• Title/Summary/Keyword: Limited Decision Policy

Search Result 100, Processing Time 0.03 seconds

Restructuring Primary Health Care Network to Maximize Utilization and Reduce Patient Out-of-pocket Expenses

  • Bardhan, Amit Kumar;Kumar, Kaushal
    • Asian Journal of Innovation and Policy
    • /
    • v.8 no.1
    • /
    • pp.122-140
    • /
    • 2019
  • Providing free primary care to everyone is an important goal pursued by many countries under universal health care programs. Countries like India need to efficiently utilize their limited capacities towards this purpose. Unfortunately, due to a variety of reasons, patients incur substantial travel and out-of-pocket expenses for getting primary care from publicly-funded facilities. We propose a set-covering optimization model to assist health policy-makers in managing existing capacity in a better way. Decision-making should consider upgrading centers with better potential to reduce patient expenses and reallocating capacities from less preferred facilities. A multinomial logit choice model is used to predict the preferences. In this article, a brief background and literature survey along with the mixed integer linear programming (MILP) optimization model are presented. The working of the model is illustrated with the help of numerical experiments.

Labeling Q-learning with SOM

  • Lee, Haeyeon;Kenichi Abe;Hiroyuki Kamaya
    • 제어로봇시스템학회:학술대회논문집
    • /
    • 2002.10a
    • /
    • pp.35.3-35
    • /
    • 2002
  • Reinforcement Learning (RL) is one of machine learning methods and an RL agent autonomously learns the action selection policy by interactions with its environment. At the beginning of RL research, it was limited to problems in environments assumed to be Markovian Decision Process (MDP). However in practical problems, the agent suffers from the incomplete perception, i.e., the agent observes the state of the environments, but these observations include incomplete information of the state. This problem is formally modeled by Partially Observable MDP (POMDP). One of the possible approaches to POMDPS is to use historical nformation to estimate states. The problem of these approaches is how t..

  • PDF

AHP를 이용한 과학기술 부문별 국가연구개발 투자우선순위 선정

  • 이동엽;안태호;황용수
    • Journal of Technology Innovation
    • /
    • v.10 no.1
    • /
    • pp.83-97
    • /
    • 2002
  • With the limited resources the proper distribution of the national R&D investment is very crucial to improving the national competence. This crucial decision should be based on the priorities which are driven with the consideration about the relative importance among the scientific technology fields. Such priorities can be useful in planning the national R&D investment and in determining the direction of the national R&D investment policy. In this paper, we used the AHP in order to drive systematically and scientifically the priorities of the major science and technology areas in the national R&D investment, and also analyzed the evaluation differences among the expert groups.

  • PDF

A Study of Priority of Policies for Strengthening Capability in the Information and Communication Work Business (스마트융합 환경 하의 정보통신공사업 역량강화를 위한 정책우선순위 연구)

  • Kwak, Jeong Ho;Park, Sang Soo;Kim, Jeong Yeon
    • Journal of Information Technology Services
    • /
    • v.14 no.3
    • /
    • pp.85-97
    • /
    • 2015
  • The information and communications construction business has the characteristics of an infrastructure industry and responsibility for the construction and maintenance of all ICT infrastructures. With the recent proliferation of the smart convergence of various industries based on ICT infrastructure, the role of the information and communications construction business has been highlighted to accommodate the convergence and implementation environment in construction and medical industries. Therefore, this paper seeks policy measures to establish the new role of the information and communications business under the rapidly developing smart convergence environment and the priorities of policy measures to strengthen the capability of the information and communications business using a quantitative model. The analysis result suggests that the difference in importance of each policy measure should be considered in order to execute effectively the policy of promoting the information and communications construction business. Given the constraint of limited budget, policy priorities include the development of new markets, and establishment of incentive for new technology. This study is significant for its theoretical contribution, being the first quantitative approach to policy priorities for the promotion of information and communications construction business under the smart convertgence environment.

Conflicts between Preference and Value in Establishing Ecological Management Policy through Public Participation - A Case of National Park Management Issues - (대중 참여를 통한 생태계 관리 정책 수립과정에 있어 선호와 가치의 갈등-국립공원 관리 쟁점을 사례로-)

  • 이재영;이선경
    • Korean Journal of Environment and Ecology
    • /
    • v.16 no.1
    • /
    • pp.55-67
    • /
    • 2002
  • Lately a few of new ecological management policies have been developed and implemented to need objectives of national parks in effective ways. Examples include trail closing for preserving bears, no pets allowance for possible diesease expansion, and no fire in national parks. Such new policies can cause visitors and local residents inconvenience and dissatisfaction. Decision-making processes based on public participation became more important as a primary mean to decrease such undesirable reactions. This study examined conflicts between collective value and individual preference in process building an ecological management policy by analysis of questionnaire survey results. The subjects of the present study were 242 university students. The majority(93.%) accepted the need of public participation in decision-making processes, and the most important reason was that such processes can properly help decison makers understand what the public and local residents want(51.7%). They also answered that individual property right can be limited for preserving species but the limited right should be compensated by the government(93.0%). The great majority(97.1%) of respondents supported the trail closing policy designed to protect bears(Urus thibetanus) from being captured no matter what their personal preference is. On the contrary, more than half of the respondents answered that local residents should be allowed to gather herbs and plants even within national park area since they have been doing for a long time. The results of the present study seem to support major findings of some previous studies that it is critical for policy makers to encourage the public to consider issues under debate from the perspective of collective value rather than individual preference and provide them with necessary information and chances to discuss to each other in public participation processes.

An overview of the national immunization policy making process: the role of the Korea expert committee on immunization practices

  • Cho, Hee-Yeon
    • Clinical and Experimental Pediatrics
    • /
    • v.55 no.1
    • /
    • pp.1-5
    • /
    • 2012
  • The need for evidence-based decision making in immunization programs has increased due to the presence of multiple health priorities, limited human resources, expensive vaccines, and limited funds. Countries should establish a group of national experts to advise their Ministries of Health. So far, many nations have formed their own National Immunization Technical Advisory Groups (NITAGs). In the Republic of Korea, the Korea Expert Committee on Immunization Practices (KECIP), established by law in the early 1990s, has made many important technical recommendations to contribute to the decline in vaccine preventable diseases and currently functions as a NITAG. It includes 13 core members and 2 non-core members, including a chairperson. Core members usually come from affiliated organizations in internal medicine, pediatrics, obstetrics, microbiology, preventive medicine, nursing and a representative from a consumer group, all of whom serve two year terms. Non-core members comprise two government officials belonging to the Korea Centers for Disease Control and Prevention (KCDC) and the Korea Food and Drug Administration. Meetings are held as needed, but at least twice a year, and sub-committees are formed as a resource for gathering, analyzing, and preparing information for the KECIP meetings. Once the sub-committees or the KCDC review the available data, the KECIP members discuss each issue in depth and develop recommendations, usually by a consensus in the meeting. The KECIP publishes national guidelines and immunization schedules that are updated regularly. KECIP's role is essentially consultative and the implementation of their recommendations may depend on the budget or current laws.

Analysis and survey of design decision making process in steel production process

  • Furukawa, Satoru;Yoshida, Tomohiro;Chi, Naiyuan;Okamoto, Hiroyuki;Furusaka, Shuzo
    • International conference on construction engineering and project management
    • /
    • 2020.12a
    • /
    • pp.30-37
    • /
    • 2020
  • In the building construction, the steel-frame work occupies an important position in terms of structure, cost and quality. Especially in Japan, steel frames have traditionally been the main structure of many buildings. For steel-frame works in such positions, this paper investigates an existing steel fabricator to clarify the actual conditions of design decision making process and management method in steel production process. This study focuses on a steel fabricator (Company M in the following sentences), whose main market is Japan and which has facilities in Thailand, China, and Japan. Company M uses QR codes to control the production status of products, and exchanges all information between inside and outside the company via specialized departments in the form of documents. The authors have already analyzed the relationship between production lead time and defect rate based on actual project data at Architectural Institute of Japan in 2016. In 2019, we expressed the process from the confirmation of the design information of the current steel frame to the production by WBS, and clarified the relationship between the production lead time and steel frame product quality structurally. In this paper, the authors reoport the progress of the survey conducted so far, the positioning of the collected data, and the future survey policy.

  • PDF

Comparison of Asset Management Approaches to Optimize Navigable Waterway Infrastructure

  • Oni, Bukola;Madson, Katherine;MacKenzie, Cameron
    • International conference on construction engineering and project management
    • /
    • 2022.06a
    • /
    • pp.3-10
    • /
    • 2022
  • An estimated investment gap of $176 billion needs to be filled over the next ten years to improve America's inland waterway transportation systems. Many of these infrastructure systems are now beyond their original 50-year design life and are often behind in maintenance due to funding constraints. Therefore, long-term maintenance strategies (i.e., asset management (AM) strategies) are needed to optimize investments across these waterway systems to improve their condition. Two common AM strategies include policy-driven maintenance and performance-driven maintenance. Currently, limited research exists on selecting the optimal AM approach for managing inland waterway transportation assets. Therefore, the goal of this study is to provide a decision model that can be used to select the optimal alternative between the two AM approaches by considering key uncertainties such as asset condition, asset test results, and asset failure. We achieve this goal by addressing the decision problem as a single-criterion problem, which calculates each alternative's expected value and certain equivalence using allocated monetary values to determine the recommended alternative for optimally maintaining navigable waterways. The decision model considers estimated and predicted values based on the current state of the infrastructure. This research concludes that the performance-based approach is the optimal alternative based on the expected value obtained from the analysis. This research sets the stage for further studies on fiscal constraints that will effectively optimize these assets condition.

  • PDF

LDF-CLOCK: The Least-Dirty-First CLOCK Replacement Policy for PCM-based Swap Devices

  • Yoo, Seunghoon;Lee, Eunji;Bahn, Hyokyung
    • JSTS:Journal of Semiconductor Technology and Science
    • /
    • v.15 no.1
    • /
    • pp.68-76
    • /
    • 2015
  • Phase-change memory (PCM) is a promising technology that is anticipated to be used in the memory hierarchy of future computer systems. However, its access time is relatively slower than DRAM and it has limited endurance cycle. Due to this reason, PCM is being considered as a high-speed storage medium (like swap device) or long-latency memory. In this paper, we adopt PCM as a virtual memory swap device and present a new page replacement policy that considers the characteristics of PCM. Specifically, we aim to reduce the write traffic to PCM by considering the dirtiness of pages when making a replacement decision. The proposed replacement policy tracks the dirtiness of a page at the granularity of a sub-page and replaces the least dirty page among pages not recently used. Experimental results with various workloads show that the proposed policy reduces the amount of data written to PCM by 22.9% on average and up to 73.7% compared to CLOCK. It also extends the lifespan of PCM by 49.0% and reduces the energy consumption of PCM by 3.0% on average.

An analysis of the signaling effect of FOMC statements (미 연준 통화정책방향 의결문의 시그널링 효과 분석)

  • Woo, Shinwook;Chang, Youngjae
    • The Korean Journal of Applied Statistics
    • /
    • v.33 no.3
    • /
    • pp.321-334
    • /
    • 2020
  • The US Federal Reserve (Fed) has decided to cut interest rates. When we look at the expression of the FOMC statements at the time of policy change period we can understand that Fed has been communicating with markets through a change of word selection. However, there is a criticism that the method of analyzing the expression of the decision sentence through the context can be subjective and limited in qualitative analysis. In this paper, we evaluate the signaling effect of FOMC statements based on previous research. We analyze decision making characteristics from the viewpoint of text mining and try to predict future policy trend changes by capturing changes in expressions between statements. For this purpose, a decision tree and neural network models are used. As a result of the analysis, it can be judged that the discrepancy indicators between statements could be used to predict the policy change in the future and that the US Federal Reserve has systematically implemented policy signaling through the policy statements.