• Health Policy and Management
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• v.33 no.3
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• pp.295-310
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• 2023

Background: The long-term care (LTC) group has higher rates of chronic disease and disability registration compared to the general older people population. There is a need to provide integrated medical services and care for LTC group. Consequently, this study aimed to identify medical usage patterns based on the ratings of LTC and the characteristics of benefits usage in the LTC group. Methods: This study employed the National Health Insurance Service Database to analyze the effects of demographic and LTC-related characteristics on medical usage from 2015 to 2019 using a repeated measures analysis. A longitudinal logit model was applied to binary data, while a linear mixed model was utilized for continuous data. Results: In the case of LTC ratings, a positive correlation was observed with overall medical usage. In terms of LTC benefit usage characteristics, a higher overall level of medical usage was found in the group using home care benefits. Detailed analysis by medical institution classification revealed a maintained correlation between care ratings and the volume of medical usage. However, medical usage by classification varied based on the characteristics of LTC benefit usage. Conclusion: This study identified a complex interaction between LTC characteristics and medical usage. Predicting the requisite medical services based on the LTC rating presented a challenge. Consequently, it becomes essential for the LTC group to continuously monitor medical and care needs, even after admission into the LTC system. To facilitate this, it is crucial to devise an LTC rating system that accurately reflects medical needs and to broaden the implementation of integrated medical-care policies.

• Journal of Korean Society of Industrial and Systems Engineering
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• v.19 no.37
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• pp.111-115
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• 1996

This study is to decide each level ordering policy for deterministic demand in multilevel distribution system. The ordering policy is used the combinations of EOQ and LTC. The combinations of EOQ and LTC are 4 cases. Case 1 : Regional Warehouse∼EOQ, Central Warehouse∼EOQ. Case 2 : Regional Warehouse∼EOQ, Central Warehouse∼LTC. Case 3 : Regional Warehouse∼LTC, Central Warehouse∼EOQ. Case4 : Regional Warehouse∼LTC, Central Warehouse∼LTC. The criterion is to minimize total cost per year.

• Health Policy and Management
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• v.26 no.4
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• pp.305-314
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• 2016

Background: The purpose of this study is to examine the characteristics of and factors associated with long-term care (LTC) utilization under public long-term care insurance (LTCI) among end-of-life older adults in Korea. Methods: Using a 5% sample of older people aged 65 or older and their health and LTC insurance data, two-part model analyses were conducted. We compared LTC uses and their determinants during the last year of life among decedents in the year 2010 with those of survivors. We also compared the medical uses of the same sample with their LTC uses. Results: The end-of-life elderly were more likely to use LTC, and their expenditure on LTC was higher than their counterparts. Whether or not older people used LTC during their last year of life was significantly affected by age, sex, health insurance, household income, and living alone; however, LTC costs of the decedents were only affected by functional status, which may have been due to the reimbursement scheme of the current LTCI, which is mainly based on functional dependency level. For the survivors, having chronic diseases significantly increased the likelihood of LTC use, which was not the case for the decedents. End-of-life elderly with relatively low social economic status were more likely to use the LTC other than medical services, while the health conditions affected their medical uses most significantly. Conclusion: The study findings provide key information for predicting demand related to the increasing LTC needs of Korean older people at the end of life.

• KIEE International Transactions on Power Engineering
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• v.4A no.4
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• pp.207-213
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• 2004

In this paper, the on-line volt/var control algorithms of the Load Tap Changer (LTC) transformer and Shunt Capacitor (SC) are proposed for distribution volt/var compensation. In the existing volt/var control of the distribution substation, the feeder voltage and reactive power demand of the distribution are mainly controlled by the LTC transformer tap position and on/off operation of the Sc. It is very difficult to maintain volt/var at the distribution networks within the satisfactory levels due to the discrete operation characteristics of the LTC and SC. In addition, there is the limitation of the LTC and SC operation times, which affects their functional lifetimes. The proposed volt/var control algorithm determines an optimal tap position of the LTC and on/off status of the SC at a distribution substation with multiple connected feeders. The mathematical equations of the proposed method are introduced. A simple case study is performed to verify the effectiveness of the proposed method.

• Proceedings of the Korean Nuclear Society Conference
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• 1996.05a
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• pp.413-418
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• 1996

The main purpose of this paper is to develop the modified LTC code for accurate analysis of the boron concentration behavior of all components in the Nuclear Steam Supply System (NSSS). This is achieved by adapting a multi-cell mad to the existing Long Term Cooling (LTC) code. To verify the modified LTC, the simulated results were compared with the actual test results measured during YGN 4 initial criticality test. It was shown that the simulated results of this modified LTC were in good agreement with the actual test results. Also, the boron concentration behavior analysis were performed using the modified LTC code for both direct and indirect dilution/boration nude using YGN 3,4 design data. This modified LTC code can provide a valuable information in predicting boron concentration behavior during power maneuvering such as startup operation, shutdown operation and load follow operation. It is expected that the modified LTC can be applied to both on-line and off-line mode using Plant Computer System(PCS).

• Health Policy and Management
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• v.16 no.1
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• pp.95-116
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• 2006

According to rapid increase of the population of senior citizens, there has been growing concern of Long-Tenn Care(LTC) services recently. Long-Tenn Care services, however, haven't been established systematically in Korea and the supply of LTC services is not sufficient despite the increase in the current social demand. This study aims to estimate the 'Willingness to Pay(WTP)' for LTC insurance which the government plans to introduce by means of social insurance, using Contingent Valuation Method(CYM). In addition, this study analyzes the factors affecting WTP for LTC insurance. An interview survey was carried out to derive WTP for LTC from 450 people who lived in Seoul aged 20 and above during the period from 16th to 21st of June 2003. Double-Bounded Dichotomous Choice Method was applied among several CVMs available to estimate both use value and no-use value of goods. There was pilot survey carried out prior to the main survey. The results show that the average monthly. WTP for LTC provided in home and residential setting is 18,192Won and 19,293Won, respectively. In the case of home care, WTP goes higher depending on reliability of LTC insurance policy and need for LTC insurance, as well as marital status, education and average monthly income. On the contrary, WTP is conversely affected by higher age and higher bids. In the case of institutional care, the factors affecting WTP are similar to those of home care, except age. This study followed NOAA's suggestions generally and the value derived through survey could be reliable. However, there can be the least bias in the process of survey because the CVM should be used under the supposed circumstances. Despite those limitations, it can be concluded that the amount the citizens are willing to pay for LTC is high enough to meet the costs needed to provide LTC.

• 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.

• Transactions of the Korean Society of Automotive Engineers
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• v.22 no.6
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• pp.83-88
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• 2014

LTC(Low Temperature Combustion) technology has been studied to see feasibility of the combustion technology applied to heavy-duty engines on the laboratory scale. This study succeeded to develop a demo engine including realized low temperature combustion under partial load conditions. To find the best feasible LTC strategy, various LTC combustion methods such as PPCI, MK and highly diluted mixing controlled LTC were conducted on 6.0L heavy duty diesel engine. Air management system was re-designed to make these combustion scheme stable and the re-designed air system helped expand LTC operating range. This study finally revealed plausible LTC concept to maximize benefit of the alternative combustion technology while overcoming handicaps of the LTC strategy.

• Research in Community and Public Health Nursing
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• v.27 no.4
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• pp.388-398
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• 2016

Purpose: To compare the changes in activities of daily living (ADLs) in older adults with stroke in different modalities of long term care (LTC) services, which include home care and institutional care. Methods: This is a comparative study using secondary data from the Korean national LTC insurance. Home care (HC) services users (n=3,494) and institutional care (IC) users (n=1,428) were extracted and compared in terms of ADLs and changes in ADLs to investigate the effects of HC and IC services in LTC. Results: All of the ADLs and LTC services benefit levels for 2 years had improved in both HC and IC services. The ADLs of older adults with stroke who received HC improved, while those who received IC experienced deterioration. The LTC services benefit levels of the HC and IC groups were significantly different after 2 years. Conclusion: The study has found that HC services may lead ADLs better for older adults with stroke. We recommend LTC policy makers to further develop HC and IC service programs to deliver quality LTC services.

• Proceedings of the KIEE Conference
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• 2003.07a
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• pp.399-402
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• 2003

In this paper, the on line volt/var control algorithms of the food Load Tap Changer (LTC) transformer and Shunt Capacitor(SC) are proposed for distribution volt/var regulation. In the existing volt/var control of the distribution substation, the voltage of feeders and var of distribution systems is mainly controlled by the LTC transformer tap position and on/off status of the shunt capacitor. The LTC and shunt capacitor bank has discrete operation characteristics and therefore it is very difficult to control volt/var at the distribution networks within the satisfactory levels. Also there is limitation of the operation times of the LTC and shunt capacitor bank because it is affects on their functional lifetime. The proposed volt/var control algorithm determine an optimal tap position of LTC and on/off status of shunt capacitors at a distribution network with the multiple feeders. The mathematical equations of the proposed method are introduced. Simple case study was performed to verify the effectiveness of the proposed method.