• 한국임상보건과학회지
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• 제2권1호
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• pp.1-16
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• 2014

Purpose. For a more efficient hospital management, this study aims to provide basic data so that the hospital management and staff in charge of hospital administration may systematically classify and collect hospital information, by analyzing the ordinary characters of an upper-level general hospital system and its common-type balance sheet, common-type profit and loss statement and financial ratio. Methods. By using information about an upper-level general hospital in C Province, provided by Alio(www.alio.go.kr), a public organization information provision site, Health Insurance Review & Assessment Service(www.hira.or.kr) and Ministry of Health and Welfare(www.mw.go.kr), this study analyzed 3 year's data from 2010 to 2012 and provided basic data by analyzing the ordinary characters of an upper-level general hospital system, and its common-type balance sheet, common-type profit and loss statement and financial ratio. Results. After analyzing the ordinary characters, common-type balance sheet, common-type proft and loss statement and financial ration of this general hospital, based on the 2010 to 2012 data, this study came to the following conclusions. Firstly, out of all the 1,069 hospital staff, there were 272 doctors working for 24 medical departments, out of whom the majority was 33 physicians. Most of the nurses were third-class ones, and about 2,000 outpatients and 600 inpatients on average were treated per day. Secondly, as a result of analyzing the common-type balance sheet, this study discovered that intangible assets out of fixed assets accounted for 41%, the majority, out of which usable and profitable donation asset buildings were of great importance, and the liquid assets increased more in 2012 than 2011. In the financial structure, the ratio of liquid liabilities was over 50% out of all the liabilities in 2012, and the ratio of purchase payables was high as well. The ratio of fixed liabilities reached up to 40%, out of which the retirement benefit appropriation fund was quite high. The capital was over 80%, but the surplus was in a deficit state. Compared to the capital, the ratio of total liabilities was about 90%, which indicates the financial structure of this general hospital was vulnerable. Thirdly, as a result of analyzing the common-type profit and loss statement, this study found out that the medical profits from inpatients were higher than profits from outpatients. The material cost was related to the medical quality of this general hospital, and it was as high as 30% out of the total costs and was about 45% of the labor cost. This general hospital showed 10% in the ratio of non-medical profits, and it seemed because of government subsidies. The ratios of medical profits and current net income were gradually changing for the better in 2012, compared to 2011. Lastly, as a result of analyzing the financial ratio, it was found that the liquidity ratio kept decreasing, from 110.7% in 2010 and 102.0% in 2011 to 77.2% in 2012. Besides, it was analyzed that the liquidity ratio and the net working capital ratio greatly decreased, while the quick ratio and the liquid ratio kept decreasing. Conclusions. 1. It is necessary to take the risk management into more consideration, and particularly, it is needed to differentiate and manage the levels of risk in detail. 2. By considering the fact that investments into hospital infrastructures were mostly based on liabilities, it is needed to deal with the scale of losses when evaluating risks. 3. By reflecting the character that investments into hospital infrastructures were based on liabilities, it is necessary to consider the ratio of ordinary profits as well as the ratio of operating profits to sales, and it is also important to consider sales productivity factors, such as the sales amount per a sickbed, by comparing them with other hospitals. As for limitations of this study, there may be some problems in terms of data interpretation because of the lack of information about the number of inpatients and the number of outpatients per year, which are needed for the break-even point analysis. Besides, to suggest a direction for the improvement of hospital management through analyses, non-financial factors should be reflected, such as the trend of economy, medical policies, and politic backgrounds. However, this study only focused on the common-type balance sheet, common-type profit and loss statement and financial ratio, so this study is actually limited to generalizing all the factors by analyzing public data only.

• 한국문헌정보학회지
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• 제4권
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• pp.43-71
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• 1975

Operations research has developed rapidly since its origins in World War II. Practitioners of O. R. have contributed to almost every aspect of government and business. More recently, a number of operations researchers have turned their attention to library and information systems, and the author believes that significant research has resulted. It is the purpose of this essay to introduce the library audience to some of these accomplishments, to present some of the author's hypotheses on the subject of library management to which he belives O. R. has great potential, and to suggest some future research directions. Some problem areas in librianship where O. R. may play a part have been discussed and are summarized below. (1) Library location. It is usually necessary to make balance between accessibility and cost In location problems. Many mathematical methods are available for identifying the optimal locations once the balance between these two criteria has been decided. The major difficulties lie in relating cost to size and in taking future change into account when discriminating possible solutions. (2) Planning new facilities. Standard approaches to using mathematical models for simple investment decisions are well established. If the problem is one of choosing the most economical way of achieving a certain objective, one may compare th althenatives by using one of the discounted cash flow techniques. In other situations it may be necessary to use of cost-benefit approach. (3) Allocating library resources. In order to allocate the resources to best advantage the librarian needs to know how the effectiveness of the services he offers depends on the way he puts his resources. The O. R. approach to the problems is to construct a model representing effectiveness as a mathematical function of levels of different inputs(e.g., numbers of people in different jobs, acquisitions of different types, physical resources). (4) Long term planning. Resource allocation problems are generally concerned with up to one and a half years ahead. The longer term certainly offers both greater freedom of action and greater uncertainty. Thus it is difficult to generalize about long term planning problems. In other fields, however, O. R. has made a significant contribution to long range planning and it is likely to have one to make in librarianship as well. (5) Public relations. It is generally accepted that actual and potential users are too ignorant both of the range of library services provided and of how to make use of them. How should services be brought to the attention of potential users? The answer seems to lie in obtaining empirical evidence by controlled experiments in which a group of libraries participated. (6) Acquisition policy. In comparing alternative policies for acquisition of materials one needs to know the implications of each service which depends on the stock. Second is the relative importance to be ascribed to each service for each class of user. By reducing the level of the first, formal models will allow the librarian to concentrate his attention upon the value judgements which will be necessary for the second. (7) Loan policy. The approach to choosing between loan policies is much the same as the previous approach. (8) Manpower planning. For large library systems one should consider constructing models which will permit the skills necessary in the future with predictions of the skills that will be available, so as to allow informed decisions. (9) Management information system for libraries. A great deal of data can be available in libraries as a by-product of all recording activities. It is particularly tempting when procedures are computerized to make summary statistics available as a management information system. The values of information to particular decisions that may have to be taken future is best assessed in terms of a model of the relevant problem. (10) Management gaming. One of the most common uses of a management game is as a means of developing staff's to take decisions. The value of such exercises depends upon the validity of the computerized model. If the model were sufficiently simple to take the form of a mathematical equation, decision-makers would probably able to learn adequately from a graph. More complex situations require simulation models. (11) Diagnostics tools. Libraries are sufficiently complex systems that it would be useful to have available simple means of telling whether performance could be regarded as satisfactory which, if it could not, would also provide pointers to what was wrong. (12) Data banks. It would appear to be worth considering establishing a bank for certain types of data. It certain items on questionnaires were to take a standard form, a greater pool of data would de available for various analysis. (13) Effectiveness measures. The meaning of a library performance measure is not readily interpreted. Each measure must itself be assessed in relation to the corresponding measures for earlier periods of time and a standard measure that may be a corresponding measure in another library, the 'norm', the 'best practice', or user expectations.

• 한국지역지리학회지
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• 제21권3호
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• pp.474-488
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• 2015

국책사업의 하나로 추진되는 대규모 공공시설을 둘러싼 갈등은 우리나라가 겪는 많은 갈등에서 중요한 부분을 차지한다. 공공시설의 건설로 인한 환경파괴와 지역공동체의 해체 등에 대한 부정적인 인식이 증가하였고, 일자리와 기업의 투자를 기대할 수 있는 사업의 경우 지역 간 경쟁이 심화되었다. 이러한 이유로 지역 간 경쟁과 갈등은 기존 연구에서 자주 다루어져 왔다. 이를테면, 갈등을 최소화할 수 있는 행정적 절차 및 거버넌스, 이슈를 만들어내는 언론의 역할 등에 대한 다수의 연구가 존재한다. 본 연구는 갈등이 구성되는 공간적 방식을 분석한다. 동남권 신공항을 둘러싼 갈등의 공간적 스케일을 분석한 결과, 실제 신공항 입지에 따른 이익과 손해의 공간적 범역과 갈등의 주체가 되는 공간적 단위는 상이하였다. 또한, 사업의 진행 과정에서 갈등의 주체들은 이합집산을 통해 자신들의 이해관계를 관철시킬 수 있는 공간적 단위를 구성해가는 다양한 스케일의 정치를 보여주고 있다. 이는 지역개발을 둘러싼 갈등은 단순히 지역개발이라는 정책의 집행과 실천의 필연적 부산물이 아닌 지역정치의 역동성과 결합하는 과정으로 바라볼 필요가 있음을 보여준다.

• 응용통계연구
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• 제28권4호
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• pp.643-661
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• 2015

사학연금은 사립학교 교직원이 의무 가입하는 연금으로, 가입자들이 퇴직, 사망 등으로 경제적 위험에 처한 경우 연금을 수급하여 안정을 보장하기 위한 사회보장제도이다. 따라서 사학연금이 공적연금의 기능을 위해서는 기금의 안정성 및 지속가능성이 확보되어야 하며, 적절한 급여소득을 보장해야 할 것이다. 그러나 가장 대표적 공적연금인 공무원연금은 이미 2001년 재정수지 적자를 기록하였으며, 누적적자폭은 앞으로 더욱 커질 것으로 예상되어 최근 이에 대한 여러 개혁안이 활발히 논의되고 있다. 사학연금 제도는 기본적으로 공무원연금제도를 기초로 하는바, 이러한 국민연금 및 공무원연금 개혁 논의에서 자유롭지 못하다. 뿐만 아니라 한국의 고령화 및 인구구조 추세로 볼 때, 현행제도 하에서는 사학연금 기금 역시 향후 30년 내 기금 고갈이 예상되는 바, 현재의 사학연금 제도가 개선될 필요가 있음을 시사한다. 본 연구는 기존의 사학연금 제도의 문제점을 짚어보고, 이를 개선하기 위한 추계방법 및 개정방안을 제안한다. 이를 위해 사학연금의 장기재정추계를 통한 기금고갈시점 및 재정적자액의 규모를 예측하고, 현재 및 미래의 인구구조를 반영한 수급부담 구조를 비교 분석함으로써, 사학연금의 안정성과 적정성을 유지하기 위한 연금개혁 방안을 논의하고자 한다.

• 대한교통학회지
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• 제22권5호
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• pp.139-149
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• 2004

급격히 증가하는 차량수요에 대응하기 위하여 도로의 공급을 증대시키는 양적인 측면의 도로정책 기조가 유지되고 있지만, 이는 근본적인 해결책이 될 수 없다는 인식이 대두되어 왔다. 이에 따라 기존 도로시설의 효율적 활용과 교통수요를 관리하는 방법에 많은 관심이 모아지고 있다. 이중 혼잡통행료는 수요를 관리하고 차량을 도로량에 적절히 배정하는 수단으로 생각될 수 있으며, 교통 혼잡과 환경에 대한 악영향을 줄일 수 있는 가장 효율적인 방법중 하나로 고려되고 있다. 이에 따라 혼잡통행료 산정문제는 그동안 경제학자와 교통전문가에게 중요하고 흥미로운 연구 분야로 여겨져 왔고 다양한 방법으로 연구가 이루어져 왔다. 본 연구에서는 이러한 혼잡통행료 산정문제를 네트워크 설계문제(Network Design Problem, NDP)로 보고 통행배정문제와 혼잡통행료 산정 최적화 문제가 결합된 바이레벨 문제(Bi-level Problem)로 모형을 개발하였다. 여기서, 통행배정문제는 혼잡통행료 징수에 따른 통행자의 행태변화를 고려하기 위하여 Sheffi(1985)가 제시하였던 가변수요모형(Elastic-Demand Network Equilibrium Model)을 적용하였고, 혼잡통행료 산정 최적화 문제로서 사회적 순 편익 최대화문제를 고려하였다. 또한, 이런 형태의 바이레벨 문제는 게임이론측면에서 보면, 두 문제간의 비협력을 전제로 하는 Nash 비협력 게임과 상호 협력을 전제하는 Stackelberg게임으로 구분할 수 있는데, 본 연구에서는 민감도 분석을 통하여 최적해를 찾는 Stackelberg 게임으로 모형을 개발하였다. 통행수요는 단일계층으로 승용차로만 구성되어있다고 가정하였으며, 개발된 모형에 대하여 2개 네트워크에서 실험이 이루어졌다. 실험을 통하여 모형의 알고리즘에 관한 설명과 검증을 하였으며, 혼잡통행료 산정문제와 함께 적합한 혼잡통행료 징수 대상 링크의 선정이 중요한 연구대상임을 제시하였다.

• Journal of Radiation Protection and Research
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• 제26권2호
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• pp.87-91
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• 2001

비용-편익 분석법에 근거한 동물성 식품에 대한 최적 유도개입준위를 통해 가축사료로 이용을 위한 사료내 방사성 핵종농도를 도출하였다. 가축사료로 이용을 위한 사료내 방사성물질의 농도는 식품, 핵종, 가축으로의 공급기간 (오염사료의 공급 시작시점부터 제품 생산까지 기간) 등에 따라 뚜렷이 다르게 나타났다. 장반감기 핵종 ($^{l37}Cs,\;^{90}Sr$)의 경우 사료 공급기간의 증가에 따라 가축의 체내 방사성물질의 축적으로 보다 낮은 농도를 갖는 사료를 공급하여야 하나 단반감기 핵종 ($^{131}I$)의 경우에는 방사능붕괴 등으로 보다 놀은 농도를 갖는 사료 공급이 가능하였다. 가축으로 공급을 위한 사료내 $^{137}Cs$ 농도는 $^{90}Sr$ 농도보다 낮았는데, 이는 주로 $^{137}Cs$의 보다 높은 사료-식품 전이계수에 기인한다.

• 대한토목학회논문집
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• 제34권1호
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• pp.235-241
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• 2014

도심지내 대규모 교통유발시설로 인한 인구 및 차량 집중화로 주차, 혼잡 등의 교통문제가 지속적으로 대두되고 있다. 이를 해결하기 위해 정책적인 교통수요관리 외에 교통유발의 원인이 되는 건물 소유주에게 자발적인 교통수요제도 참여를 유도하는 것이 필수적인 부분이다. 이러한 맥락으로 이미 '90년부터 정책적으로 교통유발부담금제도를 운영하여 교통유발시설에 대해서 부담금을 징수 해왔고, 건물 소유주의 참여 유도를 위해 교통량감축 프로그램을 이행할 시 교통유발부담금을 감면해주고 있다. 그러나 전체적인 부담금 감면 혜택의 약화 등으로 참여 유도가 미흡한 실정이다. 특히, 본 연구에서 다루고자하는 주차수요관리의 일환인 주차유도시스템은 실제 설치 시 최대 20%까지 부담금을 감면해 주지만 해당연도 1회에 불과하여 약 10년 정도의 효용가치가 있음에도 효율적으로 활용되지 못하고 있다. 또한 경제적 분석 기법을 활용한 결과, 주차유도시스템 내구연한을 10년 정도 가정해 볼 때, 사회적 할인율을 감안하면, 현재 기준 약 3,662,390,000원의 경제적 효과가 발생할 것으로 추정되었고, 순현재가치(NPV)는 2,160,440,000원와 비용-편익비(B/C Ratio)는 2.44로 나타났다. 따라서 본 연구에서는 주차유도시스템을 실제로 설치하여 조사한 자료를 바탕으로 설치전후를 비교한 사례를 제시하고 효과를 분석하여 교통유발부담금 경감을 위한 주차유도시스템의 활용에 필요한 정책적 시사점을 제시하는데 목적이 있다.

• 대한교통학회:학술대회논문집
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• 대한교통학회 1996년도 제29회 학술발표회
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• pp.59-86
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• 1996

Current methods for evaluating unsignalized intersections, and estimating level-of-service (LOS) is determined from efficiency-based criteria such as little or no delay to very long delays. At present, similar procedures to evaluate intersections using safety-based criteria do not exist. The improvement of sight distances at intersections is the most effective way of improving intersection safety. However, a set of procedures is necessary to account for the limitations in current methodology. Such an approach would build upon such methods, but also account for: deficiencies in the current deterministic solution for the determination of intersection sight distances; opportunity for an accident and severity of an accident; and cost-effectiveness of attaining various levels of sight distances. In this research, a model that estimates the degree of safety at two-way stop-controlled intersections is described. Only crossing maneuvers are considered in this study because accidents caused by the crossing maneuvers are the dominate type among intersection accidents. Monte Carlo methods are used to estimate the hazard at an intersection as a function of roadway features and traffic conditions. Driver`s minimum gap acceptance in the crossing vehicles and headway distribution on the major road are used in the crossing vehicles and headway distribution on the major road are used in the model to simulate the real intersectional maneuvers. Other random variables addressed in the model are: traffic speeds; preception-reaction times of both drivers in the crossing vehicles and drivers in oncoming vehicles on the major road; and vehicles on the major roads. The developed model produces the total number of conflicts per year per vehicle and total potential kinetic energy per year per vehicle dissipated during conflicts as measurements of safety at intersections. Based on the results from the developed simulation model, desirable sight distances for various speeds were determined as 350 feet, 450 feet and 550 feet for 40 mph, 50 mph and 60 mph prevailing speed on the major road, respectively. These values are seven to eight percent less than those values recommended by AASHTO. A safety based level-of-service (LOS) is also developed using the results of the simulation model. When the total number of conflicts per vehicle is less than 0.05 at an intersection, the LOS of the intersection is `A' and when the total number of conflicts per vehicle is larger than 0.25 at an intersection, the LOS is `F'. Similarly, when the total hazard per vehicle is less than 350, 000 1b-ft2/sec2, the LOS is `F'. Once evaluation of the current safety at the intersection is complete, a sensitivity analysis can be done by changing one or more input parameters. This will estimate the benefit in terms of time and budget of hazard reduction based upon improving geometric and traffic characteristics at the intersection. This method will also enable traffic engineers in local governments to generate a priority list of intersection improvement projects.

• 한국의학물리학회지:의학물리
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• 제14권3호
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• pp.151-160
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• 2003

삼차원 입체조형방사선치료나 세기조절방사선치료와 같은 다엽시준기(Multileaf Collmator, MLC)를 이용하는 보다 복잡한 방사선 치료 기술은 다엽시준기의 위치 및 운동의 검증의 중요성을 증가시키고 있다. 이러한 다엽시준기의 검증은 신뢰성과 그동안 축척된 경험적 검증능력으로 인하여 주로 필름을 가지고 수행되어왔다. 그러나 전자포탈영상장치(Electornic Portal Imaging Device, EPID)의 사용의 편이성과 디지털 영상 제공 능력은 낮은 임상편이성, 효율성, 비용대 수익률에도 불구하고 정기적인 정도확립(Quality Assurance, QA)에 현실적인 필름의 대체재로 관심을 모아왔다. 본 연구에서는 EPI를 활용한 다엽시준기의 정기적인, 특히 일간 정도확립법을 개발하였다. 정기적 정도확립을 위한 전자포탈영상(Electronic Portal Imaing, EPI)의 적용가능성에 대한 검증은 방사선 조사시 동시에 획득된 필름과 다엽시준기의 제어장치에 입력한 다엽시준기의 처방과의 비교를 통해 수행되었다. 특별히 설계된 두가지 형태의 시험형(test pattern)이 영상 획득 및 비교에 적용되었다. 정성적인 온라인 육안 검증과 함께 윤곽 검출 알고리듬을 이용한 정량적인 오프라인 분석이 검증 절차에 이용되었다. 결론적으로, 본 연구에서 개발된 EPI를 이용한 다엽시준기의 일간 정도확립법은 필름의 정확도를 가지고 편리하게 수행될 수 있었다.

• Journal of Preventive Medicine and Public Health
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• 제23권1호
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• pp.11-21
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• 1990

This study refers to the problem of long-term inpatient flow in a general hospital. In this study, a queueing simulation model was developed for the two departments in the hospital with a homogeneous case mix and relatively many long-term inpatients in order to increase the turnover rate and hospital charges. Before the simulation n, the model was verified by the Kolmogorov-Smirnov test. The following results were generated by three alternative models of the special bed policies. 1. Alternative I : When long term inpatients were admitted to the wards belonging to departments A and B without transfer to other departments and special beds, the average turn-over rate decreased by 2-4% and the average hospital charges decreased by 70 million won. 2. Alternative II : When long-term inpatients were transferred to department C but the transfer of wards was determined by department C in order of clinical need, the average turnover rate increased by 4-13% but the average hospital charges decreased by 30 million won. This result was not greatly different from the present state. 3. Alternative III : When long-term inpatients were transferred to the special wards and department C simultaneously, the increase in the average turnover rate and hospital charges was equivalent to the increase of two beds in the special wards. When the special wards were allocated 16 beds, the average turnover rate of departments A and B increased by about 55% and 20% respectively. Also, the hospital charges increased by about 0.44 billion won. As a result, transfer to department C and the use of 16 beds in the special wards for long-term inpatients of departments A and B is expected to maximize the hospital revenue. However, as the above special bed policy can not increase the turnover rate above 60%, there is a need for a more comprehensive policy to further increase the rate. The development of an elaborate model should include the number of long-term inpatients in all clinical departments, the special wards system or an increase of hospital beds to handle admission needs, and the resources of the hospital by department. When the alternatives are evaluated, a cost-benefit analysis in addition to the turnover rate and the hospital charges should be considered.