• Title/Summary/Keyword: relative value scale

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An Analytical Study on the Structure of Personal Input Factors of Fees for Rehabilitative and Physical Therapeutic Services (재활.물리치료서비스 수가항목의 인적 투입요소 구조분석 연구)

  • Lim, Jung-Do
    • Journal of Korean Physical Therapy Science
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    • v.3 no.2
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    • pp.1065-1077
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    • 1996
  • Fees for medical insurance services in Korea has not being been set based on service costing. Recently in the USA, fees for physican services are determined by developing and applying Resoure Based Relative Value Scales (RBRVS). This study attempts to develop relative value scales for personal factors of rehabilitative and physical therapeutic services. The personal factors were classified into four categories as having been done in the USA;service time, treatment technology and physical efforts, mental efforts and judgement, and stress. Input factors were measured using Magnitude Estimation Method (MEM), and relative value units were calculated for each of twenty eight rehabilitative and physical therapeutic services. Results show that service time surveyed differs from that provided in the public fee schedules in 24 services; the three personal factors but the service time are highly correlated; the physical therapists hold treatment technology and physical efforts to be the most important factor in setting the for services; and that relative values developed for noninsurance services such as Silver Spike Electrode (SSP) and Proprioceptive Neuromuscular Facilitation (PNF) are higher than those of similar insurance services. The policy implications and measures for improvement for the above findings were suggested respectively.

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National Health Insurance System of Korea: Resource-Based Relative Value Scale and a New Healthcare Policy (우리나라의 건강보험 수가 시스템: 상대가치 그리고 새로운 건강보험 보장성 강화 대책)

  • Joon-Il Choi
    • Journal of the Korean Society of Radiology
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    • v.81 no.5
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    • pp.1024-1037
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    • 2020
  • The resource-based relative value scale (RBRVS) compares the value of a medical practice to the consumption of resources, which consist of the work of the physician, practice expenses, and professional liability insurance. At the time of the 2nd revision of RBRVS, the fee for radiological examinations had been reduced due to the high preservation rate. In RBRVS, practice expenses account for most of the compensation of radiological examinations, and physicians' work is relatively undervalued. A new healthcare policy (Moon Jae-In care) consists of the expansion of the National Health Insurance (NHI) coverage, reduction of patient charges for the vulnerable class, and support for catastrophic medical expenses. However, Moon Jae-In care is expected to negatively affect the NHI in Korea financially. The expansion of the insurance coverage for ultrasonography and MRI examinations is a significant part of the Moon Jae-In care, and radiological societies should establish fair compensations for physicians' work within the field of radiology while implementing the Moon Jae-In care.

Auditory Perception Experiment on Attribute of Road Traffic Noise Causing Annoyance with Identical Linear Sound Pressure Level (동일한 선형 음압 레벨의 도로교통소음의 성가심 유발 인자에 관한 연구)

  • An, Jang-Ho;Schang, Seo-Il;Ko, J.H.;Chun, Hyung-Jun
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2006.11a
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    • pp.641-648
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    • 2006
  • This study investigates which sound quality indices except SPL raise annoyance response. For investigation, auditory perception experiments for road traffic noise with identical linear SPL were performed by Paired Comparison Method. The numerical results of a Paired Comparison experiment express relative preference about annoyance. So that these relative preference scores are to be correlated to sound quality indices, which are absolute, a transformation is required to go from the relative domain to an absolute and linear scale of preference. The results of the transformation will be the 'merit values,' which quantifies the annoyance(in this case) of the road traffic noise on a linear scale. Using multiple regression, a formula is established that can calculate predicted merit values. Furthermore, This investigation offers a method selecting sound samples that represent various sound quality indices values to use experiment.

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Analysis on Upper and Lower Bounds of Stochastic LP Problems (확률적 선형계획문제의 상한과 하한한계 분석)

  • 이상진
    • Journal of the Korean Operations Research and Management Science Society
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    • v.27 no.3
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    • pp.145-156
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    • 2002
  • Business managers are often required to use LP problems to deal with uncertainty inherent in decision making due to rapid changes in today's business environments. Uncertain parameters can be easily formulated in the two-stage stochastic LP problems. However, since solution methods are complex and time-consuming, a common approach has been to use modified formulations to provide upper and lower bounds on the two-stage stochastic LP problem. One approach is to use an expected value problem, which provides upper and lower bounds. Another approach is to use “walt-and-see” problem to provide upper and lower bounds. The objective of this paper is to propose a modified approach of “wait-and-see” problem to provide an upper bound and to compare the relative error of optimal value with various upper and lower bounds. A computing experiment is implemented to show the relative error of optimal value with various upper and lower bounds and computing times.

PARALLAX ADJUSTMENT FOR REALISTIC 3D STEREO VIEWING OF A SINGLE REMOTE SENSING IMAGE

  • Kim, Hye-Jin;Choi, Jae-Wan;Chang, An-Jin;Yu, Ki-Yun
    • Proceedings of the KSRS Conference
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    • 2007.10a
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    • pp.452-455
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    • 2007
  • 3D stereoscopic viewing of large scale imagery, such as aerial photography and satellite images, needs different parallaxes relative to the display scale. For example, when a viewer sees a stereoscopic image of aerial photography, the optimal parallax of its zoom-in image should be smaller than that of its zoom-out. Therefore, relative parallax adjustment according to the display scale is required. Merely adjusting the spacing between stereo images is not appropriate because the depths of the whole image are either exaggerated or reduced entirely. This paper focuses on the improving stereoscopic viewing with a single remote sensing image and a digital surface model (DSM). We present the parallax adjustment technique to maximize the 3D realistic effect and the visual comfort. For remote sensing data, DSM height value can be regarded as disparity. There are two possible kinds of methods to adjust the relative parallax with a single image performance. One is the DSM compression technique: the other is an adjustment of the distance between the original image and its stereo-mate. In our approach, we carried out a test to evaluate the optimal distance between a single remote sensing image and its stereo-mate, relative to the viewing scale. Several synthetic stereo-mates according to certain viewing scale were created using a parallel projection model and their anaglyphs were estimated visually. The occlusion of the synthetic stereo-mate was restored by the inpainting method using the fields of experts (FoE) model. With the experiments using QuickBird imagery, we could obtain stereoscopic images with optimized parallax at varied display scales.

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Estimation of nursing costs for hospitalized patients using the resource-based relative value scale (상대가치(Resource-Based Relative Value)를 이용한 간호행위별 간호원가 산정)

  • Park, Jung-Ho;Song, Mi-Sook;Sung, Young-Hee;Cho, Jung-Sook;Sim, Won-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.5 no.2
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    • pp.253-280
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    • 1999
  • A cost analysis for hospitalized patients was performed based on the RBRVS in order to determine an appropriate nursing fee schedule. The study was conducted through three phases as follows: 1) Nursing activities provided for the inpatients currently in Korea were identified and classified using a taxonomy which was developed by our research team through the Delphi process. 2) The resource-based relative points for every nursing activity according to nursing time, mental effort and judgement, technical skill, physical effort and stress were determined through a survey of 300 clinical RNs working at 5 tertiary hospitals from May 25 to July 25. 1998. 3) The nursing cost of every nursing activity for hospitalized patients was estimated based on the RBRVS. As a result, 136 nursing activities were identified and classified by nursing processes and nursing domains. However, our classification system of nursing activities should continue to be refined, and all nursing practices should be standardized. The nursing activities were given resource-based relative points ranging from 100 to 400 points, then each nursing activity was assigned a value for the RBRVS, which was determined by the exponential function of 2resource-based relative point/100. Thus, a value of 2 was calculated for 100 points, 4 for 200 points, 8 for 300 points, and 16 for 400 points. Meanwhile, the unit cost of nursing was calculated as 170 Won. The nursing cost of 136 nursing activities was estimated using the RBRVS as shown in

    . A proper nursing fee schedule for a new reimbursement system based upon the results of the above study should be prepared in the near future.

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  • Estimation of Nursing Cost for Hemodialysis Using RBRVS(Resource Based Relative Value Scale);Severe Hemodialysis Patients (자원기준 상대가치를 이용한 혈액투석실 간호원가 산정;중증 대상자를 중심으로)

    • Kim, Moon-Sil;Han, Su-Jung;Kim, Jung-A;Kim, Ji-Hyun
      • Journal of Korean Academy of Nursing Administration
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      • v.11 no.1
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      • pp.33-44
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      • 2005
    • Purpose: This study was aimed to estimate nursing cost for hemodialysis of tertiary hospitals using Resource Based Relative Value Scale(RVRBS). Method: First, we calculated nursing workload of the each hemodialysis-nursing behaviors compared with basic nursing behavior(check vital sign) for the most severe hemodialysis patients in general hospitals. Second, we measured each spent time according to each nursing behaviors. Third, we computed Resource Based Relative Value(RBRV) scores and nursing expenses of each 14 nursing behavior for hemodialysis. Finally, we estimated nursing cost of each hemodialysis-behavior for the most severe hemodialysis-patients in general hospitals. Result: The mean RBRV scores for each nursing behaviors were from 218.9 to 383.9 points. The highest RBRV socres were 383.9(Complication during hemodialysis). The Nursing behavior that spent the most time was "access the vascular( 31.7 minutes)". Nursing cost per hemodialysis for the patient with severe condition was estimated 63,455(won). Conclusion: Total average workload was 347.6 points and total spent time was 306.5 minutes for 14 hemodialysis nursing behaviors provided to severe patients. There were clear differences in nursing workload and cost according to patient's severity-mild, moderate and severe class.

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    Methods and Applications to estimate the Conversion Factor of Resource-based Relative Value Scale for Nurse-Midwife's Delivery Service in the National Health Insurance (조산원(助産院)의 분만간호서비스에 대한 건강보험수가 산출방법과 적용방안)

    • Kim, Jin-Hyun;Jung, Yoo-Mi
      • Journal of Korean Academy of Nursing
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      • v.39 no.4
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      • pp.574-583
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      • 2009
    • Purpose: This paper analyzed alternative methods of calculating the conversion factor for nurse-midwife's delivery services in the national health insurance and estimated the optimal reimbursement level for the services. Methods: A cost accounting model and Sustainable Growth Rate (SGR) model were developed to estimate the conversion factor of Resource-Based Relative Value Scale (RBRVS) for nurse-midwife's services, depending on the scope of revenue considered in financial analysis. The data and sources from the government and the financial statements from nurse-midwife clinics were used in analysis. Results: The cost accounting model and SGR model showed a 17.6-37.9% increase and 19.0-23.6% increase, respectively, in nurse-midwife fee for delivery services in the national health insurance. The SGR model measured an overall trend of medical expenditures rather than an individual financial status of nurse-midwife clinics, and the cost analysis properly estimated the level of reimbursement for nurse-midwife's services. Conclusion: Normal vaginal delivery in nurse-midwife clinics is considered cost-effective in terms of insurance financing. Upon a declining share of health expenditures on midwife clinics, designing a reimbursement strategy for midwife's services could be an opportunity as well as a challenge when it comes to efficient resource allocation.

    Measurement of Physician's Work for Korean Medicine Services Using Analytic Hierarchy Process (계층화 분석법(Analytic Hierarchy Process)을 활용한 한의사 업무량 산출)

    • Lim, Byung-Mook;Kwon, Hyuk-Sang;Han, Chang-Ho;Shin, Byung-Cheul
      • Journal of Society of Preventive Korean Medicine
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      • v.13 no.1
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      • pp.105-115
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      • 2009
    • Background: The resource-based relative value scale has been applied to Korean medicine services as part of the National Health Insurance, yet the proper scoring method for physician's work needs to be developed. Objectives: To measure physician's work for Korean medicine services using Analytical Hierarchy Process(AHP) and to compare results abstracted by AHP with those by Magnitude Estimation method. Methods: We developed the AHP questionnaires for Korean Medicine services and administered it to 12 Korean medicine insurance experts. Weighted scores were calculated and were converted into physician's work scores. Results: In AHP measurement, the physician's work scores for acupuncture activities, especially special acupunctures, far increased, while those for diagnosis and basic consultations decreased. Variations in the scores enlarged. Conclusions: As an alternative, AHP method can be considered for measuring the physician's work for Korean medicine services with careful management of scoring variation.

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    A Study of Facility Location Model Under Uncertain Demand (수요가 불확실한 경우의 장소입지 결정모형 연구)

    • 이상진
      • Korean Management Science Review
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      • v.15 no.1
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      • pp.33-47
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      • 1998
    • The facility location problem considered here is to determine facility location sites under future's uncertain demand. The objective of this paper is to propose a solution method and algorithm for a two-stage stochastic facility location problem. utilizing the Benders decomposition method. As a two-stage stochastic facility location problem is a large-scale and complex to solve, it is usually attempted to use a mean value problem rather than using a stochastic problem. Thus, the other objective is to study the relative error of objective function values between a stochastic problem and a mean value problem. The simulation result shows that the relative error of objective function values between two problems is relatively small, when a feasibility constraint is added to a facility location model.

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