• Health Policy and Management
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• v.32 no.2
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• pp.154-163
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• 2022

Background: The costliness index (CI) is an index that is used in various ways to improve the quality of medical care and the management of appropriate treatment in medical institutions. However, the current calculation method for CI has a limitation in reflecting the actual medical cost of the patient unit because the outpatient and inpatient costs are evaluated separately. It is desirable to calculate the CI by integrating the medical cost into the episode unit. Methods: We developed an episode-based CI method using the episode classification system of the Centers for Medicare and Medicaid Services to the National Inpatient Sample data in Korea, which can integrate the admission and ambulatory care cost to episode unit. Additionally, we compared our new method with the previous method. Results: In some episodes, the correlation between previous and episode-based CI was low, and the proportion of outpatient treatment costs in total cost and readmission rates are high. As a result of regression analysis, it is possible that the level of total medical costs of the patient unit in low volume medical institute and rural area has been underestimated. Conclusion: High proportion of outpatient treatment cost in total medical cost means that some medical institutions may have provided medical services in the ambulatory care that are ancillary to inpatient treatment. In addition, a high readmission rate indicates insufficient treatment service for inpatients, which means that previous CI may not accurately reflect actual patient-based treatment costs. Therefore, an integrated patient-unit classification system which can be used as a more effective CI indicator is needed.

• Journal of the Korea Safety Management & Science
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• v.12 no.1
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• pp.119-126
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• 2010

This paper presents an economic analysis for the travel aids service system for visually handicapped persons through RFID (Radio Frequency Identification). This research estimates both cost and economic effect of the service. By using input-output analysis technique, three kinds of repercussion effects - domestic production, value added, and workers induced by the travel aids service - are also calculated. To evaluate the profitability of the service, we investigate the procedures through which the service has an effect on the interested parties and develop formulas describing the procedures. The benefit of the service have been generally obtained by measuring the willingness to pay (WTP). This paper, however, obtains the monetary value of benefit by estimating the parameters of the formulas, so that a close improvement of the service may be possible with the result of the economic analysis.

• Journal of the Korea Safety Management & Science
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• v.21 no.2
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• pp.15-23
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• 2019

Among service industries of knowledge based economic era, the roles of educational service field are becoming more important and standard of educational service makes a direct effect on economic development and social growth. Therefore, accurate measurement of service quality is the most important assignment and the measurement of the service quality remains difficult assignment. So, this researcher classified quality attributes applying weighted value and found potential satisfaction level(PSL) and potential customer demand improvement index(PCDI) for trainees participating in national manpower business so as to suggest measurement of service quality and easiness of use and then, calculated satisfaction position and opportunity cost by quality factor with Taguchi's loss fraction. And, improvable satisfaction level was measured, opportunity cost by degree of customer dissatisfaction was quantitatively measured, and a model that can indicate with economic factors was suggested. In addition, methodology of measuring quality cost that can be reduced by quality improvement and direction of strategic decision-making for deciding items to be improved preferentially were suggested with qualitative index that can indicate the degree of customers' dissatisfaction by loss.

• Journal of Information Technology Services
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• v.11 no.3
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• pp.129-159
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• 2012

Cloud-computing is in the limelight with expectation for cost reduction, because it alleviates the burden of initial investment and maintenance cost and based on pay-as-you-use billing policy. However, many suppliers of Cloud-computing service are suggesting diverse and complicated billing policies without consideration for setting reasonable service billing policy and definite criteria of properties to determine service billing system. So companies willing to use Cloud-computing service are hard to understand the billing system and often spend more expensive cost than necessary. Therefore, this study invested billing system properties of four representative suppliers. Based on these properties of billing system, this study found priorities using AHP survey which conducted to experts who are able to make decisions for adopting Cloud-computing in the company using or willing to use Cloud-computing service. We expect that this study can suggest basic guideline for comparing and analyzing properties of Cloud-computing service with standardized and objective method.

• The Korean Journal of Health Service Management
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• v.13 no.1
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• pp.15-30
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• 2019

Objectives: This study aimed to analyze people's accessibility to medical institutions providing national gastric cancer screening services in Gangwon-do using a geographic information system(GIS). Methods: To assess the spatial accessibility, network analysis was applied. Two types of network analysis-Service area analysis and origin-destination cost matrix(OD-cost matrix)-were applied to create network dataset. Results: The results of the analysis of the service area revealed that it took more than 60 minutes each to reach tertiary hospitals and general hospitals from 74.4% and 9.6% of Gangwon-do areas, respectively. Similarly, it took more than 60 minutes each to reach hospitals and clinics from 4.2% and 3.4% of Gangwon-do areas, respectively. The results of the OD-cost revealed that there were large regional variations in distance and time taken to reach the medical institutions. Conclusions: there were regional variations of spatial accessibility between Si and Gun in Gangwon-do.

• Journal of the Korea institute for structural maintenance and inspection
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• v.23 no.2
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• pp.10-19
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• 2019

Management plan with repairing is essential for RC structures exposed to chloride attack since durability problems occur with extended service life. Conventionally deterministic method is adopted for evaluation of service life and repair cost, however more reasonable repair cost can be obtained through continuous repair cost from probabilistic maintenance technique. Unlike the previous researches considering only normal distribution of life time, PLTFs (Probabilistic Life Time Function) which can be capable of handling log and normal distributions are attempted for initial and repair service life, and repair cost is evaluated for OPC and GGBFS concrete. PLTF with log distributions in initial service life is more effective to save repair cost since it is more dominant after average than normal distribution. Repair cost in GGBFS concrete decreases to 30% of OPC concrete due to longer initial service life and lower repairing event. The proposed PLTF from the work can handle not only normal distributions but also log distributions for initial and repair service life, so that it can provide more reasonable repair cost evaluation.

• Culinary science and hospitality research
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• v.22 no.8
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• pp.78-88
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• 2016

This study conducted to find influences of selection attributes on consumer satisfaction as perceived by low-cost restaurant visiter by considering personal value. Developed survey was distributed and 428 sample who visited the low-cost franchise restaurant were employed the statistical analyze. The internal value and the external value included individual value in order to estimate the influence of the choice factor of the low-cost franchise restaurant on the quality of the product, and the choice factors were consisted of 3 variables that are quality, accessibility and service. Regression analysis was conducted to verify the relationships among the variables. As a result, the internal value (${\beta}=.236$, p<.0.01), and external value (${\beta}=.352$, p<.001) have the significant positive relationships with respect to quality. Second, the external value (${\beta}=.305$, p<.001) has the positive relationship with regard to accessibility, but the internal value has no significant relationships with level of accessibility. Third, the internal value (${\beta}=.828$, p<.001) has the significant positive relationship with regard to service, but there was no significant influences between external value and service in this study. Fourth, the internal value (${\beta}=.472$, p<.001), the external value (${\beta}=.479$, p<.001) were critical antecedents of the quality. Last, while quality (${\beta}=.858$, p<.001) has significant positive relationship with satisfaction, but it didn't show any relationships with accessibility and service.

• Health Policy and Management
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• v.18 no.1
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• pp.21-42
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• 2008

This study investigates economies of scale, cost complementarity and economies of scope for healthcare organizations using econometric approaches. The economies of scale appear to exist in each service provided by a hospital such as inpatient treatment services, outpatient treatment services, and other patient treatment services, respectively. When we test all services in aggregate level, it also indicates that the healthcare industry on average exhibits the economies of scale of 6 percent, which implies that scaling up hospital sizes will bring substantial cost savings to them Evidence shows that cost complementarity exists between outpatient services and other services for patients and, i.e., these other services for patients experience the reduction in marginal costs as the outputs of the outpatient services increase. For the economies of scope, they are present in most service areas; aggregate level services, outpatient services, and other services for patients, respectively. Inpatient treatment services, however, do not show any evidence of the economies of scope. Results show that the economies of scope are achieved by the general hospital type that provides all service areas such as inpatient treatments, outpatient treatments, and other services for patients. The existence of the economies of scope provides the rationale for extending the existing line of business in a hospital into more diverse areas of services where its benefit comes in the form of cost savings. In sum, it overall provides evidence that the M&As in this industry are encouraged to achieve cost reductions from the economies of scale and scope by changing the size and the output mix.

• 한국경영정보학회:학술대회논문집
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• 2007.11a
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• pp.533-538
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• 2007

Since the Internet has been widespread all over the world, it has been getting more popular. Almost every bank that runs offline business has its own Web site to provide online banking service. In this study, we developed a research model based on the Technology Acceptance Model (TAM). We added the concepts of trust and cost to evaluate our model because trust is a major concept in adopting online service, and cost is one of the main strategies to attract customers to use online banking service. To see the validation of the model, we used partial least squares (PLS). A survey was done to gather data. The result was drawn from the model test, and we discuss it and conclude the study.

• Journal of Navigation and Port Research
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• v.35 no.2
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• pp.159-165
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• 2011

The aim of paper is to calculate the optimized size of Mobile Harbor(MH) which would be operated in South Korea coast area. MH is the combined entity which has the function of both ship and container port. In estimating the optimized size, the total cost concept is applied to the different size of MH. Trade-off factors for calculating total cost are MH cost and the over-capacity lost cost. The factors for MH cost estimation are the cargo demand, distance from origin to destination, voyage route and MH's fixed and variable cost in both sailing and port. The other cost is the over-capacity lost cost which is occurred from dead space in case of oversize compared with a voyage demand. The alternatives for the least cost are 250TEU, 500TEU, 750TEU and 1,000TEU sized vessel. The result of research is that 250TEU sized vessel is optimized in a South Korea costal service. If the coastal area be separated in terms of voyage distance or the specific area in considering trade, the optimized size is changed depending upon distance.