• 한국콘텐츠학회논문지
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• 제16권8호
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• pp.661-670
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• 2016

건설공사 사후평가는 공공건설사업을 대상으로 수요 공사비 공사기간 기대효과 및 사업관리 내용 등을 준공 이후에 재평가하고, 차후 유사사업 추진 시 그 평가결과를 참고하여 발주청의 시행착오를 줄이기 위한 목적으로 2000년부터 도입되었다. 하지만 용역대가 산정기준이 마련되지 않아 사후평가 용역의 질적 저하 및 분쟁발생의 원인이 되고 있다. 본 연구에서는 사후평가 용역데이터를 기반으로 공사비요율방식 및 실비정액가산방식의 용역대가 산정기준을 제시하였다. 용역대가 분석을 위해 기존의 사후평가 용역비와 공사비를 조사하고 공사비요율방식 및 실비정액가산방식을 통해 산출된 용역비를 비교분석하였다. 분석결과 실비정액가산방식을 통해 산출한 용역비가 공사비요율방식에 비해 더 정확함을 확인하였다. 실비 정액가산방식은 시설물별 사업특성을 반영할 수 있도록 거리보정계수, 면적보정계수, 통합보정계수 등 다양한 보정계수가 적용되었으며, 선형공사(도로, 철도), 비선형공사 I(주택 산업단지), 비선형공사 II(공항, 항만, 댐, 상하수도), 기타공사로 시설물 구분을 세분화하여 산정기준을 제시하였다.

• 대한음성학회:학술대회논문집
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• 대한음성학회 2002년도 11월 학술대회지
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• pp.33-36
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• 2002

As the telematics service that is the integration of information technology approaches commercialization, the necessity and gravity of speech technology is rapidly growing. The speech technology occupies important position in the telematics service because it informs the starting of service and the retrieved result. This service must provide high accuracy of speech recognition and natural synthesis of human speech in a driving environment and it is especially true for the fee-for-service. For high quality TTS, the speech synthesis technique that makes optimal synthesis database and uses efficiently this database is required. In this paper, we describe the design of phonetically balanced sentences used for speech database, the selection of service-suitable-speaker, the extraction methods of accurate phoneme boundary, and the factors which are taken into consideration in the extraction stage of prosody. Finally we show the real case that has commercially implemented.

• The Journal of Korean Physical Therapy
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• 제24권3호
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• pp.171-180
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• 2012

Purpose: The purpose of this study was to investigate the clinical decision making (CDM) development process throughout the comparison between novice and expert physical therapist as well as develop a CDM model for physical therapists under the fee-for-service (FFS) and physicians' prescriptions. Methods: Purposive sampling techniques were used to select 10 clinical physical therapists paired into five groups (each pair consisted of 1 novice and 1 expert physical therapist). The coding schemes were extracted from interviews and through within- and across-case analyses, cases were summarized. The reliability of coding schemes was confirmed by checking of case summaries by the participants. Results: Novice and expert physical therapists were influenced by two themes, internalized theme and external forces or information. Novice clinicians depended more on external forces or information. Although clinicians should care patients under the FFS and physician's prescription, expert clinicians were more likely to rely on internalized knowledge. Conclusion: The findings of the present study may be used by educators or association officials enhance CDM abilities and knowledge pools of student or novices as well as develop a guide to suitable novices or students under the specific context limiting the development of their CDM.

• 보건행정학회지
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• 제11권2호
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• pp.29-57
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• 2001

Since the inauguration of the medical insurance system in 1977, the increasing medical expenses which can be menace to tile finance of the medical insurance system, have become major concern in the medical insurance field In Korea. This study focuses on the determinants of the medical expenses in the health insurance in Korea and analyzes the impact of these factors on the increase in the medical expenses. The empirical work is done using the pooled cross-section and time-series data of the medical insurance for the self-employeds and the industrial workers from the year 1995 to 1997. The result of this study shows that the main determinants of the medical expenses in the health insurance are the ratio of the population of the aged to the total population, the frequency of the utilization, number of doctors per capita and the regime changes. Although the increasing trend in the medical expenses seems to be unavoidable, we probably need to add some efficiency to the medical expenses by suppressing the supply and the utilization of the unnecessary medical services. The fee-for-service reimbursement system of today can't suppress the supply of the unnecessary medical services effectively. So we need to convert the present fee-for-service system into DRG's which is known to reduce the medical costs. The increase in the medical expenses comes from a lot of factors. Therefore, we should develop more systematic and comprehensive measures to control the soaring medical expenses in consideration of the various factors such as demand, supply, and the organizational side of the medical system.

• 대한치과기공학회지
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• 제16권1호
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• pp.78-104
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• 1994

Under the fee for service schedule of Korean health insurance system, rational fee for dental laboratory products based on the cost is required to be formulated. The purpose of this study was to find actual cost of dental laboratory products in case of a University Hospital. Materials of this study were used as follows : 1. Balance sheet at Dec. 31, 1992 and profit and loss report of the year 1992 of the sample hospital 2. Performance report of dental laboratory department. 3. Purchasing and other accounting bills of dental laboratory materials. The following methods were used. 1. Actual cost finding of dental laboratory department was performed. 2. Work sampling methods were used for measuring standard working time by the process of working. 3. To porcelain fused to metal crown(non-precious), Relative value of the cost of dental laboratory products was calculated as 1.00. 4. Fee and cost of those products were compared on the basis of Relative values. The results of the study can be summarized as follow : 1. Overall, it took longs time than other items. to product denture-related items. 2. When several teeth are made in a time, average production time is much sorter than when one tooth is made in a time. 3. The relative price cost of Dicor cast crown and denture related items are higher than the criterion items. 4. The material cost occupies average 11% out of the total price cost, proportion of personnel expenses is average as 60.0%. 5. Some of the components consisting of the price cost are not reflected adequately in setting the level of the reimbursement price. 6. Relative values of dental laboratory products price cost are varied in the range from 0.05 to 2.83, overall, the reimbursement price of dental products appears not to reflect adequately the price cost. On the basis of this study results, the following ideas would be suggested : 1. Fee Schedule of dental laboratory products should be renovated in order to reflect their costs. 2. Dental laboratory product manufacturers should be enlarged for the economy of scale which may be useful for cost- containment. 3. Dental laboratory producters themselves are required to be standardiqed according to the categories of skill.

• 대한물리치료과학회지
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• 제5권1호
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• pp.557-571
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• 1998

The purpose of the study is (i) to investigate the operating situation of physical therapy department in public health centers, (ii) to analyze the difference of elderly satisfaction from non-elderly satisfaction of physical therapy services among the public health center visitors, and finally (iii) to suggest facilitating improvement on programs that can supply the elderly health service through public health centers. A questionnaire survey was carried out 212 patients of 25 public health center in Seoul, Korea from 15 July to 10 August 1996. Major results of the study are as follows : 1. Among the respondents. the largest group was the elderly who are over 65 years old (72.6%). 2. The averge of general patients' satisfaction for physical therapy services was 3.98, especially fee of treatment(4.76), attitude of physical therapist(4.33), and reliance of physical therapist(4.20) were higher by 5-score Likert scale. 3. The correlation factors with general patients' satisfaction were process of treatment (r =.6301). results of treatment(r=. 6186), and guide facilities(r=.5999). 4. The results of multiple-regression analysis between general patients' satisfaction and affecting factors identify following variables as the statically significant determinants : general stisfaction comparing with other physical therapy services, physical therapy services using forwardly, fee of treatment. 5. There was no significant defference between elderly and non-elderly patients' satisfaction of physical therapy service, except attitude of physical therapist(t=-2.07), explanation of treatment for disease(t=-2.19), fee of treatment(t=6.29).

• 정보관리학회지
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• 제32권3호
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• pp.413-432
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• 2015

본 연구는 한국복제전송저작권협회와 체결한 협정서를 기반으로 운영되고 있는 KERIS와 KISTI의 원문복사서비스 운영상의 문제점을 저작권을 중심으로 분석하였다. 분석 결과, 협정서 적용시 원문복사서비스가 가능한 대상기관 및 자료유형의 제한, 현행 전자배송서비스가 도서관 사서 간에만 이루어지는 한계, 개인 신청자 대상 비상호대차형 원문복사서비스의 제한적 가능의 문제점이 파악되었다. 이러한 문제점을 해결하기 위하여 본 연구는 저작권법에 상호대차형 원문복사서비스에 대한 근거 규정 도입과 권위 있는 표준 가이드라인의 개발, 최종 이용자가 원문파일을 출력할 수 있도록 하되 저작권 침해방지를 위한 기술적 조치를 도서관이 의무적으로 설치할 것, 개인 신청자를 위한 저작권료 지불 원문복사서비스 모델 도입을 제안하였다.

• Journal of Chest Surgery
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• 제25권4호
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• pp.438-444
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• 1992

We analysed 7,180 annual cases of surgical treatment performed by Department of Thoracic and Cardiovascular Surgery of 6 major institutes in Seoul Korea, All cases were applied to 101 of 140 coded items applicable to the field of Thoracic and Cardiovascular Surgery, in the book of "Standard Price List for Medical Service" which was notified by the Ministry of Health and Social Affairs, and of them, applied field specific items were 70 of 93 applicables. The most frequently applied items were those associated to ECC[extracorporeal circulation] 1,510 cases, and then item of closed thoracostomy 751 cases was next. Except the items associated to ECC, the coded item of the highest "Total cost[fee x total applied numbers]" was mitral valve replacement 182,356,570 won[534,770 won x 341 cases]. 140 items were arranged in "Total cost" order, and then categorized into 5 groups. Medical insurance fees of each group were modified by different grades without changes in sum of total fees. Fees of Group 1, the highest group in "Total cost" were pulled up, on the other hand, Group 4, the lowest group, were pulled down, Group 5, composed of overlapping items with other fields, were not changed. The result of adjustment by grouping showed 21.2% increment effect[535,749,105 won] in real income. And we found that new coded items for modern high technological procedures should be added to "Standard Price List for Medical Service “Standard Price List for Medical Service".

• 상하수도학회지
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• 제28권5호
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• pp.529-540
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• 2014

As sewerage systems have obsolete, as quality and service level standards increase, and as rain characteristics change, the sewerage utility authorities are challenged to develop cost recovery strategies that assure financial sustainability. In this study, we conducted scenario analysis to examine the effect of three alternatives of partial or full sewerage cost recovery in Seoul during 2014-30 periods. It turned out that the alternative 1 is optimal and recommended. According to alternative 1, we had better increase annually sewerage fee by 14.8% until 2020 and thereafter apply only the inflation rate in setting sewerage fee. It would gradually decrease the deficit after 2019. The accumulated deficit of 13 billion Won in 2030 was estimated. We expect that this kind of analysis may provide useful informations to help sewage utility staffs, decision makers, and regulatory authorities understand, develop and implement ultimate full cost recovery strategy for many municipalities.

• 한국산학기술학회논문지
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• 제12권7호
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• pp.3275-3279
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• 2011

유무선망 상호접속 서비스 제공을 통한 통화요금의 사업자별 배부가 서비스 설비원가에 의하여 많은 부분이 정의되는 점을 고려한다면 망 설비를 통하여 제공되는 서비스들의 통화량 기준에 의한 평가가 이루어져야 한다. 이러한 관점에서 이동통신망 설비를 음성, 데이터서비스를 위한 전용설비와 공통설비로 구분하고, 공통설비는 합리적 기준에 의한 서비스별 설비원가의 배부 방법의 도출이 필수적이다. 본 논문에서는 유럽 GSM 시스템에서 이용되고 있는 이동통신망 공통설비 원가 배부 방안 분석을 통하여 국내 CDMA 이동망의 공통설비 원가 배부를 위한 회선 음성 서비스와 패킷 데이터서비스간의 단일 통화량으로 계측하기 위한 서비스간 환산계수 방안을 도출하였다.