• Title/Summary/Keyword: Actual Cost Data

검색결과 586건 처리시간 0.021초

미국의 혁신의료기술 지불보상제도: 인공지능 의료기기를 중심으로 (Medicare's Reimbursement for Innovative Technologies: Focusing on Artificial Intelligence Medical Devices)

  • 이보람;임재준;양장미
    • 보건행정학회지
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    • 제32권2호
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    • pp.125-136
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    • 2022
  • The costliness index (CI) is an index that is used in various ways to improve the quality of medical care and the management of appropriate treatment in medical institutions. However, the current calculation method for CI has a limitation in reflecting the actual medical cost of the patient unit because the outpatient and inpatient costs are evaluated separately. It is desirable to calculate the CI by integrating the medical cost into the episode unit. We developed an episode-based CI method using the episode classification system of the Centers for Medicare and Medicaid Services to the National Inpatient Sample data in Korea, which can integrate the admission and ambulatory care cost to episode unit. Additionally, we compared our new method with the previous method. In some episodes, the correlation between previous and episode-based CI was low, and the proportion of outpatient treatment costs in total cost and readmission rates are high. As a result of regression analysis, it is possible that the level of total medical costs of the patient unit in low volume medical institute and rural area has been underestimated. High proportion of outpatient treatment cost in total medical cost means that some medical institutions may have provided medical services in the ambulatory care that are ancillary to inpatient treatment. In addition, a high readmission rate indicates insufficient treatment service for inpatients, which means that previous CI may not accurately reflect actual patient-based treatment costs. Therefore, an integrated patient-unit classification system which can be used as a more effective CI indicator is needed.

의료보험 환자가 병원진료시 부담하는 본인부담 크기 (Magnitude of Patient's Cost-sharing for Hospital Services in the National Health Insurance in Korea)

  • 김창엽;이진석;강길원;김용익
    • 보건행정학회지
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    • 제9권4호
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    • pp.1-14
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    • 1999
  • The purpose of this study was to estimate the magnitude of patient's actual cost-sharing for hospital services in the National Health Insurance which has been estimated with only a few hospitals or limited number of patients. Also we aimed at analysis of factors influencing the magnitude. Sources of analyzed data were two databases. 1997 medical benefits record of the National Federation of Medical Insurance and 1997 Statistics for Hospital Management from the Korea Institute of Health Services Management(KIHM). We merged two databases and related records for 224 hospitals. based on the identification details of each hospital. The average percent of patients' cost-sharing was 51.7% of total hospital revenues from the insurance. with 40.3% of revenue in inpatient and 67.4% in outpatient. respectively. The contributing hospital factors to the magnitude of cost-sharing were size of hospitals. teaching status. location. number of employed physicians. etc. Larger and university hospital. urban location. and with more physicians were positively correlated with higher level of cost-sharing. Additionally, the higher the expenses of inpatient's treatment was, the higher the size of patient's cost-sharing was. These findings suggest that present level of patients' cost-sharing is quitely high and it is urgent to reduce the patient's cost-sharing to the reasonable level. It would be necessary to extend the coverage of insurance benefits and to develop policies focusing on larger hospitals and inpatient services.

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시뮬레이션을 활용한 철도교통사업 비용 추산 및 의사결정 지원 방법 연구 (A Study on Railway Transportation Business Cost Estimation & Decision Supporting Methods using Simulation Data)

  • 장석;남도우;심정환;김동희
    • 한국시뮬레이션학회논문지
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    • 제29권4호
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    • pp.85-94
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    • 2020
  • 철도교통사업의 계획 및 시행 가능 여부를 판단 하는 데 있어, 다양한 의사결정 과정이 필수적으로 요구되며, 그 결과로 총사업비, 운영비 등을 포함한 LCC(Life Cycle Cost) 값을 예측한다. 본 연구에서는 철도교통사업 의사결정 및 LCC 도출과정을 지원하기 위한 모델링 및 시뮬레이션 기반의 분석 방식을 제안한다. 먼저, 수치적 데이터 기반의 분석이 가능하도록 기존 다양한 철도교통사업 자료를 취합하여 Cost Analysis 모델을 구성하였으며, 실험계획법 및 반응표면법 기반의 근사모델링 기법을 통해 시뮬레이션을 수행, 결과를 도출하여 분석하였다. 모델 구성 및 시뮬레이션을 효과적으로 수행하기 위해 전문적인 상용 소프트웨어 도구를 사용하였다. 연구 결과 검증을 위해 실제 추진되고 있는 철도교통사업을 선정하여 분석결과를 비교하였고, 이를 각 분야 전문가 검증 과정을 거쳐 연구 성과의 신뢰성을 검토하였다.

A Method for Determining Appropriate Maintenance Intervals of Equipments in Thermal Power Stations

  • Nakamura, Masatoshi;Katafuchi, Tatsuro;Hatazaki, Hironori
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 1998년도 제13차 학술회의논문집
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    • pp.312-317
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    • 1998
  • Reliable maintenance scheduling of main equipments is a crucial problem in thermal power stations in order to skirt overall losses of power generation resulted from severe failures of the equipments. A reasonable method was proposed to determine the maintenance scheduling of whole pump system in thermal power stations in order to reduce the maintenance cost by keeping the present avail-ability of the pump system throughout the operation. The dimensional reduction method was used to solve problems encountered due to few data which involved many operational factors in failure rate of pumps. The problem of bandlimited nature of data with time was solved by extrapolating future failures from presently available actual data with an aid of Weibull distribution. The results of the analysis identified the most suitable maintenance intervals of each pump type accordingly and hence reduce the cost of unnecessary maintenance with an acceptable range in the overall system availability.

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다차원 시각적 분석방법을 이용한 공항 정시운항 분석에 관한 연구 (Airport Punctuality Analysis Using Multi-Dimensional Visual Analysis Method)

  • 조재희;이덕규
    • 한국IT서비스학회지
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    • 제10권1호
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    • pp.167-176
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    • 2011
  • Punctuality is one of the key performance indicators of the airline industry and an important service differentiator especially for valuable customers. In addition, improvement on time performance can help achieve cost saving, i.e. the cost of airline report, which could range from 0.6% to 2.9% of their operating revenues. Therefore efficient management of punctuality is crucial for the industry. This study overcomes the limitations of existing analyses on punctuality and develops a multi-dimensional model for airport punctuality analysis. In addition to analysis of airport punctuality, visual analysis is also proposed in the study. Data was collected from actual flight data of Incheon International Airport. Using the new visual analysis method, the study discovered the pattern of the punctuality that has never studied before.

키워드 검색광고에서 클릭당 단가 결정에 영향을 미치는 요인에 대한 연구 (A Study on the Factors Influencing Cost-per-Click of Sponsored Search Advertising)

  • 심광섭;김종우
    • 한국경영과학회:학술대회논문집
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    • 한국경영과학회 2007년도 추계학술대회 및 정기총회
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    • pp.425-434
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    • 2007
  • The sponsored search has become significant channel of online advertising, and the large sized advertisers have appeared, so the sponsored search strategy is becoming more important. Since CPC(Cost-per-Click) advertising has different price according to keyword, it is difficult to manage the a lot of keywords at one time. So, the purpose of this study is to investigate the factors which influence on the cost-per-click of sponsored search advertising. That is, there are four factors: impression, CTR(Click through Rate), conversion rate, and keyword's length. for the regression analysis, we use the actual data which is gotten from an ad agency. The result of that, the impression and keyword's length influence cost-per-click positively. However, CTR & conversion rate have no influence on it unexpectedly.

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정보화 비용/이익 분석요인에 대한 인식도 연구 (Perception in IT Investment Cost/Benefit Analysis)

  • 이석준
    • Asia pacific journal of information systems
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    • 제13권2호
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    • pp.67-85
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    • 2003
  • This study was conducted to analyze Korean companie's perception in IT investment cost-benefit analysis(CBA), and to see if various user group's perception is different. Literature was reviewed to classify and define variables in IT CBA, and questionnaire was distributed to CEOs, CIOs, IT managers, and general managers in Korean companies. Respondent's priority ranking in IT CBA was shown to be tangible benefit, direct cost/intangible benefit, and indirect cost/risk. Data analysis showed that Korean companie's actual practice in CBA was generally aligned with their perception. User group's(Executives vs. mangers, and IT managers vs. general managers) perception was not shown to be statistically different. Survey result also showed that IT CBA was not well practiced in the companies although respondents perceive the analysis very important. These findings suggest that more education and practical experience is needed for Korean companies to perform IT CBA.

우리나라 해운기업의 품질코스트 관리와 활용방안 (A Study on Quality Cost Management in Korean Shipping Company)

  • 김영모
    • 해양환경안전학회:학술대회논문집
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    • 해양환경안전학회 2001년도 추계학술발표회
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    • pp.117-134
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    • 2001
  • Quality costs seem to be one of the effective tools to assess quality management activities, but shipping industries have not controlled quality costs because of difficulty in cost itemization and cost data collection. This study has attempted to itemize shipping quality costs in detail and researches the composition of actual quality costs of sampled shipping companies in Korea. Result of research shows that stopping quality costs were composited by 24.3%, 3.8% and 71.8% of prevention costs, appraisal costs and failure costs, respectively and very high relationship between total qualify cost and other quality costs. This research also recommended practical methods for quality management by using indexes of quality costs.

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산출내역서.공정 통합관리 모형 구축에 관한 연구 (Work Management Model to Integrate Schedule and Bill of Quantity)

  • 박홍태;박찬정
    • 한국건축시공학회지
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    • 제2권4호
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    • pp.153-161
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    • 2002
  • Recently our government operates earned value management system (EVMS) for improving work management system of the construction projects over specific scale. The EVMS is based on the integrated management between construction cost and schedule. the existing systems, however, are focused on the cost management by using work quantity. This study suggests a work management model to integrate construction cost with activity information. The model introduces a work task concept as a tool that can connect construction rest to activity information. The suggested model in this study is verified by using actual data for the applicability to practical construction projects.

건설현장의 실투입 노무량 입력을 위한 디지털펜 시스템 (Digital Pen System for Inputting the Actual Amount of Labor Input at Construction Site)

  • 김대원;김태용;신윤석;김광희
    • 한국건축시공학회지
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    • 제16권2호
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    • pp.133-140
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    • 2016
  • 건설공사에 있어 노무량은 건설공사비 산정을 위한 기준으로 사용되고 있고, 건설산업의 생산성을 파악하는 근거자료로도 활용되고 있다. 하지만 노무량의 기준이라고 하는 표준품셈과 실제투입 노무량과 큰 차이를 보이고 있어 이를 해결할 수 있는 방안이 필요하다. 따라서 본 연구에서는 실제투입 노무량을 좀 더 정확하고 간편하게 입력할 수 있는 시스템을 구축하기 위하여 전통적인 종이와 펜을 이용한 수기방식을 그대로 따르면서 전자문서화에 대한 이중부담이 없는 디지털펜을 이용하는 방안을 제시하고자 한다. 본 연구를 통해 실투입 작업정보를 단순히 저장하는 것뿐만 아니라 웹을 통한 공유 및 활용을 통해서 공사비 산정업무의 생산성 측면에서도 기여할 것으로 사료된다.