• Quality Improvement in Health Care
• /
• v.11 no.1
• /
• pp.46-60
• /
• 2004

Background : Recently, we have experienced various changes in the healthcare environment. Healthcare organizations are facing a financial crisis due to more competitive relationships among themselves as well with low health insurance fees. The purposes of the current study were: (1) to develop a data warehouse-based system for evaluating and monitoring the case management activities, and (2) to measure and analyze its effects. Methods : In order to collect the data for the study, the database on discharged patients was utilized at a university hospital located in Seoul from June 1, 2002 through December 31, 2002. Initially, a data warehouse was built for the case management system. The case management activities were analyzed using structured methodology to establish the case management system. Results : The findings of this study were as follows: (1) A case management system was developed to make it possible to monitor of healthcare quality and resource utilization. The Case management System included monitoring functions regarding utilization reviews, critical pathways, and clinical indicators. (2) Utilizing the case management system, unplanned readmissions were documented among total discharged patients during two months from November 1, 2002 through December 31, 2002. The unplanned readmission rate was 2.3%(276 patients) in total of 11,960 discharged patients. Among them 81 patients(0.7% of total discharges, 29.3% of unplanned readmission) were readmitted to the same physician in charge under the same diagnosis. No significant differences were found in the demographic variables such as gender and age among the patients. (3) After implementing the case management system, 2.9% of average length of stay reduced. Applying cost-benefit analysis, the 2.9% reduction of length of stay represents net profit of ${\backslash}$ 279,592,000 in the year of 2004. In addition, applying value acceleration analysis, cumulative net benefit of ${\backslash}$ 1,481,000,000 was expected by the year of 2007. Also we were able to expect ${\backslash}$ 247,800,000 of cumulative benefit for the prospective 5 years in value linkage analysis. It represents average ${\backslash}$ 787,700,000 of pure net benefit a year. Conclusion : The value of present study would be not only implementing the knowledge management system into the existing case management activities, but also evaluating its effects and estimating its financial benefits. This study suggested that the case management system would be a supportive tool for monitoring and improving the quality of healthcare, and a cost-effective tool for increment of healthcare organization's financial benefit.

• Health Policy and Management
• /
• v.27 no.3
• /
• pp.191-198
• /
• 2017

Moon Jae-in Government announced the Government's 5-Year Plan on July 19, 2017, President Moon directly announced the Government's Plan for Benefit Expansion in National Health Insurance on August 7, 2017. The main contents of the announced expansion include benefit coverage for all medically necessary services with control over non-covered service occurrence, a decrease in the cost-sharing upper limit, and monetary support for catastrophic medical costs. Although past governments have been continuously striving for benefit expansion in the last 15 years, this plan has its breakthrough aspect in that all medical services will be covered by the National Health Insurance. In alignment, there are important tasks to solve: attaining a proper fee schedule, reforming the healthcare delivery system, and improving healthcare quality. This plan is a symptom oriented action in that it is limited in reducing patients' out-of-pocket money, unlike the systematic approach of the National Health Insurance. The sustainability of the National Health Insurance is being threatened due to South Korea's low birth rate, rapidly aging society, and low economic growth, in addition to the unification issue of the Korean Peninsula, medical utilization of the elderly, management of non-communicable diseases, and so on. Therefore, the Government needs to plan the National Health Insurance system reformation including actions addressed toward medical consumers.

• Journal of the Korean Society of Fisheries and Ocean Technology
• /
• v.49 no.3
• /
• pp.291-300
• /
• 2013

The main purpose of this study is to analyse economic feasibility of low-carbon-oriented gear for anchovy boat seine. The results of benefit/cost analysis showed that use of the low-carbon fishing gear is economically feasible. Considering the fuel saving and relatively low $CO_2$ emission by reducing the resistance of gear, net present value by such type 1 gear improvement was estimated about -2,490 ~ -1,580 million won with the benefit-cost ratio 0.81~ 0.88. And net present value by such type 2 gear improvement was estimated about 6,540 ~ 7,780 million won with the benefit-cost ratio 1.79 ~ 1.94. Development of lowcarbon trawl gear would render significant contributions to reducing $CO_2$ emission in fishing operations and lead to reduce fishing costs due to fuel savings.

• 한국가스학회:학술대회논문집
• /
• 2005.10a
• /
• pp.49-58
• /
• 2005

A Cost-Benefit Analysis which would help us to make optical decisions among safety investment alternatives, calculating and comparing costs and benefits for facilities in chemical plants. As well as offering the related information in the decision makings for safety improvement, it promotes on-site safety activities and the efficiency of safety investments The developed Cost-Benefit Analysis will eventually contribute to our efforts in economically justifying the safety investments in chemical plants.

• Knowledge Management Research
• /
• v.13 no.2
• /
• pp.53-72
• /
• 2012

Recently, an effective building and utilization of information system are essential in franchise firms as well as corporate management. Accordingly, this study is to examine the structural relationships among partnership quality of supplier, trust with a supplier and commitment, and franchise information system performance based on Henderson's(1990) information system partnership model and Lee and Kim's(1999) partnership model. For these purposes, the authors developed several hypotheses. The data were collected from 173 franchisors and analyzed with SPSS 18.0 and AMOS 18.0 The results are as following. First, sharing knowledge, interdependence, and mutual benefit influence supplier trust, but do not influence commitment. Second, supplier trust affect commitment and it prove that supplier trust is a full mediating role between partnership quality and commitment of franchise and information system supplier. Third, both supplier trust and commitment have a positive effect on performance of franchise information system. Therefore, it implies that supplier trust is significant factor in an performance of franchise information system. At the end of this paper, managerial and theoretical implications, limitations and future research directions were suggested.

• Korea Journal of Hospital Management
• /
• v.28 no.1
• /
• pp.1-13
• /
• 2023

Purpose: This study purposed to analyze the economic feasibility of introducing a third party logistics system as a strategic alternative to hospital management. Methods: Economic analysis was performed by measuring changes in costs and benefits before and after implement the third party logistics system and estimating the size of net benefits for the next five years for the target hospital. A questionnaire survey and in-depth interview with stake-holders were conducted to find out the satisfaction and effectiveness of the system. Findings: According to results, the cost-benefit ratio for the implementation of the system was 1.18. For the next five years, the cost-benefit ratio was 1.48, the net present value was about 1.7 billion won, and the internal rate of return was 64%. The satisfaction of internal stake-holders was relatively high, in terms of improving the concentration of unique tasks and increasing the efficiency of inventory management. Practical Implications: It was found that the increase in benefits had a greater effect on the change in the cost-benefit ratio than the increase in costs resulting from the expansion of logistics, and the increase in the present value of net benefits gradually decreased as the cost increased. In addition, overall job satisfaction and satisfaction with outsourcing companies were relatively low, which means that stabilization of the new system is important. Further study is needed for more accurate economic analysis.

• 한국사회정책
• /
• v.19 no.3
• /
• pp.247-281
• /
• 2012

This study investigates issues, which the current disability benefit of the national pension Scheme is facing, and seeks improvements concerning the universalism of coverage, the adequacy of benefit levels, and the equity of institution. The low universalism problem is caused by the coverage deficits and the strict disability assessment system of NPS and can be overcome by widening the disability category and changing the disability assessment system to workability test. In addition, the benefit level of the disability pension will be reduced stronger than the old age benefit in the long. The low benefit level due to the short contribution period and the low disbursement rate and can be improved by the enhancement of the standard contribution years and the disbursement rate. On the other hand, the main reason of the equality problem can be seen as the requirements for benefit, which are applied differently depending on the membership status. As policy measures, the unification of requirement on the basis of a recent payment, a payment in a certain percentage of life, or a hybrid of both criteria is investigated.

• KIEAE Journal
• /
• v.6 no.3
• /
• pp.11-18
• /
• 2006

Attention on daylighting should be focused not so much on a simple maximization of the natural light available in a space, as on improving the quality of lighting by ensuring as even but intense distribution of illumination in inner areas. An architectural means of optimal daylight distribution is by using so-called light shelf systems, horizontal shading and redirecting devices. The overall performance of the daylighting system can be improved by the incorporation with electric lighting control devices. This paper aims to exemplify the benefit of daylighting in term of economic consideration. In such a case a reasonable technique to compare system costs is by life-cycle costing. Stated simply, a life-cycle cost represents the total cost of a system over its entire life cycle, that is, the sum of first cost and all future costs. Four different electric lighting system designs are proposed and a lighting control system that is continuously operating according to the level of daylight in the space has been adapted. The result shows clearly that although denser layout of lighting fixtures might be more effective to interface to the level of daylight ceaselessly changeable, its economic benefit may not meet the expected criterion the reason of increased initial investment and maintenance cost for the fixtures and control devices.

• Proceedings of the KSR Conference
• /
• 2006.11b
• /
• pp.407-413
• /
• 2006

Railways are very important to get stability of railway structure as transportation system carrying a lot of passengers and freight. These days the construction of underground railway crossing such as expansion of new roads, construction of subway and gas pipe is increasing because of economic and social development. But these kinds of construction didn't take into account Cost-benefit analysis of railway which has the most important aspects of railway safety, so the results of construction didn't get a good evaluation. This study adapt Cost-benefit analysis to evaluate the economic validity of underground railway crossing. This study adjust about Cost-benefit analysis of railway part, and analyze the new method and technology of underground railway crossing constructed by Korean National Railroad and Railway Network Authority. Also this study divide between high frequency line and low frequency lineusing B/C, NPV, and IRR analysis. After analysis, B/C ratio method is the most suitable method among B/C, NPV, and IRR analysis method. Therefore this study can express economic benefit quantitatively and decrease the cost by adapting Cost-benefit analysis, and can clearly express the construction feasibility and investment effects of construction of underground railway crossing method.

• Journal of Korean Society of Rural Planning
• /
• v.12 no.4 s.33
• /
• pp.77-82
• /
• 2006

The objective of public works planning is being converted from economic growth to sustainable development. So, the demand for considering social & ecological influences as well as economic components had been increased in evaluation of public works planning. In evaluation of public works, its components related with benefit and cost in feasibility analysis can be classified to qualitative and qualitative elements. Qualitative elements are evaluated by qualitative methods which can manage various items, be commonly applied nationwide, and consider elements that can be calculated numerically such as environments, willingness, etc. In this study, using the concept of 'Information measure', a method to design planning of rural works is proposed. 'Information benefit model' for rural works can evaluate present plan in the side of provider's and demander's 'benefit'. And, optimizing method of rural works by 'Information benefit' can simulate present state and optimize the site and route of rural works.