• 제목/요약/키워드: management benefit

검색결과 1,543건 처리시간 0.027초

선별급여 도입이 위암수술의 건강보험 진료비 및 진료행태에 미치는 영향 (Impact of Selective Health Benefit on Medical Expenditure and Provider Behavior: Case of Gastric Cancer Surgery)

  • 조수진;고정애;최연미
    • 보건행정학회지
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    • 제26권1호
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    • pp.63-70
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    • 2016
  • Background: Selective health benefit was introduced for decreasing economic burden of patients. Medical devices with economic uncertainty have been covered as selective health benefit by National Health Insurance since December 2013. We aimed to analyze impact of selective health benefit to medical expenditure and provider behavior focused on electrosurgery (ultrasonic shears, electrothermal bipolar vessel sealers) for gastric cancer patients covered since December 2014. Methods: We used the National Health Insurance claims data of 2,698 patients underwent gastric cancer surgery between August 2014 and March 2015. Medical cost and patient sharing per inpatient day were analyzed to verify that covering electrosurgery increased medical expenditure and changed provider behavior from open surgery to endoscopic or laparoscopic surgery. Additionally, we analyzed the claim rate of medical device or goods relating gastric endoscopic and laparoscopic surgery. Results: Medical cost and patient sharing per inpatient day were increased after covering electosurgery as selective health benefit (39,724/1,421 won). However, there were no medical expenditure increases after adjusting claim of electosurgery and patient sharing was decreased 1,057 won especially. The coverage of selective health benefit did not increase the claim rate of medical device or goods related endoscopic or laparoscopic surgery, either. Conclusion: Covering electosurgery decreased patient economic burden and did not change of provider behavior. Expanding selective health benefit is needed to decrease economic burden of severe patients. Further study should evaluate the long term effect with accumulated data.

해외사례조사를 통한 녹색건설 비용 및 편익 정보 체계의 개선 방향 (Improvement Scheme on Green Construction Cost & Benefit through Analyzing Trends and Case Studies)

  • 김원태;최석인;장철기
    • 한국건설관리학회논문집
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    • 제14권5호
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    • pp.44-54
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    • 2013
  • 전세계적으로 녹색 건설에 대한 관심과 필요성이 높아지고 있는 시점에 있다. 정부도 녹색 성장 기조 하에 건축물의 에너지 사용량 저감을 위한 공격적인 목표를 설정하고 다양한 정책적 지원책을 통해 추진하고 있다. 하지만 녹색건설 시장의 지속적인 성장을 위해서는 수요 주체의 녹색 투자 의사 결정을 지원할 수 있는 녹색 건설 투자 비용과 경제적 편익 정보가 제공되어야 하지만, 녹색 건설 선진국에 비해 국내 건설산업계에서는 녹색건설의 비용이나 편익과 관련한 구체적이고 객관적인 자료가 부족하고 분석이 부족한 실정이다. 이에 본 연구에서는 건설 산업 차원에서 녹색 건설 비용의 개념을 정의하고, 녹색 비용 및 편익 정보 체계와 관련한 녹색건설선진국의 다양한 사례를 살펴봄으로써 국내 녹색건축 비용 및 편익 정보 체계의 문제점을 도출하고 개선 방안을 제시하였다. 본 연구에서 제시한 녹색 건설 비용 및 편익 정보의 분류, 축적, 활용 메커니즘이 해당 건설 상품의 경제적 타당성 검증 작업을 견인할 수 있을 것으로 기대한다.

지각방사선(라돈) 참조준위별 저감 대책에 따른 비용 편익 분석 (Cost-benefit Analysis on Occupational Reference Levels for Radon)

  • 최은희;정은교;김수근;정명희
    • 한국산업보건학회지
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    • 제29권1호
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    • pp.57-68
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    • 2019
  • Objective: The purpose of this study is to propose the benefits of reduction measures according to the occupational radon reference level in order to present basic data for radon management guidelines considering domestic circumstances. Methods: This study uses radon data measured in the subway stations from 2015 to 2016. Of the total of 4,643 cases, 4,231 cases were analyzed excluding the 412 cases where the values were below $300Bq/m^3$. Results: Cost-Benefit analysis was done on the results of the field survey on subway work sites. At the exposure level of $400Bq/m^3$, the ratio between the cost and the benefit was highest at 1 : 1.81(the cost was KRW 1,398,568,032, while the benefit KRW 2,5248,772,841). At the exposure level of $600Bq/m^3$, the ratio of cost and benefit was 1: 1.80, at $300Bq/m^3$ it was 1.72, at $800Bq/m^3$ it was 1.71, at $200Bq/m^3$ it was 1.54, and at $100Bq/m^3$ it was 1.40. Conclusions: Radon management in the workplace provides economic benefits and appropriate reduction strategies are needed. In addition, it is necessary to establish and distribute radon exposure assessment procedures and guidelines for the safety and health of employees when exceeding the exposure standard, and guidelines for radon management in the workplace should be established.

The Influences of Restaurant Consumers' Electronic Word-of-Mouth(E-WOM) Information Communication on Product Perception Risk, Benefit and WOM Effect

  • Heo, Yeong-Uk
    • 융합경영연구
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    • 제6권4호
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    • pp.51-64
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    • 2018
  • Purpose - This study is intended to look into the influences of restaurant consumers' e-WOM information communication on product perception risk, benefit and WOM effect. Research design, data, and Methodology - To achieve this, a survey was empirically carried out to 426 restaurant consumers. Results - The findings are as follows. First, the influence of e-WOM on product perception risk showed that WOM information sender characteristics, WOM information recipient characteristics and online community had a statistically significant positive influence on product perception risk. Second, the influence of e-WOM on product risk benefit showed that WOM information sender characteristics, WOM information recipient characteristics and online communication had a statistically significant positive influence on product risk benefit. Third, WOM risk perception had a statistically significant positive influence on WOM acceptance. Fourth, WOM risk benefit had a statistically significant positive influence on WOM effect. Conclusions - As for the above-mentioned findings, the communication between e-WOM sender and recipient had a positive influence on the product evaluation and attitude change in the restaurant industry, and the WOM effect had an influence on the financial performance and non-financial performance. The communication attaches importance to a direct using and tasting experience due to the nature of restaurant industry when it is simultaneously performed as a positive mechanism between sender and recipient through each channel of these factors. But the e-WOM culture can lead to the WOM effect when both sender and recipient share the persuasive communicability in reality that diversifies communication methods, having a positive influence on the management performance.

충청남도에서 CNG 버스로의 전환을 위한 비용-편익 분석 (Cost-Benefit Analysis for the Replacement with the CNG Buses in South Chungcheong Province)

  • 최연석;박병태
    • 대한안전경영과학회지
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    • 제15권4호
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    • pp.417-425
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    • 2013
  • According to industrialization and urbanization the number of increasing cars is attributable to an explosive increase of the vehicle emissions. In this study, in consideration of the population and local transportation characteristics of South Chungcheong Province the environmental and economic cost-benefit analyses are performed to evaluate whether the CNG bus conversion gives what kind of effects. Based on the analysis result the expansion and distribution plan of CNG bus is proposed for South Chungcheong Province, and the local supply policy model is also proposed considering the acquisition and management of the economic situation of CNG charging infrastructure and the small transportation companies.

자동차보험 진료비심사 일원화 이후 의료기관 진료행태 변화 (Changes in Providers' Behavior after the Reviewer Unification of Auto Insurance Medical Benefit Claims)

  • 김재선;서원식
    • 보건행정학회지
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    • 제27권1호
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    • pp.30-38
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    • 2017
  • Background: This study aims to analyze the behavioral changes of healthcare providers and influencing factors after the reviewer unification of auto insurance medical benefit claims by an independent review agency. Methods: The comparison data were collected from the second half of 2013 and the same period of 2014. The key indicators are the number of admission days, the number of outpatient visits, inpatient ratio, inpatient medical expenses, and outpatient medical expenses. Results: Four indicators (number of admission days, number of outpatient visits, inpatient ratio, and outpatient medical expenses) showed statistically significant drops, while one indicator (inpatient medical expenses) showed no significant change. Conclusion: The reviewer unification of auto insurance medical benefit claims by an independent review agency showed significant reduction in cost and patient days.

협력업체의 6시그마 혁신활동 지원 사례 (A Case Study of Supporting Six Sigma Innovation Activity of Suppliers)

  • 성수경;김준석;변재현
    • 한국품질경영학회:학술대회논문집
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    • 한국품질경영학회 2010년도 춘계학술대회
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    • pp.483-490
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    • 2010
  • For the success of total six sigma innovation, it is necessary to involve the suppliers In the six sigma activities. This paper presents the deployment and support system of six sigma innovation for suppliers, with the application to an aerospace production company. The process of project selection, project implementation, financial effect verification, benefit sharing is presented. This paper will benefit the companies which are going to enhance all the companies in the supply chain via six sigma activities.

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편익/비용분석 기반의 AHP 기법을 이용한 SCM 시스템 선정 모델 (A SCM System Selection Problem using AHP Technique based on Benefit/Cost Analysis)

  • 서광규
    • 대한안전경영과학회지
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    • 제11권2호
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    • pp.153-158
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    • 2009
  • An optimal selection problem of SCM system is one of the critical issues for the company's competitiveness and performance under global economy. This paper presents a hierarchy model consisted of characteristic factors for introducing SCM system and an AHP (Analytic Hierarchy Process) based decision-making model for SCM system evaluation and selection. The proposed model can systematically construct the objectives of SCM system selection to meet the business goals. This paper focuses on selecting an optimal SCM system considering both all decision factors and sub-decision factors of a hierarchy model. Especially, the benefit/cost analysis is applied to choose SCM system. A case study shows the feasibility of the proposed model and the model can help a company to make better decision-making in the SCM system selection problem.

전반적인 신경병성 통증의 조절 및 치료 (The General Management and Treatment of Neuropathic Pain)

  • 전양현
    • 대한치과의사협회지
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    • 제49권6호
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    • pp.327-333
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    • 2011
  • Clinically, treatment goal of neuropathic pain focused on not elimination of etiology but management and control of symptoms because we don't know certain about clear etiology of neuropathic pain yet. The drugs used for the management of neuropathic pain were classified as drugs with strong evidence for benefit(antidepressants, anticonvulsants, opioid analgesics etc.), modest evidence for benefit(mexiletine, carbamazepine, clonidine etc.), preliminary evidence for benefit(NSAIDs, dextromethorphan, topiramate etc.). Finally, the treatment for trigeminal neuralgia was outlined separately since this disorder responds to a different group of drugs than other neuropathic pain conditions.

Comparison of (s, S) and (R, T) Policies in a Serial Supply Chain with Information Sharing

  • Kwak, Jin Kyung
    • Management Science and Financial Engineering
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    • 제19권1호
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    • pp.17-23
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    • 2013
  • It has been studied that retailer's using a suboptimal (R, T) policy is often more desirable to make the best use of information flows than the locally optimal (s, S) policy in a two-stage serial supply chain. In this paper, by performing an extensive computational study, we tabulate the benefit of the retailer's using (R, T) policy instead of (s, S) policy in a supply chain with information sharing, and compare it to a maximum possible benefit that could be achieved in a centralized supply chain. We can understand the mechanisms of how the cost parameters and demand variance affect the benefit of the retailer's using (R, T) policy instead of (s, S) policy, by comparing decentralized and centralized systems.