• Journal of Korean Academy of Nursing
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• v.34 no.6
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• pp.1117-1128
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• 2004

Purpose: This study was carried out to substantiate the application process of activity-based costing on the current cost of hospital home care (HHC) service. The study materials were documents, 120 client charts, health insurance demand bills, salary of 215 HHC nurses, operating expense, 6 HHC agencies, and 31 HHC nurses. Method: The research was carried out by analyzing the HHC activities and then collecting labor and operating expenses. For resource drivers, HHC activity performance time and workload were studied. For activity drivers, the number of HHC activity performances and the activity number of visits were studied. Result: The HHC activities were classified into 70 activities. In resource, the labor cost was 245￦per minute, operating cost was 9,570￦ per visit and traffic expense was an average of 12,750￦. In resource drivers, education and training had the longest time of 67 minutes. Average length of performance for activities was 13.7 minutes. The workload was applied as a relative value. The average cost of HHC was 62,741￦ and the cost ranged from 55,560￦ to 74,016￦. Conclusion: The fixed base rate for a visit in the current HHC medical fee should be increased. Exclusion from the current fee structure or flexible operation of traveling expenses should be reviewed.

• Korean Management Science Review
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• v.28 no.2
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• pp.17-29
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• 2011

The purpose of this paper is to schedule elective surgery patients using a stochastic programming approach and to illustrate how operating room utilization behaves when a decision-maker varies costs associated with utilization. Because of the uncertainty in surgery durations, the underage and overage costs that a decision-maker considers plays an important role in allocating surgery cases into available operating room capacity. We formulate the problem as a stochastic mixed integer programming and propose a sampling-based approximation method for a computational purpose. Newsvendor model is employed to explain the results from numerical experiments that are conducted with the actual data from a hospital. The results show that the operating room utilization is more sensitive when the unit overtime cost is relatively larger than the unit cost for underutilized time.

• Journal of the Korean Operations Research and Management Science Society
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• v.4 no.1
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• pp.51-67
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• 1979

This paper considers the problem of determining an optimal dynamic operating policy for a two-stage tandem queueing service system in which the service facilities (or stages) can be operated at more than one service rate. At each period of the system's operation, the system manager must specify which of the available service rates is to be employed at each stage. The cost structure includes an operating cost for running each stage and a service facility profit earned when a service completion occurs at Stage 2. We assume that the system has a finite waiting capacity in front of each station and each customer requires two services which must be done in sequence, that is, customers must pass through Stage 1 and Stage 2 in that order. Processing must be in the order of arrival at each station. The objective is to minimize the total discounted expected cost in a two-stage tandem queueing service system, which we formulate as a Discrete-Time Markov Decision Process. We present analytical and numerical results that specify the form of the optimal dynamic operating policy for a two-stage tandem queueing service system.

• Korean Journal of Health Education and Promotion
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• v.6 no.2
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• pp.23-39
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• 1989

There have been a lot of considerable. discussion and debate surrounding the management model in the health insurance management system and opinions regarding the management operating cost. It is a well known fact that there have always been dissenting opinions and debates surrounding the issue. The management operating cost varies according to the scale of the management organization and component members characteristics of the insurance carrier. Therefore, it is necessary to examine and compare the management operating cost to the simulated management models developed to cover those eligible for the health insurance scheme in this country. Since the management operating cost can vary according to the different models of management, four alternative management models have been established based on the critical evaluation of existing theories concerned, as well as on the basis of the survey results and simulation attempts. The first alternative model is the Unique Insurance Carrier Model(Ⅰ) ; desigened to cover all of the people with no classification of insurance qualifications and finances from the source of contribution of the insured, nationwide. The second is the Management Model of Large-scale District Insurance Carrier(Ⅱ) ; this means the Korean society would be divided into 21 large districts; each having its own insurance carrier that would cover the people in that particular district with no classification of insurance qualifications arid finances as in Model I. The third is the Management Model of Insurance Carrier Divided by Area and Classified with Occupation if Largescale (Ⅲ) ; to serve the self-employed in the 21 districts divided as in Model Ⅱ. It would serve the employees and their dependents by separate insurance carriers in large-scale similar to the area of the district-scale for the self-employed, so that the insurance qualifications and finances would be classified with each of the insurance carriers: The last is the Management Model of the Multi - insurance Carrier (Ⅳ) based on the Si. Gun. Gu area which will cover their own self- employed people in the area with more than 150 additional insurance carriers covering the employees and their dependents. The manpower necessary to provide services to all of the people according to the four models is calculated through simulation trials. It indicates that the Management Model of Large-scale District Insurance Carrier requires the most manpower among the four alternative models. The unit management operating costs per the insured individuals and covered persons are leveled with several intervals based on the insurance recipients. in their characteristics. The interval levels derived from the regression analysis reveal that the larger the scale of the insurance carriers is in the number of those insured and covered. the more the unit management operating cost decreases. significantly. Moreover. the result of the quadratic functional formula also shows the U-shape significantly. The management operating costs derived from the simulated calculation. on the basis of the average salary and related cost per staff- member of the Health Insurance Societies for Occupational Labours and Korean Medical Insurance Corporation for the Official Servants and Private School Teachers in 1987 fiscal year. show that the Model of Multi-insurance Carrier warrants the highest management operating cost. Meanwhile the least expensive management operating cost is the Management Model of Unique Insurance Carrier. Insurance Carrier Divided by Area and Classified with Occupation in Large-scale. and Large-scale District Insurance Carrier. in order. Therefore. it is feasible to select the Unique Insurance Carrier Model among the four alternatives from the viewpoint of the management operating cost and in the sense of the flexibility in promoting the productivity of manpower in the human services field. However. the choice of the management model for health insurance systems and its application should be examined further utilizing the operation research analysis for such areas as the administrative efficiency and factors related to computer cost etc.

• Environmental and Resource Economics Review
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• v.30 no.1
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• pp.107-128
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• 2021

It has been recognized that implementing the marginal price mechanism to CBP is not acceptable due to the lack of revenue of the marginal generators. This study shows that it is not the problem of marginal price mechanism but the structural problems originated by the suspension of restructuring, the technical limits of RSC program and inaccuracy of the generation cost estimation method. This study explains the method to calculate the cost function in operating modes of the CC generators and proposes the modeling for the CC generators in RSC program. To implementing the cost function in operating modes could give an opportunity to change the price setting mechanism from average to marginal cost. The price setting mechanism based on the marginal cost will be one of the main points to provide the right price signals and to introduce a real-time and A/S markets to prepare the energy transition era.

• Journal of Advanced Marine Engineering and Technology
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• v.26 no.3
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• pp.313-319
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• 2002

Since the oil crisis in 1970, a great deal of effort has been made to develop automatic electric load sharing systems as a part of the efforts to save energy. A large scale electric generating system composes more than two generators whose characteristics may be different. When such a system is operated individually or in parallel, the lagrange multiplier's method has difficulty in achieving optimal load distribution because generators usually have the limitations of the operating range with inequality constraints. Therefore, a suitable operating mode of generators has to be decided according to the selection of the generators to meet electric power requirements at the minimum cost. In this study, a method which solves the optimal electric load distribution problem using the dynamic programming technique is proposed. This study also shows that the dynamic programming method has an advantage in dealing with the optimal load distribution problem under the limitations of the operating range with inequality constraints including generator operation mode. In this study, generator operating cost curve of second order equation by shop trial test results of diesel generators are used. The results indicate that the proposed method can be applied to the ship's electric generating system.

• Journal of the Korea Society for Simulation
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• v.29 no.2
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• pp.49-61
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• 2020

It is important to operate a limited number of interceptors effectively to counter ballistic missile threats. The existing interceptor operating method determines the number of interceptors according to the level of TBM (Theater Ballistic Missile) engagement effectiveness applied to a defended asset. It can cause either excessive interceptor waste compared to the intercept probability or the intercept probability decrease. Thus, interceptor operating method must be decided considering the number of ballistic missiles, intercept probability and cost. This study proposes a mathematical model to improve the existing interceptor operating method. In addition, the efficiency indicator is proposed for trade-off between intercept probability and cost. As a result of the simulations, the mathematical model-based interceptor operating method can achieve better results than the existing interceptor operating method.

• Journal of Korean Society for Quality Management
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• v.14 no.2
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• pp.21-27
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• 1986

This paper deals with a continuous review (s,S) spare part inventory system. The distributions of service life of each part and the replenishment lead time are assumed to be exponential. Assuming that there is never more than a single order outstanding, we obtain the average annual cost of operating the inventory system. If the length of stockout period is small enough to be neglected compared to the length of operating period, the optimal operating policy variables minimizing the cost rate can be calculated iteratively. For the case of one-for-one ordering (that is, s=S-1), an exact cost rate, and a closed form decision rule minimizing the cost rate are obtained for a more general situation in which more than one order is allowed to be outstanding and the distribution of the replenishment lead time is general.

• Journal of Korean Academy of Nursing Administration
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• v.16 no.3
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• pp.295-305
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• 2010

Purpose: This study was conducted to evaluate the economic efficiency of a community-based nursing care center to help policy makers determine whether or not to invest in similar facilities. Methods: The subjects were 101 elderly people over 65 years who participated in a health management program from February 1 to July 31, 2007. Direct cost was estimated with center operations cost, medical cost for out-patients and pharmacy cost. Indirect cost was measured by transportation cost. Direct benefit was calculated by saved medical cost for out-patients, saved pharmacy cost, saved transportation cost, and reducing hospital charges. Indirect benefit was estimated with prevention of severe complications. Economic efficiency was evaluated by cost-benefit ratio and net benefit. Results: Operating a community-based nursing care center was found to be cost-effective. Specifically, the cost of operating the center evaluated here was estimated at 135 million won while the benefit was estimated at 187 million won. Benefit-cost ratio was 1.38. Conclusion: The Community-based nursing care center that was described here could be a useful health care delivery system for reducing medical expenditures.

• Journal of Information Technology Applications and Management
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• v.19 no.2
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• pp.217-231
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• 2012

In the past, companies should make enormous facility investment and acquire a right to do business in order to join communication markets, but now they can do business without important facilities, such as communication networks. Such a movement to ease regulations about companies which want to newly join the communication industry is expected not only to change a competition frame of the mobile communication market but also to greatly affect the entire communication industry. Through this study aiming to look into a way to calculate a reasonable wholesale price related to the government's introduction of the Mobile Virtual Network Operator (MVNO) system, I came up with a following result. I applied the operating profit percentage and the ratio of operating gain to cost to the cost plus model and retail minus model, respectively, to calculate the wholesale price and found that when I calculated with the cost plus model applying the operating profit percentage, I could get the highest wholesale price. On the other hand, I got the lowest wholesale price with the retail minus model by applying the operating profit percentage. Division of expenses and calculation of profit percentage are important factors in calculating the wholesale price and such results are expected to help accurate calculation of the MVNO wholesale price.