• 제목/요약/키워드: specialty

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전문 질환에 대한 전문병원의 권역내·외 시장점유율 비교 (Market share of specialty hospitals in the region and out of the region)

  • 함명일;김지은;강윤정;이혜원;김선정
    • 한국병원경영학회지
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    • 제28권1호
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    • pp.14-23
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    • 2023
  • Purposes: The Specialty hospital designation policy had launched in 2011 and 110 designated specialty hospitals have been operating nationwide in 2022. This study was to estimate the market share of specialty hospitals for the specific diseases compared to other types of hospitals. Methodology: Data were derived from the National Health Insurance Claim data from 2018 to 2019. Subjects were all the inpatients with MDC(Major Disease Category) that specialty hospitals specialized in. A total of 34,231,387 claims were analyzed to estimate the market share. Findings: 90 specialty hospitals were responsible for 2.4 percent of inpatient care with specific diseases for specialty hospitals. There were regional variations in the market share of the specialty hospitals as the number of specialty hospitals in regions. Specialty hospitals' market shares were relatively high in burn(31.3%), ophthalmology(16.4%), obstetrics and gynecology(7.1%), alcohol(6.0%), joint(3.7%), spine(2.7%). After adjusting the number of inpatients per hospital, hospitals specialized in burn, alcohol, ophthalmology, breast, joint, obstetrics and gynecology, and hand replantation had treated more patients than tertiary hospitals. Practical Implications: Although specialty hospitals' market share was small, some types of specialty hospitals had an impact on the regional market as well as the national level market. To improve patients' accessibility to a specialty hospital, it is necessary to government supports non-specialized hospitals to change into specialty hospitals in certain fields and regions where the number of specialty hospitals is insufficient.

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콘크리트의 휨성능 증진 및 균열제어에 대한 특수 가공된 셀룰로오스섬유의 효과 (Effects of Specialty Cellulose Fibers on Improvement of Flexural Performance and Control of Cracking of Concrete)

  • 원종필;박찬기
    • 콘크리트학회논문집
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    • 제12권2호
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    • pp.89-98
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    • 2000
  • The mechanical properties of specialty cellulose fiber reinforced concrete and the contribution of specialty cellulose fiber to drying shrinkage crack reduction potential of concrete and theirs evaluation are presented in this paper. The effects of differing fiber volume fraction(0.03%, 0.06%, 0.08%, 0.1%, 0.15%, 0.2%) were studied. The results of tests of the specialty cellulose fiber reinforced concrete were compared with plain and polypropylene fiber reinforced concrete. Flexural performance(flexural strength and flexural toughness) test results indicated that specialty cellulose fiber reinforcement showed an ability to increase the flexural performance of normal- and high- strength concrete(as compared to plain and polypropylene fiber reinforced concrete). Optimum specialty cellulose fiber reinforced concrete were obtianed using 0.08% fiber volume fraction. Drying shrinkage cracking test results confirmed specialty cellulose fibers are effective in reducing the drying shrinkage cracking of normal and high-strength concrete(as compared to popylene fiber reinforced concrete).

특수 가공된 셀룰로오스섬유보강 콘크리트의 초기 특성 (Properties of Specialty Cellulose Fiber Reinforced Concrete at Early Ages)

  • 원종필;박찬기
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 1999년도 봄 학술발표회 논문집(I)
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    • pp.349-354
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    • 1999
  • Specialty cellulose fibers processed for the reinforcement of concrete offer relatively high levels of elastic modulus and bond strength. The hydrophilic surfaces of specialty cellulose fibers facilitate their dispersion and bonding in concrete. Specialty cellulose fibers have small effective diameters which are comparable to the cement particle size, and thus promote close packing and development of dense bulk and interface microstructure in the matrix. The relatively high surface area and the close spacing of specialty cellulose fibers when combined with their desirable mechanical characteristic make them quite effective in the suppression and stabilization of microcracks in the concrete matrix. The properties of fresh mixed specialty cellulose fiber reinforced concrete and the contribution of specialty cellulose fiber to the restrained shrinkage crack reduction potential of cement composites at early age and theirs evaluation are presented in this paper. Results indicated that specialty cellulose fiber reinforcement showed an ability to reduce the total area significantly (as compared to plain concrete and polypropylene fiber reinforced concrete.

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Changes in Specialty Coffee Consumption Post-pandemic

  • Lim, Miri;Ryu, Gihwan
    • International journal of advanced smart convergence
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    • 제11권3호
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    • pp.157-161
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    • 2022
  • The coffee industry continues to grow steadily due to the spread of coffee and changes in consumer awareness. Once upon a time, instant coffee was common, People today have distinct personal preferences As consumption needs for favorite foods are segmented, ways to enjoy coffee are diversifying. This study was conducted through analysis of consumption changes for specialty coffee as a changed issue of COVID-19 The goal is to present a vision for the future of the specialty coffee industry. As a research method, text mining through big data analysis was conducted to extract and analyze factors affecting the change in specialty coffee consumption. As a result of the study, we judged that specialty coffee is consumed by using a drip tool that allows you to easily enjoy coffee at home after Corona 19. Therefore, hand drips used in home cafes were found to play a central role in the change in specialty coffee consumption.

전문병원과 비전문병원 입원환자의 의료이용 비교 분석: 인공관절치환술(슬관절)을 대상으로 (Comparison of Inpatient Medical Use between Non-specialty and Specialty Hospitals: A Study Focused on Knee Replacement Arthroplasty)

  • 김미성;정형선;유기봉;강제구;장한솔;이광수
    • 보건행정학회지
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    • 제34권1호
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    • pp.78-86
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    • 2024
  • 연구배경: 본 연구를 통해 전문병원과 비전문병원에서 인공관절치환술(슬관절)을 받은 입원환자를 대상으로, 전문병원 지정 여부에 따른 입원환자의 의료이용을 비교하여 전문병원제도의 효과성을 파악하고자 한다. 방법: 본 연구는 2021-2022년 건강보험심사평가원(Health Insurance Review and Assessment Service) 요양급여비용 청구자료를 활용하였다. 종속변수는 입원환자의 의료이용으로, 건당 진료비와 재원일수를 선정하였다. 독립변수는 전문병원 지정 여부이며, 통제변수는 환자 단위 변수(연령, 성별, 보험자 유형, 수술 유형 및 Charlson comorbidity index)와 의료기관 단위 변수(설립 구분, 종별 구분, 소재지, 정형외과 의사 수 및 간호사 수)를 선정하였다. 결과: 건당 진료비와 전문병원 지정 여부 간 다중회귀분석 결과, 건당 진료비와 전문병원 지정 여부 간 통계적으로 유의미한 음(-)의 관계가 있었다. 이는 전문병원이 비전문병원에 비해 건당 진료비가 유의하게 낮다는 것을 의미하며, 전문병원과 비전문병원의 입원환자 간 의료이용 결과에 차이가 있음을 시사한다. 결론: 본 연구의 정책적 시사점은 다음과 같다. 첫째, 전문병원 지정기준의 완화가 필요하다. 본 연구결과, 전문병원이 비전문병원에 비해 건당 진료비가 유의하게 낮은 것으로 나타났다. 이러한 전문병원의 비용 효과성에도 불구하고 전문병원 지정에 대한 높은 진입장벽으로 인해 수도권 및 대도시 지역에 전문병원이 집중되어 있다. 전문병원의 지역불균형을 해소하기 위해 "준전문병원(가칭)"을 도입하는 등 비수도권 전문병원 지정기준을 완화한다면, 지역간 건강격차 해소 및 의료비 절감의 효과를 불러올 것으로 판단된다. 둘째, 병원 의료인력 규모의 적정성을 판단할 필요가 있다. 본 연구결과, 정형외과 의사 수 및 간호사 수에 따라 건당 진료비에 영향을 미치는 것으로 나타났다. 따라서 병원 의료인력 적정 배분을 바탕으로 의료서비스의 비용 효과성을 극대화함으로써 의료비를 절감하는 효과를 불러올 수 있을 것으로 판단된다.

Enhancement of Optical Performance by Light Diffusion Films

  • Seo, M.S.;Yoon, J.S.;Heo, J.U.;Kim, S.S.;Moon, C.W.
    • 한국정보디스플레이학회:학술대회논문집
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    • 한국정보디스플레이학회 2004년도 Asia Display / IMID 04
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    • pp.1262-1265
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    • 2004
  • To increase the performance of the light diffusion films, we controlled the three dimensional microstructure of the organic fillers(beads). The refractive index, the size distribution and the three dimensional distribution of beads play an important role to determine the performance of light diffusion films for the backlight unit of TFT-LCD.

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전문병원 지정이 재무성과에 영향을 미치는 요인에 관한 연구 : 전문병원제도 시행전후 비교 (A Study on the Factors of the Special Hospital Designation System that Affect Financial Performance: Comparison Before and After the Implementation of the Specialty Hospital System)

  • 김문겸;김순철;조임수
    • 보건의료산업학회지
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    • 제10권1호
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    • pp.13-26
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    • 2016
  • Objectives : The aim of this study was to investigate whether there is a difference in the factors affecting the financial performance and profitability before and after the specialty hospital designation and thereby identifying the differentiated significance of the financial performance of specialty hospitals. Methods : Based on the year 2011, the analysis period was divided into the pre-specialty hospital designation (2007-2010) and post-specialty hospital designation (2011-2014), and the data were pooled according to the respective analysis period and analyzed by descriptive statistics and regression analysis. Results : The difference in the financial factors that affected the financial performance and profitability before and after the specialty hospital designation was discovered, and a financial performance factor different from prior studies was found. Conclusions : This study identified improved outcomes in financial performance due to the specialty hospital designation and the factors that affect profitability in terms of the finance of specialty hospitals.

전문병원 병원장의 리더십이 조직유효성과 고객지향성에 미치는 영향 (The Effect of Specialty Hospital CEO Leadership Style on Hospital Organizational Effectiveness and Customer Orientation)

  • 이철우;이재희
    • 한국병원경영학회지
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    • 제20권4호
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    • pp.31-49
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    • 2015
  • The purpose of this study is to propose an effective leadership in the hospital management by analyzing the relationship of the effect of the specialty hospital CEO's leadership on the employees' organizational effectiveness as well as the customer orientation, and the mediation effects of the organizational effectiveness on the relation between hospital CEO's leadership and the customer orientation. The questionnaires of the survey targeting the 99 specialty hospitals were collected that 786 copies of them were utilized in analysis. The major outcomes of the research can be summarized as follows. Firstly, transformational leadership of specialty hospital CEO generally has the greater impact on the employees' job satisfaction, organizational commitment and turnover intention than his transactional leadership. Secondly, the most important sub-variable of specialty hospital CEO leadership affecting the organizational effectiveness of the employees are charisma of transformational leadership and contingent reward of transactional leadership. Thirdly, the sub-variable of specialty hospital CEO leadership which has the greatest impact on customer orientation of employees is the active management-by-exception of transactional leadership. Fourthly, the sub-variables in the organizational effectiveness such as job satisfaction, organizational commitment and the turnover intention of hospital employees play mostly the partial mediation role between the customer orientation of employees and the leadership of a specialty hospital CEO. This means that the more the organizational effectiveness of specialty hospital employees improves, the more the customer orientation does. Thus, specialty hospital CEOs need to pay attention to the sub-variables in organizational effectiveness so as to improve the customer orientation of the employees. To explore further the nature of the effect of hospital leadership in the future, apart form the variables of the organization effectiveness used in this study to improve the customer orientation of employees through the leadership of the specialty hospital CEO, the research to identify other factors which have greater influence and explanatory power will be needed.

전문건설업체 측면에서 전문공종 시공업무 장애 요인에 관한 연구 (A Study on the Obstacle Factors of Construction Works in terms of the Specialty Contractors)

  • 양진국;이기훈;이상범
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2021년도 봄 학술논문 발표대회
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    • pp.155-156
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    • 2021
  • Most of the construction works in domestic are not direct undertaking work, but by a contract method including subcontracting. Therefore, a general contractor for each project jointly carry out construction work with a specialty contractor for each engineering type. However, in terms of contract, this method is not a joint venture contract, but a subcontract. Accordingly, this system can cause various problems between the prime contractor and the subcontractor. Therefore, this study aims to extract and present the actual obstacle factors in terms of specialty contract company performing specialty construction work for construction project. The presented contents are expected to present the standard for the cooperation system that the prime contractor and the subcontractor can win-win.

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