grade at admission. Conclusions This study provides plenty of information to design out the specific terms of Korean medical expenses of Cervical HIVD inpatients hospitalized at Korean medicine hospital.

• 한국강구조학회 논문집
• /
• 제15권4호통권65호
• /
• pp.341-358
• /
• 2003

본 논문에서는 강교의 실용적인 생애주기비용 (LCC) 최적설계를 위한 일반화된 정식화와 LCC 설계시스템 모델을 제안하였다. 강교 최적설계를 위한 LCC는 초기비용, 직접 복구 (rehabilitation) 비용과 인적 혹은 물적 손실비용의 직접비용, 도로이용자비용, 그리고 사회-경제 손실비용을 포함한 간접비용의 현재가치의 합으로 정식화하였다. 특히 본 논문에서는 교량이 속해 있는 도로의 네트워크를 고려한 도로이용자비용과 사회-경제 손실비용 산정을 위한 새로운 모델을 제안하였다. 본 연구에서 제안된 LCC 정식화 모델은 실제 강박스 거더교와 강상판형교의 LCC 최적설계 문제에 적용하였고, 다양한 경우에 대한 LCC의 효율성에 대해 비교 고찰하였다. LCC를 고려한 강교량의 최적설계는 설계시방서에 기초한 설계방법뿐만 아니라 초기비용 절감을 위한 최적설계 방법과 비교할 때 더욱 합리적이고, 경제적이며, 안전한 설계를 유도할 수 있으리라 판단된다.

• 보건의료산업학회지
• /
• 제5권4호
• /
• pp.161-175
• /
• 2011

The purpose of this study was to expand the home-based rehabilitation services in the long term care insurance. This study was reviewed on the home-based physical therapy in the OECD. The way of this study was literature search and review. This was to reviewed Proquest, Sciencedirect, SpingerLink, Pubmed. Kew word is "home-based therapy". This was collected 71 articles and final analyzed article was 49. The results were as follows; The article number is seven in Canada, fifteen in USA, five in UK, six in Australia, three in Sweden, five in New Zealand, two in Netherlands, one in Turkey, South Korea, Japan, France, Spain, Italy respectively. Randomized controlled trial is fifty, case-control study is eleven, interview is three, literature review is two, and case report, cost-analysis, cost-effectiveness, pilot study, single blinded parallel design, demonstrative study, survey is one respectively. Physical therapist played an important role in home-based rehabilitation among OECD than nurse. Therefore, we must introduce home-based physical therapy in long term care insurance in South Korea.

• Corrosion Science and Technology
• /
• 제7권1호
• /
• pp.6-12
• /
• 2008

Non-metallic composite overwrap repair methods utilize resin based fiber-reinforced composite materials, which have higher specific strength to weight ratio and stiffness, superior corrosion and fatigue resistance, and substantially reduced weight when compared to carbon steel. Non-metallic repair methods/systems can allow desired functional properties to be achieved at a respectable economic advantage. For example, non-metallic composite repair systems have at least a 50 year design stress of 20 ksi and approximately 25% of the short term tensile strength of fiberglass. For these systems, the contribution of the repaired steel to the load carrying capability need not be considered, as the strength of the repair itself is sufficient to carry the internal pressure. Worldwide experience in the Oil & Gas industry confirms the integrity, durability, inherent permanency, and cost-effectiveness of non-metallic composite repair or rehabilitation systems. A case study of a recent application of a composite repair system in Saudi Aramco resulted in savings of 37% for offshore subsea line and 75% for onshore above grade pipeline job. Maintaining a pipeline can be costly but it is very small in comparison to the cost of a failure. Pipeline proponents must balance maintenance costs with pipeline integrity. The purpose is not just to save money but also to attain a level of safety that is acceptable. This technology involves the use of an epoxy polymer resin based, fiber-reinforced composite sleeve system for rehabilitation and /or repair pipelines.