• Title/Summary/Keyword: cost/benefit

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Survey on practice behavior and model acceptance of traditional Korean medicine(TKM) doctors in order to develop health insurance payment model related with TKM clinical practice guidelines(CPGs). (한의임상진료지침 연계 건강보험 지불모형 개발을 위한 한의사 진료행태 및 모형 수용도 조사)

  • Kim, Dongsu;Lim, Byungmook;Han, Dongwoon;Park, Ji-eun;Jung, Hyoung-Sun
    • Journal of Society of Preventive Korean Medicine
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    • v.21 no.3
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    • pp.1-10
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    • 2017
  • Objectives : The purpose of this study is to investigate the practice patterns of traditional Korean medicine (TKM) doctors and the acceptance of payment model in order to develop a new TKM health insurance payment model linked with TKM clinical practice guidelines (CPGs). Methods : Lumbar herniated intervertebral disc (HIVD) and idiopathic facial palsy (IFP) were selected as a test diseases to develop a new TKM payment model. The level of benefit coverage in the National Health Insurance (NHI) was designed. The survey asked 228 TKM doctors about their practice patterns in HIVD and IFP patients and acceptance of new payment model. Results : Mean of medical cost for treatment of HIVD was 441,000 KW, mean of treatment period ranged from 4.9 to 17.5 weeks, and mean of number of treatment ranged from 14.6 to 50.4 HIVD patients. In the case of IFP, mean of medical cost for treatment of IFP was 468,000 KW, mean of treatment period was at least 4.2 and up to 15.9 weeks and mean of number of treatment ranged from 14.2 to 52 IFP patients. Conclusions : Current study suggests that mixed payment model of per-visit and episode-based model seem to be proper. The model 1 bundles both items which were covered and not covered by NHI in a rational way. The model 2 is based on the development and application of critical pathway. Lastly, model 3 suggests bundling of items covered by current NHI. Acceptance of TKM doctors is expected to be highest in the model 3.

Risk-Based Performance Evaluation and Prediction Tool by Characterizing Construction Projects in Pre-Project Planning (초기 단계 프로젝트 특성을 고려한 리스크 평가 및 예측 툴 개발)

  • Shin, Kang-Yong;Cha, Hee-Sung
    • Korean Journal of Construction Engineering and Management
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    • v.9 no.5
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    • pp.168-175
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    • 2008
  • Project risk factors are major triggers in cost performance in construction projects. Both owners and contractors are highly concerned in managing their risks in earlier times. As such, it is needed to provide a robust risk evaluation methodology in identifying and assessing the potential risks before project execution. In previous research, risk identification was conducted only in specific phases, i. e., design, procurement, construction. Therefore, the comprehensive approach in risk management was limited and their quantifying method was not well-defined. Since the benefit of planning in earlier times are maximized compared to later times, the risk management should be implemented in earlier planning stage. This study provide a new risk evaluation method by incorporating previous research and extensive literature review. By quantifying each risk factor from an extensive industry survey, the proposed tool can enhance the reliability of each factor weight and also the weights are categorized from a various perspectives, i.e., owners, contractors, lager-scale company, smaller-scale company, building projects. The proposed tool can be also useful in deciding on whether to proceed a particular project and How much the project contingency would be set aside in project execution. The study findings can also expedite the risk management procedure in a more systematic approach.

Research on Benefit and Disadvantages of Concrete and Asphalt for Golf Course Cart Path Construction (골프장 카트도로에서 콘크리트와 아스팔트 포장재의 장단점 비교분석)

  • Kim, Dong-Chan;Kim, Shin-Won;Ha, Jong-Du
    • Journal of the Korean Institute of Landscape Architecture
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    • v.37 no.5
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    • pp.78-89
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    • 2009
  • Overall 25~30 new golf courses are opening in Korea these days, and total annual rounds have been also increasing by 10~15% every year. The Korean golf industry is being recognized as the largest growing golf industry in the world. However, it is easily defined that there are many problems of golf course development and construction methods such as construction fees. The average construction cost for golf course development and golf course maintenance fees in Korea are much more than the cost in the USA and other countries. It may be due to the fact that USA golf course development is managed by a highly developed construction method and well trained specialists. This study will be concentrated on one of the major differences, which is about cart path material; this causes a big difference of construction and maintenance fees. In order to overcome this study, concrete and asphalt will be specified as the main cart path material. Also, some case studies and construction regulations of golf course development in the USA will be introduced for a better understanding of this study.

A Study on the Measurement Method of Personal Information Protection Investment Performance (개인정보보호투자의 성과측정방안에 관한 연구)

  • Kim, Young-Il;Lee, Jae-Hoon
    • Journal of Digital Convergence
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    • v.11 no.1
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    • pp.99-106
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    • 2013
  • Personal information protection has become one of the most impending business issues because leakage of personal information can cause tremendous financial losses and image degradation. Consequently, personal information protection initiatives have been recognized widely in business. To invigorate personal information protection investments, performance measurement method such as cost benefits analysis or qualitative analyses are needed, which have not been studied enough in the previous studies. This study proposes a performance measurement model which can include quantitative and qualitative analyses in the context of personal information protection investments. A comparative analysis has been performed on security investment and IT investment performance measurements, which leads to choose the WiBe method (developed by the German Interior Ministry), considering the privacy characteristics and the method's applicability. In particular, the quantitative effect measured how proactive threat assessment based on the way according to the nature of the businesses and organizations of privacy and possible investment decisions. This study proposes the 16 performance indicators, which turn out to be meaningful in terms of their materiality and feasibility by conducting focus group interviews of 25 experts on personal information protection.

Pyloric Obstruction with Advanced Gastric Cancer: Stent vs. Bypass (악성 위출구 폐쇄 치료의 선택: 스텐트 삽입술 혹은 수술적 우회술?)

  • Lee, Beom-Jae;Park, Jong-Jae
    • Journal of Gastric Cancer
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    • v.9 no.1
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    • pp.1-5
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    • 2009
  • In the past, conservative bypass surgery was usually performed for palliation of malignant obstruction of the gastrointestinal tract. However, endoscopic stenting was developed recently, and technical advances and clinical experience have made it possible to establish stent implantation as one of the main treatment options. There are several advantages in stent implantation over bypass surgery, such as high feasibility and technical success rate, non-invasiveness, rapid symptomatic response, short hospitalization, and cost-effect benefits. Complications, such as stent ingrowth, stent injury by bile or acid, and migration, may occur and early re-insertion is frequently needed. Recently, diverse novel stents which are powered to predict stent migration or ingrowth have been developed and are being used in the clinical setting. In general, stent implantation is known to be beneficial in patients who are expected to survive <6 months, and surgical bypass may be more effective in patients who can survive >6 months. In this review, we have compared the technical feasibility, clinical outcomes, complications, and cost-benefit between stent implantation and bypass surgery, and determined the optimal treatment strategy in malignant upper gastrointestinal obstruction.

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Field Variability and Variable Rate Fertilization of Nitrogen in a Direct Seeding Paddy for Precision Agriculture (정밀 농업을 위한 직파 벼 재배 논에서 포장 변이성 조사와 질소의 변량 시비)

  • Jung, Yeong-Sang;Lee, Ho Jin;Chung, Ji-Hoon;Park, Jeong-Geun;Kang, Chang-Sik
    • Korean Journal of Soil Science and Fertilizer
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    • v.38 no.4
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    • pp.202-210
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    • 2005
  • Since understanding on spatial variability of a field is essential to pursue precision agricultural technology, a field study for field variability and variable rate fertilization of nitrogen in a direct seeding paddy was attempted. Variable rate application of nitrogen was designed with soil test, and field application was tested in a direct seeding paddy in the Kimje, Jeonbuk, Korea. The grid samples of soil was collected from the field of which unit size was 35 m by 112 m on February before irrigating of the field. Soil organic matter, available phosphate and silicate, and extractable potassium were analyzed. Variable rate fertilizer recommendation maps of nitrogen for high yielding, HY, and low input sustainable agriculture, LISA, were derived based on the soil analysis. Direct seeding of rice was performed for variable rate treatment, VRT, for the experimental plot in 2001 and 2002, and so did for three volunteer farmers' field in 2003. Yield mapping was performed by harvesting. Economic feasibility of direct seeding of rice by variable rate fertilization was evaluated. Though increased yield of variable rate application and benefit of reducing fertilizer use and environmental impact, the cost for soil test exceeded the total reduced fertilizer cost.

Creative Cultural Localization Ways and IT Market of the EU to Converge the Creative Industries (창조융합시장을 위한 유럽 연합 (EU)의 시장과문화적 지역특화방안)

  • Seo, Dae-Sung
    • Journal of Distribution Science
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    • v.13 no.1
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    • pp.27-33
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    • 2015
  • Purpose - The ICT market in the EU is lagging behind that of the US; however, algorithm and software development within the EU have grown steadily, and they involve focusing on the creative cultural convergence conceptualized as part of Horizon 2020 and connecting neighboring markets in the EE and the Mediterranean region. It is essential to study the requirements to market the EU's creative ICT development in emerging industrial countries after examining its applicability in these countries. Research design, data, and methodology - This study deals with data pertaining to the EU's creative industry and competitive edge. The global cultural expansion of the EU facilitates a new concept involving not only low-cost IT products to enhance local cultural artifacts through R&D and the construction of efficient infrastructure services, but also information exchange with a realistic commercialization of the technology that can be applied for creative cultural localization. In the European industry, research on algorithms has been applied for the benefit of consumers. We investigated how the process is conducted in the EU. Results - Europe needs to adjust its economic structure to the local culture as part of IT distribution convergence. The convergence has been converted into a production algorithm with IT in the form of low-cost production. This is because there is an attempt to improve the quality of transport infrastructure, workforce availability, and the distribution of the distance to the local industries and consumers, using IT algorithms. Integrated into the manufacturing industry, based on the ICT infrastructure and solutions, smart localized regional clusters are formed with the help of grafting. Europe has own strategy to increase the number of hub-and-spoke cities. Europe is now becoming integrated, with an EPC system for regional cooperation rather than national competition in ICT technology. Europe has also been recognized in this study as changing the step-by-step paradigm for global competitiveness through new creative culture industries. Conclusions - As a result, there are several ways of converging with others through EU R&D intensity; therefore, the EU can be seen as successfully increasing marginal value, which is useful in developing a special industrial cluster or local cultural cities that create converged development by connecting people and objects with IT. In fact, when compared to the US, Europe has a strong culture and the car industries have a tendency to overshadow the IT industries with integration of services in IT distribution. Considering the rapid environmental changes, the convergence of IT services is likely to take place in Europe, similar to the pharmaceutical industry and the automotive industry. This requires a focus on human resources and automated systems management. The trend is to move away from low-wage industries, switched to key personnel centers of the local university-industry. EU emphasizes the creation of IT market demand in Europe involving local cultural convergence for marketing as the second step to strengthen the economic hub-and-spoke areas.

Case study of design and construction for cutter change in EPB TBM tunneling (EPB 쉴드 TBM 커터 교체 설계 및 시공 사례 분석)

  • Lee, Jae-won;Kang, Sung-wook;Jung, Jae-hoon;Kang, Han-byul;Shin, Young Jin
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.24 no.6
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    • pp.553-581
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    • 2022
  • Shortly after tunnel boring machine (TBM) was introduced in the tunneling industry, the use of TBM has surprisingly increased worldwide due to its performance together with the benefit of being safely and environmentally friendly. One of the main cost items in the TBM tunneling in rock and soil is changing damaged or worn cutters. It is because that the cutter change is a time-consuming and costly activity that can significantly reduce the TBM utilization and advance rate and has a major effect on the total time and cost of TBM tunneling projects. Therefore, the importance of accurately evaluating the cutter life can never be overemphasized. However, the prediction of cutter wear in soil, rock including mixed face is very complex and not yet fully clarified, subsequently keeping engineers busy around the world. Various prediction models for cutter wear have been developed and introduced, but these models almost usually produce highly variable results due to inherent uncertainties in the models. In this study, a case study of design and construction of disc cutter change is introduced and analyzed, rather than proposing a prediction model of cutter wear. As the disc cutter is strongly affected by the geological condition, TBM machine characteristic and operation, authors believe it is very hard to suggest a generalized prediction model given the uncertainties and limitations therefore it would be more practical to analyze a real case and provide a detailed discussion of the difference between prediction and result for the cutter change. By doing so, up-to-date idea about planning and execution of cutter change in practice can be promoted.

Can Basic Income be an Alternative to Social Security? (기본소득은 미래 사회보장의 대안인가?)

  • Yang, Jae-jin
    • 한국사회정책
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    • v.25 no.1
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    • pp.45-70
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    • 2018
  • After critically assessing the effectiveness of basic income as an alternative to the existing social security system, this article argues that basic income is fundamentally incapable of providing an adequate protection for those in social risks or welfare needs. The proponents of basic income often claims that technological innovations will lead to the end of work and thus that basic income will be required for all citizens in the future. Moreover, they emphasize that labor market flexibility is making a large segment of work forces unstable working poor, what is often called the precariat who are not effectively protected by the existing social insurance programs. For them, basic income is the best source of social protection for the precariat of today and the citizens in the future, freeing them from the necessity of having a paid work. This article, however, points out the ineffectiveness of basic income as social protection due to its unustainably high cost that comes from unconditional benefit provisions regardless of levels of income, social risks, and welfare needs. Also it challenges the simplified 'Luddites' image of workless society in the future, arguning that techological unemployment can be overcome by new job creation as seen in Silicon Valley and job sharing following working time reduction. It maintains that it is more cost-effective and reliable to strengthen the welfare state based on the principle of reciprocity that aims at 'universal sufficient protection for those in social risks and welfare needs.'

Estimating Climate Pollutants Emissions and Service Demands considering Socio-economic Change: Residential·Commercial Sector, Transportation Sector, Industrial Sector (사회경제 변화를 고려한 서비스 수요 및 기후변화 유발물질 배출량 예측: 가정·상업부문, 교통부문, 산업부문을 중심으로)

  • Park, Jin-Han;Lee, Dong-Kun;Lee, Mi-Jin;Park, Chan;Jung, Tae-Yong;Kim, Sang-Kyun;Hong, Sung-Chul;Baek, So-Jin;Lee, Jang-Hoon
    • Journal of Climate Change Research
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    • v.6 no.4
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    • pp.291-302
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    • 2015
  • Vulnerability due to climate change depends on the concentration of carbon dioxide emissions over several upcoming decades. The objective of this study is to estimate the concentration of greenhouse gases and air pollutants in 2100, while also accounting for expected socio-economic changes in Korea. First, we intend to prepare scenarios for possible socioeconomic changes in Korea: business as usual (BAU), high growth and low growth. Secondly, we aim to predict services demands in residential?commercial sector, transportation sector, industrial sector for each scenarios. Finally, the emissions of LLGHG and SLCP will be estimated on the basis of the predicted service demands. The study results project that in Korea, LLGHG emissions will be approximately $660Mt\;CO_2\;eq$. and SLCP emissions will be approximately 3.81 Mt, -including black carbon (BC) by 2100. The transportation and industrial sectors are the major source for LLGHG emissions, and the residential and commercial sector serve as the SLCP source. Later, additional studies on the cost and benefit of mitigation should be carried out by comparing the reduced use of materials that cause climate change as a result of reduction policies and the socioeconomic cost.