• Title/Summary/Keyword: cost-per-performance

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Some Factors Affecting Profitability of Local Public Hospitals (지방의료원의 재무성과 영향요인)

  • Park, Jong-Young
    • Korea Journal of Hospital Management
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    • v.12 no.3
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    • pp.47-67
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    • 2007
  • This paper aims at suggesting several ways lo change financial vulnerability and to improve managerial capability of local public hospitals (LPHs) in Korea through the identification of factors affecting profitability. Several findings of the research are as follows: To begin with, LPHs exhibited a statistically significant difference in their profitability from one another, according to tile analyses of their profitable margins from tile general characteristics. It depends on the number of hospitals in the area, the population of the hospital-built area, the number of competing hospitals, the number of staff per 100 beds, the opening of special clinic, the educational function, and the capacity of rooms. However, there was no variable in the managerial characteristics, presenting a significant difference, in contrast with hospitals which have been managed by private companies and made a great amount of profits. Second, according to the analyses of profit differences in behavioral effort-characteristics, a statistically significant difference was revealed upon the basis of the efforts to improve the clinic service, invite special patients, and shorten the period of being hospitalized. Third, the result of analyses about the difference of profitability from medical care and finance is statistically significant in the rate of labor cost, the rate of management cost, bed-occupancy rate, and the period of being hospitalized. Fourth, according to the analyses of the factors influencing the net profit ratio of the entire capital, Adjusted explanatory power(Adjusted $R^2$) was shown up to 65.2%, which is high. To compare the adjusted explanatory power stage by stage, the first stage model applying only two variables such as structural and strategic characteristics exhibited 23.8%, and the second stage model adding financial characteristics showed 51.5%. The explanatory power was much improved up to 65.2% when the third stage model incorporated the outcome of medical care performance. When the return on investment(ROI) was examined by using the multi-variate linear regression analysis at the final model of third stage, it was found that ROI had a positive relationship with the increase rate of patients, labor costs per doctor, and medical care rate of socially protected inpatients. However, it revealed that ROI had a negative relationship with the ratio of labor costs, the number of patients per managerial staff, and occupancy rate of rooms, respectively. The research suggests that in order for LPHs to increase profitability, LPH, should make efforts not only to attract patients to the hospitals without any discrimination of the patients depending on their financial status, but also to develop efficient management methods to reduce labor costs.

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Effect of Rice-Bundle size the harvesting performance with binder and the threshing performance (볏단크기의 변화가 바인더에 의한 수확작업과 탈곡작업에 미치는 영향)

  • 김성래;안수봉;김기대
    • Journal of Biosystems Engineering
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    • v.5 no.1
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    • pp.51-57
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    • 1980
  • It is desirable to increase the diameter of rice bundle harvested by Japanese reaper binder recently introduced into Korean farmers , since it is too small for stalking in the field for preliminary drying prior to threshing operation which is dominant procedure in rice harvesting . Accordingly, this study was conducted to analyze the effect of the size of rice-bundle on the performance of binder and self-feeding thresher. The results are summarized as follows : 1. The diameter of rice-bundle could be increased from $\phi$80-98 to $\phi$105.0-125.4 while the number of rice bundles per 10 a were reduced to 1200 from 1600. The time required for harvesting 10 a of rice was 81 minutes in small size bundles and 84 minutes in large size bundles and no statistical difference was obtained. 2 .The grain loss due to discharge and cutting were slightly increased with large size bundle compared to the small size but no statistical difference was obtained. The precision of operation and drying rate was not significantly different between small and large size bundles. 3. The unthreshed losses were the same between large and small sizes of rice bundles when self-feeding thresher was used. When 8 PS engine was used , continuous operation was possible for small size bundles , but 1.5seconds of time interval was necessary for large size buldles. 4. The consumption of binding twine was reduced to 603 from 820 meters with the larger bundles , and the labour requirement for stalking rice bundles in the field was also reduced to 1.83 form 2.50 man-hour per 10 a Therefore, harvesting cost can be reduced up to 26.5 percent by increasing the bundle size.

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Single-Phase Self-Excited Induction Generator with Static VAR Compensator Voltage Regulation for Simple and Low Cost Stand-Alone Renewable Energy Utilizations Part II : Simulation and Experimental Results

  • Ahmed, Tarek;Noro, Osamu;Soshin, Koji;Sato, Shinji;Hiraki, Eiji;Nakaoka, Mutsuo
    • KIEE International Transactions on Power Engineering
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    • v.3A no.1
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    • pp.27-34
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    • 2003
  • In this paper, the power conditioner composed of the stand-alone single-phase squirrel cage rotor type self-excited induction generator (SEIG) driven by prime movers such as a wind turbine and a micro gas turbine (MGT) is presented by using the steady-state circuit analysis based on the two nodal admittance approaches using the per-unit frequency in addition to a new state variable defined by the per-unit slip frequency along with its performance evaluations for the stand-alone energy utilizations. The stande-alone single-phase SEIG operating performances in unregulated voltage control loop are then evaluated on line under the conditions of the speed change transients of the prime mover and the stand-alone electrical passive load power variations with the simple theoretical analysis and the efficient computation processing procedures described in the part I of this paper. In addition, a feasuible PI controlled feedback closed-loop voltage regulation scheme of the stande-alone single-phase SEIG is designed on the basis of the static VAR compensate. (SVC) and discussed in experiment for the promising stand-alone power conditioner. The experimental operating performance results are illustrated and give good agreements with the simulation ones. The simulation and experimental results of the stand-alone single-phase SEIG with the simple SVC controller for its stabilized voltage regulation prove the practical effectiveness of the additional SVC control loop scheme including the PI controller with fast response characteristics and steady-sate performance improvements.

A Study on the Comparative Analysis of Business Performance of Abalone Seed, Haliotis discus hannai by Region and Farming Size in the Land-based System (전복 치패 산업의 지역별·규모별 경영성과 비교분석)

  • Son, Maeng-Hyun;Park, Min-Woo;Kim, Byeong-Hak;Lee, Si-Woo
    • The Journal of Fisheries Business Administration
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    • v.46 no.1
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    • pp.1-13
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    • 2015
  • This study is aimed comparative analysis for business performance of land-based ezo abalone (Haliotis discus hannai) seed farms by standardizing cost structures by region and farming size. The result of survey on average farming incomes by region showed that farming incomes in Haenam and Jindo regions were much higher than those in other regions. Followed by Wando region, incomes in other regions were analyzed to be relatively lower. It is shown that farming incomes became higher as farm size increased. Farming incomes per unit size which were modified from farming incomes by region were highest in Jindo region, followed by East sea region, Wando and Haenam regions. Incomes in Jeju and Yeosu regions were analyzed to be relatively lower. Results on farming incomes per unit size ($m^2$) showed that both farming incomes and profits became higher as size increased. It implies that a scale effectiveness might exist in case of land-based abalone culture system. Impacts of major factors on farming profits and returns on investment in abalone seed aquaculture are summarized as follow. First, only if the survival rate increased by 10% with improvement of component ratio, variable effects became largest. In variable effects of other factors, a variation in Jindo region was largest and on the other hand, a variation in Yeosu region was shown to be smallest.

Foodservice Management and Food Sanitation Management in the Welfare Institutions for the Disabled in Korea (장애인 생활시설 급식관리 및 위생관리 실태조사)

  • Lee, Hye-Sang
    • Korean Journal of Community Nutrition
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    • v.13 no.4
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    • pp.520-530
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    • 2008
  • The purpose of this study was to investigate the characteristics of the foodservice management practices, the equipment ratio of sanitary facility/equipment, and dietitians' perceptions of (i) the barriers to sanitary management and (ii) the sanitary management performance level in the welfare institutions for the disabled in Korea. The survey was conducted during the period from September 7 to October 15, 2006. A total of 91 institutions(response rate 74.6%) were analyzed by using SPSS(windows ver. 14.0). The average number of meals served per day per an institution was 379. The majority(93.4%) of dietitians made decisions in procurement. The major part of the purchase was made through private contract. The factors affecting menu planning were nutrition, food preference, and cost, in the order of importance. Among the food items, fruits were infrequently served, while protein source foods and green leaf vegetables were almost daily served. The equipment ratio of sanitary facilities/equipment was 45%, which was relatively low. Most dietitians perceived 'limited availability of facilities and equipment' and 'the lack of support from financing department' as the major barriers in implementing a desirable sanitary system. Sanitary management performance in 'the food ingredient' was perceived as the lowest, while that in 'the uniform' showed the highest. The results of this study suggest that a proper supporting program on securing the facility/equipment and adequately trained employees are needed for successful sanitary management. Also, a more frequent supply of fruits for the disabled is recommended.

A study on the relationship between the concentration status of inpatient services and medical charges per case between 2009 and 2011 (입원서비스의 집중화 수준과 진료비 간의 관계 분석: 2009년~2011년)

  • Kwak, Jin-Mi;Lee, Kwang-Soo;Kwon, Hyuk-Jun
    • Knowledge Management Research
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    • v.16 no.1
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    • pp.209-224
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    • 2015
  • Previous studies provided that limiting the number of services provided in hospital had influences in decreasing cost in delivering medical services. Hospitals could have positive effects on their profit by concentrating small number of services which they have comparative advantages. This study purposed to analyze the relationship between the concentration status of hospitals and medical charge for inpatients. National Inpatient sample data provided by the Health Insurance Review and Assessment Service (HIRA) for three years, 2009 to 2011 was used to compute the three concentration indices (Information Theory Index (ITI), Internal Herfindahl Index (IHI), and number of distinct Diagnosis-Related Groups (DRGs) treated) and total medical charge per inpatient case in each year. It was also used to select the control variables such as bed size, number of doctors per 100 beds, and locations. The ordinary least square regression models were developed and tested for hospital and general hospitals separately. The results showed that the total medical charge per inpatient case was significantly differed depending on the concentration indices, and there were positive relationships in ITI and IHI. The number of distinct DRGs had different directions in regression coefficients depending on the locations and hospital types. Hospitals had larger absolute standardized regression coefficients compare to those of general hospitals. However, their effects could be varied by the hospital types, number of doctors, and locations. It seems that hospitals have more influences on medical charges by concentrating their services than general hospitals. Study results provide knowledges to hospital administrators that concentration strategy can positive influences on the performance of small size hospitals.

A Study on the Analysis of Performance Appraisal Tools for Nurses (간호사의 근무평정도구 분석에 관한 연구)

  • Park, Hee-Ok
    • Journal of Korean Academy of Nursing Administration
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    • v.10 no.1
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    • pp.25-36
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    • 2004
  • Purpose: Nursing puts much weight en the organization of hospital. Therefore it is necessity to improve nursing care. One of the most important things is to secure confident nurses and to develop nurse' potentiality. It directs nurse evaluation system. The concept of "performance appraisal tools" is extremely important in evaluation system. Therefore, the purpose of this study aims to define performance appraisal process. Method: In order to do this, two main study has been observed interviewing appraisers and employees in-depth and analyzing performance appraisal tools of seven hospitals and analysed validity, reliability, acceptability and practicability. Result: The result of this study can be summarized as follows; Firstly, the result of analysis of performance appraisal tools. Regard to validity, Hospitals had a typical goal, but had not put to practice use. Regard to reliability, 1) Appraisal rule had been focused on appraiser's error, how to avoid. 2) 5 hospitals accessed nurses with relative rating and 2 hospitals with absolute rating both in practice. 3) 3 hospitals informed nurses the result of performance appraisal but 4 hospitals did not. 4) All hospitals in this study had conducted superiors rating. Regard to acceptability, 1)Rating scale method had been implemented by 6 hospitals and among those conducted beth ranking method and descriptive method. 2) Most hospitals had focused on personal traits in performance appraisal factors. Regard to practicality, The term of appraisal took $10{\sim}14$ days; performance appraisal happened 1 or 2 times per year; appraisal factors were based on 10 different items. Secondly, the result of in-depth interview with head nurses and staff nurses Regard to validity, head nurses and nurses wared that the goal of performance appraisal is to develop nurse's ability. Regard to reliability, head nurses pointed out that they were doubt of the justice of performance appraisal and they should have got training. Nurses insisted that raters should have been trained due to lack of qualification of appraiser; Head nurses and nurse proposed to convert form relative rating to absolute rating; to inform the result of appraisal; to implement peers rating. Regard to acceptability, One of the critical problems of performance appraisal tools was abstract of appraisal factors ; Lack of job analysis. Regard to practicality, Head nurses used to take overtime for appraisal. There was only a little respond despite of their efforts. Nurses questioned that appraisal tools exist for only appraisal; there was less cost-effectiveness. Conclusion: Based en these findings, it could be suggested to improve the performance appraisal tools for nurses evaluation. Firstly, it is necessary to describe goal of performance appraisal clearly set up, so that nurses could improve their positive word performance and develop their potentiality. Secondly, it is necessary to obtain various training on raters, implement absolute rating and inform the result of appraisal to nurses and use peers rating. Thirdly, it is necessary to convert from rating scale method to management by objectives or behaviorally anchored rating scale and take measurable appraisal factors based en job analysis. Finally, it is necessary to reduce the appraisal cost but increase effectiveness of performance appraisal.

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Verification of Weight Effect Using Actual Flight Data of A350 Model (A350 모델의 비행실적을 이용한 중량 효과 검증)

  • Jang, Sungwoo;Yoo, Jae Leame;Yo, Kwang Eui
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.50 no.1
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    • pp.13-20
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    • 2022
  • Aircraft weight is an important factor affecting performance and fuel efficiency. In the conceptual design stage of the aircraft, the process of balancing cost and weight is performed using empirical formulas such as fuel consumption cost per weight in estimating element weight. In addition, when an airline operates an aircraft, it promotes fuel efficiency improvement, fuel saving and carbon reduction through weight management activities. The relationship between changes in aircraft weight and changes in fuel consumption is called the cost of weight, and the cost of weight is used to evaluate the effect of adding or reducing weight to an aircraft on fuel consumption. In this study, the problems of the existing cost of weight calculation method are identified, and a new cost of weight calculation method is introduced to solve the problem. Using Breguet's Range Formula and actual flight data of the A350-900 aircraft, two weight costs are calculated based on take-off weight and landing weight. In conclusion, it was suggested that it is reasonable to use the cost of weight based on the take-off weight and the landing weight for other purposes. In particular, the cost of weight based on the landing weight can be used as an empirical formula for estimating element weight and optimizing cost and weight in the conceptual design stage of similar aircraft.

MICROBIAL TREATMENT OF WEEVIL-INFESTED SWEET POTATO MEAL AS FEED TO BROILERS

  • Bestil, L.C.;Sajise, C.E.;Estremos, D.V. Jr.
    • Asian-Australasian Journal of Animal Sciences
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    • v.6 no.4
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    • pp.569-576
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    • 1993
  • A feeding trial was conducted to determine the effectivity of microbial treatment on eliminating the toxicity of weevil-infested sweet potato roots, and to assess intake level and performance of broilers fed microbiologically-treated, weevil-infested sweet potato meal. Weevil-infested sweet potato meal was treated with Aspergillus awamori (terpene-degrading fungus), dried, and mixed with other ingredients. One hundred twenty (120) broiler chicks were randomly distributed to treatment diets containing 3 types of sweet potato meal (healthy, weevil-infested, and microbiologically-treated, weevil-infested) incorporated at 2 levels (12% and 24%) in the ration, following the $2{\times}3$ factorial in CRD with 4 replicates per treatment. Voluntary intake was high with healthy sweet potato meal, even at 24% in the ration, especially at later stage of broiler development. Weevil infestation of sweet potato meal, even at 24% in the ration, especially at later stage of broiler development. Weevil infestation of sweet potato roots significantly reduced voluntary intake and broiler performance even at 12% level in the diet, much more at 24% level (p<0.01). Microbial treatment, however, was found to alleviate such problem, especially at 24% level of incorporation (p<0.01). "Toxicity" of weevil infestation, in terms of enlargement of liver and spleen, in the absence of mortality, was only apparent at 24% level of incorporation in the ration. Again, this was minimized by microbial treatment (p<0.01), and is therefore recommended at high levels of incorporating weevil-infested sweet potato meal in broiler diets. Microbial treatment constitutes an added cost, so that economic analyses should be done to find out whether increases in broiler performance, or reduction in the toxic effects of terpenoid compounds, outweigh the cost of treatment before a definite recommendation can be made for its commercial application.

A Dual Integer Register File Structure for Temperature - Aware Microprocessors (온도 인지 마이크로프로세서를 위한 듀얼 레지스터 파일 구조)

  • Choi, Jin-Hang;Kong, Joon-Ho;Chung, Eui-Young;Chung, Sung-Woo
    • Journal of KIISE:Computer Systems and Theory
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    • v.35 no.12
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    • pp.540-551
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    • 2008
  • Today's microprocessor designs are not free from temperature as well as power consumption. As processor technology scales down, an on-chip circuitry increases power density, which incurs excessive temperature (hotspot) problem. To tackle thermal problems cost-effectively, Dynamic Thermal Management (DTM) has been suggested: DTM techniques have benefits of thermal reliability and cooling cost. However, they require trade-off between thermal control and performance loss. This paper proposes a dual integer register file structure to minimize the performance degradation due to DTM invocations. In on-chip thermal control, the most important functional unit is an integer register file. It is the hotspot unit because of frequent read and write data accesses. The proposed dual integer register file migrates read data accesses by adding an extra register file, thus reduces per-unit dynamic power dissipation. As a result, the proposed structure completely eliminates localized hotspots in the integer register file, resulting in much less performance degradation by average 13.35% (maximum 18%) improvement compared to the conventional DTM architecture.