• 제목/요약/키워드: Cost variation pattern

검색결과 32건 처리시간 0.023초

한 도시 대학병원 자료를 이용한 입원환자의 의료서비스 이용량 변이에 관한 연구 (Variation in resource utilization for inpatients among university teaching hospitals in a city)

  • 박하영;신의철;맹광호
    • Journal of Preventive Medicine and Public Health
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    • 제23권4호
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    • pp.451-464
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    • 1990
  • The variation in resource utilization for hospitalized patients who had a group of similar diseases -- a Korean Diagnosis Related Group (KDRG) -- among the same type of hospitals was studied to assess the utillization variation due to the practice pattern of hospitals. Information about inpatients who were beneficiaries of the medical insurance for teachers and government officials discharged from 20 large university teaching hospitals in Seoul during 1986 and information about the hospitals were analyzed to achieve the study objective. A total of 20,223 non-outlier patients in 100 most frequent KDRGs were included in the analysis. Case charges after the review and length of stay (LOS) were used as measures of resource utilization during a hospitalization. A substantial variation among hospitals was found in most KDRGs : o the ratio of the maximum and the minimum among the mean case charges of hospitals was greater than 2 in 83 KDRGs ; o the difference between the maximum and the minimum among the mean case charges of hospitals was greater than 100,000 Won in 94 KDRGs : o the ratio of the maximum and the minimum among the mom LOS of hospitals was greater than 2 in 82 KDRGs ; o the difference between the maximum and the minimum among the mean LOS of hospitals was greater than 3 days in 94 KDRGs. The practice pattern of hospitals explained more than 20% of charge variation in 49 KDRGs and more than 20% of LOS variation in 43 KDRGs. The study results indicated need for a new health policy initiative for cost containment and quality assurance.

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공공업무시설의 수선비 조사를 통한 연차별 비용변화 패턴 및 수선비 항목별 발생빈도와 평균비용 분석 (A Study on cost expenditure characteristics and importance level of each maintenance item of public office buildings by conducting cost surveys)

  • 최석규;김갑열
    • KIEAE Journal
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    • 제8권1호
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    • pp.111-118
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    • 2008
  • To maintain the public office buildings, the related government employee uses cost under the limited budget. it is difficult to execute the budget as is assigned to maintenance items with contemplating the characteristics such as frequency, cost/item, weighting factor, and etc. As a precedent study about this cost-efficiency model, this study is intended to show the expenditure trends, frequencies, and cost distributions of maintenance items for the development of cost-efficiency model by analyzing time series data from the surveys on maintenance costs of the selected public office buildings.

미국 공업에 있어서 비용 극소화 관리로 부터 비용 전가식 관리로의 변천 (Transition from Cost Minimizing Management to Cost Pass-along Management in U.S. Manufacturing Industries)

  • 홍병유
    • 대한산업공학회지
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    • 제6권1호
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    • pp.9-15
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    • 1980
  • By the mid 1960's the rate of productivity growth in the manufacturing industries of the United States reached the lowest level ever recorded in the American economy. As a result the cost-offsetting operations that had been a century-long part of cost minimizing became less feasible. U.S. manufacturing firins apparently embarked on a pattern of a cost pass-along management. Accounting for price variation as a function of a shift from cost minimizing to cost pass-along is the main subject of this investigation. An econometric model of the inflation process is presented which indicates a clear shift in the modal behavior of manufacturing industries from cost minimizing (1948-1964) to cost pass-along (1965-1975). The latter behavior, initially triggered by the drag of resource diversion on the productivity growth process, undermines the pressure toward productive efficiency that is at the core of industrial engineering, and at the center of U.S. industry's ability to remain competitive.

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화자간 변별력 최대화를 위한 혼합 모델 방식과 심볼 확률 가중함수에 관한 연구 (A Study on the Mixed Model Approach and Symbol Probability Weighting Function for Maximization of Inter-Speaker Variation)

  • 진세훈;강철호
    • 한국음향학회지
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    • 제24권7호
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    • pp.410-415
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    • 2005
  • 최근 대부분의 화자확인 시스템은 패턴 인식 접근방식에 기인하고 있다. 패턴 분류기의 성능은 화자의 특징 파라미터를 어떻게 분류하는가 하는 데에 기인한다. 그 특징 파라미터를 잘 분류하기 위해서는, 화자간 변이를 최대화하고 특징 파라미터 간 거리를 효과적으로 측정하는 것이 매우 중요하다. 따라서, 본 논문에서는 개인 모델과 월드 모델을 동시에 배치함으로써 화자간 변이를 최대화 할 수 있는 개선된 혼합 모델 구조를 제안한다. 결정 과정 시 제안한 혼합 모델 방식을 사용함으로써 화자간 변별력을 최대화 할 수 있었다. 또한, 입력데이터에 대한 개인 모델과 월드 모델의 거리비율에 따라 심볼 확률 값을 가중하여 벡터 양자화 에러를 줄이는 가중치 함수를 제안 한다. 실험 결과, 이두 가지 방법을 취함으로써 DCF (Detection Cost Function)를 $2.37\%$에서 $1.16\%$로 낮출 수 있었다.

모바일 그리드에서 데이터마이닝을 이용한 효율적인 사용자 패턴 연구 (Study of the effective use pattern using Data Mining in a mobile grid)

  • 김휴찬;김미정
    • 디지털산업정보학회논문지
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    • 제9권2호
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    • pp.23-32
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    • 2013
  • The purpose of this study is to make effective mobile grid considered general environment, which can be summarized as irregular mobility, service exploration, data sharing, variety of machines, limit to the battery duration, etc. The data was extracted from the Dartmouth College. We analysed mobile use pattern of a specific group and applied pattern using hybrid method. As a result, we could adjust infra usage effectively and appropriately and cost cutting and increase satisfaction of user. In this study, by applying weighting method based on access time interval, we analysed use pattern added time variation with association rule during users in mobile grid environment. We proposed more stable way to manage patterns in a mobile grid environment that is being used as a hybrid form to process the data value received from the server in real time. Further studies are needed to get appropriate use pattern by group using use patterns of various groups.

Variation of Hospital Costs and Product Heterogeneity

  • Shin, Young-Soo
    • Journal of Preventive Medicine and Public Health
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    • 제11권1호
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    • pp.123-127
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    • 1978
  • The major objective of this research is to identify those hospital characteristics that best explain cost variation among hospitals and to formulate linear models that can predict hospital costs. Specific emphasis is placed on hospital output, that is, the identification of diagnosis related patient groups (DRGs) which are medically meaningful and demonstrate similar patterns of hospital resource consumption. A casemix index is developed based on the DRGs identified. Considering the common problems encountered in previous hospital cost research, the following study requirements are estab-lished for fulfilling the objectives of this research: 1. Selection of hospitals that exercise similar medical and fiscal practices. 2. Identification of an appropriate data collection mechanism in which demographic and medical characteristics of individual patients as well as accurate and comparable cost information can be derived. 3. Development of a patient classification system in which all the patients treated in hospitals are able to be split into mutually exclusive categories with consistent and stable patterns of resource consumption. 4. Development of a cost finding mechanism through which patient groups' costs can be made comparable across hospitals. A data set of Medicare patients prepared by the Social Security Administration was selected for the study analysis. The data set contained 27,229 record abstracts of Medicare patients discharged from all but one short-term general hospital in Connecticut during the period from January 1, 1971, to December 31, 1972. Each record abstract contained demographic and diagnostic information, as well as charges for specific medical services received. The 'AUT-OGRP System' was used to generate 198 DRGs in which the entire range of Medicare patients were split into mutually exclusive categories, each of which shows a consistent and stable pattern of resource consumption. The 'Departmental Method' was used to generate cost information for the groups of Medicare patients that would be comparable across hospitals. To fulfill the study objectives, an extensive analysis was conducted in the following areas: 1. Analysis of DRGs: in which the level of resource use of each DRG was determined, the length of stay or death rate of each DRG in relation to resource use was characterized, and underlying patterns of the relationships among DRG costs were explained. 2. Exploration of resource use profiles of hospitals; in which the magnitude of differences in the resource uses or death rates incurred in the treatment of Medicare patients among the study hospitals was explored. 3. Casemix analysis; in which four types of casemix-related indices were generated, and the significance of these indices in the explanation of hospital costs was examined. 4. Formulation of linear models to predict hospital costs of Medicare patients; in which nine independent variables (i. e., casemix index, hospital size, complexity of service, teaching activity, location, casemix-adjusted death. rate index, occupancy rate, and casemix-adjusted length of stay index) were used for determining factors in hospital costs. Results from the study analysis indicated that: 1. The system of 198 DRGs for Medicare patient classification was demonstrated not only as a strong tool for determining the pattern of hospital resource utilization of Medicare patients, but also for categorizing patients by their severity of illness. 2. The wei틴fed mean total case cost (TOTC) of the study hospitals for Medicare patients during the study years was $11,27.02 with a standard deviation of $117.20. The hospital with the highest average TOTC ($1538.15) was 2.08 times more expensive than the hospital with the lowest average TOTC ($743.45). The weighted mean per diem total cost (DTOC) of the study hospitals for Medicare patients during the sutdy years was $107.98 with a standard deviation of $15.18. The hospital with the highest average DTOC ($147.23) was 1.87 times more expensive than the hospital with the lowest average DTOC ($78.49). 3. The linear models for each of the six types of hospital costs were formulated using the casemix index and the eight other hospital variables as the determinants. These models explained variance to the extent of 68.7 percent of total case cost (TOTC), 63.5 percent of room and board cost (RMC), 66.2 percent of total ancillary service cost (TANC), 66.3 percent of per diem total cost (DTOC), 56.9 percent of per diem room and board cost (DRMC), and 65.5 percent of per diem ancillary service cost (DTANC). The casemix index alone explained approximately one half of interhospital cost variation: 59.1 percent for TOTC and 44.3 percent for DTOC. Thsee results demonstrate that the casemix index is the most importand determinant of interhospital cost variation Future research and policy implications in regard to the results of this study is envisioned in the following three areas: 1. Utilization of casemix related indices in the Medicare data systems. 2. Refinement of data for hospital cost evaluation. 3. Development of a system for reimbursement and cost control in hospitals.

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운전패턴변화에 따른 고속전철용 견인전동기의 경량화설계에 관한 연구 (A study on weight reduction design of induction motor for high speed train with driving pattern variations)

  • 김근웅;배동진;윤종학;이기호;한성수
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 1998년도 창립기념 춘계학술대회 논문집
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    • pp.458-465
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    • 1998
  • This paper presents an inverter-driven induction motor used as the traction motor for a high speed drive system that is required safety, reliability and performance and so on, In the respect of traction motor design, it is mainly showed the weight reduction inclination and characteristic investigation due to V/f driving pattern variation of inverter. Particularly, the reduction of V/f ratio pattern effects on the weight of traction motor and badly on the increase of phase current of traction motor in starting point. This method of weight reduction design have to be reached the decision with not only motor but also the consideration of inverter system because of the heat capacity, weight and material cost of inverter according to the increase of current.

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주입전류 패턴에 따른 EIT 방광 모니터링 시스템의 성능분석 (Performance analysis of EIT bladder monitoring system according to input current patterns)

  • 한유정;;김경연
    • 전기전자학회논문지
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    • 제23권1호
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    • pp.164-172
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    • 2019
  • 현재 배뇨 장애를 진단할 수 있는 대표적인 임상 방법들은 침습적이고 고가이며, 장시간 연속적인 모니터링을 수행하기에는 한계가 있다. EIT는 비침습적 방법으로 외부 전극을 통하여 전류를 주입하고 유기된 전압을 측정하여 내부 전기적(임피던스) 특성을 영상화 하는 기술로써, 저렴한 비용으로 방광의 상태를 모니터링 할 수 있는 유용한 기법이 될 수 있다. 전극을 통하여 주입된 전류 패턴에 따라 측정전압 데이터의 신호특성이 달라지고 영상 복원 성능에 영향을 미친다. 본 논문에서는 인체 하복부 부근에 위치한 방광의 크기 변화에 대한 민감도가 극대화될 수 있는 모델링을 위해 입력전류 패턴에 따른 영상 복원 성능을 분석하였다.

3D 프린팅을 이용한 P LA+ 소재의 채움 패턴 및 밀도 변화에 따른 인장강도 연구 (A Study on Tensile Strength Dependent on Variation of Infill Pattern and Density of PLA+ Material Using 3D Printing)

  • 나두현;김현준
    • 소성∙가공
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    • 제31권5호
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    • pp.281-289
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    • 2022
  • Presently, 3D printers manufactured by material extrusion are economical and easy to use, so they are being used in various fields. However, this study conducted a tensile test on the infill pattern and density of the PLA+ material, due to the limitations of long printing time as well as low mechanical strength. The infill area for the infill density change was measured, using a vision-measuring machine for four infill patterns (concentric, zigzag, honeycomb, and cross) in which the nozzle path was the same for each layer. The tensile strength/weight[MPa/g] and tensile strength/printing time[MPa/min] of the tensile specimens were analyzed. In this study, efficient infill density and patterns are suggested, for cost reduction and productivity improvement. Consequently, it was confirmed that the infill area and infill percentage of the four patterns, were not constant according to the infill pattern. And the tensile strength of the infill density 40% of the honeycomb pattern and infill density 20% of the cross pattern, tended to highly consider the weight and printing time. Honeycomb and cross patterns could reduce the weight of the tensile specimen by 19.11%, 28.07%, as well as the printing time by 29.56%, 52.25%. Tensile strength was high in the order of concentric, zigzag, honeycomb, and cross patterns, considering the weight and printing time.

X-12 ARIMA를 이용한 아파트 원가의 변동분석 및 예측모델 개발 (Time Series Analysis and Development of Forecasting Model in Apartment House Cost Using X-12 ARIMA)

  • 조훈희
    • 한국건설관리학회논문집
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    • 제6권6호
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    • pp.98-106
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    • 2005
  • 아파트 건설원가 추정지수와 그 예측모델은 아파트 분양가격 변동의 적정성을 평가하고 건설기 업이 적정이윤을 계상하도록 유도할 수 있다. 본 연구에서는 기존의 철골 철골조주택 공사비지수를 개선하고, 개선된 지수를 대상으로 X-12 ARIMA 방법에 의한 예측방법을 개발하였다 연구결과 최근 5년간 노무비를 제외하고 약 33.7%의 아파트 건설 원가상승요인이 발생하였으며, 향후 3년간 16.8%가량 추가 상승할 것으로 예측되었다. 이러한 정량적인 연구결과는 최근의 높은 아파트 분양가격의 적정성을 간접적으로 평가하는 지표로 활용될 수 있고, 아파트 건설원가의 변동패턴을 이해하는데 도움을 줄 수 있다.