• Title/Summary/Keyword: Service Unbalance

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An Analysis on Appropriateness of Health Insurance Fee Using the Activity Based Costing(ABC) Approach (활동기준 원가분석을 통한 건강보험수가의 적정성 분석)

  • Kim, Han-Sung;Shin, Hyun-Woung;Cha, Jae-Young
    • Korea Journal of Hospital Management
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    • v.20 no.3
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    • pp.36-44
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    • 2015
  • The Activity Based Costing(ABC) means the process that makes clear how the actions and input resources have changed into service to calculate medical services costs. These days, the number of hospital which is using the ABC system is increasing to make their policy decision making efficient and run the hospitals more resonable. This study analyzes the unbalance in the level of health insurance service fee and the improvement plans based from 8 hospitals(ABC system) and 95 clinics(ABC survey). The cost recovery ratio has shown different levels according to each service type. A surgery service type recorded 76.8% and an evaluation & management service type is 84.6%, a treatment procedure type(85.8%), a function test type(91.6%) and health insurance fee even did not reach to the original cost. Meanwhile, a laboratory test type and imaging test type show high level of cost recovery ratio. they recorded 188.3% and 158.8%. Resultingly now of unbalance in the level of health insurance service fee accelerates supply of every test. so there is a need to make laboratory test type and imaging test type lower to keep balance with the surgery and medical service. These methods should be performed gradually with monitoring the unbalance fee ratio and for this, a panel medical institution have to be established for generalizations of studying result, fairness of selecting researching sample.

Assessment on Location Characteristics of Urban Park as Public Service Using Geographic Information Analysis System: Focused on Cheongju City (지리정보분석시스템을 활용한 공공서비스로서의 도시공원 입지특성 평가 - 충북 청주시를 대상으로 -)

  • Bae, Min-Ki
    • Journal of Environmental Impact Assessment
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    • v.22 no.3
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    • pp.231-240
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    • 2013
  • The Purpose of this research was to propose positioning strategies of urban park (UP) based on the assessment of location characteristics at cheongju city. To do that, this research found out urban park service area (UPSA) using GIS network analysis and built socio-economic attribute database, UP map, and other public service thematic maps such as public transportation, education, child-care, and convenience services. And this research analyzed spatial and attribute data using Pearson's correlation analysis, multiple linear regression, and binary logistic regression methods. As a result of this analysis, 1) the nearer neighborhood park and children's park, the higher land price and assumption income level (AIL). 2) children's parks were closed to living convenience facilities such as bank, hospital, and convenience store. 3) land price, AIL, population, and other public services level (PSL) in UPSA were higher than that of non-UPSA. 4) The higher land price, AIL, population, and other PSL, the higher urban park service level. The results of this research may contribute to resolve the regional UP unbalance and to improve UP service level as public service.

The Efficient Bandwidth Control Method for Variable Data using ATM-GFR Service (ATM-GFR 서비스를 이용한 가변 데이터의 효과적인 대역폭 관리)

  • Kim Jung-Gyu;Lee Young-Dong
    • Journal of Digital Contents Society
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    • v.2 no.2
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    • pp.129-138
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    • 2001
  • With the explosive growth and pervasive of the Internet, dynamic bandwidth allocation is nessary for ATM streams that carry various traffic. In order to provide quality of service(QoS) guarantees and to give the minimum cell rate, new bandwidth allocation scheme requires to be implemented. DFBA(Differential Fair Buffer Allocation) scheme is one of the methods for ATM GFR(Guaranteed Frame Rate) services. DFBA scheme treats cells selectively in a region between low buffer occupancy threshold and high buffer occupancy threshold. A big unbalance is introduced when the value being selected by DFBA scheme is greater than minimum rate. In a try to reduce the unbalance modified DFBA scheme is proposed. Selecting parameter according to the situation of network, this scheme is very effective to control the bandwidth in the various network situation.

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Congestion Control for the ABR Service of ATM networks with Multiple Congested Nodes and Multicast Connections (다수의 혼잡 노드와 멀티개스트 연결을 가지는 비동기 전송망의 ABR 서비스에 대한 혼잡 제어)

  • Nho, Ji-Myong;Lim, Jong-Tae
    • Journal of Institute of Control, Robotics and Systems
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    • v.6 no.8
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    • pp.629-637
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    • 2000
  • Unbalance between user requirements and insufficient network resources makes a congestion. In the future since the communication networks will have very heavy traffic congestion will be more serious. The ATM networks was recommended to support the B-ISDN service for the future multimedia communication. In thie sense of congestion avoidance and recovery the ABR service category in ATM networks allows the feedback flow control mechanism to dynamically allocate the idle bandwidth of the network to users fairly and to control the network congestion rapidly In this paper we introduce a congestion control scheme using systematical approach to confirm robust stability with respect to unknown round trip delay for the network which has both unicast and multicast connections.

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A Development of 3 Phase Current Balance Control Algorithm (3상 전류평형 제어기술 알고리즘 개발)

  • Cheon, Y.S.;Seong, H.S.;Won, H.J.;Han, J.H.
    • Proceedings of the KIEE Conference
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    • 2001.07b
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    • pp.1091-1093
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    • 2001
  • The power semiconductor is widely used in the power plant or industrial field because of genealization and enlargement. It has been controlled and operated according to its own control method. Especially in case of Power plant, it plays a major role in AVR(Automatic Voltage Regulator) or electro chlorination control circuits. Generally, they used in Analog control system at above field. But each SCR current value is different because of load unbalance or switching characteristic variations, it may cause power plant unit trip or system disorder according to SCR element burn out or bad operating condition. Therefore, in this paper a development of 3 phase current balance control algorithm is described. it gets over the past analog control system limit, controls SCR gate firing angle for 3 phase current balance.

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A Study on the Transient Characteristic and Protection Schemes of Sheath Circulating Current Reduction Equipment (시스 순환전류 저감장치의 과도특성 및 보호방식에 관한 연구)

  • 강지원;한용희;정채균;이종범
    • The Transactions of the Korean Institute of Electrical Engineers A
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    • v.52 no.7
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    • pp.421-428
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    • 2003
  • After the cable is installed, many geometric factors, such as bowing types of the cable and the length difference of the cable between each minor section will cause the impedance unbalance between cables. The impedance unbalance will increase or decrease the sheath circulating currents, which are critical to human safety and sustaining the capabilities of electric power. Accordingly, in this paper, a new method is also proposed to reduce the sheath circulating currents and an reduction equipment according to the theory of the new method is developed. The reduction equipment is tested when the cable is on service. The test results show that it can reduce the sheath circulating currents by up to 97.8[%]. This confirms the validation of the new method and the reduction equipment, and assures the safe operation of the transmission cables. In order to illustrate the safe operation of the cable with new current reduction equipment at transient state due to lightning and single line-to-ground fault, extensive simulations have been made. Then the protection scheme of sheath circulating currents reduction equipment is proposed by adopting the new device of RDP(Reduction Device Protector).

Cost Structure of the Hospital Drug Services and Their Directions for Price System Improvement (병원 약제행위의 원가구조 및 수가체계 개선방향)

  • Hwang, In-Kyoung;Lee, Eui-Kyoung;Rhe, Jinn-Ie;Jang, Sun-Mee
    • Korea Journal of Hospital Management
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    • v.5 no.1
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    • pp.200-231
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    • 2000
  • The price systems of the hospital drug services play key roles in the provision of quality services and the development of pharmacy service technologies. Under the premises, this study attempted to determine the costs of hospital drug service, to compare the costs calculated with the fees publicly fixed by the Government, and based on the results of the analysis, to propose directions for the improvement of the price systems. A Costing model for the study was developed based on the cost-fee relationship analysed of the Korean fee-for-service systems. Data on costs and workloads of the 25 hospitals were collected through survey forms designed for the costing' and analysis for the duration of 12 months of 1998. The results of the analysis show that a tremendous unbalance between cost and price levels of the drug services, and that overally the price level of the services is extremely low when compared to the costs of services. Based on these findings, this study suggests that unfairly high or low price level be corrected, and that service items newly developed and being practiced at tertiary hospitals, such as TDM and TPN consultation services, be compensated by fixing a proper level of price.

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Improving Dimensional Accuracy of Micropatterns by Compensating Dynamic Balance of a Roll Mold (롤금형의 동적밸런스 보정을 통한 미세패턴 형상정밀도 향상)

  • Lee, Dong-Yoon;Hong, Sang-Hyun;Song, Ki-Hyeong;Kang, Eun-Goo;Lee, Seok-Woo
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.35 no.1
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    • pp.33-37
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    • 2011
  • In the fields of display, optics, and energy, it is important to improve micropattern-machining technology for achieving small patterns, large surface areas, and low cost. Unlike flat molds, roll molds have the following advantages: they can be manufactured within a short time, larger surface areas can be obtained, and continuous molding can be achieved. In this study, we aim to investigate the causes for errors in the shapes for a micropattern-machining process, and we show that by compensating the dynamic balance of roll molds, the dimensional accuracy of machined parts can be improved. The experimental results show that dynamic-balance compensation for a roll mold reduced the mass unbalance and the vibrations of the roll mold, and as a result, the dimensional accuracy of machined micropatterns has been improved.

A Methodology for The Improvement of Rural Hospital's Utilization (농어촌 지역병원 의료이용률 제고방안)

  • Ahn, In-Whan;Moon, Young-Jeon
    • Korea Journal of Hospital Management
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    • v.12 no.4
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    • pp.119-142
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    • 2007
  • Although Korea joined OECD in 1996, there has still seen much unbalance in medical care and welfare standard between urban and rural area. The unbalance of medical demand between urban and rural area deepened low utilization of rural hospitals. So it caused many hospital's failure and conversion in rural area. Many rural hospitals are in difficulty managing business because of low medical demand along with the shortage of medical manpower, medical equipment and facilities. The objectives of this study were to reveal the cause of low utilization of hospitals in rural area, and to increase utilization of those hospitals. In this study the improvement methods of rural hospital's utilization were presented by examining were placed in difficult management condition, in respect of hospital's management conditions, manpower input, patient medical treatment record, financial record, and actual output. The causes of rural hospital's low utilization were as follows; 1) changes in number and structure of population 2) rural people's preference for large hospitals and hospitals which located in urban area 3) rural hospitals lacking in hospital management skill. Consequently rural hospital's operation condition got more and more deteriorated. To raise rural hospital's utilization, method for social policy, method for health policy, and intrinsic method of hospitals were presented in turn. For rural residents to utilize medical service conveniently, it is necessary for rural hospitals operated normally. So government must insist that rural hospitals solve the problems which come out from their internal management problems. And also these rural hospitals should be supported and nurtured by the government until their management is operated normally.

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The study for the effect of biofilter and ultra-violet disinfector in fish-breeding place using seawater (폐쇄순환 양식장에서의 생물여과기 (biofilter) 및 자외선살균기(ultra-violet disinfector)효과에 대한 연구)

  • 강청근;노기완;류시영;조충희
    • Korean Journal of Veterinary Service
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    • v.22 no.4
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    • pp.357-361
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    • 1999
  • The most harmful nitrogenous compounds in fish-breeding place using are ammonia and nitrate. Excessively high total nitrogen concentration is the signal of unbalance for breeding fishes in seawater and may result overfeeding or overstocking without seawater treatment system. The failure of elimination for the organic ingredients or nitrogen compounds can also cause the consequence of inadequate oxygen concentration in seawater, either. The study shows the effect of biofilter and W disinfector of seawater in the fish- breeding place. In the results, these tools had ammonia, nitrite, nitrate and decreased 71.8%, 27.6% and 1%, respectively, and the total number of microorganisms decreased up to 81.9%.

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