• Title, Summary, Keyword: admission cost

Search Result 76, Processing Time 0.035 seconds

Opportunistic Routing for Bandwidth-Sensitive Traffic in Wireless Networks with Lossy Links

  • Zhao, Peng;Yang, Xinyu
    • Journal of Communications and Networks
    • /
    • v.18 no.5
    • /
    • pp.806-817
    • /
    • 2016
  • Opportunistic routing (OR) has been proposed as a viable approach to improve the performance of wireless multihop networks with lossy links. However, the exponential growth of the bandwidth-sensitive mobile traffic (e.g., mobile video streaming and online gaming) poses a great challenge to the performance of OR in term of bandwidth guarantee. To solve this problem, a novel mechanism is proposed to opportunistically forwarding data packets and provide bandwidth guarantee for the bandwidth-sensitive traffic. The proposal exploits the broadcast characteristic of wireless transmission and reduces the negative effect of wireless lossy links. First, the expected available bandwidth (EAB) and the expected transmission cost (ETC) under OR are estimated based on the local available bandwidth, link delivery probability, forwarding candidates, and prioritization policy. Then, the policies for determining and prioritizing the forwarding candidates is devised by considering the bandwidth and transmission cost. Finally, bandwidth-aware routing algorithm is proposed to opportunistically delivery data packets; meanwhile, admission control is applied to admit or reject traffic flows for bandwidth guarantee. Extensive simulation results show that our proposal consistently outperforms other existing opportunistic routing schemes in providing performance guarantee.

Medical expenses and lost productivity costs due to the medical use of research arthropathy disease (관절병증 질환자의 의료이용에 따른 의료비 및 생산성 손실비용 연구)

  • Yoo, In Sook
    • The Journal of the Convergence on Culture Technology
    • /
    • v.2 no.2
    • /
    • pp.51-63
    • /
    • 2016
  • The aim of this study was to investigate medical expenses and productivity lost costs associated with medical use of arthropathy disease. For this study, Using by Korea Medical pannel 5434 family and 15872 people in 2012, the enrolled 19-year-old arthropathy were considered and 1370 people were analyzed. Research Method was medical management calculation formular. Emergency medical using cost was 42,128,870 won per year, productivity lost costs was 98,640,000 won per year. Admission medical using times were 4.79, medical cost was 42,128,870 won, productivity lost cost was 945,036,820 won. Out patient clinic using time per year were 12.7, medical cost was 42,128,870 won, productivity lost cost was 91,252,728,000 won. According to this study, athropathy disease could affect to medical cost increasing and productivity decreasing, therefore I suggest that exercise and management for decreasing athropathy disease.

Analysis on the Relating Factors of Profitability of Korean Public Corporation Medical Centers(KPCMCs) (지방공사 의료원의 수익성 관련요인 분석)

  • Moon, Jae-Woo;Park, Jae-San
    • Korea Journal of Hospital Management
    • /
    • v.9 no.2
    • /
    • pp.102-127
    • /
    • 2004
  • The objective of this study is to analyze a current trend of and relating factors on profitability of the Korean Public Corporation Medical Centers(KPCMCs, hereinafter, hospitals) in Korea. There are 34 hospitals in Korea as of 2004. Among these hospitals some are red ink hospitals, others are black inks in terms of profitability. Data were collected by Korea Health Industry Development Institute(KHIDI) Statistics for Hospital Management 2000-2002 and Ministry of Health and Welfare(MOHW) financial data of public hospitals which was planned to coordinate public health care services roadmap in the long run. The samples are 32 hospitals. Profitability was measured in the aspect of profit rate with normal profit to total assets, and normal profit to gross revenues as dependent variables in respective. Independent variables were classified by general factors, i.e., location, intern/resident training, period of opening, number of beds, and managerial factors(current ratio, fixed ratio, liability to total assets, total assets turnover, personnel costs, materials cost, administrative cost), and finally factors related to patient treatment(average length of stay, bed occupancy rate, admission ratio of outpatients). The methods of analysis are correlation and multiple regression analysis. This study shows firstly, a lot of hospitals are optimal current ratio. Hospitals in upper 100% current ratio are 81.2%. And the personnel cost in total costs are high. Secondly, the trend of normal profit to gross revenues of hospitals are deteriorating gradually. And lastly, as a result of multiple regression analysis, the factors had on significant effect on normal profit to total assets are fixed ratio(+), liability to total assets(-), bed occupancy rate(+), admissions of outpatients(+), etc. And the factors had on significant effect on normal profit to gross revenues are current ration(+), fixed ratio(+), personnel cost(-), administrative expenses(-), admissions of outpatients(+), etc. In conclusion, to improve the profitability of hospitals, the efforts to reduce personnel cost and average length of stay might be needed. And also beds utilization rate need to be increased.

  • PDF

Hierarchical Genetic Algorithm and Fuzzy Radial Basis Function Networks for Factors Influencing Hospital Length of Stay Outliers

  • Belderrar, Ahmed;Hazzab, Abdeldjebar
    • Healthcare Informatics Research
    • /
    • v.23 no.3
    • /
    • pp.226-232
    • /
    • 2017
  • Objectives: Controlling hospital high length of stay outliers can provide significant benefits to hospital management resources and lead to cost reduction. The strongest predictive factors influencing high length of stay outliers should be identified to build a high-performance prediction model for hospital outliers. Methods: We highlight the application of the hierarchical genetic algorithm to provide the main predictive factors and to define the optimal structure of the prediction model fuzzy radial basis function neural network. To establish the prediction model, we used a data set of 26,897 admissions from five different intensive care units with discharges between 2001 and 2012. We selected and analyzed the high length of stay outliers using the trimming method geometric mean plus two standard deviations. A total of 28 predictive factors were extracted from the collected data set and investigated. Results: High length of stay outliers comprised 5.07% of the collected data set. The results indicate that the prediction model can provide effective forecasting. We found 10 common predictive factors within the studied intensive care units. The obtained main predictive factors include patient demographic characteristics, hospital characteristics, medical events, and comorbidities. Conclusions: The main initial predictive factors available at the time of admission are useful in evaluating high length of stay outliers. The proposed approach can provide a practical tool for healthcare providers, and its application can be extended to other hospital predictions, such as readmissions and cost.

Examination of Individual, School, and Parent/Household Factors Affecting Private English Tutoring Costs of College Students (대학생의 영어 사교육 비용에 미치는 개인, 학교, 및 부모/가구요인에 대한 연구)

  • Kim, Jung Eun
    • The Korean Journal of Community Living Science
    • /
    • v.28 no.3
    • /
    • pp.429-446
    • /
    • 2017
  • The current study aims to identify factors associated with private tutoring of college students in Korea. For this purpose, this study used the Korean Education and Employment Panel survey, which contains items regarding whether or not college students receive private tutoring as well as the monthly costs of private lessons. The current study focuses on private English lessons due to the very low response rates of other types of private tutoring. For the analysis, the 5th wave of KEEP collected in 2008 was selected, and a Heckman selection model was employed, including three categories of variables: individual, school, and parent/household factors. The results have revealed that for the selection model (receiving private English tutoring or not), having received private lessons in high school, gender, and level of satisfaction regarding the respondent's current university were significant. In terms of the outcome model (cost for private English tutoring in college), university admission type (rolling vs. regular), living with parents, school type (4-yr university vs. others), being in debt to cover private lesson fees in high school, and monthly household income had significant effects. This article also discusses the results and implications for future research and policy makers.

A study of Simulations on the Changes of Physician's Practice Patterns in University Hospitals after the Introduction of DRG in Obstetrics and Gynecology (산부인과 포괄수가제 도입에 따른 일개 대학병원의 진료행태 변화 모의실험 연구)

  • Shin, Sam-Chul;Kim, Jong-Soo
    • Journal of Digital Convergence
    • /
    • v.11 no.6
    • /
    • pp.289-298
    • /
    • 2013
  • The objective of this study was to predict the changes in the duration of hospital stay, hospital admission fee, costs of drugs, changes in laboratory cost, material cost, total medical cost, adjusted amount of treatment and the efficacy of obstetrics and gynecology DRG system. The cost of drugs showed the greatest change and was followed by materials for medical examinations and the change in methods of medical examinations. In the analysis of the quantity of medical service the profit of medical examinations were influenced mostly by the duration of hospital stay. The results and data in this study could be used as a basis of future DRG system protocols and will be utilized so that hospitals can build a efficient medical system.

A Efficient Distributed Connection Admission Control Framework in Next Generation Mobile Networks (차세대 모바일 네트워크를 위한 분산처리 방식의 효율적인 호 수락 제어 구조)

  • Kim, Hyo-Eun;Kim, Won-Tae;Park, Yong-Jin
    • Proceedings of the Korean Information Science Society Conference
    • /
    • /
    • pp.671-676
    • /
    • 2006
  • 차세대 이동 네트워크에서는 다양한 무선 접속 기술이 공존하게 된다. 이에 따라, 다양한 무선망을 지원하기 위한 분산방식의 호 수락 제어 구조인 SmartCAC를 제안한다. 우리는 네트워크간 정보 수집이 필요없는 분산방식을 위하여 모바일노드와 네트워크간의 상호동작을 이용한다. SmartCAC는 기본적으로 VHO call과 new call의 구분을 가능하도록 함으로써 VHO call에 handoff를 위해 예약된 채널을 사용할 수 있도록 한다. 또한, 이종망에서 네트워크 필터링을 할 수 있도록 모바일노드의 스피드를 이용한다. 이 때 효율적인 호 수락 제어 방식을 위하여 QoS 요구와 네트워크 사용에 대한 cost를 다룬다. 특히 우리는 이종망의 상태정보를 알 수 없는 모바일 노드가 네트워크의 상태정보를 받아 비교할 수 있도록 확장된 프로토콜을 제시하고, 시뮬레이션 연구에서 복잡도와 프로토콜 효율성에 따른 SmartCAC 평가를 수행하여 복잡도는 낮추고 효율성은 높이는 결과를 얻는다.

  • PDF

How to Manage the Pediatric Nutritional Support Team: Updates

  • Yang, Hye Ran
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • v.15 no.2
    • /
    • pp.79-84
    • /
    • 2012
  • Pediatric patients in hospital are at risk of malnutrition at admission and even during their hospitalization. Although the concept of nutritional support team (NST) was introduced to hospitals for optimal nutritional care since 1960s and the benefits of pediatric NST have been proven by many studies and reports in terms of patient clinical outcome and cost saving, the pediatric NST is not widespread yet. The pediatric NST composed of pediatricians, dieticians, pharmacist, and nutrition support nurses as core members dedicated to nutritional care in children should be independent of central NST or other disciplines, but closely cooperate with other teams in hospitals. There is no doubt that a multidisciplinary NST is an effective way to provide appropriate nutritional support to an individual patient. Therefore, the implementation of the pediatric NST in hospitals should be recommended to provide optimum nutritional support including enteral tube feeding and parenteral nutrition and to assess pediatric patients at risk of malnutrition.

A Qualitative Analysis on Familial Caregivers' Burden in Utilizing a Nursing Home for the Elderly (유료 노인전문요양원 이용 경험에 관한 질적 연구)

  • 김완희;박종연;이지전;강임옥
    • Health Policy and Management
    • /
    • v.13 no.1
    • /
    • pp.1-22
    • /
    • 2003
  • The principal objective of this study was to analyze and conceptualize the socio-psychological burden in utilizing a nursing home for elderly. The subjects were five elderly from a private nursing home located in Seoul and their familial caregivers. An old male and three females were currently staying at the facility, and a female had been discharged already from there. Data were collected through depth interviews, observations and review of records at the facility For analysis, the data were classified by similar contents among significant expressions and factors in common. The subjects' motives to consider admission to the nursing home might be attributed to familial caregivers' burden, a shortage of support, environmental improvement and feeling of helplessness for the case elderly. The concept of burden is including family members' being badly off in living, their weariness, complications among family members, feeling psychological uneasiness, and hospital expenses. The identified image of nursing homes for the elderly in Korea was generally negative at the point of high cost, unreasonable requisites and limitations for admission to the facilities, inferior situations, and especially in that there were few long-term care facilities within the community boundary. From their experience of nursing homes, the interviewees have felt the sentiments of sorry for their old parents, with the thought of being an undutiful, bitterness, and empathy. Additionally, they expressed a sense of anxiety of relative deprivation against the fact that there were no long-term care facilities available for the middle class. On the basis of these, multi-dimensional needs could be identified for the elderly with chronic illnesses.

Analysis of Nursing Activities and Cost of Nursing Service Based on the ABC System (활동기준원가계산(ABC)을 이용한 간호활동 분석 및 간호서비스 원가분석;일 산부인과 간호단위를 중심으로)

  • Kang, Kyeong-Hwa
    • Journal of Korean Academy of Nursing Administration
    • /
    • v.5 no.2
    • /
    • pp.389-400
    • /
    • 1999
  • The purpose of this study is to examine a possibility of applying the ABC system to analyze the cost of nursing service on one obstetrics and gynecology (OB/GYN) unit in a major medical center. The activities of nurses on an OB/GYN unit were analyzed for 4 days for 96 hours. 2 week days and 2 days on weekend. Total cases included in the study were activities of 12 charge nurses and 12 staff nurses. Activities were categorized into direct and indirect activities in order to calculate the cost of activities. Nursing activities were defined multidimesionally in order to utilize the ABC system. The 60 nursing activities were classified into the direct nursing activities and the indirect nursing activities based on a literature review, interview, and survey results. The direct activities were further categorized into the single nursing activities and the multiple nursing activities. The indirect activities were classified into the indirect nursing service activities and the general management activities. The major findings of this study were as follows : 1. There were differences in activities according to the positions and duties of the nurses. The charge nurses mostly performed the indirect nursing service activities and the general management activities. Almost all of their indirect nursing activities spent on each patient were similar. The staff nurses performed the single nursing activities and the multiple nursing activities. 2. The activities of staff nurses included medication, patient assessment, rounding and organizing the unit. patient education, nursing treatment, admission and discharging of patients. There was no differences in types and amount of time spent between the nurses on day-time duty and evening-time duty, but the patient assessment activity increased during the night-time. 3. The cost of post partum nursing services for women who had a normal vaginal delivery using the ABC system included the cost incurred by direct nursing activities provided by the staff nurses (85.9%), indirect nursing activities incurred by the staff nurses(19.0%) and the nursing activities by the charge nurses and the head nurse(14.1%). The ABC system is a relatively new method of cost analysis. The results of this study can provide the nursing and hospital managers with useful information on cost control. It is suggested that more studies should be done using the ABC system and extend the scope of studies to include value analysis to aid the Activity-Based Management(ABM) and/or the reengineering of hospital process.

  • PDF