• Title/Summary/Keyword: 상대가치지수

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치면열구전색술(치아홈메우기) 건강보험 급여기준 개발

  • Lee, Sang-Ho;Lee, Gwang-Hui;Jang, Gi-Taek
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.4
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    • pp.654-666
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    • 2009
  • 우식활성이 높은 어린이와 청소년 전체를 수용할 수 있는 치면열구전색(치아홈메우기) 사업의 확대 재생산을 위한 방안으로 건강보험 급여에 포함하는 정책이 2009년 12월부터 실시됨에 따라 본 연구는 급여화 기준 설정, 상대가치지수 개발 및 수가산정, 소요 재정추계 등, 급여화 운용을 위한 제반사항을 연구, 개발하는데 그 목적이 있다. 본 연구에서는 치면열구전색술의 적응증, 실시연령, 대상치아등에 대해 문헌고찰과 함께 상기 항목에 대한 정책적인 면에서의 검토를 시행하였으며, 치과의사를 대상으로 전국규모의 설문조사를 실시하여 치면열구전색술의 상대가치지수(RBRVS)와 연계한 의사업무량을 산출하고, 행위 기술서를 작성하였으며, 직접 및 간접비용의 세부내역 산출하였다. 도출된 상대가치지수를 바탕으로 예상수가를 산정하였으며 이를 근거로 대상 연령 및 대상치아, 의료 이용율 대비 재정추계 시행하였다. 이와함께 치면열구전색술의 급여화 순조로운 정착을 위한 외국사례 연구, 보험적용추진을 위해 치면열구전색의 유지율 및 비용효과, 예방적 레진수복과의 차등화문제, 재료적 고찰, 대국민 및 시술기관 대상 홍보 사항 등 급여화에 관련된 제반 사항을 검토, 제안하였다.

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The study for grading of the mudflat by birds (조류에 의한 갯벌의 등급화 연구)

  • Lee, Ki Sup;Kim, Mi Ran;Lee, Si Wan;Lee, Han Soo
    • Journal of Wetlands Research
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    • v.6 no.1
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    • pp.105-115
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    • 2004
  • This study was carried out to grade and evaluate the intertidal mudflat by birds. The mudflat was graded by two methods such as the scoring and ranking. First, for the scoring of the mudflat, five factors were estimated; population size, the number of protected species, the individuals of protected birds, the number of species(or subspecies) over 1% level of the survival population, and 1% level of the domestic population. After scoring of these five factors, the grade was scored by total. Second, for the ranking, six factors were estimated; population size, the density of birds, the index of species diversity, species richness, species evenness, and population stability. After ranking of these six factors, the grade was relatively ranked. Five grade by scoring was the important mudflat for the value of international preservation, and the most mudflats of the estuary gained V grade. The higher grades by ranking were the mudflats of Nakdonggang and Mankyunggang river estuaries. And the inner mudflats were more valuable than the outer mudflats in Mankyunggang & Dongjingang river estuaries. The grading of the mudflat by birds can be used for estimating and appointing of the important mudflats, and suggested the objective of criteria for the effective preservation and management.

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Development of a Resource-based Relative Value Scale and Its Conversion Factor for Advanced Nursing Practices in the National Health Insurance (중환자 전문간호행위에 대한 건강보험 상대가치 및 환산지수 개발)

  • Kim, Jin-Hyun;Kim, Myung-Ae;Kim, Mi-Won;Kim, Kyung-Sook;Yoo, Cheong-Suk
    • Journal of Korean Academy of Nursing
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    • v.41 no.3
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    • pp.302-312
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    • 2011
  • Purpose: The purpose of this study was to develop a resource-based relative value scale (RBRVS) and its conversion factor for advanced nursing practices carried out by critical care nurse practitioners (CCNP) in intensive care units. Methods: The methodology was developed by calculating CCNP's RBRVS for 32 advanced nursing services based on CCNP's workload and time spent in the context of national health insurance. A cost analysis was performed to estimate the conversion factor of CCNP's RBRVS. The share of CCNP's contribution to fee-for-service in intensive care units was also analyzed. Results: Calculation of the RBRVS of 32 advanced nursing practices showed a range of points from 100.0 to 1,181.4 and an average of 296.1 points. The relevant conversion factor for advanced nursing practices in CCNP were estimated at 37.3-48.4 won. The contribution rate of CCNP's advanced nursing practices in the relative value scale of the national health insurance was estimated at 0.1-31.3%. Conclusion: Measuring the economic value of advanced nursing services will be a basis for esta-blishing a reimbursement system for CCNP's practices and thus encourage a social demand for advanced nurse practitioners.

A three-dimensional patent evaluation model that considers the factors for calculating the internal and external value of a patent: Arrhenius chemical reaction kinetics-based patent lifespan prediction (특허의 내적.외적 가치산정요인을 고려한 입체적 특허평가모델: 아레니우스 화학반응속도론 기반의 특허수명예측)

  • Choi, Yong Muk;LEE, JAEWON;Cho, Daemyeong
    • Journal of Digital Convergence
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    • v.19 no.6
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    • pp.113-132
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    • 2021
  • This study is a new evaluation using the Arrhenius equation, which is known as the chemical reaction rate estimation equation, to evaluate the intrinsic and extrinsic value elements of patents as a model. The performance of the evaluation model was superior to the SVM, Logistic reg. and ANN models that were used as patent evaluation models in prior studies. In addition, there was a strong correlation between the predicted lifespan of the patent and the actual lifespan of the patent. These evaluation models may be used for evaluation purposes only, or if an evaluation is required, including a commercialization entity or technical characteristics.

Economic Analysis and Fee Development by Relative Value Scale of Nursing Practices by Emergency Nurse Practitioner (응급전문간호행위에 대한 건강보험 상대가치 수가개발 및 경제성 평가)

  • Kim, Jin Hyun;Kim, Kyung Sook;Kim, Mi Won;Lee, Kyoung-A
    • Korean Journal of Adult Nursing
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    • v.25 no.3
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    • pp.275-288
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    • 2013
  • Purpose: The purpose of this study was to perform an economic analysis and estimate the fee for the practices that carried out by Emergency Nurse Practitioner (ENP) using relative value scale (RVS) and its conversion factor. Methods: First, we developed ENP's RVS for 25 advanced nursing services based on ENP's workload and its time spent by survey. A cost analysis was performed to evaluate the conversion factor of ENP's RVS. The share of ENP's contribution to fee-for-service in emergency setting was also analyzed. Results: Calculation of the RVS of 25 advanced nursing practices showed a range of points from 73.4 to 296.3 and an average of 145.1 points. The relevant conversion factor for advanced nursing practices among ENP was estimated at 12.2~15.9 won. The contribution rate of ENP's advanced nursing practices in the relative value scale of the national health insurance was estimated at 13.1~17.0%. Conclusion: The practices of ENP are not compensated separately and its reimbursement is usually included in physician fee. An estimation of nursing fee and an independent fee related to ENP's services shows the contribution rate to total revenue. It suggests that emergency nurse practitioners be considered as a revenue source the in emergency room.

Effect of Priming Treatments on Seed Germination and Seedling Growth of Sorbus alnifolia (Priming 처리가 팥배나무의 종자 발아 및 유묘 생장에 미치는 영향)

  • Seo, Byeong-Soo;Choi, Chung-Ho;Park, Woo-Jin
    • Korean Journal of Plant Resources
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    • v.22 no.1
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    • pp.5-12
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    • 2009
  • Seed priming is a useful technique for rapid and uniform seed germination as well as early seedling establishment. This experiment was conducted to find out the optimum condition for Sorbus alnifolia seed priming with four concentrations of four reagents in germination property and seedling growth performance. The results are summarized as follows: Percent germination (PG) varied 2.67% to 24.67%, and S. alnifolia seeds had the highest PG in the treatment that were primed in 100mM $KNO_3$ solution for 2 days. Mean germination time was the shortest in 200 mM $KNO_3$ solution for 2 days. Seed priming with $KNO_3$ solutions increased germination speed (GS) and germination performance index (GPI) compared with non-primed seeds. Especially seed primed with 100 mM $KNO_3$ solution for 2 days showed the highest GS and GPI. The highest relative growth rate (RGR) and seedling vigor index (SVI) was significantly (p<0.05) different from the control and other treatments, respectively. RGR of height (0.0071) and root collar diameter (0.0141) of seedling from primed seeds were the highest in 400 mM NaCl solution for 2 days. The highest SVI (5.43) was observed in the seedlings from seeds primed in 100 mM $KNO_3$ solution for 2 days. Consequently, the optimum reagent and concentration were $KNO_3$ and 100 mM for the effective germination and seedling growth in S. alnifolia

A Study on the Bundle Strategy through Attributes related to the Perceived Customer Value of Telecommunication Services (통신 서비스의 소비자 인지 가치 속성에 따른 결합 전략 연구)

  • Kim, Young-Berm;Lee, Sang-Ho;Kim, Jai-Beom
    • Information Systems Review
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    • v.13 no.3
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    • pp.123-139
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    • 2011
  • This paper researches the value of domestic telecommunication bundle products. Customers evaluate each telecommunication products differently according to their attributes. The attributes affecting the customer value of telecommunication bundling can be categorized in 3 ones as follows; corporate image, service feature, and service price. Also authors analyze the difference of importancy that customers consider when they evaluate each products, and propose the optimal scenario for bundling. In conclusion, other two companies A, C excluding B should invest more resources into the portion that strengthen the attributes of company image, and service feature to upgrade their 'corporate image', and 'service feature'. According to 6-scenarios analysis on the bundle products, the QPS expansion of company A was the most advantageous position, but if companies B, C expand DPS made use of their strengths, they can prevent from decreasing additivity rapidly with sequential scenario. The above results show that one company may have equable power in each area, but if another company having strengths in special areas makes up for its weakness and differentiates gradually it can contribute to strengthen its competitiveness. This contributed much more theoretical and practical than the existing researches. Supposing that additivity index evaluated by consumers can be changed by efforts of companies, this scenario planning is the result of study showing that the investment and publicity of each company have to be considered as its characteristic of each product at the same time.

Analysis of Waterfront Utilization Index Using Multi Criteria Decision Making (다기준의사결정을 이용한 친수공간 이용지수 분석)

  • Kim, Byeong-Chan;Kim, Man-Sik;Maeng, Bong-Jae
    • Proceedings of the Korea Water Resources Association Conference
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    • 2011.05a
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    • pp.195-195
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    • 2011
  • 국가하천의 주변지역을 체계적이고 계획적으로 조성 이용하여 난개발을 방지하고 지속가능한 발전을 도모하며, 그에 따른 이익을 하천의 정비 및 관리 등에 활용함으로써 공공복리의 증진에 기여함을 목적으로 하는 친수구역활용에 관한 특별법이 곧 시행될 예정이다. 친수는 단순히 하천 보전과 상대되는 수변이용의 측면이 아니라 하천의 경관, 생태계, 물 등 전체적인 하천공간에서 이루어지는 인간의 활동과 심리적 만족감으로 해석할 수 있다. 이러한 친수활동 유형을 정립하기 위하여 전문가 및 실무자들의 도움으로 설문지를 작성하고, 조사하였다. 또한 평가 항목간의 중요도를 합리적으로 부여하고자 전문가 집단 활용을 통한 다기준의사결정 기법 중 계층분석과정 AHP(Analytic Hierarchy Process)와 이의 일반적인 형태인 ANP(Analytic Network Process) 기법을 이용하여 비교 분석하여 보았다. AHP는 의사결정의 목표 또는 평가기준이 다수이며 복합적인 경우, 다수의 속성들을 계층적으로 분류하여 각 속성의 중요도를 파악함으로써 최적 대안을 선정하는 기법으로 다수의 목표, 다수의 평가기준, 다수의 의사결정주체가 포함되어 있는 의사결정 문제를 계층화하여 해결한다. 그러나 의사결정 문제는 대부분 요소들 간의 수평적 상호작용과 수직종속성이 존재하기 때문에 단순히 계층적 구조만으로는 설명할 수 없는 경우가 있다. ANP는 AHP 분석을 확장한 개념으로 평가 요소가 계층구조를 가지고 있으면서 각 평가 요소간 네트워크 구조를 가지는 경우에 해당한다. 즉, 시스템 분석, 통합 및 조정을 위한 방법으로 요소들 간의 비선형 관계를 모델화하는 복잡한 의사결정에 적용이 가능하다. ANP는 AHP의 기본 공리인 독립성이 유지되지 않을 때도 적용할 수 있는 의사결정 방법이기 때문이다. AHP와 ANP 분석을 위해 평가기준은 하천특성, 생태환경특성, 인문환경특성, 경관, 유지관리 등으로 분류하였으며, 세부평가항목은 하천의 물리 생태학적 특성, 개발여건과 관련된 특성, 경관의 이용가치, 유지관리 용이성 등 20여 개로 나누었다. AHP와 ANP를 이용하여 친수공간 이용지수 가중치를 산정한 결과, 두 기법은 큰 차이를 보이지 않았다. 그러나 ANP를 이용하여 가중치를 결정하는 방법은 최종 결정의 공정성이나 신뢰성을 확보하는데 기여를 하는 것으로 나타났다.

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A study on the assessment of wildland fire hazard through statistic examination and calorie analysis according to the geographical distribution of vegetation (통계적 고찰과 수목분포에 따른 열량분석을 통한 산림화재 위험성 평가에 관한 연구)

  • 김광일;김동현
    • Fire Science and Engineering
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    • v.14 no.3
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    • pp.27-32
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    • 2000
  • The assessment of wildland fire hazard is the first priority to be considered in the prevention, extinction and control of wildland fire. For the standard to measure wildland fire hazard, the wildland fire Warning System is currently being used in Korea which computes the wildland fire occurrence hazard index through a stick weight to moisture conversion formula. It shows the risk of fuel substance being exposed to fire by meteorological factors. For a comprehensive assessment of wildland fire hazards by area, the major factors'hazards need to be measured and the assessment of wildland fire needs to be conducted through historical statistic examination. Therefore, the wildland (ire outbreak frequency and its seriousness of damage are analyzed through historical statistic examination to conduct the assessment of a wildland fire hazard, and then the calorific value of a forest is analyzed through differential scanning calorimeter measurement which assesses the comparative calorific hazard according to the geographical distribution of vegetation.

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Crop Monitoring Technique Using Spectral Reflectance Sensor Data and Standard Growth Information (지상 고정형 작물 원격탐사 센서 자료와 표준 생육정보를 융합한 작물 모니터링 기법)

  • Kim, Hyunki;Moon, Hyun-Dong;Ryu, Jae-Hyun;Kwon, Dong-Won;Baek, Jae-Kyeong;Seo, Myung-Chul;Cho, Jaeil
    • Korean Journal of Remote Sensing
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    • v.37 no.5_1
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    • pp.1199-1206
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    • 2021
  • Accordingly, attention is also being paid to the agricultural use of remote sensing technique that non-destructively and continuously detects the growth and physiological status of crops. However, when remote sensing techniques are used for crop monitoring, it is possible to continuously monitor the abnormality of crops in real time. For this, standard growth information of crops is required and relative growth considering the cultivation environment must be identified. With the relationship between GDD (Growing Degree Days), which is the cumulative temperature related to crop growth obtained from ideal cultivation management, and the vegetation index as standard growth information, compared with the vegetation index observed with the spectralreflectance sensor(SRSNDVI & SRSPRI) in each rice paddy treated with standard cultivation management and non-fertilized, it was quantitatively identified as a time series. In the future, it is necessary to accumulate a database targeting various climatic conditions and varieties in the standard cultivation management area to establish a more reliable standard growth information.