• 제목/요약/키워드: long-term cost

검색결과 998건 처리시간 0.028초

요양병원 확충이 급성기병원 노인입원에 미치는 영향 (Effect of Expansion of Long-Term Care Hospitals on Elderly Hospitalization in Acute Care Hospitals)

  • 김동환;이태진
    • 보건행정학회지
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    • 제19권1호
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    • pp.81-96
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    • 2009
  • The expansion of long-term care hospitals (LTCHs) is expected to contribute to meeting the long-term care needs of the elderly with chronic diseases in a rapidly aging society. It is also expected to increase efficiency of health resource use and decrease elderly health expenditures by transferring patients from acute care hospitals (ACHs) to LTCHs. This study aimed to empirically examine how the expansion of LTCHs had influences on the length of hospitalization of the elderly in ACHs. Panel regression analysis was employed as an analytic tool using data of the National Health Insurance and the National Statistical Office from 2002 to 2006. The expansion of LTCHs was measured as location quotient (LQ) of LTCHs, denoting the share of LTCHs in a large city or province relative to the share of LTCHs at the national level. In addition, per capita GRDP (gross regional domestic product) and the proportion of population over 65 were included as control variables. The main findings are as follows. First, it was observed that LQ of LTCHs showed a statistically significant negative association with the length of hospitalization of the elderly in ACHs. Second, the negative correlation was evident among general hospitals with over 100 beds while it was not among hospitals with less than 100 beds. Third, LQ of LTCHs had more influences among the elderly over 85. In conclusion, the expansion of LTCHs seems to contribute to decrease in the inpatient cost of the elderly in ACHs and to increase efficiency in the utilization of health resources.

요양병원의 입원급여 적정성 평가 결과에 미치는 영향 요인 분석 (Factors influencing the composite quality score from the quality assessment program for long-term care hospitals)

  • 이상갑;설진주;이광수
    • 한국병원경영학회지
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    • 제25권3호
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    • pp.78-86
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    • 2020
  • Purposes: This study purposed to identify factors influencing the composite quality score from the quality assessment program for long-term care hospitals Methodology: The study variables was obtained from HIRA(Health Insurance Review and Assessment Service): the composite quality scores and hospital variables such as number of doctors, nurses, beds, medical technicians, medical equipments, administrative region, ownerships from 3rd (2010) to 7th (2018) quality assessment program. National Statistical Portal(www.kosis.go.kr) provided the number of senior citizens aged over 65 in city·county·district area. SAS 9.4 was used for the data processing and used to analyze the data. Findings: The results showed that composite quality score increased past 9 years. Hospital variables such as number of doctor, nurse, medical technicians, bed and public hospitals had significant positive relationship with the composite quality score. Administrative region(district) showed higher scores compare to that of city. Compare to the score of quality assessment year(2010), as the assessment year move to 2012, 2013, 2015, 2018, results showed higher significant positive coefficients. Practical Implication: Continuously improve the performance of long-term care hospitals, current quality assessment program are needed to update their system such as adopting indicators measuring the service process, or compensating the cost for quality assessment program. It will enable to provide more reasonable and accurate performance assessment scores.

딥러닝의 반복적 예측방법을 활용한 철근 가격 장기예측에 관한 실험적 연구 (Experimental Study on Long-Term Prediction of Rebar Price Using Deep Learning Recursive Prediction Meothod)

  • 이용성;김경환
    • 한국건설관리학회논문집
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    • 제22권3호
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    • pp.21-30
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    • 2021
  • 본 연구는 딥러닝의 반복적 예측방식을 활용하여 5개월의 철근 가격 예측방법을 제안한다. 이 방식은 입력데이터의 특성을 모두 단기예측하여 원 데이터에 추가하고, 추가된 데이터로 다음의 시점을 예측하는 과정을 반복하여 장기 예측한다. 본 연구에서 제시하는 방식으로 1개월에서 5개월까지 예측한 철근 가격의 예측 평균 정확도는 약 97.24%이다. 제안된 방식을 통해 인간의 경험과 판단을 통한 가격 추정방법의 체계성을 보완하여 기존의 방식보다 정확한 비용계획이 가능할 것으로 사료된다. 또 철근 이외의 건축재료를 비롯하여 시계열 데이터로 가격을 장기예측하는 연구에서 본 연구에서 제시한 방법이 활용될 수 있을 것으로 기대한다.

배출가스 부과금에 따른 항공사 네트워크의 변화에 관한 연구 (A Study on Airlines Network Changes by Emission Charges)

  • 김백재;최진영
    • 한국항공운항학회지
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    • 제25권4호
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    • pp.178-186
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    • 2017
  • Air travel has become an essential part of the global society and its sustainable development is expected. Airlines profit structure and network operation will be influenced by internalization of external costs like emission charge. This additional cost of the airlines will be directly pose air ticket fare increase and demand of air passenger will be decreased. EU-ETS is a part of environmental binding to airlines fly to EU territory airports. This study analyzes the impact of emission charges by application of EU-ETS on airlines network change. For long-term forecast, a reliable estimation of the future price of carbon dioxide (CO2) will be used.

열병합발전이 고려된 심사곡선법에 의한 전원구성 비율 산정방법의 연구 (A Estimation Method for Ratio of Generator Composition included Combined Heat and Power Using Screening Curve Method)

  • 김용하;이범;최상규;김미예;연준희;김명렬
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2005년도 제36회 하계학술대회 논문집 A
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    • pp.736-738
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    • 2005
  • For calculating optimal generation composition of The Basic Plan of Long Term Electricity Supply & Demand, the Screening Curve Method that using generation cost for planning is needed. This paper will induce optimal power system ratio included Combined Head and Power and suggest the method for optimal generation composition of The Basic Plan of Long Term Electricity Supply & Demand that considered policy side.

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$CO_2$ 배출량제약을 고려한 최적전원구성 (The Best Generation Mix considering CO2 Air Pollution Constraint)

  • 이상식;트란트룽틴;권중지;최재석
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2005년도 제36회 하계학술대회 논문집 A
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    • pp.149-151
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    • 2005
  • A new approach considering CO2 air pollution constraints in the long-term generation mix is proposed under uncertain circumstances. A characteristic feature of the presented approach in this paper is what effects give the air pollution constraints in long term best generation mix. Best generation mix problem is formulated by linear programming with fuel and construction cost minimization with load growth, reliability (reserve margin rate) and air pollutionconstraints. The proposed method accommodates the operation of pumped-storage generator. It was assumed in this study that the construction planning of the hydro power plants is given separately from the other generation plans. The effectiveness of the proposed approach is demonstrated by applying to the best generation mix problem of KEPCO-system, which contains nuclear, coal, LNG, oil and pumped-storage hydro plant multi-years.

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인천내항을 위한 시뮬레이션 모델 개발 (A Study on the Development of Simulation Model for Inchon Port)

  • 김동희;김봉선;이창호
    • 대한안전경영과학회:학술대회논문집
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    • 대한안전경영과학회 2000년도 춘계학술대회
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    • pp.339-349
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    • 2000
  • Inchon Port is the second largest import-export port of Korea, and has the point at issue such as the excessive logistics cost because of the limits of handling capacity and the chronic demurrage. There are few research activities on the analysis and improvement of the whole port operation, because Inchon Port not only has the dual dock system and various facilities but also handles a various kind of cargo. The purpose of this paper is to develop the simulation program as a long-term strategic support tool, considering the dual dock system and the TU(Terminal Operation Company) system executed since March, 1997 in Inchon Port. The basic input parameters such as arrival intervals, cargo tons, service rates are analyzed and the probability density functions for these parameters are estimated. The main mechanism of simulation model is the discrete event-driven simulation and the next-event time advancing. The program is executed based on the knowledge base and database. From the simulation model, it is possible to estimate the demurrage status through analyzing various scenarios and to establish the long-term port strategic plan.

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국내 건설관리 업체의 발전전략 (Development Strategies of Construction Management Firms in Korea)

  • 한갑규;김선국
    • KIEAE Journal
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    • 제7권4호
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    • pp.97-104
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    • 2007
  • Competition among building contractors in the Korean construction environment has been increasing lately, and with the recent conclusion of the FTA between Korea and the United States, further advancement in the systems of construction, bidding and contract awarding is expected to be facilitated in the long term. Considerable changes are also expected particularly in the construction management (CM) market. Given these drastic changes, it has become more noticeable that the role of CM is enlarged in terms of time, cost, quality, risks and others to guarantee the Korean competitiveness against the global construction market. This study analyzed the current status of domestic CM companies via SWOT analysis and, based on such analysis, established development strategies for CM contractors. The strategies proposed in this study will be utilized by CM companies as basic materials in their future strategies in a short, mid and long term perspective respectively for competitive advantages in the market.

다수의 배전회사에 대해 경쟁개념을 도입한 배전요금 산정에 관한 연구 (Calculation of Distribution Service Tariffs using a Yardstick Regulation for Multiple Distribution Companies)

  • 노경수;손형석
    • 대한전기학회논문지:전력기술부문A
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    • 제54권10호
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    • pp.500-506
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    • 2005
  • With the advent of electric power systems moving to a deregulated retail electricity market environment, calculating distribution service tariffs has become a challenging theme for distribution industries and tariff regulators. As distribution business remains as a monopoly, it is necessary to be regulated. And as multiple distribution companies compete with each other, it would be efficient to adopt competition to the determination of distribution service tariffs. This paper proposes a method to calculate distribution service tariffs using yardstick regulation, which can lead to competition among multiple distribution companies. The proposed method takes into account not only recovering revenue requirements but also the advantages of the yardstick regulation based on long-term marginal costs of distribution network expansion algorithms. A computer simulation is carried out to illustrate effectiveness of the proposed method and it is estimated that the algorithm can be applied to compute the distribution service tariffs under retail electricity markets.

위-식도 역류질환의 수술적 치료 (Surgical Treatment of Gastroesophageal Reflux Disease)

  • 송교영
    • 대한기관식도과학회지
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    • 제19권1호
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    • pp.11-14
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    • 2013
  • Gastro-esophageal reflux disease (GERD) is a recurrent, long-term gastrointestinal condition characterised by the abnormal reflux of stomach contents into the esophagus. Heartburn is the most dominant symptom, which can be life long and can considerably reduce quality of life. The main goals of treatment are to alleviate symptoms and prevent relapses, esophageal stricture and adenocarcinoma. This paper presents a review comparing the effectiveness of omeprazole with Nissen fundoplication surgery for the treatment of GERD. Nissen fundoplication is more effective in controlling heartburn symptoms, healing esophagitis and preventing relapses than omeprazole. Quality of life, in terms of productivity and ability to work, is difficult to assess in the omeprazole group and, as a result, a comparison of this aspect is limited. Although fundoplication is expensive in the short term, it is more cost-effective than omeprazole. Nurses need to be aware of the effectiveness of omeprazole and fundoplication to provide patients with accurate information, which assists patients in decision making regarding treatment options.

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