• Title/Summary/Keyword: Cost Change

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The Impact of Long-term Care Insurance on Medical Utilization and Medical Cost in South Korea (노인장기요양보험 서비스 이용에 따른 의료이용 및 의료비 지출 양상의 변화)

  • Kang, Hee-Jin;Jang, Suhyun;Jang, Sunmee
    • Health Policy and Management
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    • v.32 no.4
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    • pp.389-399
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    • 2022
  • Background: This study aimed to analyze changes in medical utilization and cost before and after long-term care (LTC) implementation. Methods: We used the National Health Information Database from National Health Insurance Service. The participants were selected who had a new LTC grade (grade 1-5) for 2015. Medical utilization was analyzed before and after LTC implementation. Segmented regression analysis of interrupted time series was conducted to evaluate the overall effect of the LTC implementation on medical costs. Results: The total number of participants was 41,726. A major reason for hospitalization in grade 1 was cerebrovascular diseases, and dementia was the top priority in grade 5. The proportion of hospitalization in grade 1 increased sharply before LTC implementation and then decreased. In grade 5, it increased before LTC implementation, but there was no significant difference after LTC implementation. As for medical cost, in grades 1 to 4, the total cost increased sharply before the LTC implementation, but thereafter, changes in level and trend tended to decrease statistically, and for grade 5, immediately after LTC implementation, the level change was decreasing, but thereafter, the trend change was increasing. Conclusion: Long-term care grades showed different medical utilization and cost changes. Long-term care beneficiaries would improve their quality of life by adequately resolving their medical needs by their grades.

Analyzing the Evolutionary Stability for Behavior Strategies in Reverse Supply Chain

  • Tomita, Daijiro;Kusukawa, Etsuko
    • Industrial Engineering and Management Systems
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    • v.14 no.1
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    • pp.44-57
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    • 2015
  • In recent years, for the purpose of solving the problem regarding environment protection and resource saving, certain measures and policies have been promoted to establish a reverse supply chains (RSCs) with material flows from collection of used products to reuse the recycled parts in production of products. It is necessary to analyze behaviors of RSC members to determine the optimal operation. This paper discusses a RSC with a retailer and a manufacturer and verifies the behavior strategies of RSC members which may change over time in response to changes parameters related to the recycling promotion activity in RSC. A retailer takes two behaviors: cooperation/non-cooperation in recycling promotion activity. A manufacturer takes two behaviors: monitoring/non-monitoring of behaviors of the retailer. Evolutionary game theory combining the evolutionary theory of Darwin with game theory is adopted to clarify analytically evolutionary outcomes driven by a change in each behavior of RSC members over time. The evolutionary stable strategies (ESSs) for RSC members' behaviors are derived by using the replicator dynamics. The analysis numerically demonstrates how parameters of the recycling promotion activity: (i) sale promotion cost, (ii) monitoring cost, (iii) compensation and (iv) penalty cost affect the judgment of ESSs of behaviors of RSC members.

Factors Influencing the Reuse of Mobile Payment Services in Retail

  • KIM, Soon-Hong;YOO, Byong-Kook
    • Journal of Distribution Science
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    • v.18 no.3
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    • pp.53-65
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    • 2020
  • Purpose: This study tests the suitability of a new technology acceptance model for a mobile payment system by checking how statistically significant the change is from the UTAUT (Unified Theory of Acceptance and Use of Technology) and UTAUT 2 models. Research, Data, and Methodology: We surveyed 250 students at Incheon University who are using the mobile payment system. The analysis was conducted on 243 valid questionnaires. The survey was conducted for one month in October 2018. The collected data were analyzed using SPSS and hierarchical regression analysis was applied. Results: Using hierarchical regression analysis, this study confirmed whether the newly added hedonic motivation, switching cost, and perceived risk variables in the UTAUT2 model are good explanatory variables. Mobile payment usage experience was found to have a moderating effect on mobile payment reuse intention. According to the analysis, the UTAUT2 model brought about more influential change than the variables of the UTAUT model. Conclusions: This study found that consumers' psychological factors added in the UTAUT2 model greatly influenced the reuse intention for mobile payment. As an implication of this study, mobile payment providers need to develop strategies that could meet hedonic motivation, switching cost and perceived risk for their customers.

The Economic Feasibility Analysis of Grow out Phase Production of Oyster Farming by Rising Water Temperature (기후변화로 인한 수온상승이 굴양식 본양성 생산방식의 경제성에 미치는 영향분석)

  • Choi, Jong Du;Choi, Young Jun
    • Ocean and Polar Research
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    • v.36 no.2
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    • pp.157-163
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    • 2014
  • This study analysed the economic feasibility per hectare of grow out phase production of Oyster farming by rising water temperature in Ocean. Elevated Water temperature by climate change had a bad influence for oyster production and economic feasibility. In the case of production units, the total output of oyster decreases from 213,840 to 205,594 units. Using cost-benefit analysis with discounting rates (5.5%), we estimated the net present value (NPV) and benefit cost ratio (BCR) until 2100 years. The model results showed that the NPV without water temperature rise was 1,565,619,893 won and the NPV with water temperature rise was 1,540,493,059 won. Also, BCR estimated that the former was 2.095 better than the latter was 2.077. To summarise, the economic effect per hectare of water temperature rise in ocean did the damage to the economic loss about 25,126,834 won.

The Impacts of Greenhouse Gas Abatement on Korean Economy and Energy Industries : An Economic Analysis Using a CGE Model (온실가스 배출 감축이 한국경제와 에너지산업에 미치는 영향 - CGE 모형을 사용한 경제적 분석 -)

  • Lim, Jaekyu
    • Environmental and Resource Economics Review
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    • v.10 no.4
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    • pp.547-567
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    • 2001
  • This paper analyzed what kind of institutional scheme for domestic policy instruments to reduce GHG emissions are desirable for Korea in complying with the international efforts to mitigate climate change, by focusing on independent abatement(equivalent to the imposition of carbon tax) and domestic emission trading. It also examined the economic and environmental implications of recycling the government revenue created from implementation of those policies. By utilizing a dynamic CGE model, this study shows that the economic cost under independent abatement is projected to be higher than that under emission trading. It is because under independent abatement scheme each emitter in economy must meet its emission target regardless of the abatement cost. On the other hand, emission trading allows emitters to reduce the marginal cost of abatement through trading of emission permits. In designing future domestic policies and measure to address the climate change problem in Korea, therefore, this study proposes the introduction of domestic emission trading scheme as the main domestic policy instrument for GHG emission abatement. In terms of double dividend, in addition, this study shows that both independent abatement and emission trading schemes under various assumption on the revenue recycling may not generate the double dividend in Korea.

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Probabilistic GMP Calculation Method based on BIM (BIM기반 확률론적 GMP 산정방안에 관한 연구)

  • Go, Gun-Ho;Jin, Zheng-Xun;Kim, Hyun-Joo;Hyun, Chang-Taek
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2018.05a
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    • pp.122-123
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    • 2018
  • Recently, CM at Risk delivery system(CM@R) that could solve the problems of Design Bid Build delivery(DBB) system has been emerging. In the CM@R delivery system, the contractor negotiates for a maximum guaranteed price(GMP) with the client at the design stage, and the contractor carries out the construction within the GMP. In CM @ R, the construction company with expertise in construction participates from the design stage to reflects the construction know-how in the design. On the other hand, the modification design frequently occurs due to the change of the construction cost when negotiating the GMP. In addition, uncertainties are inherent in the GMP calculation because the calculation is based on unfinished drawings and documents. This study proposes a probabilistic GMP estimation method applying MCS to the BIM - based cost prediction model, in order to extract the accurate quantity information when estimating the GMP and to cope with the change of the construction cost inherent in uncertainty.

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Optimal N-Policy of M/G/1 with Server Set-up Time under Heterogeneous Arrival Rates (서버상태의존 도착률을 갖는 M/G/l 모형의 최적 제어정책)

  • Paik, Seung-Jin;Hur, Sun
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.20 no.43
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    • pp.153-162
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    • 1997
  • M/G/1 queueing system is one of the most widely used one to model the real system. When operating a real systems, since it often takes cost, some control policies that change the operation scheme are adopted. In particular, the N-policy is the most popular among many control policies. Almost all researches on queueing system are based on the assumption that the arrival rates of customers into the queueing system is constant, In this paper, we consider the M/G/1 queueing system whose arrival rate varies according to the servers status : idle, set-up and busy states. For this study, we construct the steady state equations of queue lengths by means of the supplementary variable method, and derive the PGF(probability generating function) of them. The L-S-T(Laplace Stieltjes transform) of waiting time and average waiting time are also presented. We also develop an algorithm to find the optimal N-value from which the server starts his set-up. An analysis on the performance measures to minimize total operation cost of queueing system is included. We finally investigate the behavior of system operation cost as the optimal N and arrival rate change by a numerical study.

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Dynamic Performance Comparison of Various Combination of Reactive Power Compensators (조상설비 조합에 따른 정태적 특성 및 동태적 특성 비교)

  • Jang Gilsoo;Lee Byongjun;Kwon Sae-hyuk;Kang Sanggyun
    • The Transactions of the Korean Institute of Electrical Engineers A
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    • v.54 no.4
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    • pp.159-164
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    • 2005
  • Various compensators are installed into the power system to operate the system economically and stably by maximizing the availability of utilities and power transmission capability. Fixed Capacitor(FC), Mechanical Switched Capacitor(MSC), and FACTS(Flexible AC Transmission Systems) are used to regulate voltage and power flow of the system. When a disturbance occurs in the power system, the Fixed Capacitor operates dependently on the voltage of the power system and cannot change the amount of installation automatically. But compared to other equipment, the Fixed Capacitor is more economical due to its low cost. Since MSC can change the amount of installation according to the state of the power system, operates more effectively than the Fixed Capacitor. FACTS have fast dynamic performance for the transient condition, but the cost is high. Therefore, it is needed to develop an optimized installation planning for the reactive power compensators by considering their dynamic performance and cost. In this paper, an optimized compensator combination and the proposed scheme is proposed and it is applied to KEPCO system in order to show its capabilities.

Development of Techno-Economic Evaluation Model for CCS (Carbon Capture & Sequestration) (CCS (Carbon Capture & Sequestration) 기술·경제성 평가 분석)

  • Lee, Ji Hyun;Kwak, No-Sang;Lee, Dong Woog;Shim, Jae-Goo;Lee, Jung Hyun
    • Journal of Climate Change Research
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    • v.7 no.2
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    • pp.111-120
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    • 2016
  • In this study, Techno-economic evaluation model for carbon capture & sequestration (CCS) technologies are reviewed. Based on a key parameters of Korea's electricity market, performance data of 10 MW-scale post-combustion $CO_2$ capture pilot plant in Boryong station, the cost of $CO_2$ avoided was evaluated followed by international guideline suggested by IEA CCS costing methods task force. The result showed that Korea's Electricity cost including CAPEX & OPEX of reference power plant is relatively low compared to OECD nations which lead to a lower CCS cost ($33USD\;t/CO_2$). And future work using newly evaluated CAPEX & OPEX data of power plant with/without CCS is recommended.

MODEL-BASED LIFE CYCLE COST AND ASSESSMENT TOOL FOR SUSTAINABLE BUILDING DESIGN DECISION

  • Iris X. Han;W. Zhou;Llewellyn C.M. Tang
    • International conference on construction engineering and project management
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    • 2011.02a
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    • pp.311-317
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    • 2011
  • There is a growing concern in reducing greenhouse gas emissions all over the world. The U.K. has set 34% target reduction of emission before 2020 and 80% before 2050 compared to 1990 recently in Post Copenhagen Report on Climate Change. In practise, Life Cycle Cost (LCC) and Life Cycle Assessment (LCA) tools have been introduced to construction industry in order to achieve this such as. However, there is clear a disconnection between costs and environmental impacts over the life cycle of a built asset when using these two tools. Besides, the changes in Information and Communication Technologies (ICTs) lead to a change in the way information is represented, in particular, information is being fed more easily and distributed more quickly to different stakeholders by the use of tool such as the Building Information Modelling (BIM), with little consideration on incorporating LCC and LCA and their maximised usage within the BIM environment. The aim of this paper is to propose the development of a model-based LCC and LCA tool in order to provide sustainable building design decisions for clients, architects and quantity surveyors, by then an optimal investment decision can be made by studying the trade-off between costs and environmental impacts. An application framework is also proposed finally as the future work that shows how the proposed model can be incorporated into the BIM environment in practise.

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