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The analysis of medical care behaviors influencing New Diagnosis-Related Groups (DRG) based payment - focused on hospitalized patients with medical illness (신포괄수가에 영향을 미치는 의료행태 요인 분석 - 내과 입원환자 중심으로)

  • Lee, Kyunghee;Wi, Seung Bum;Kim, Suk Il;Choi, Byoong Yong
    • Korea Journal of Hospital Management
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    • v.25 no.2
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    • pp.45-56
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    • 2020
  • Purpose: The purpose of this study is to investigate medical care behaviors influencing accuracy of the payment based New diagnosis-related groups (DRG) compared to fee for service (FFS) in hospitalized patients with medical illness. Methodology: In order to estimate the difference in medical costs between New DRG and FFS depending on medical care behaviors, medical records and hospital claims data (n=4,232) were utilized, which were collected from a single public hospital during the first-half of 2018. Data were analyzed by descriptive statistics, t-test, chi-square test, and multivariate binary logistic regression. Findings: The average difference in medical costs between New DRG and FFS were KRW 506,711±13,945 with incentives and KRW -51,506±12,979 without incentives, respectively. Forty-four point two percent (44.2%, n=1,872) of total subjects were shown to have negative compensation in overall medical costs with New DRG compared to the costs with FFS. Medical care behaviors that affected on the negative compensation were the presence of severe bed sores on admission, medical consultations, death, operations, medications and laboratory or imaging tests with unit price over KRW 100,000, hospital-acquired complications or underlying comorbidities, elderly patients (≧65 years), and hospitalized for more than average inpatient days defined by New DRG (p<0.001). The difference in average medical cost between New DRG and FFS for a group with mild illness was KRW -11,900±10,544, whereas it was KRW -196,800±46,364 for a group with severe illness (p<0.0001). Practical Implications: These findings suggest that New DRG payment model without incentives may incompletely cover the variation of medical costs in real clinical practice. Therefore, policy makers need to consider that the current New DRG reimbursement should be focused and refined to improve accuracy of payment on medical care resources utilized in severe and complex medical conditions.

Construction cost Prediction Model for Educational Building (학교건축의 공사비 분석 및 예측에 관한 연구)

  • Jeon Yong-Il;Chan Chan-Su;Park Tae-Keun
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • 2004.11a
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    • pp.290-295
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    • 2004
  • Along with social changes, school buildings are getting complex and diversified unlike the past. However, objective data analysis on construction costs fall short. In particular, ordering agencies are in a great need of objective and practical construction cost management for on-budget construction and procurement of quality goods. This paper analyzes the design diagram for a newly built school with an order from the Daejeon Metropolitan Office of Education, and compares the analysis with those of other kinds of buildings. The results are: the total construction cost of one school unit is 8,017,596,000 won on average; the cost is in the order of building, machinery and equipment, electricity, communications and civil engineering; as to activity, RC construction takes account of $30.3\%$ of the total construction cost. 1'he cost of school construction per M2 is 838,000 won, which is 6th highest of 11 kinds of constructions and slightly lower than 950,000 won, the average price of comparative constructions. When it comes to the percentage, school building takes mote percentage of the total cost than comparative building while machinery and equipment, electricity and communications takes slightly less percentage. Through simple regression analysis of gross coverage, this paper suggests a model formula with which the total construction cost, construction cost in accordance with activity, how much main construction materials are to be used are predictable.

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A Study on the Pattern of Wholesale and Retail Consumer Behavior in Dongdaemoon Market about the Outsourced Products in Foreign Countries (동대문시장 도.소매소비자의 구매행동 - 해외 아웃소싱 상품을 중심으로 -)

  • Lee, Eun-Hyung;Kim, Mi-Young;Lee, Hyun-Jung
    • Journal of the Korea Fashion and Costume Design Association
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    • v.10 no.3
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    • pp.27-36
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    • 2008
  • This article aims to identify the current status of outsourced production of Dongdaemun brands and to discover the consumers' perception of those outsourced products, their degree of satisfaction, and preference in purchasing those products. Moreover, the strengths and weaknesses of the outsourced products, as perceived by the consmers, have been identified, and specific methods and directions for efficient overseas outsourcing of Dongdaemun brands are suggested. This study also contains experimental works, in which I have prepared questionnaires, and my advisor have collected data. This survey was conducted on corporation managers, who directly operated clothing stores in Dongdaemun Market in December 2007. The collected data have been analyzed using SPSS 12.0 with various techniques such as t-test, paired t-test, frequency analysis and $X^2$-test. The results are summarized as the following: a) Comparison of the current outsourcing status of Dongdaemun brands showed that only eight out of the total 42 investigated companies have actually been outsourcing the production of their clothes. The biggest advantage of outsourcing was the reduced unit production cost, while low quality of products, delayed production, difficulty of control and management were shown as its disadvantages; b) the reason for purchasing clothes in Dongdaemun Market was to buy various clothing products. Comparing these reasons among different groups showed that there was a significant discrepancy in terms of trend design and copy design, in which wholesale consumers had shown a higher degree than retail consumers; c) and the preference for outsourced products of Dongdaemun brands was negative in both wholesale consumers (71.05%) and retail consumers (83.54%), as they both prefer clothes manufactured in Korea. Both groups selected the expensive price as the biggest disadvantage of Korean products, and picked design as the biggest strength of the outsourced clothes. Furthennore, both wholesale consumers (63.16%) and retail consumers (74.68%) selected Italy as the most preferred country for outsourcing clothing production. in which their reason had been their expectation for good product quality. The least preferred country for both wholesale (47.37%) and retail (50.63%) consumers was China, a country which they expected poor product quality.

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Housing Commodification in China: Housing Reform through Market (중국의 주택상품화 : 주택공급 증가를 통한 적극적 주택개혁)

  • 전현택
    • Journal of the Economic Geographical Society of Korea
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    • v.5 no.2
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    • pp.293-302
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    • 2002
  • China in the era of economic transition has conducted the housing reform policy over the past 20 years. Housing providing systems have changed from the free distributing housing system under the governmental planning to the monetary housing system for individual customers. The 1998 monetary housing distribution policy, which ended the 20-year Chinese housing reform, departed from the direct distribution system that had blocked housing commodification. The purpose of the housing reform was to provide and reproduce housing without the expenses of the Chinese government and work unit (danwei), which is different from Russia. In order to achieve the housing reform, the Chinese government introduced various policies, which enabled residents to purchase housing by themselves. However, it took long for residents, who had taken government's welfare system granted, to accept housing as goods. In addition, the Chinese government's efforts to reproduce housing by market systems failed because housing was closely linked to land and was expensive consumption goods, which differentiates housing from other goods that can be commodified through market prices and diverse ownerships. Accordingly, despite a political burden, the Chinese government waived the real distribution policy for housing. After the waiver, the housing commodification process excelled through the private housing markets.

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Effect of Plant Populations on the Number and Weight of Ear and Gross Income in Sweet Corn (재식밀도가 단옥수수의 이삭수, 이삭무게 및 조수입에 미치는 영향)

  • 이석순;백준호
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.35 no.2
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    • pp.117-121
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    • 1990
  • A sweet corn hybrid, Golden Cross Bantam 70, was grown at 5 plant populations (5,000, 6,000, 7,000, 8,000, and 9,000 plants/10a) under the transparent P .E. film mulch to find the best yield evaluation method. Plant population did not affect early plant growth, culm length, ear height, and silking date. However, number of tillers at harvest decreased but leaf area index increased with increased plant population. Marketable ears were divided into two classes; the first grade of which husked ear weight over l50g (unhusked ear weight 230g) and the second grade of which husked ear weight between 100 and 150g (unhusked ear weight between 180 and 230g) according to the whole sale market price. Average length, thickness, and weight of marketable ears over 100g of husked ears decreased with increased plant population. The proportion of ears over 150g decreased with increased plant population. However, total number and weight of marketable ears and gross income per 10a calculated considering weight and number of ears increased with plant population. There were highly positive correlations between gross income and ear number or ear weight per unit area. At high plant populations the number of marketable ears was overestimated but ear weight underestimated compared with gross income. Dry matter yield of stover increased with increased plant population and ranged 755-944kg/10a with 20.7-24.5% dry matter content. Rice black-streaked dwarf virus infection rate was 10.6-14.9%, but it was not related to plant population.

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Development of sweet potato double cropping system in the southern island area of Korea

  • Moon, Jin-Young;Shin, Jung-Ho;Song, Jae-Ki;Choi, Yong-Jo;Hong, Kwang-Pyo
    • Proceedings of the Korean Society of Crop Science Conference
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    • 2017.06a
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    • pp.267-267
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    • 2017
  • In Korea, the average air temperature has been elevated twice faster than the average global warming. And the climate warming is characterized by the smaller rise of air temperature in summer and the greater rise of air temperature in spring and winter. Therefore, the number of frost-free days to determine the cultivation ability of crops has increased by more than 15 days in 10 years according to climate warming. This climate warming trend has extended and is projected to extend not only the sweet potato growing season but also the sweet potato early cultivating area to higher altitude and latitude region. This study was carried out to evaluate the possibility of sweet potato double cropping in the southern island area of Korea by assessing the growth and yield performance of sweet potato cultivated at extremely-early and -late time. We had performed at Yokji Island Yokji Island($E128^{\circ}$ 18' $N34^{\circ}$ 36'), a representative specified complex area of sweet potato cultivation in southern Korea. As the test varieties, the major cultivars of the this region, Shinyulmi and early hypertrophic cultivars, Dahomi were used. The prior cropping were planted with PE film mulching on March 30 and April 10, and harvested after 110 days. So the succeeding cropping were planted without PE film mulching on July 25 and August 5 according to the harvesting time of the prior sweet potato and harvested after 120 days. As a control, it was harvested on September 15, 120 days after planted on May 15. Each experimental plot had an area of 12 square meters consisting of 4 beds, and was planted one at a time at intervals of 25cm. We had investigated growth characteristics - main vine length, node number, branch number, total vine yield, and tuberous root characteristics - tuberous root number, average weight, starch value, and etc. After harvesting, we analyzed the economic effects by examining the postharvest quantity, the input labor, the management cost, and the income. The total yield of marketable products in prior and succeeding cropping was 46~70% higher than that of control. The average unit price of sweet potato was 36% higher than the conventional culture, and the gross income increased by 98%, but the operating cost increased by 83%, and the farm income increased by 103%. There are considerations such as the difficulty of enlargement of cultivation area due to lack of labor in limited space and the need for watering measures due to spring drought. However, if the area of application for sweet potatoes double system is increased by 10%, it can be used as a new cropping system.

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Development of sweet potato double cropping system in the southern island area of Korea

  • Moon, Jin-young;Shin, Jung-ho;Song, Jae-ki;Choi, Yong-jo;Hong, Kwang-pyo
    • Proceedings of the Korean Society of Crop Science Conference
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    • 2017.06a
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    • pp.280-280
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    • 2017
  • In Korea, the average air temperature has been elevated twice faster than the average global warming. And the climate warming is characterized by the smaller rise of air temperature in summer and the greater rise of air temperature in spring and winter. Therefore, the number of frost-free days to determine the cultivation ability of crops has increased by more than 15 days in 10 years according to climate warming. This climate warming trend has extended and is projected to extend not only the sweet potato growing season but also the sweet potato early cultivating area to higher altitude and latitude region. This study was carried out to evaluate the possibility of sweet potato double cropping in the southern island area of Korea by assessing the growth and yield performance of sweet potato cultivated at extremely-early and -late time. We had performed at Yokji Island Yokji Island($E128^{\circ}$ 18' $N34^{\circ}$ 36'), a representative specified complex area of sweet potato cultivation in southern Korea. As the test varieties, the major cultivars of the this region, Shinyulmi and early hypertrophic cultivars, Dahomi were used. The prior cropping were planted with PE film mulching on March 30 and April 10, and harvested after 110 days. So the succeeding cropping were planted without PE film mulching on July 25 and August 5 according to the harvesting time of the prior sweet potato and harvested after 120 days. As a control, it was harvested on September 15, 120 days after planted on May 15. Each experimental plot had an area of 12 square meters consisting of 4 beds, and was planted one at a time at intervals of 25cm. We had investigated growth characteristics - main vine length, node number, branch number, total vine yield, and tuberous root characteristics - tuberous root number, average weight, starch value, and etc. After harvesting, we analyzed the economic effects by examining the postharvest quantity, the input labor, the management cost, and the income. The total yield of marketable products in prior and succeeding cropping was 46~70% higher than that of control. The average unit price of sweet potato was 36% higher than the conventional culture, and the gross income increased by 98%, but the operating cost increased by 83%, and the farm income increased by 103%. There are considerations such as the difficulty of enlargement of cultivation area due to lack of labor in limited space and the need for watering measures due to spring drought. However, if the area of application for sweet potatoes double system is increased by 10%, it can be used as a new cropping system.

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Analysis of Central Place and Hinterland using Linear programming and Probability Model of Huff (선형계획법과 허프확률모형을 이용한 농촌마을 중심지와 배후지 분석)

  • Jeon, Jeongbae;Park, Meejeong;Kim, Eunja;Choi, Jinah;Lim, Changsu
    • Journal of Korean Society of Rural Planning
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    • v.23 no.1
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    • pp.53-63
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    • 2017
  • Although some indicators for evaluating rural settlement conditions have been offered, these indicators could not reflect unique characteristics that rural has its own peculiarities. The rural area is identified with central districts functioned as service provision and hinterlands used its service. The aim of this study is to find a central district of rural villages and define range of its hinterlands using various physical characteristics of rural areas. Targeting areas are Yongsan and Hwanggan in Yeongdong-gun. The physical characteristics are represented by building density, number of shops among secondary and tertiary industries, official land price, and density of bus line. The rural central district is estimated by linear programming using defined the physical characteristics. Also its hinterlands used Huff model and social accessibility. The results of this study are as follows; (1) The physical characteristics in Hwanggan myeon is higher than Yongsan myeon because Hwanggan area has a large floating population for using Hwanggan station and ticket office; (2) The central district in Hwanggan has wider regional range than Yongsan. When central district estimate in rural areas, we suggest a grid diameter of Hexagon for controlling errors; (3) Considering accessibility, the life zone of 4 districts defined legally in Hwanggan use Yongsan and 2 legal districts in Hwanggan are possible to take advantage of Yongsan's life zone; (4) The results of survey targeting boundary villages between Yongsan and Hwanggan, individual drivers use central districts both Yongsan and Hwanggan, however users by public transportation (especially bus) go more to Hwanggan because bus lines to Hwanggan have many routes than to Yongsan. Evaluating the rural settlement conditions by national unit through grasping central districts and its hinterlands, these results can use as base line data and the evidence for regional development projects.

Development of unified communication for marine VoIP service (해상 VoIP 서비스를 위한 통합 커뮤니케이션 기술 개발)

  • Kang, Nam-seon;Yim, Geun-wan;Lee, Seong-haeng;Kim, Sang-yong
    • Journal of Advanced Marine Engineering and Technology
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    • v.39 no.7
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    • pp.744-753
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    • 2015
  • This paper presents the results of research on developing marine unified communications to provide VoIP service based on marine satellites. With the recent popularity of smart-phones and other mobile devices, the demand for Internet-based wired and wireless unified technology has been growing in marine environments, and increasing interest is being directed to VoIP products and service models with high price competitiveness and the ability to deliver a variety of services. In this regard, this research designed three instruments, developed their unit modules, and verified their performances. These three instruments included the following: (1) a marine VoIP module equipped with an analogue gateway that can be linked to the existing devices used in vessels, which is more than 80% smaller than that of a land system; (2) a text/voice/video engine for marine satellite communications that runs on technology that minimizes communication data usage, which is a core technology for a marine VoIP service; and (3) a unified communication service that can support multilateral cloud-based message conversations, telephone number-based call functions, and voice/video calling between a private space in a ship and shore.

Smart meter data transmission device and power IT system using LTE and IoT technologies (LTE와 IoT 기술을 이용한 스마트미터 데이터 전송장치와 전력 IT 시스템)

  • Kang, Ki-Beom;Kim, Hong-Su;Jwa, Jeong-Woo;Kim, Ho-Chan;Kang, Min-Jae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.10
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    • pp.117-124
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    • 2017
  • A Smart Grid is a system that can efficiently use energy by exchanging real-time information in both directions between a consumer and a power supplier using ICT technology on an existing power network. DR(Demand response) is an arrangement in which electricity users can sell the electricity they save to the electricity market when the price of electricity is high or the power system is crisis. In this study, we developed a power meter data transmission device and power IT system that measure the demand information in real-time using a smart meter and transmit it to a cloud server. The power meter data transmission device developed in this study uses alight sensor connected to a Raspberry Pi 3 to measure the number of blinking lamps on the KEPCO meter per unit of power, in order to provide reliable data without any measurement errors with respect to the KEPCO power data. The power measurement data transmission device uses the standard communication protocol, OpenADR 2.0b. The measured data is transmitted to the power IT system, which consists of the VEN, VTN, and calculation program, via the LTE WiFi communication network and stored in its MySQL DB. The developed power measurement data transmission device issues a power supply instruction and performs a peak reduction DR when a power system crisis occurs. The developed power meter data transmission device has the advantage of allowing the user to adjust it every 1 minute, where as the existing smart metering time is fixed at once every 15 minutes.