• 한국경영과학회:학술대회논문집
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• 대한산업공학회/한국경영과학회 2002년도 춘계공동학술대회
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• pp.225-231
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• 2002

POSCO $\#2$ Stainless steel making plant produces more than 600 thousand ton per year with a variety of products consisting of austenite and ferrite stainless steel to meet custrmers' needs since 1996. The plant has four different major processes, that are, EAF-AOD-VOD-CC to finally produce semi-product called as slab. In this study, we importantly took AOD process into consideration due to its roles such as to check and verify the final qualities through sampling inspection. But the lead-time from sampling to its verification takes five to ten minutes causing produrtivity loss as muck as the lead-time as a result. Of all indices for quality and process control the plant has, carbon ingredient in liquid type of steel is the most important since it affects in a great way to the characteristics of steel, if any problem. customers not satisfied with quality could issue a claim; therefore there is no way hut to guarantee it before delivery. in this study, to reasonably reduce lead-time ran save a cycle time and finally improve our productivity from a state-or-art alternative just such as applying statistical model based on multi-regression analysis into the A.O.D line by analyzing the statistical and technical relationship between carbon and the relevant some vital independent variables. In consequence, the model with R-square $87\%$ allowed the plant to predict, abbreviating the process in relations to sampling to verification. approximately the value of [C] so that operators could run the process line with reliability on data automatically calculated instead of actual inspection. In the future, we are going to do the best to share this type of methodology with other processes, if possible, to apply into them.

• 한국경영과학회지
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• 제39권2호
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• pp.67-82
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• 2014

The purpose of this study is two-fold : the one is to examine the causal relationship between domestic large firms' win-win growth effort and their financial performance by fiscal years; and the other is to develop a quantitative win-win growth index to overcome the limitation of the current one mainly using a survey method developed by NCCP (National Commission for Corporate Partnership). To serve the first purpose, we take a sample of 128 large companies whose win-win growth indices as of year 2011 and 2012 were evaluated by NCCP. We use their respective fiscal year's financial data to select 62 candidate financial ratios, which are then used in subsequent empirical tests. For the tests, we employ ordered probit model with stepwise selection method and two-way ANOVA with randomized block design to identify which of the 62 financial ratios are statistically significant ones to affect the firms' win-win growth index as well as to determine if the firms' win-win growth effort would cause their financial performance positively. To serve the second purpose, we devise a model using the 123 firms' 45 financial ratios, which employs ordered probit model with stepwise selection, and the validation of the model follows. We claim that the model suggested in this study serve as an alternative complementing the current one as it can produce the index in a more objective and swift manner using the firms' publicized financial statements.

• 디지털융복합연구
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• 제14권12호
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• pp.503-513
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• 2016

본 연구는 노인요양병원에 입원한 환자가족들이 환자의 침대난간 사용을 어떻게 인지하고 있는지를 기술하고 탐색하기 위해 시도되었다. 수집된 자료는 심층면담을 이용하였고, Cavanagh의 내용분석(content analysis)방법으로 분석하였다. 연구결과 노인요양병원에서 침대난간 사용에 대한 환자가족의 인식은 예방적 안전, 이동의 편리함, 의례적인 간호, 감옥같은 생활, 부상위험, 침대난간의 대체 가능한 대안의 6가지 주제로 도출되었다. 관습화된 침대난간 사용의 긍정적 효과가 침대난간 사용에 대한 환자 가족들의 부정적 견해보다 중요하게 생각되고 있다는 점을 연구를 통해 알 수 있었고, 병원관계자들이 환자개인의 자유, 신체적 속박, 속박에 대한 부작용, 대안에 대한 이슈에 대해 환자와 환자가족들과 의사결정을 함께 할 것을 제안하고자 한다. 병원의 의료환경 변화로 인해, 의료행위의 효과성과 효율성, 위험관리, 그리고 근거기반실무가 강조되고 있다. 그러나 침대난간 사용이나 신체적 속박 문제는 해답을 쉽게 찾을 수 없는 주제이며 간호사들은 침대난간 사용에 있어 엄격한 사용지침에 따라 명확하게 간호행위를 수행해야 할 것이다.

• 재무관리연구
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• 제8권2호
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• pp.165-208
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• 1991

관측가능 확률과정, 관찰가능변수를 통한 확률과정의 형성과 조세를 중심으로 이 논문은 연속시간의 틀 속에서 재화시장의 수요 및 소비와 생산부문과 자본시장의 수요와 공급을 국민경제에 도입한 일반균형(一般均衡)의 경제분석방법(經濟分析方法)에 의하여 자본자산(資本資産)의 가격(價格)을 결정(決定)하는 일반모형(一般模型)을 제시한다. 이 모형에서는 특히 자본자산의 가격결정에 조세(租稅)가 미치는 영향을 심도있게 분석한다. 이 논문에서는 생산과 소비 그리고 자본자산의 수요와 공급 둥을 결정하는 변수들이 확률과정(確率過程)을 따르는데, 이 변수들을 직접 관찰할 수 있는 경우에 형성되는 자본자산(資本資産)의 가격결정모형(價格決定模型)을 정립한다. 그리고 확률과정의 변수를 직접 관찰할 수 없고 간접적으로 관찰할 수 있을 때에는 간접관찰이 가능한 변수와 확률과정의 변수와의 관계를 정립한 확률과정을 형성하여 자본자산(資本資産)의 가격결정모형(價格決定模型)을 정립한다. 이 모형에는 자산의 가격과 확률적 성질이 모형내에서 결정된다. 이 모형은 증권(證券)의 가격결정(價格決定), 이자율결정(利子率決定), 이자율(利子率)의 기간구조분석(期間構造分析), 이자율(利子率)의 위험구조분석(危險構造分析), 선물가격(先物價格)의 결정(決定) 등 다양하게 이용될 수 있다.

• 한국건설관리학회논문집
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• 제5권2호
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• pp.115-122
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• 2004

이 논문은 건설공사 과정에서 불확실성과 위험성이 비교적 높은 토공사, 지정공사 및 기초공사에서 발생할 수 있는 리스크인자의 중요도 산정에 관한 것이다. 이 연구는 리스크 $식별\cdot분석\cdot대응$으로 이루어지는 리스크관리 3단계 중 리스크 식별과 분석단계를 중심으로 연구를 진행하였다. 리스크 식별은 기존의 건설공사 작업분류체계를 참고하여 대상 공종을 $공통\cdot토공사\cdot지정$ 및 기초공사로 구분하여 초기 건설공사의 리스크 분류체계를 제시하였다. 리스크 분석은 리스크분류체계를 바탕으로 퍼지이론에 기반하여 실시하였다. 리스크인자의 중요도는 AHP기법에 의한 상대적 중요도와 퍼지척도로부터 구한 리스크인자들 사이의 절대적 중요도를 고려하여 산정하였으며 리스크 인자의 최종적인 중요도는 Sugeno $\lambda$-퍼지척도를 사용하여 구하였다.

• 보건행정학회지
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• 제31권3호
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• pp.344-354
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• 2021

Background: The purpose of this study was to analyze the effect of national health insurance coverage of Chuna therapy in April 2019 on the costs and service uses in automobile insurance. Methods: This study used the claim data from Health Insurance Review and Assessment Service. A total of 189,912 inpatients and 1,550,497 outpatients who received Chuna therapy covered by automobile insurance in oriental medical institutions were included. The analysis period was from July 2018 to December 2019, and a total of 18 months before and after April 2019, when Chuna therapy was covered by national health insurance. Interrupted time series analysis was applied to analyze the impact on the costs and service uses of Chuna therapy in automobile insurance before and after April 2019. Results: From July 2018 to December 2019, for 189,912 inpatients the cost and the number of times for Chuna therapy per capita were increased by 22.0% and decreased by 7.3% respectively right after the implementation of the policy. In the case of 1,550,497 outpatients, the cost of Chuna therapy per capita tends to be increased by 0.4% in overall study periods and increased 28.4% immediately after the implementation of the policy. Meanwhile, the number of times and visits for Chuna therapy per capita tends to be increased by 0.4% in overall study periods but decreased by 0.4% after the implementation of the policy. Conclusion: Results suggest that if the national health insurance coverage of oriental medicine services increases according to the policy stance for benefit expansion in national health insurance, the criteria for providing national health insurance benefits should be considered with the comprehensive impacts on the costs and service uses of automobile insurance.

• 보건행정학회지
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• 제31권4호
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• pp.472-478
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• 2021

Background: Early identification of patients who are highly likely to develop severe illness among confirmed cases of coronavirus disease 19 (COVID-19) can be expected to lead to effective treatment. This study therefore aimed to determine whether the presence of nonalcoholic fatty liver disease (NAFLD) has an impact on the exacerbation of COVID-19 symptoms. Methods: The study used the Korean National Health Insurance claim data for treatment of COVID-19 patients in 2020. NAFLD includes nonalcoholic fatty liver (NAFL) and nonalcoholic steatohepatitis (NASH). The outcome variables used were hospitalization and the use of medical devices. Hospitalization was defined by a length of stay exceeding one day and the use of medical devices was defined as one or more uses of a ventilator or extracorporeal membrane oxygenation. Multivariable logistic regression analysis was performed to determine if there was a difference in the hospitalization and use of medical devices of COVID-19 patients depending on the presence of NAFLD. Results: The odds ratio of hospitalization was 1.059, indicating slightly higher odds of hospitalization for patients with NAFL or NASH compared to those without the conditions, but it was not statistically significant (0.969-1.156). On the other hand, the odds ratio of use of medical devices was high at 1.667 and was statistically significant (1.111-2.501). Conclusion: The study results found NAFLD to be a risk factor that can exacerbate symptoms in COVID-19 patients. Accordingly, it is necessary to identify NAFLD patients through preemptive screening and provide them with appropriate treatments.

• 보건행정학회지
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• 제29권2호
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• pp.228-236
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• 2019

Background: This study investigates the impact of weekend admission with a patient safety indicator (PSI) on 30-day mortality among long-term insurance beneficiaries. Methods: Data were obtained from the National Health Insurance Service-Senior claim database from 2002 to 2013. To obtain unbiased estimates of odds ratio, we used a nested case-control study design. The cases were individuals who had a 30-day mortality event after their last medical utilization, while controls were selected by incidence density sampling based on age and sex. We examined the interaction between the main independent variables of weekend admission and PSI by categorizing cases into four groups: weekend admission/PSI, weekend admission/non-PSI, weekday admission/PSI, and weekday admission/non-PSI. Results: Of the 83,400 individuals in the database, there were 20,854 cases (25.0%) and 62,546 controls (75.0%). After adjusting for socioeconomic, health status, seasonality, and hospital-level factors, the odds ratios (ORs) of 30-day mortality for weekend admission/PSI (OR, 1.484; 95% confidence interval [CI], 1.371-1.606) and weekday admission/PSI (OR, 1.357; 95% CI, 1.298-1.419) were greater than for patients with weekday admission/non-PSI. Conclusion: This study indicated that there is an increased risk of mortality after weekend admission among patients with PSI as compared with patients admitted during the weekday without a PSI. Therefore, our findings suggest that recognizing these different patterns is important to identify at-risk diagnosis to minimize the excess mortality associated with weekend admission in those with PSI.

• 디지털융복합연구
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• 제16권12호
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• pp.533-540
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• 2018

이 연구는 건강보험 심사평가원 자료를 이용하여 동일 환자의 동일 질환에 대하여 서로 다른 의료기관이 부여하는 질병 코딩의 불일치성을 분석하여 국가 보건 통계 질 향상을 위한 기초 자료로 활용하고자 시행하였다. 건강보험심사평가원 2014년 전체 환자 데이터셋(HIRA-NPS)에서 9,976,826건의 진료비 명세서를 연구 대상으로 하였다. 연구결과 의료기관의 이동 경로에 따라서 질병 코딩 불일치의 차이가 존재 하였고 불일치율은 보건기관 이외의 타 의료기관에서 보건기관으로 이동하였을 때 높아지는 경향이 발견되었고, 상급종합병원 간 이동하였을 때는 불일치율이 현저하게 낮았다. 본 연구의 의료기관 간 질병 코딩 불일치 현황 분석은 국내 의료기관에서 일관성 있는 질병 코딩이 이루어지기 위한 제도적 보완의 필요성을 시사하고 있다.

• 보건행정학회지
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• 제29권2호
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• pp.237-244
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• 2019

Background: Weekend admission is known for having association with increased mortality attributed by poor quality of care and severe patients. We investigated the association between hospital admission on weekends and the in-hospital mortality rates of patients with cardiovascular disease. Furthermore, we examined this association stratified by admission via emergency room or not. Methods: We analyzed claim data provided by the Health Insurance Review & Assessment in 2013. In total, 80,817 cardiovascular patients were included in this study, which treated in-hospital mortality (early and during total length of stay) as a dependent variable. A generalized linear mixed effects model was used. We conducted subgroup analyses stratified by admission via emergency room or not. Results: Patients who admitted on weekend showed higher in-hospital mortality both early (odds ratio [OR], 1.48; 95% confidence interval [CI], 1.23-1.78) and during total length of stay (OR, 1.17; 95% CI, 1.02-1.33) compared to those admitted on weekdays. Patients who were admitted to the hospital on a weekend by emergency room were more likely to experience early in-hospital mortality compared to those admitted on weekdays. Furthermore, we found that patients not admitted to the hospital through the emergency department were more likely to experience both early and total length of stay in-hospital mortality. Conclusion: Our study shows higher in-hospital mortality rates for cardiovascular patients admitted on weekends. Efforts to improve the quality of care on weekend are important to mitigate the 'weekend effect' and improve patient outcomes.