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A Study on Medical Fee System of the convalescent hospital -Focused on the case of patient group adjustment - (요양병원 수가제도에 대한 소고 -환자군 조정 판결을 중심으로 -)

  • Kwon, Hye Ok
    • The Korean Society of Law and Medicine
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    • v.18 no.2
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    • pp.195-218
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    • 2017
  • The increase in medical expenses for convalescent hospitals is increasing abnormally, which puts enormous burden on the National health insurance finances. This is a phenomenon that has been associated with the social phenomenon of rapid aging. The fact that the convalescent hospitals are paid the fixed amount per day for hospitalization became the incentive for some hospitals to use the patients as means of making money. And these hospitals intend to get regular care or take medicines at other hospitals in order to reduce medical expenses, even when the medical fee is paid. In order to prevent such financial leaks, the Health Insurance Review and Assessment Service adjusted the patient group for inpatients in a hospital with the above behavior, and then cut the cost of medical care benefits. However, Above decision was canceled by the court on the grounds that there was no basis rule. However, based on the above case, I think that it can be an opportunity to draw up the problem and to improve of the Medical Fee System of hospital. The modified medical fee system can strengthen the medical function of the convalescent hospital. In addition, it seems reasonable to exclude admission for "physically disabled group". Even if admission is allowed for the physically disabled group due to social needs, it should be excluded from the National health insurance for the fianacial soundness and the sustainability of the system.

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VP Filtering for Efficient Query Processing in R-tree Variants Index Structures (R-tree 계열의 인덱싱 구조에서의 효율적 질의 처리를 위한 VP 필터링)

  • Kim, Byung-Gon;Lee, Jae-Ho;Lim, Hae-Chull
    • Journal of KIISE:Databases
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    • v.29 no.6
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    • pp.453-463
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    • 2002
  • With the prevalence of multi-dimensional data such as images, content-based retrieval of data is becoming increasingly important. To handle multi-dimensional data, multi-dimensional index structures such as the R-tree, Rr-tree, TV-tree, and MVP-tree have been proposed. Numerous research results on how to effectively manipulate these structures have been presented during the last decade. Query processing strategies, which is important for reducing the processing time, is one such area of research. In this paper, we propose query processing algorithms for R-tree based structures. The novel aspect of these algorithms is that they make use of the notion of VP filtering, a concept borrowed from the MVP-tree. The filtering notion allows for delaying of computational overhead until absolutely necessary. By so doing, we attain considerable performance benefits while paying insignificant overhead during the construction of the index structure. We implemented our algorithms and carried out experiments to demonstrate the capability and usefulness of our method. Both for range query and incremental query, for all dimensional index trees, the response time using VP filtering was always shorter than without VP filtering. We quantitatively showed that VP filtering is closely related with the response time of the query.

Evaluation of The Highway Design Speed Determination Process Using Case Studies (Reclassifying Functions and Terrain Types) (사례분석을 통한 도로설계속도 결정방법론 적용성 평가 (기능 재분류와 지형특성 이용))

  • Sim, Gwan-Bo;Choe, Jae-Seong
    • Journal of Korean Society of Transportation
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    • v.24 no.2 s.88
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    • pp.101-112
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    • 2006
  • Currently, highway design speed is determined by considering highway function, area type, and terrain type. Sometime it is pointed out that determining a reasonable design speed which is both efficient and safe is not an easy task and that Practicing engineers often select an unsuitable design speed on purpose, capitalizing on some ambiguous and discretionary expressions in describing the highway design speed. This undesirable Problem is arising mostly due to the fact, that the current geometric design standard fails to include rolling terrain type and can not reflect the whole characteristics of land use patterns adjacent to the design highway route. A recent research was Published considering this problem and it attempted to improve the highway design speed determining process. In this research Project, tn see the effects of this recently developed procedure, a new and reduced design speed was calculated based on the new Procedure and subsequently another highway design route was selected. The travel time. construction cost. and the expected degree of safety associated with the new route were assessed to be compared with the ones with the existing procedure. As a result. it was found that the new procedure was successful in reflecting the localities such as terrain type and area type into better determining highway design speed, eliminating much of highway engineers' discretion when applying engineering judgments. Also the new Procedure is keen to produce a more economical highway project. In other words, despite of producing reduced amount of user benefits accrued, in the new highway route, the construction cost has been cut significantly leading to higher values in B/C. NPV, and IRR. Also EMME-II output, which Provided the link assigned volumes, rendered only a slightly reduced Levels of Service along surrounding links in the study network. This reduction was believed to occur because of lower design speed and it had been expected from the beginning.

Deriving Strategic Priorities of Green ICT Policy using AHP and ANP (AHP와 ANP 방법론을 이용한 그린 ICT 정책의 전략적 우선순위 도출 방안)

  • Shim, Yong-Ho;Byun, Gi-Seob;Lee, Bong-Gyou
    • Journal of Internet Computing and Services
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    • v.12 no.1
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    • pp.85-98
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    • 2011
  • Recently, the world faces a global environmental crisis by the increase of energy consumption and global warming. Since the crisis directly affects political, economic, social, and environmental areas, many countries prepare Green ICT policy to overcome it. However, although Green IT policy provides many benefits by solving environmental pollution and increasing energy efficiency, Korean government did not prepare measures by the policy. The purpose of this study is to suggest priorities of political goals for maximizing the efficiency after introducing Green ICT policy in Korea. Major variables are drawn for the analysis, and they are eco-friendliness, technology evolution, economic efficiency, energy efficiency, and stable supply of energy. The variables are suggested based on 'Low Carbon, Green Growth Act', then the survey was conducted to policy expert using AHP(Analytic Hierarchy Process) and ANP(Analytic Network Process) for prioritizing variables. As a result of the AHP, it is derived in the order of eco-friendliness, technology evolution, economic efficiency, energy efficiency, and stable supply of energy. The ANP result shows in the order of technology evolution, energy efficiency, economic efficiency, eco-friendliness, and stable supply of energy. The research is conducted to analyze the priorities of goals for Green IT policy, and the analysis results are possible to use as a practical guideline for establishing associated policies in the future.

Neoliberal Urbanization and Urban Enclosure (I): A Theoretical Intervention (신자유주의 도시화와 도시 인클로저(I): 이론적 검토)

  • Kim, Yongchang
    • Journal of the Korean Geographical Society
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    • v.50 no.4
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    • pp.431-449
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    • 2015
  • Philosophical roots and discussion frames of neoliberalism are very heterogeneous and approaches to neoliberalism including anarchism, post-neoliberalism also take diverse stances. Even if neoliberalism is losing legitimacy and stability through the global financial crisis, 2008, spatial perspective is becoming more and more important as neoliberalism constantly evolve with creating immense variations. Especially, urban space has become strategically crucial arenas as spatio-temporal strategies and generative nodes for reproduction of neoliberalism. Urban enclosure plays a key role in the specific process of neoliberal urbanization as a kind of capitalist formal and real subsumption. Contemporary capitalism continuously has been sustaining the accumulation by dispossession based on urban enclosure through reshaping the primitive accumulation mechanism. These enclosures are embodied by the change of public use concept from public ownership to economic benefits and public-private taking for private capital. Urban enclosure promotes reification deepening the separation and alienation of workers from the means of production and survival, and interdiction from free place appropriation, transformation of urban economy to patrimonial forms. Also it is pervasive in a daily life space and everyday experience in the city, and private tangled social rules dominate public space and the publicity of space.

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A Study on Effects of Experiential Value of Hotel users for 5 Star Hotels on Usage Satisfaction and Continuous Usage Intention (특급호텔 이용객의 경험가치가 이용만족과 지속적 이용의도에 미치는 영향관계 연구)

  • Lee, Soon-Taek
    • The Journal of the Korea Contents Association
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    • v.19 no.10
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    • pp.59-68
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    • 2019
  • To continue the growth of use of 5-star hotels by Koreans, who have recently shown the consumption trends pursuing the empirical value of a consumption process, and have turned into core customers of 5-star hotels in Seoul, it is necessary to study factors of experience value pursued by Koreans. As a result, fantasy is identified as a major leading factor in usage satisfaction among experiencial values. So it is important to reflect special concepts and atmospheres for emotional values, such as other world experience, new experience, and high-quality experience. And consumer return on investment was identified as a leading factor in positively affecting usage satisfaction. So it is important to develope a proper products that can enough benefits with reasonable prices. In the relationship between usage satisfaction and continuous usage intention, gender characteristics and occupational characteristics were found to play a moderating role. Male customers, and those with professional and self-employed occupations, were found to have higher continuous usage intention than females and other occupational customers. This is a result of the fact that customers with an economical power are likely to be continuous repeat customers of 5-star hotels, so the necessity of strengthening marketing activities such as research on the development of more differentiated and specialized products, service creation and atmosphere production for excellent consumers group.

Soil Organic Carbon Determination for Calcareous Soils (석회암 유래 토양의 토양유기탄소 분석법 연구)

  • Jung, Won-Kyo;Kim, Yoo-Hak
    • Korean Journal of Soil Science and Fertilizer
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    • v.39 no.6
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    • pp.396-402
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    • 2006
  • Soil organic carbon has long been considered as the most critical factor to evaluate the soil quality, fertility, and fertilizer prescription. In addition, soil organic carbon may impact on greenhouse gas effects and global warming. Because of that, the management of soil organic carbon is increasingly important not only for improving soil quality but also for managing soil as a greenhouse gas source. Both wet and dry combustion have been used to determine soil organic carbon. Many benefits, such as automation and less labor, could the dry combustion method become more popular. Inorganic form of carbon could overestimate soil organic carbon when the dry combustion method was applied. Determination of soil inorganic carbon may contribute to the improved accuracy of soil organic carbon analysis using dry combustion method. Objectives of this research were 1) to develop soil inorganic carbon determination method using modified digital pressure calcimeter and 2) to evaluate soil organic carbon from calcareous soils using the dry and wet combustion method. Results showed that the significant linear relationship was found between soil inorganic carbon content and pressure calcimeter output. Inorganic carbon ranged from 22% to 28% of total carbon in the calcareous soil samples. Soil organic carbon content by dry combustion for calcareous soil was determined by subtracting inorganic carbon measured by the digital pressure calcimeter from total carbon. Soil organic carbon determined by dry combustion method was significantly correlated with that by wet combustion method. In conclusion, the digital pressure calcimeter may use to improve soil organic carbon determination for the calcareous soils by subtracting of soil inorganic carbon from total carbon determined by dry combustion method.

The Determinants of Port Hinterlands Competitiveness in Korea-China: Focusing on Gwangyang Port and Qingdao Port (한·중 항만배후단지의 경쟁요인 비교분석에 관한 연구: 광양항과 칭다오항을 중심으로)

  • Qing, Cheng lin;Na, Ju Mong
    • International Area Studies Review
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    • v.17 no.4
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    • pp.109-130
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    • 2013
  • This study aims to identify the priority for the Gwangyang and Qingdao hinterlands which are in the same category of benchmarking crowed paths. This study has been mainly done with comparison. There is certain limitation to use competitive factors of existing research so, this study has had proper competitive factors deriving from factors analysis and studied hinterland priority of competing factors by AHP. Major results are as follows. First, the factor analysis resulted in 20 factor that were 0.6 or higher loading level of commonality and then these 20 factors were divided into groups: operating factors, service factors, cost factors, port infrastructure factors, and hinterland conditions factors with the rotated component matrix analysis. Second, according to the result of top competitive factors, the best factor was the hinterland condition(0.256). The other factors such as infrastructure, economy, accessibility, incentive, and port traffic in hinterland were highly ranked in terms of general importance using multiple weights. Third, the result of detailed properties importance about the final alternative, Gwangyang hinterland was considered more highly than Qingdao hinterland in the port information system, the support a variety of administrative services, the efficiency of the customs, and the tax benefits.

Analysis of Domestic and Foreign Electricity Rates based on Electricity Usage Patterns of AMI applied Apartments (AMI 적용 아파트의 전기사용 패턴 기반 국내외 전기요금제 분석)

  • Koo, In-Seok;Lee, Sung-Hee;Sohn, Joong-Chan;Rhie, Dong-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.52-59
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    • 2020
  • Currently, the domestic electricity rates for houses are charged by applying a progressive level according to monthly electricity usage. Electricity rates rise sharply wWhen the amount of electricity used is large, electricity rates rise sharply. The standardized electricity rate progressive system has limitations in that it lacks consideration of the consumers' power usage patterns and limits consumers' their options. Accordingly, the Ministry of Trade, Industry and Energy and the Korea Electric Power Corporation have been demonstrating the basis of a rate system for housing, which is a method of charging electricity according to the amount of electricity used by season and time. In this paper, 10 electricity usage patterns were derived through from AMI data analysis for 5 five years of 362 apartment complexes located in metropolitan cities. The patterns were, and then applied to the existing domestic electricity rate and time-by-time rates applied to demonstrations, and by time-by-time rates in the US and Australia. The effect of the optional rate by pattern was compared and analyzed. As a result, it was confirmed that benefits occurred in five5 patterns compared to existing rate plans, and the electricity rates increased in 5 five patterns, and t. This phenomenon shows the same phenomenon withis the same as the overseas rates, including domestic rates being demonstrated.

Revision of related Regulations and Construction Standards for the Use of Information on Underground Facilities Quality Level (지하시설물 품질등급 정보의 활용을 위한 관련 규정 및 건설기준 개정 방안)

  • Park, Joon Kyu;Kim, Tae Hoon;Kim, Won Dae
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.40 no.4
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    • pp.343-350
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    • 2022
  • The computerization project for underground facilities in Korea began in earnest after the city gas explosion in Seoul in 1994, and the Daegu subway explosion in 1995. As such a large-scale gas explosion accident caused enormous economic loss including human casualties and potential benefits, the need for computerized for efficient management of underground facilities was greatly emphasized in society. Meantime, computerization of underground facilities has been carried out according to the basic plan for building national geographic information system. In this study, problems were identified based on the current status of construction and management of underground facility information, as well as laws and regulations, and directions for establishing quality standards were presented. In addition, construction work standards such as 「Public Survey Work Regulations」, design standards, standard specifications, and technical specifications, gas technology standards, design standards, and communication works so that underground facility information can be linked and utilized in construction work by examining the linkage of the underground facilities, the targets that can be used for quality level information on underground facilities were derived, and a proposal to revise the construction standards was presented. In the future, if the quality standards are established, it is expected that the accuracy and utilization in the construction field will be increased.