• 제목/요약/키워드: Case Mix

검색결과 368건 처리시간 0.026초

Classification of Metro Station Areas Using Multi-Source Big Data: Case Studies in Beijing

  • Shuo Chen;Xiangyu Li
    • 국제초고층학회논문집
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    • 제12권1호
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    • pp.63-74
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    • 2023
  • Large-capacity public transportation systems, represented by urban metro lines, are the key to alleviating the significant increase in urbanization and motorization in China. But to improve the agglomeration effect of metro stations in a more accurate and targeted way requires scientific evaluation and classification of the surrounding areas of metro stations. As spatial and functional design are the core factors for urban renewal design, this study took Beijing as an example, using multi-source data to evaluate the morphology and functional composition surrounding areas of metro stations, and the Boston Consulting Group (BCG) matrix was used to classify and characterize each type of surrounding areas from morphological-functional dimensions. It shows a negative correlation of the mix-use index with the floor area ratio, and only about 20% of the areas achieve the ideal situation of high construction intensity with high mix-use diversity. Hoping to provide a reference for city managers and designers in dealing with the surrounding metro stations with different construction intensities in a more precise way.

고강도 내화 콘크리트의 강도 영역에 따른 현장 적용성 평가에 관한 연구 (A Study on Applicability Evaluation according to Strength Range of High-Strength Fire Resistance Concrete)

  • 장종민;백영운;육태원;박동수;이한승
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2023년도 봄 학술논문 발표대회
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    • pp.177-178
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    • 2023
  • In this study, the mass production process was simulated using a 1m3 batcher plant to evaluate the application of high-strength fire resistance concrete. The strength ranges of concrete were set to 50, 60, 70, and 80 MPa, and each concrete mix proportions was selected through preliminary experiments in the laboratory. For the selected concrete mix proportions, after the mixer load value was stabilized in the batcher plant, the slump flow and air content of the fresh concrete were evaluated, and the compressive strength was evaluated up to 56 days. As a result of the experiment, both the slump flow and air content of the fresh concrete satisfied the target performance, and in the case of compressive strength, 50 and 60 MPa satisfied the target performance at 28 days and 70 and 80 MPa at 56 days.

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노인장기요양보험 이용자 특성에 따른 자원사용량 차이 (Difference in Resource Utilization according to Beneficiary Characteristics of the Long-term Care Facilities)

  • 이수형;신호성
    • 보건행정학회지
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    • 제20권1호
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    • pp.19-36
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    • 2010
  • Fee for long-term care insurance in Korea are determined in proportion to resources utilized according to severity rather than based on categorization of beneficiaries in consideration of the characteristics of resource utilization. This adoption is based on the assumption that as beneficiaries of long-term care insurance, characteristically, demands social services rather than needs medical treatments, the characteristics of beneficiaries and the quality of utilized resources are comparatively homogenous. Therefore, the proposition is that the size of resource consumed by beneficiaries in the same grade is identical. However, even in the same grade, the level of utilized resources is different depending on the characteristic of beneficiaries. In this regard, this study is to examine whether there are differences in the volumes of utilized resources depending on the characteristics of beneficiaries even in the same grade. We analyzed time study data for 2003, 2005, 2006 which conducted by the Korea Institute for Health and Social Affairs. To look at differences in the volumes of utilized resources, we identified characteristics of beneficiaries that influence utilized resource volumes and categorized services provided by facilities into the rehabilitation treatment category, the problematic behavior category, and the physical malfunction category. Then, we examined each service in consideration of service difficulty levels and wage weights. The result of examination showed that differences in utilized resource volumes exist in all three grades depending on the characteristics of beneficiaries. Especially, in the first grade with a high level of seriousness, utilized resource volumes were different for those three service categories and the problematic behaviour category considered dementia was found to consume the largest volume of resources. Moreover, there was the inversion phenomenon of utilized resources volumes between the grades. This result indicates that utilized resource volumes are different even in the same grade depending on the characteristics of beneficiaries and it is required to consider case-mix for reflection of the volumes of utilized resources depending on the characteristics of beneficiaries.

진료의뢰센터 운영이 전원환자의 재원일수에 미치는 영향 - 일개 3차 의료기관 진료의뢰센터 경유 환자를 중심으로 - (The effect of operating the referral center on the Length of stay of transferred inpatients in a tertiary medical center)

  • 조상옥;박은철;손태용;강희정;유승흠
    • 한국병원경영학회지
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    • 제10권3호
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    • pp.67-84
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    • 2005
  • To compare differences of LOS between the group of inpatients via referral centers(the referral group) and the group of inpatients via different routes (the general group) and analyze factors which determine the difference. The 9,484 cases of newly inpatients of Mar., Jun., Sep., Dec. of year 2003 were used for the data. We calculate the Case-mix index of length of stay($CMI_{LOS}$) to compare LOS adjusted with the disease as the ratio of a patient' LOS to all patients' average LOS by 21 classification diagnosis group. We conducted t-test to compare differences of $CMI_{LOS}$ between two groups and multiple regression to analyze factors determining the difference. $CMI_{LOS}$ was 0.94 in the referral group, which was smaller than 1.01 in the general group. LOS was 7.5days in the referral group, which was 0.6day shorter than that in the general group. Multiple regression also showed that $CMI_{LOS}$ was smaller in the referral group than in the general group after controlling patients' general characteristics, diagnostic information variables. The referral centers can be said to playa role in decreasing LOS. We suggest that variety of depth studies on referral centers should be continued at the strategic level of hospital management using additional medical informations.

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요양병원 환자분류체계 개발 (Development of Patient Classification System in Long-term Care Hospitals)

  • 이지윤;윤주영;김정회;송성희;주지수;김은경
    • 간호행정학회지
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    • 제14권3호
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    • pp.229-240
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    • 2008
  • Purpose: To develop the patient classification system based on the resource utilization for reimbursement of long-term care hospitals in Korea. Method: Health Insurance Review & Assessment Service (HIRA) conducted a survey in July 2006 that included 2,899 patients from 35 long-term care hospitals. To calculate resource utilization, we measured care time of direct care staff (physicians, nursing personnel, physical and occupational therapists, social workers). The survey of patient characteristics included ADL, cognitive and behavioral status, diseases and treatments. Major category criteria was developed by modified delphi method from 9 experts. Each category was divided into 2-3 groups by ADL using tree regression. Relative resource use was expressed as a case mix index (CMI) calculated as a proportion of mean resource use. Result: This patient classification system composed of 6 major categories (ultra high medical care, high medical care, medium medical care, behavioral problem, impaired cognition and reduced physical function) and 11 subgroups by ADL score. The differences of CMI between groups were statistically significant (p<.0001). Homogeneity of groups was examined by total coefficient of variation (CV) of CMI. The range of CV was 29.68-40.77%. Conclusions: This patient classification system is feasible for reimbursement of long-term care hospitals.

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한국형 재활환자분류체계 버전 1.0 개발 (The Development of Korean Rehabilitation Patient Group Version 1.0)

  • 황수진;김애련;문선혜;김지희;김진휘;하영혜;양옥영
    • 보건행정학회지
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    • 제26권4호
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    • pp.289-304
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    • 2016
  • Background: Rehabilitations in subacute phase are different from acute treatments regarding the characteristics and required resource consumption of the treatments. Lack of accuracy and validity of the Korean Diagnosis Related Group and Korean Out-Patient Group for the acute patients as the case-mix and payment tool for rehabilitation inpatients have been problematic issues. The objective of the study was to develop the Korean Rehabilitation Patient Group (KRPG) reflecting the characteristics of rehabilitation inpatients. Methods: As a retrospective medical record survey regarding rehabilitation inpatients, 4,207 episodes were collected through 42 hospitals. Considering the opinions of clinical experts and the decision-tree analysis, the variables for the KRPG system demonstrating the characteristics of rehabilitation inpatients were derived, and the splitting standards of the relevant variables were also set. Using the derived variables, we have drawn the rehabilitation inpatient classification model reflecting the clinical situation of Korea. The performance evaluation was conducted on the KRPG system. Results: The KRPG was targeted at the inpatients with brain or spinal cord injury. The etiologic disease, functional status (cognitive function, activity of daily living, muscle strength, spasticity, level and grade of spinal cord injury), and the patient's age were the variables in the rehabilitation patients. The algorithm of KRPG system after applying the derived variables and total 204 rehabilitation patient groups were developed. The KRPG explained 11.8% of variance in charge for rehabilitation inpatients. It also explained 13.8% of variance in length of stay for them. Conclusion: The KRPG version 1.0 reflecting the clinical characteristics of rehabilitation inpatients was classified as 204 groups.

성인이 다른 굵은 골재를 혼합사용한 콘크리트의 기초적 특성 분석 (Analysis of Fundamental Properties of Concrete Using Mix of Coarse Aggregate With Formation Causes)

  • 노상균;김영희;김정빈;한천구
    • 한국건설순환자원학회논문집
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    • 제3권1호
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    • pp.15-21
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    • 2015
  • 최근 레미콘 산업에서 골재의 안정적인 수급을 위해 과거에는 거의 사용하지 않았던 저품질의 골재를 혼합사용하여 천연골재의 일부로 대체하고자 시도하고 있다. 그러나 저품질의 골재는 건설폐기물 처리과정에서 생산되는 순환골재, 산업활동에 의해 생산되는 부산물 골재 등으로 KS 기준에 적합하지 않을 수 있는 문제점이 있다. 그러므로 본 연구에서는 부족한 골재자원의 유효한 활용을 위해 화강암 부순골재를 기본으로 순환골재, 고로 및 전기로 슬래그 골재를 단독 및 혼합사용하여 콘크리트의 기초적 특성을 비교하였다. 그 결과 슬럼프는 골재를 혼합사용한 경우 단독사용한 경우에 비하여 전반적으로 유동성이 0~10% 증가하여 단위수량이나 SP제 사용량 저감 등의 효과를 기대할 수 있어 경제적으로 유리할 것으로 판단된다. 압축강도는 골재를 혼합사용한 경우 연속입도 분포를 나타내어 콘크리트 내부의 공극을 채워 단독사용한 경우에 비하여 압축강도가 0~10% 증가하였다. 따라서 성인이 다른 골재를 적절한 비율로 혼합하여 표준입도범위를 만족하게 하여 활용하면 콘크리트의 유동성 및 압축강도의 증진 효과를 나타내어 혼합골재의 유용성을 확인할 수 있었다.

환경, 마케팅과 성과: 소셜커머스 기사내용분석 (Environment, Marketing and Performance: Social Commerce News Content Analysis)

  • 강선주;박준기;이정우
    • 한국산학기술학회논문지
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    • 제14권11호
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    • pp.5522-5529
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    • 2013
  • 본 연구에서는 소셜커머스 환경에서 "환경-마케팅-성과" 간의 연계성 분석을 통해 소셜커머스 업체의 마케팅 전략의 변화를 살펴보았다. 2010년 4월부터 2013년 3월까지의 신문기사 3,783건 대상으로 내용분석을 통해 소셜커머스에서 나타나는 환경조건들과 마케팅 전략의 구성요소들을 매치하였다. 성과지표로서는 UV(Unique Visitor)와 PV(Page View)를 활용하였다. 소셜커머스마케팅의 특성상 마케팅전략자체가 언론에서 주목을 받게 되는 점을 고려하여 신문기사분석을 하였으며 인터넷비즈니스의 특성상 방문자의 수와 페이지뷰의 숫자를 성과를 나타나는 변수로 활용하였다. 연구결과 "환경-전략" 간의 관계에 있어서는 부정적 환경조건의 변화(불안 확산)에 따라 마케팅 전략이 변화되는 양상이 명확하게 나타났으며, "전략-성과"간의 관계에 있어서는 제품요소와 외재적 판매촉진 요소를 변화시키는 경우 성과에 직접적으로 효과가 나타나는 것으로 추정할 수 있었다. 아울러서 유사한 업체들이지만 업체들간에 마케팅 전략을 활용하는 방법이나 시점에 있어서도 차이가 나타났다. 쿠팡의 경우 UV와 PV와 마케팅 요소들 간에 모든 부분에서 높은 상관관계가 나타난 반면 위메프의 경우는 UV와 관계가 낮았고, 환경요소들과의 관련성에 있어서도 비교적 낮은 수치가 나타났다. 본 연구의 결과는 소셜커머스에 있어서 마케팅 전략의 선행변수로서 환경조건과 후행 변수로서의 성과를 간접적으로 실증하였다는 데에 학술적 의미가 있으며 실시간으로 반응을 해야 하는 소셜커머스에 있어서 마케팅 전략의 의미, 그리고 더 나아가서는 효과의 시차와 관련하여 실증을 하였는 바, 전략 수립에 참고가 될 수 있을 것이다.

항생제를 이용한 미성숙 영구치의 치험례 (TREATMENT OF IMMATURE TEETH WITH A 3-MIX PASTE: CASE REPORT)

  • 김소정;조해성;정윤주;최성철;박재홍
    • 대한소아치과학회지
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    • 제38권1호
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    • pp.44-50
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    • 2011
  • 미성숙 영구치의 치수가 괴사되면, 치근 형성이 더 이상 이루어지지 않아 치근벽이 매우 얇고, 치근단공이 열려 있어 근관치료를 시행하기가 매우 어렵다. 치수가 괴사되고, 치근단 병소가 있는 치아의 근관치료를 시행할 때 가장 중요한 것은 감염된 근관계를 소독하는 것이다. 이러한 소독은 근관 내 기계적인 기구 조작, 근관 세척, 근관 내 약제를 통해서 이루어질 수 있는데, 최근 ciprofloxacin, metronidazole, minocycline의 세 가지 항생제 조합을 이용하여 근관 내 병원균을 제거하고, 치수의 재혈관화를 도모하여, 치근의 지속적인 성장을 유도한 연구와 증례가 많이 보고되고 있다. 이러한 재생적인근관 치료는 미성숙 영구치를 치료함에 있어서 통법적인 치근단형성술보다 보존적인 치료법으로서 널리 이용될 것이라 사료된다. 본 증례는 치외치의 교두파절로 인하여 치수가 괴사되고, 치근단 병소가 생긴 미성숙 영구치를 주소로 내원한 두 환아에 대하여 세 가지 항생제 조합을 근관 내 약제로 이용하여 치료한 바, 성공적인 치료결과를 보여 이를 보고하는 바이다.

아말감 충전물간(充塡物間)의 결합강도(結合強度)에 관(關)한 실험적(實驗的) 연구(硏究) (AN EXPERIMENTAL STUDY ON THE BONDING STRENGTH OF THE JOINED AMALGAM RESTORATION)

  • 정인영;민병순;최호영;박상진
    • Restorative Dentistry and Endodontics
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    • 제10권1호
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    • pp.153-160
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    • 1984
  • The purpose of this study was to observe the tensile and bonding strength of the joined amalgam restoration. Amalgam alloys of fine-cut (F-type), spherical (S-type), and dispersed type (D-type) were selected in this study, and all specimens were divided into three groups according to the condensation methods as follows. Group I : the control group which condense the same kinds of mixed amalgam into the whole part of the mold respectively. Group II : the group which condense a mix of amalgam into one half of the mold, and then condense a new mix of amalgam into the rest half of the mold 15 minutes later. Group III : the group which condense a mixed amalgam into one half of the mold, and then condense a new mix of amalgam into the rest half of the mold 7 days later. All specimens were stored in incubator at $37{\pm}1^{\circ}C$ for seven days with immersing in saline solution before testing. The tensile and bonding strength of them were measured with Instron Universal Testing machine. The results were as follows: 1. In Group I, the order of tensile strength was F-type, S-type, and D-type. 2. In case of bonding of S-type + S-type, the difference of the bonding strength between Group II and III was not significant. (P> 0.05) 3. The bonding strength of F-type + S-type of Group II was marked the highest in value, and the lowest bonding strength was showed in bonded D-type + D-type of Group III. 4. In case of bonding with the different kinds of amalgam alloy in Group II, the specimen bonded to F-type was marked the highest bonding strength, and the specimen bonded with F-type was marked the lowest one. In Group II, the bonding strength of the specimens bonded with the same kinds of amalgam alloy was presented as the same order as that of Group I. 5. In Group III, the specimen connected with D-type marked the lowest bonding strength of all specimens. In Group III, the bonding strength of the specimens connected with the same kinds of amalgam alloy was the order of S-type + S-type, F-type + F-type, and D-type + D-type.

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