Park, No-Rai;Yun, Young-Ho;Shin, Soon-Ae;Jeong, Eun-Kyeong
Journal of Hospice and Palliative Care
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v.2
no.2
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pp.109-113
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1999
Purpose : Because we don't have inappropriate health care system for the terminal cancer patients, there were abnormal behavior patterns of health care utilization. So, There were needs to develop the comprehensive care for terminal cancer patients. Increased attention is being paid to the futility of life-sustaining treatment and high cost of management of terminal cancer patients Materials and Methods : This study was performed on cancer patients, registered in 1996 Central Cancer Registry, who were as insured person of Korea Medical Insurance and died from January 1997 to June 1998. We studied the day of medical care and medical expenses of 151 cancer patients evaluable. Results : The mean day of inpatient care was 39 days, and the mean days of outpatient care was 14 days in study subjects. Mean expenses per day of medical care, day of inpatient, and day of outpatients care were 85,392 won, 105,908 won, and 40,173 won. 95% of medical expenses is paid to the general hospital, and 85% of medical expenses was paid for inpatient care. About half of all medical expenses in th last 6 months were incurred in the last 60 days of life, and about 30 percent were incurred in the last 30 days. Expenses of outpatients care increased between 6 month and 3 months, after which they decreased. Expenses of inpatients care increased during all last 6months Conclusion : The distribution or medical expenses during the last 6 months in our study is similar to the distribution of American Medicare costs. We need to study medical expenses during the last year of life with large scale and details in order to develop the plan about the management of terminal cancer patient.
This study presents the variations on drug utilization for outpatients' URI, gastritis. and hypertension by the type of hospital- tertiary hospital. general hospital. hospital. clinic. It investigated drug expenses. daily drug expenses. days of medication. the highest price of the drugs used. and the number of the different drugs used for each disease and type of hospital. This study also performed analysis to see how much the variations of variables related to drug use affect the variations of drug expenses. The dependent variable was drug expenses and the independent variables were days of medication. the average price of the drugs used. and the number of the different drugs used. Analysis of the drug utilization was performed on NFMI(National Federation of Medical Insurance) 1994 medical expense claim data. Patients with secondary diseases were excluded. In this study. 379 patients with URI, 386 patients with gastritis. 1.257 patients with hypertension were included. It was founded that there were large variation on drug utilization between the types of hospital for same diseases. Days of medication were longest in tertiary hospitals and shortest in hospitals or clinics. Clinics showed the lowest daily drug expenses in all of the diseases investigated. Daily drug expenses were highest in general hospitals or hospitals. which also tended to use drugs of higher price than other types of hospital. General hospitals and hospitals had larger variations in daily drug expenses and the highest price of drugs. It suggested that drug might be utilized overly in general hospitals and hospitals and some other factors might influence on drug utilization in these hospitals. It was found that the variations of drug expenses were affected by the variations of drug price and days of medication rather than the number of the different drugs. Then the strategy to reduce the variations of drug utilization and to improve the quality of drug utilization should focus on the drug price and days of medication. Further study is needed to assess the quality as well as the variation of drug utilization and to show the factors which affect them.
Journal of the Korea Institute of Building Construction
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v.13
no.6
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pp.549-556
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2013
This study analyzed the actual use of defect deposits for financing long-term expenses (that is, expenses incurred within 4-10 years of building completion) and for financing short-term expenses (that is, expenses incurred within 3 years of building completion). Therefore, 36 cost data on the expenses financed out of defect deposits for apartment complexes were collected from construction companies and analyzed using statistical methods. The findings revealed that 62.6 percent of defect deposits were spent to resolve actual defects, and 37.4 percent were spent resolving resident complaints. Furthermore, these results are valid regardless of the location of the complexes. As such, these results could be of significance when establishing or revising regulations regarding the repair of the long-term defects of apartment complexes.
The purpose of this study is to develop framing principles for the standard form of the apartment management expenses levy. The researcher with apartment managers and executive secretaries of Busan Citizen's Coalition for Economic Justice made framing principles for standardization through discussion of 5 times as well as investigation of several lists for the apartment management expenses levy. These framing rules are as follows. First, to arrange the expenses and amounts used. Second, to standardize items of expenditure. Third, to present basic contents of apartment such as the characteristics, the amounts of bank deposits, extra incomings and outgoings, and all-inclusive table of apartment management expenses. Fourth, to show the obvious explanation of items.
The purpose of this study was to present base data for an efficient management of medical expenses at the hospital management by doing grasp of status of medical expenses from seamen's insurance by voluntary agreements. A Object of study is analyzing the data of medical expenses occurred from the total number of 2,699(inpatients 507, outpatients 2,192)cases who were covered by seamen's insurance at a general hospital which is located in Pusan Metropolitan City during 48 months from January 1, 2009 to Dec 31, 2012. The main results of this study are as follows: accrual medical expenses are the ship management companies member of P&I insurance is the most highest but share of receivables are the Korean ocean-going companies member of P&I insurance is the most highest, therefore, Korean ocean-going companies focus strictly than the payments from accounts receivable management should be considered to reduce the occurrence and concerning the turn around period of medical receivables are 4 months to 6 months during a research period. Therefore, it will be needed for managers of hospitals to prepare differentiated management based on the characteristics of each in insurer and to have recovery strategies of uncollected medical expenses.
With the rise of the economic level and the improvement of the standard of living the size of the interior work is becoming large and specialized, With the recent opening of the domestic interior decoration market the order of the large-scale interior decoration work is actively received and its efficient construction is vigorously made. Accordingly reliability is required in keeping with all the accuracy of computing interior construction expenses systematically is importantly emerging. The estimation sheet written in a kind of process mode and in an area made as the construction expense breakdown mode were statistically treated and analyzed as well as quantity computation breakdown data. In determing the major factors that expert an influence on the factors of changes in construction expenses as well as the compositional ratio of construction work that becomes basic material for developing the cost model of interior decoration work the following conclusion could be made: Improvement should be made to suit the present situation by synthesizing and arranging the data practically used in current interior construction expenses. Required construction expenses for the kind of work common to each construction field are showing a given proportion and the required construction expenses of rather small scale interior construction work tend to be irregular. It is necessary to compute optimal construction expenses by calculating the optimal period of work and working personnel in consideration of the influential factor in each work.
The Journal of Sustainable Design and Educational Environment Research
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v.6
no.1
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pp.60-84
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2007
This study purpose is seeing that the independent standard sufficiently reflecting the characteristics of the school facility as the basic material needed to calculate the maintenance and repair expenses is needed to make a more realistic and valid qualitative VFM analysis of the school BTL project. this study attempted to develop the standard for the repair cycle and rate and economic year of the school facility. The quantitative VFM analysis should be conducted based on the repair cycle and repair rate proper to the school facility, not the residential space, when calculating the maintenance and repair expenses of the operating expenses of the school facility. An attempt was made to calculate the repair cycle, repair rate and economic life of 114 component materials of the school facility judged to be able to explain the school field best. And it was confirmed that the repair and maintenance expenses more is needed to be set by about 35% than the existing maintenance and repair expenses.
The purpose of this study was to classify the contents of self-image of college men and to investigate how clothing behavior was influenced by self-image, age, major, and the expenses of clothing. Samples were 342 male students of univer-sity in Seoul. Results of this study were following : 1. Four factors of self-image derived by factor analysis : F. 1‘mature-unmatured’;F. 2‘characteristic-ordinary’; F. 3‘conservative-open’; F. 4‘dominant-submissive’.2. 5 variables of clothing behavior were influenced by real self-image. Fashion was influenced by characteristic, open, dominant image, and the expenses of clothing. The ex-planatory power of the 4 variables was 29.3%. Aesthetics was influenced by characteristic, submissive, conservative image, the expenses of clothing, and age(R2=28.7%). Modesty was influenced by conservative and ordinary im-age(R2=6.5%). Coformity was influenced by ordinary image and the expenses of clothing (R2=5.7%). Comfort was influenced by dominant image and age(R2=5.3%). 3. 5 variables of clothing behavior were influenced by ideal self-image. Fashion was influenced by unmatured, characteristic, sub-missive image, and the expenses of clothing (R2=28.9%). Aesthetics was influenced by characteristic image, the expenses of clothing, and age(R2=23.5%). Modesty was influenced by conservative, mature, and ordinary image (R2=8.3%). Coformity was influenced by ordinary image(R2=1.9%). Comfort was influenced by mature image and age(R2=5.6%). The findings indicated that self-image had a significant effect on fashion and aesthetics, and characteristic image and conservative image were important variables that affected clothing behavior of college men.
This study has two different objectives. First of all is to comparing results of size efficiency scoring on Public Corporation Medical Center(PCMC) by years of 1993, 1997 and 2003 using Data Envelopment Analysis (DEA). The second is to explore the relationship between revenue and PCMCs' efficiency score, and the relationship between expenses and the efficiency score in 2003. The average efficiency scores were significantly decreased by years of 1993, 1997 and 2003. The revenue per bed(revenue) in 2003 was smaller than the expenses per bed(expenses) in 2003, therefore PCMCs had deficits in 2003. The expenses was negatively related to the efficiency score. Therefore its means was that improving efficiency score decreased expenses. Contrarily, the revenue had any significant relation to the efficiency score. PCMC needs to various endeavors to improve their productivity and efficiency. One of the alternatives is reduce of work load through integration of PCMC and development of new performance index reflecting their situation and future direction.
This study aims to examine the effect of integrated health and welfare(IHW) services on medical use and medical expenses in Korean Veteran Hospitals. Data on the volume of medical use and medical expenses were collected from two patient groups of 5 Veterans' Hospitals: the beneficiary group who has received IHW services and the non-beneficiary group who has not. Each group was composed of 265 patients respectively. The results of the study revealed that the volume of home nursing services, home rehabilitation services, ambulatory services have increased significantly, whereas the average length of stay, number of using emergency services, and average medical expenses have decreased after receiving integrated health services in the beneficiary group. In contrast, the non-beneficiary group showed much more increase both in the volume of inpatient and outpatient services, as well as the average medical expenses, compared to those of the beneficiary group. This results imply that the provision of IHW services have positive impacts on the enhancing the effectiveness of the medical resources utilization for the veteran patients.
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