• Title/Summary/Keyword: Supply Imbalance

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Estimation of Supply and Demand for Cardiologists in Korea

  • Mira Kim;Kyunghee Chae;Ju Mee Wang;Arum Choi;Jang-Whan Bae;Keon-Woong Moon;Sukil Kim
    • Korean Circulation Journal
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    • v.54 no.1
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    • pp.1-12
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    • 2024
  • Background and Objectives: The objective of this study was to estimate the supply and demand for cardiologists in Korea and provide evidence for healthcare policy to ensure a stable and adequate workforce for optimal cardiovascular disease management. Methods: Past trends of inflow and outflow of cardiologists were used to make crude projections, which were then adjusted based on demands of services to obtain final projections. Inflow of cardiologists was estimated using second-order polynomial regression and demand for cardiology care was estimated using linear regression. Results: There were 1,139 active cardiologists who were under the age of 65 in clinical practice in Korea. The estimated number of cardiologists from 2022 to 2040 showed that the number of cardiologists would peak at 1,344 in 2032 and gradually decrease thereafter. We also estimated an increase of 947,811 cases of heart-related procedures annually from 2023 to 2032. The number of heart-related procedures per cardiologist would increase 1.4 times from 12,964 in 2023 to 17,862 in 2032. The estimated number of emergency patients per cardiologist under 50 years old would almost double from 544 in 2022 to 987 in 2032. Conclusions: We expect significant shortage of cardiologists in Korea within the next 10 years. The number of emergency patients per cardiologist will increase by nearly 50%, leading to high individual workload for cardiologists. To prevent this imbalance between supply and demand, an organized and collective approach by the specialty of cardiology is imperative to produce a balanced workforce.

Analysis of Factors and Tendency in Size Change on the Regional Public Hospitals - Focused on the Change in the Number of Beds and the Total Floor Area (지방의료원 규모 변화의 요인 및 경향 분석 - 병상 수 및 연면적 변화를 중심으로)

  • Son, Jihye;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.25 no.4
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    • pp.47-60
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    • 2019
  • Purpose: Regional public hospitals have implemented functional reinforcement projects, and the facilities to accommodate them have increased in size. Nevertheless users in hospital are concerned about space shortage and area imbalances. Therefore I will trace the factors and trends that influence the size, and derive the relationship between these and the uses' critical opinion. Methods: Among the indicators for determining the size of medical facilities, the number of beds and total floor area are the essential indicators that directly affect the composition of space and allocation of area inside the medical facility. The purpose of this study is to investigate the change and the factors of change on the these two indicators in regional public hospitals and analyze the trend of changes. Results: In accordance with support undertaking, regional public hospitals have been increased the number of chronic-based beds and expanded additional facilities such as O.P.D specialized centers, emergency centers and funeral homes for reflecting the needs of the regions and times. However, as a result of analyzing the area, regional public hospitals are growing in size mainly on the ward and O.P.D is only expanded the scope of functional reinforcement division but total area level of O.P.D is lower than the recent level. In addition, the levels of D&T, Supply, mechanical/electrical equipment area related to medical support and control environment quality are very low. This is because the functional reinforcement projects have been done without concerning diagnose the whole facility. Implications: If functional reinforcement projects are conducted, to cope with problems of space shortage and imbalance of area, it is judged that an architectural planning that comprehensively analyzes existing facilities and related departments should be included.

Projections of Demand for Cardiovascular Surgery and Supply of Surgeons

  • Lee, Jung Jeung;Park, Nam Hee;Lee, Kun Sei;Chee, Hyun Keun;Sim, Sung Bo;Kim, Myo Jeong;Choi, Ji Suk;Kim, Myunghwa;Park, Choon Seon
    • Journal of Chest Surgery
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    • v.49 no.sup1
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    • pp.37-43
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    • 2016
  • Background: While demand for cardiovascular surgery is expected to increase gradually along with the rapid increase in cardiovascular diseases with respect to the aging population, the supply of thoracic and cardiovascular surgeons has been continuously decreasing over the past 10 years. Consequently, this study aims to achieve guidance in establishing health care policy by analyzing the supply and demand for cardiovascular surgeries in the medical service area of Korea. Methods: After investigating the actual number of cardiovascular surgeries performed using the National Health Insurance claim data of the Health Insurance Review and Assessment Service, as well as drawing from national statistics concerning the elderly population aged 65 and over, this study estimated the number of future cardiovascular surgeries by using a cell-based model. To be able to analyze the supply and demand of surgeons, the recent status of new surgeons specializing in thoracic and cardiovascular surgeries and the ratio of their subspecialties in cardiovascular surgeries were investigated. Then, while taking three different scenarios into account, the number of cardiovascular surgeons expected be working in 5-year periods was projected. Results: The number of cardiovascular surgeries, which was recorded at 10,581 cases in 2014, is predicted to increase consistently to reach a demand of 15,501 cases in 2040-an increase of 46.5%. There was a total of 245 cardiovascular surgeons at work in 2014. Looking at 5 year spans in the future, the number of surgeons expected to be supplied in 2040 is 184, to retire is 249, and expected to be working is 309-an increase of -24.9%, 1.6%, and 26.1%, respectively compared to those in 2014. This forecasts a demand-supply imbalance in every scenario. Conclusion: Cardiovascular surgeons are the most central resource in the medical service of highly specialized cardiovascular surgeries, and fostering the surgeons requires much time, effort, and resources; therefore, by analyzing the various factors affecting the supply of cardiovascular surgeons, an active intervention of policies can be prescribed for the areas that have failed to meet the appropriate market distributions.

Study on the Analysis of Spatial Structure in Jeju Island Focusing on Parking Status (주차실태를 중심으로 한 제주도 공간구조 분석 연구)

  • Hwang, Kyung-Soo;Yang, Jeong-Cheol;Jo, Hang-Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.2
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    • pp.667-675
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    • 2021
  • The purpose of this study is as follows: First, to analyze the spatial structure of Jeju by analyzing the rate of parking demand and supply; Second, to determine the parking service imbalance between regions; and third, to elucidate the causes of this spatial structural parking service imbalance and provide effective measures. Due to the rapid population and tourism growth, Jeju is suffering from traffic congestion and serious parking problems. For this, the ways to efficiently utilize the existing parking spaces were identified through spatial structure analysis based on the parking demand and supply in the Jeju area. As short-term policy, the following changes were proposed: switching to small-scale eup or myeon blocks of parking space, use of shared parking system, and repairing side streets in residential areas. As mid-to-long-term policy, it is linked to other means of transportation as follows: parking demand management policy through modal share by reorganizing public transportation routes or expanding traffic facilities; securing park-and-ride lots; and different parking pricing for different time periods. To implement these policies, each area of the public sector, private sector, and private-public partnership should develop the bond of sympathy by areas and participants.

Metabolic Imbalance between Glycolysis and Mitochondrial Respiration Induced by Low Temperature in Rice Plants (벼 냉해의 초기 기작으로서 생체막과 세포질 사이의 대사 불균형)

  • Lee, Keun-Pyo;Boo, Yong-Chool;Jung, Jin
    • Applied Biological Chemistry
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    • v.43 no.4
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    • pp.236-240
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    • 2000
  • Correlations between mitochondrial respiration, glycolysis activity and overall growth activity of rice (Oryza sativa: cv. Dasan) seedlings during low temperature exposure were studied in order to provide insights into the underlying mechanism for the primary phase of chilling injury in plants. Among cellular membranes involved in energy metabolism, only the mitochondrial inner membrane showed not only physical phase transition at ca. $13^{\circ}C$, as monitored by ESR spin label, but also functional phase transition at the same temperature, as assessed by cytochrome c oxidase activity. The main regulatory enzyme of glycolysis, phosphofructokinase, in situ did not suffer phase transition of its activity at least in the $4{\sim}27^{\circ}C$ range. Low temperature caused a significant accumulation of glucose 6-phosphate (G6P) and fructose 6-phosphate (F6P), which disappeared almost completely on rewarming of the seedlings. Temperature profiles of the steady state levels of G6P and F6P revealed the inflection point appearing at around phase transition temperature of the mitochondrial membrane. The results conform to our previous proposition on the mechanism for the early stage events of chilling injury that the accumulation of glycolytic metabolites in cells due to metabolic imbalance at low temperature gives rise to an excess supply of electrons during rewarming period, which, in turn, results in overproduction of active oxygen in mitochondria.

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Impact of CSV and Power Attributes in the Supply Chain on Information Competency (공급사슬 내 CSV와 파워속성이 정보역량에 미치는 영향)

  • Park, Kwang-O
    • Management & Information Systems Review
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    • v.38 no.2
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    • pp.83-103
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    • 2019
  • Supply chain management(SCM) requires efforts to search for methods for mutual growth with partner companies and to maintain continuous cooperative relations in order to gain a competitive edge. Because information competencies play a big role within the supply chain, it is essential to examine the relationship of information sharing and partnership quality that can affect information competency. In order to maintain continuous business relations between partner companies, it is necessary to identify the obstacles with partner companies resulting from the imbalance of power within a supply chain and to take on a strategic approach for effectively managing such obstacles. Therefore, there is a significant need to discuss strategic approach methods to enable the logic of mutual growth through the CSV that is worth learning from the partner company and the attributes of non-mediated power. CSV will be reviewed from various aspects as a new management paradigm in the future. This study aims at suggesting a continuous growth model for companies by solving social problems through the integration of CSV and the concept of non-mediated power to advance the information competencies of SCM. A total of 142 copies of survey forms for SCM Implementation Companies were using the PLS structural equation modeling for an analysis, and the following are the findings. Results of this study showed that both CSV and non-mediated power had significant impact on information sharing and partnership qualities, and the conclusion that it is possible to enhance information competency through information sharing and partnership quality. Based on this, this study proposes the implication that it is necessary to elevate awareness of CSV and non-mediated power as variables for the coexistence of SCM participating companies.

Experimental Comparative Analysis of Terrestrial Lidar Data and Cadastral Data for the Calculation of the Slope Area of Highland Agriculture Region (고랭지 농업지역의 경지면적 산출을 위한 지상라이다 데이터와 지적성과의 실험적 비교 분석)

  • Lee, Ho-Hyun;Lee, Jung-Il;Oh, Min-Kyun;Lee, Kyung-Do
    • Journal of Cadastre & Land InformatiX
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    • v.46 no.2
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    • pp.137-153
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    • 2016
  • The price of agricultural products has changed from year to year, the m ajor c ause o f price fluctuation is the imbalance of supply and demand. Materials which are mainly used in korean cabbage production volume is the forecast model, using the cadastral result, slope calculation is impossible to achieved. For this reason, this implies the drastic decrease of prices and the prediction of supply and demand of field crops that is cultivated in a highland slope area, this situation is being repeated. Therefore, the target area of this research is the slopes of high land, by using 2D and 3D Lidar data for the analysis of the cultivated area. Experiment was carried out in the same area to compare the data differences. The rate of change in the area of slope is quantitatively increasing presented by the regression model. An alternative methodology that can improve the reliability of the calculated slope area using 2D is through cadastral map.

A research on education model in design service sector (디자인서비스 분야의 교육모델 연구)

  • Cho, kyu-myung
    • Proceedings of the Korea Contents Association Conference
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    • 2009.05a
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    • pp.1070-1075
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    • 2009
  • Design sector, one of the key factors defining national competitiveness and one of the creative industry, needs multi-functional and differentiated designers as its structure has changed to knowledge-intensive industry. Design sector is now following the trend of social change through frequent exchanges and joint researches with other sectors. However, education for human resource nurturing in the sector falls far short of social demand for change. As the industry still focuses on educating modeling issue handlers, the problems of excessive supply of human resources in particular sector and imbalance of supply and demand of human resources are adding extra difficulties to the already competitive designer employment market. Against this backdrop, this study recognized that design service sector, which began to be established as a new industry sector, has potential of becoming one of the new domains of movement for designers, explained the necessity of education in the field, and specified practical contents of design work. Also, It analyzed work contents of design service sector, classified them into each stage, and presented them to use in design professional nurturing education.

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The Effectiveness of New Power Generation and Energy Demand Reduction to Achieve Greenhouse Gas Reduction Goals in Building Area

  • Park, Seong-Cheol;Kim, Hwan-Yong;Song, Young-Hak
    • Architectural research
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    • v.18 no.2
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    • pp.59-64
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    • 2016
  • Since the massive power outages that hit across the nation in September 2011, a growing imbalance between energy supply and demand has led to a severe backup power shortage. To overcome the energy crisis which is annually repeated, a policy change for deriving energy supply from renewable energy sources and a demand reduction strategy has become essential. Buildings account for 18% of total energy consumption and have great potential for energy efficiency improvements; it is an area considered to be a highly effective target for reducing energy demand by improving buildings' energy efficiency. In this regard, retrofitting buildings to promoting environmental conservation and energy reduction through the reuse of existing buildings can be very effective and essential for reducing maintenance costs and increasing economic output through energy savings. In this study, we compared the energy reduction efficiency of national power energy consumption by unit production volume based on thermal power generation, renewable energy power generation, and initial and operating costs for a building retrofit. The unit production was found to be 13,181GWh/trillion won for bituminous coal-fired power generation, and 5,395GWh/trillion won for LNG power generation, implying that LNG power generation seemed to be disadvantageous in terms of unit production compared to bituminous coal-fired power generation, which was attributable to a difference in unit production price. The unit production from green retrofitting increased to 38,121GWh/trillion won due to the reduced energy consumption and benefits of greenhouse gas reduction costs. Renewable energy producing no greenhouse gas emissions during power generation and showed the highest unit production of 75,638GWh/trillion won, about 5.74 times more effective than bituminous coal-fired power generation.

The Rights of Patients as Consumers (환자의 소비자로서 권리)

  • Kwon, Yong Jin;Son, Sang Sik;Lim, Young Deok
    • Health Policy and Management
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    • v.22 no.3
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    • pp.315-346
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    • 2012
  • The legal relationship between patient and physician is legally equal relationship. But, in times past, patients be compelled to sign an unequal contract, substantially. Because of the imbalance between supply and demand in the health care market. Today, the law of supply and demand in the health care market is running well. And as the cognition of citizens' rights grows, the relationship between patient and physician can also get a lot of changes. Patients have the right to know the information about medical care, and to decide whether or not to get treatment including invasions against their own bodies. In other words, Doctors have an obligation to explain to their patients. If doctors did not provide patients sufficient explanation or information, it violates the right of patients. This is a tort, or a breach of contract. To improve the remedy for violation of patient's right, patient is able to be protected by status as consumer. If patient is a kind of consumer in terms of medical consumption, he/she as consumer can enjoy supplementally the consumer's right. The patient as a consumer can exercise now a consumer's right as a constitutional right. In addition, with respect to consumer's rights, Framework Act on Consumers was enacted. This Act is based on constitutional provisions of Article 124 and the Act can be seen as a law that embodies consumer right because the provision of the constitutional law delegates specific contents. In the health care field, patients need to win recognition the statue of the consumer to hold the sovereignty of the consumer. In particular, if patients are consumers, they may be able to make good use of the quickly and efficiently collective dispute resolution and association lawsuit to rescue their damage, the Alternative Dispute Resolution(ADR) of Framework Act on Consumers.