• 보건의료산업학회지
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• 제11권3호
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• pp.23-35
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• 2017

Objectives : This study analyzed the trends of patient costs in 7diagnosis-related groups(DRG) since July 2013 when the government made it mandatory for all hospitals and clinics. Methods : Data were collected from the 7DRG score chart published by the Ministry of Health and Welfare(MoHW) from July 2013 to January 2017. The average value of the weekday relative value scale was multiplied by unit price, referred to as'- "patient costs by disease group"-' and they were analyzed by time series. Results : Patient costs had increased among all patients with a comprehensive disease. Small and medium-sized hospitals (hospitals and clinics) showed a slight increase in patient costs. Conclusions : Enforcement of the Korean diagnosis-related groups has led to management crisis in small and medium-sized hospitals and deterioration medical service quality. To solve this problem, The weekday relative value scale of small and medium-sized hospitals should be increased significantly.

• 교육시설 논문지
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• 제23권6호
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• pp.27-34
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• 2016

Although the scale and number of university facilities have increased, the maintenance of these facilities has not been efficient as maintenance costs incurred during facility operation periods, as well as management time, have not been sufficiently considered. In this study, the maintenance record data of national universities was compared and analyzed to analyze factors that incur maintenance costs according to the uses and costs of the facilities. According to the results, the number of cases of maintenance and repair work for basic educational facilities was shown to be the largest, accounting for 79%. The number of maintenance and repair work occurred according to work type was examined. According to the results, the highest ratio of maintenance and repair work occurred in the field of construction, specifically, the maintenance costs required for facility supplementation accounted for the highest ratio. Maintenance costs per unit area decreased over time in the newer university facilities, while showing a tendency to increase in older university facilities. However, there were cases where maintenance costs did not show any trends due to factors such as the limited maintenance budgets owing to the characteristics of public service facilities and facilities in the stage of deterioration or destruction after the stage of stabilization. This study is considered to be helpful for efficient university facility maintenance plans and budget calculations.

• 유통과학연구
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• 제15권11호
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• pp.41-48
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• 2017

Purpose - Capital structure adjustment costs influence the test of the standard trade-off theory of capital structure. We investigate whether there exist economically significant capital adjustment costs in the Korean retail industry. Research design, data, and methodology - This paper adopts the model of Leary and Roberts(2005) to obtain the hazard rate of capital structure variations. The retail firms traded in the KOSPI and KOSDAQ markets are analyzed from 2000 to 2016. Results - The empirical analysis shows infrequent capital structure adjustments in the Korean retail firms. The duration analysis emphasizes that the fixed adjustment cost plays an important role in the determination of capital structure adjustments for the Korean retail firms. Yet, even after taking account of infrequent capital structure adjustments, the trade off theory only weakly explains the capital structure variations of the Korean retail firms. Conclusions - This paper confirms the existence of capital structure adjustment costs for the Korean retail firms. Our results argue for the significance of fixed adjustment costs in capital structure adjustments. Such emphasis on the fixed cost is inconsistent with the existing studies. The trade off theory does not successfully explain capital structure policy in the Korean retail firms even after considering adjustment costs.

• 대한토목학회논문집
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• 제33권4호
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• pp.1693-1705
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• 2013

국내의 수로교는 쌀문화로 상징되는 농업용수를 공급하는 교량으로서 수로교를 개보수하기 위해서는 기본설계를 실시하는 것이 바람직하나 현재 생략되고 있는 실정이므로 이에 소요되는 공사비를 산정할 필요가 있다. 이 연구에서는 2003년 이후 교체한 RC구조 수로교에 대한 실적자료를 기초로 개략공사비 산정 회귀분석(RA) 모델과 사례기반추론(CBR) 모델을 개발하였다. RA 모델의 경우 단순회귀 모델이 다중회귀 모델보다 오차율이 낮았다. CBR 모델의 경우 유전 알고리즘을 이용하였으며 영향요인의 가중치, 편차, 순위조건을 최적화 대상으로 하였고 특히 영향요인 가중치의 범위를 제한하여 수로교 개보수 공사비의 예측 정확도를 제고하였다. RA 모델과 CBR 모델 사이의 오차율은 통계적 차이를 보이지 않았다. 본 논문에서 제시된 수로교 개보수 개략공사비 산정방법은 개보수사업의 시행에 따른 신속한 의사결정을 하는데 활용될 수 있을 것으로 기대된다.

• 한국사회복지학
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• 제61권2호
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• pp.371-389
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• 2009

실종아동문제는 한 가정의 문제로 끝나는 것이 아니라 사회문제로 발전할 수 있다는 데에 그 심각성이 있다. 하지만 실종아동문제에 대한 사회적 관심은 초보적인 수준에 머무르고 있다. 본 연구의 목적은 실종아동문제에 대한 사회적 관심을 불러일으키기 위해 아동실종의 사회경제적 비용을 추계하는 것이다. 전체적으로 1명의 장기실종아동이 발생하였을 경우, 약 5억 7천만원 정도의 비용이 발생하였다. 직접비용은 약 6,532만원으로 전체의 11.5%였으며 간접비용은 약 5억원으로 전체의 88.5%였다. 이는 실종을 예방하는 것이 가장 중요하지만, 실종 이후에는 단기간 내 찾기가 매우 중요함을 보여주고 있다. 본 연구결과를 통해 실종으로 인한 사회경제적 비용이 계산되어 실종에 대한 국민의 관심을 유발할 수 있고 예방에 대한 적정 투자비용에 관하여 자료를 추산할 수 있으며, 결과적으로 실종 예방에 대한 적극적인 국가적 투자를 유인할 수 있을 것이다.

• 대한간호학회지
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• 제38권3호
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• pp.363-371
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• 2008

Purpose: This analysis was conducted to evaluate the cost-effectiveness of gemcitabine-cisplatin chemotherapy for non small-cell lung cancer patients in an outpatient setting compared with the traditional inpatient setting. Methods: A cost-effective analysis was conducted from a societal perspective. The effects of treatment, which was measured as an adverse event rate, were abstracted from a published literature search and empirical data from one university hospital. The costs included both direct and indirect costs. Direct costs included hospitalizations, outpatient visits, and lab tests. Pharmaceutical costs were excluded in analysis because they were same for both options. Indirect costs included productivity loss of patients as well as care-givers. In order to determine the robustness of the results, sensitivity analysis on treatment protocol was conducted. Results: Literature search showed no difference in adverse effect rates between inpatient treatment protocol and outpatient treatment protocol. Therefore, this analysis is a cost-minimization analysis. Cost-savings in the outpatient setting was 555,936 won for one treatment cycle. Our sensitivity analysis indicated that the outpatient chemotherapy still showed cost-savings, regardless of changes in treatment protocol. Conclusion: The outpatient gemcitabine-cisplatin chemotherapy for non small-cell lung cancer resulted in cost savings compared to inpatient chemotherapy. More importantly, outpatient chemotherapy could improve the utilization of health service resources in terms of available beds.

• 한국산림과학회지
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• 제96권4호
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• pp.401-407
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• 2007

본 연구는 표고버섯 재배의 정책 자료를 제시하고자 표고버섯 주산단지의 재배농가 총 88호를 대상으로 표고버섯 재배에 대한 경제성을 분석하였다. 표고버섯 재배농가의 평균 생산비는 151,699원/100본으로 분석되었고, 이 가운데 중간재비가 56.0%, 노동비용이 41.8%를 차지하였다. 노동집약적인 표고버섯 산업의 특성상 노동투입량에 따라 평균 생산비는 최고인 충북지역과 최소인 경기지역 사이에는 37.2%의 큰 격차가 있었다. 평균 조수입은 178,627원/100본으로 평균 경영비 116,613원/100본을 제외하면 평균 소득은 62,014원/100본, 평균 소득률은 34.7%로 분석되었다. 생산량, 품등, 경영비 특히 노동비용의 차이 등에 의해 소득률이 최고인 전북지역과 최소인 경기지역 사이에는 15.8%포인트 격차를 보였다. 이러한 분석결과 국내 표고버섯 산업의 경쟁력 향상을 위해서는 생산비에서 가장 높은 비중을 차지하고 있는 조성비 및 노동투입비용 절감이 최우선 과제라 할 수 있다.

• The Korean Journal of Pain
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• 제31권1호
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• pp.27-38
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• 2018

Background: Related to escalating health care costs and the questionable effectiveness of multiple interventions including lumbar facet joint interventions, cost effectiveness or cost utility analysis has become the cornerstone of evidence-based medicine influencing coverage decisions. Methods: Cost utility of therapeutic lumbar facet joint nerve blocks in managing chronic low back pain was performed utilizing data from a randomized, double-blind, controlled trial with a 2-year follow-up, with direct payment data from 2016. Based on the data from surgical interventions, utilizing the lowest proportion of direct procedural costs of 60%, total cost utility per quality adjusted life year (QALY) was determined by multiplying the derived direct cost at 1.67. Results: Patients in this trial on average received $5.6{\pm}2.6$ procedures over a period of 2 years, with average relief over a period of 2 years of $82.8{\pm}29.6$ weeks with $19{\pm}18.77$ weeks of improvement per procedure. Procedural cost for one-year improvement in quality of life showed USD $2,654.08. Estimated total costs, including indirect costs and drugs with multiplication of direct costs at 1.67, showed a cost of USD $4,432 per QALY. Conclusions: The analysis of therapeutic lumbar facet joint nerve blocks in the treatment of chronic low back pain shows clinical effectiveness and cost utility at USD $2,654.08 for the direct costs of the procedures, and USD $4,432 for the estimated overall cost per one year of QALY, in chronic persistent low back pain non-responsive to conservative management.

• 대한안전경영과학회지
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• 제13권2호
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• pp.185-193
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• 2011

The successful and sustainable growth of SMEs depends on their ability of strengthen their competitiveness in quality and cost and service more than anything else as a fundamental of operation. Among these key competitive factors of SMEs, quality is the most critical factor in manufacturing business fields. There are many different ways to improve the quality performance but it needs proper management decision to choose the best way what can maximize outputs with minimum inputs. And it needs effective measurement methods and some indicators to analysis the quality performance properly. The quality cost is one of the simplest key indicators to measure the quality performance and the effectiveness of quality related management decisions. In this study, through survey on local SMEs, we found that their average annual quality cost ratio versus turnover - total amount of annual quality cost divided by annual turnover - is around 3.69% excluded some SME's performances what have different quality control measures with others. And we found some results what corresponded with the early studies on the correlations between those categorized quality costs factors and some discrepancies between some of the literature model and the early case study results as follows. There were negative correlations between the Prevention costs and the External failure costs, and the Appraisal costs and the External failure costs, and there was positive correlation between the Appraisal costs and Internal failure costs same as early studies. But, we couldn't found any strong negative correlations between the Cost of control - Prevention costs & Appraisal costs - and the Cost of Failure of control - Internal & External failure costs -.

• 동력기계공학회지
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• 제17권4호
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• pp.131-138
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• 2013

The purpose of this study is to suggest the evaluation standard of cost-effectiveness analysis for renew of architectural equipment in public building. Evaluation items of cost-effectiveness analysis for renew of architectural equipment in public building were used life cycle cost, energy consumption(ton of oil equivalent), green house gas emissions(ton of carbon dioxide) and maximum power demand. Life cycle cost is the process of making an economic assessment of an item, area, system, or facility by considering all significant costs of ownership over an economic life, expressed in terms of equivalent costs. The essence of life cycle costing is the analysis of equivalent costs of various alternative proposals. The social concern with green house gas and maximum power demand of architectural equipment field has been growing for the last several years.