• 제목/요약/키워드: Public Choice

검색결과 473건 처리시간 0.031초

병원의 전략경영과정 (Strategic Management Process in Hospitals)

  • 이기효
    • 한국병원경영학회지
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    • 제1권1호
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    • pp.203-247
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    • 1996
  • This article reviews the art and practice of strategic management process in hospitals today, in order to help hospital administrators for managing strategic management system in their hospitals. The strategic management process model in this article is based on an integrated approach combining traditional environmental model with resource-based model of strategy. The components of the model are consisted of five steps: (1)formulating objectives, strategic assessment by external environmental analysis, internal capability analysis, TOWS analysis and marketing audit, (3)strategy choice considering context and criteria of choice, (4)program implementation through operational planning, resource allocation, and conversion, and (5)control by monitoring and evaluating hospital outputs. This article deals with many aspects of issues inherent in every step on this strategic management process.

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대학생의 남녀 의사에 대한 태도 (College Students' Attitude toward Male and Female Doctors)

  • 진기남;박남수;송현종;하인아
    • 보건행정학회지
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    • 제11권1호
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    • pp.19-36
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    • 2001
  • Numerous foreign studies document perceived difference of the public toward male and female doctors, but little is known about the way Korean college students view the gender of the doctors. This study investigates whether or not college students evaluate the technical and socio-psychological skills differently depending on the gender of the doctors. This study also tests the association between the gender of respondents and the gender of doctors of their choice for several types of diseases. The 440 college students at one campus were selected using systematic stratified random sampling technique and were interviewed by questionnaire survey. Findings indicate that while the scores of technical skills are in favor of male doctors, the scores of socio-psychological skills are favorable to female doctors. We also find that there Is a statistically significant relationship between the gender of respondents and the gender of doctors of their choice.

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Effect of the Introduction of High-speed Trains on Consumer Welfare

  • BAEK, JISUN
    • KDI Journal of Economic Policy
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    • 제38권1호
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    • pp.23-52
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    • 2016
  • This paper examines the impact of introducing high-speed trains on consumer welfare, taking the ensuing changes in train schedules into account. Based on the estimated demand model for travel which incorporates consumer's heterogeneous preferences for travel schedules into the standard discrete-choice model, I separately evaluate the impact from adding high-speed trains and that from changes in train schedules. The results indicate that consumers who travel between two cities connected by high-speed trains benefit from the introduction of high-speed trains, while some travelers whose choice set does not include high-speed trains face a reduced frequency of non-high-speed trains, resulting in significant losses.

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Competitive Analysis among Multi-product Firms

  • Kim, Jun B.
    • Asia Marketing Journal
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    • 제21권3호
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    • pp.47-64
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    • 2019
  • We analyze and study competition in differentiated product market using public data source. Understanding competitive market structure is critical for firms to assess how their products compete against other firms in a given market. In this paper, we estimate consumer demand, extend clout and vulnerability framework, and study competition among multi-product manufacturers in differentiated product market. For our empirical analysis, we adopt choice-based aggregate demand model and estimate consumer demand while accounting for unobserved product characteristics. Once we estimate consumer demand, we compute full price elasticity matrix and investigate intra- and inter- manufacturer substitutions among consumers. This research offers a framework for marketers to analyze and understand market structures, leading them to informed decisions.

AHP를 이용한 공공병원 평가지표의 우선순위 및 가중치 개발 (Priority Analysis of Criteria for Evaluation of Public Hospital Using Analytic Hierarchy Process)

  • 심재선;권영대;이건세;양민희;박은영
    • 보건의료산업학회지
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    • 제7권4호
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    • pp.289-303
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    • 2013
  • This study looks at priorities in managing public hospitals by figuring out categories needed to examine the quality of each hospital. In order to analyze priorities and relative importance of valuation indicator in Seoul municipal hospitals, surveys were sent via e-mail to medical professionals who have participated in evaluation of municipal hospitals. The analytic hierarchy process (AHP) was conducted using the Expert Choice 11.5 program. The results show that 'providing public service' is considered to be the most important category for all kinds of public hospitals, followed by 'improving the quality of medical care', 'hospital management and governance', and 'efficient hospital management'. The importance of 'hospital management and governance' and 'efficient hospital management' is different depending on the types of hospitals, but the importance of 'providing public service' and 'improving the quality of care' remains the same regardless of the types of hospitals. Based on these results, the study comes to a conclusion that public hospitals should place high value on certain categories and their management purposes should differ depending on their specific fields and characteristics. This study will help furthering discussions on the identity and roles of public hospitals.

대중교통시설과 근린시설의 접근도에 따른 교통이용행태 및 교통비용 (Travel Demand and Transportation Cost of Household According to Accessibility to Public Transport and to Service Facilities)

  • 김성길
    • 대한교통학회지
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    • 제24권6호
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    • pp.65-74
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    • 2006
  • 승용차이용이 많이 유발될 수밖에 없는 지역으로의 주거이동은 쉽게 간과되는 가구의 교통비 지출에도 원인이 있다. 가구의 자동차수요를 적게 일으키고 교통비를 절감시키는 주거입지와 구조를 알아보기 위해서는 주거지역의 공급시설수준에 따른 가구의 교통수용행태를 분석하고 이러한 자료를 기반으로 실제에 가까운 가구의 교통비용을 산정할 필요가 있다. 본 연구는 대중교통시설을 비롯한 근린시설들에 대한 접근도가 가구의 교통이용행태와 더불어 교통비 지출에 미치는 영향을 분석하는데 목적이 있다. 연구지역은 광역 함부르크 시이고 1,640가구들을 통행행태에 대한 설문조사가 실시되었다. 개인의 대중교통이용과 교통거리는 대중교통 공급시설만으로는 큰 영향을 받지 못하고 근린시설공급이 뒷받침 되어야 한다는 사실이 분석결과에서 나타났다. 또한 대중교통시설 및 근린시설이 부족한 지역일수록 여기에 있는 가구들의 승용차 보유수와 교통거리가 증가되었으며 이에 따라 결국 가구들의 교통비용이 늘어났다. 가구그룹들에서 교통비의 최고치와 최저치 사이에 가구당 월 약 200유로 차이가 났다. 가구가 쉽게 감지하기 어려운 주거입지별 평균 교통비용이 가시화되어 가구들에게 홍보된다면 가구의 주거이동행태를 교통수요가 적은 지역으로 유도하는데 기여할 수 있다.

선택실험법을 이용한 의약품 급여결정기준에 대한 선호분석 (Eliciting stated preferences for drugs reimbursement decision criteria in South Korea)

  • 임민경;배은영
    • 보건행정학회지
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    • 제19권4호
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    • pp.98-120
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    • 2009
  • The purpose of this study is to elicit preference for drug listing decision criteria and to estimate the ICER threshold in South Korea using the discrete choice experiment (DCE) method. To collect the data, a DCE survey was administered to a subject sample either educated in the principle concepts of pharmacoeconomics or were decision makers within that field. Subjects chose between alternative drug profiles differing in four attributes: ICER, uncertainty, budget impact and severity of disease. The orthogonal and balanced designs were determined through computer algorithm to take the optimal set of drug profiles. The survey employed 15 hypothetical choice sets. A random effect probit model was used to analyze the relative importance of attributes and the probabilities of a recommendation response. Parameter estimates from the models indicated that three attributes (ICER, Impact, Severity of disease) influenced respondents' choice significantly(p${\pm}$0.001). In addition, each parameter displayed an expected sign. The Lower the ICER, the higher the probability of choosing that alternative. Respondents also preferred low levels of uncertainty and smaller impact on health service budget. They were also more likely to choose drugs for serious diseases rather than mild or moderate ones. Uncertainty however is not statistically significant. The ICER threshold, at which the probability of a recommendation was 0.5, was 29,000,000 KW/QALY in expert group and 46,500,000 KW/QALY in industry group. We also found that those in our sample were willing to accept high ICER to get medication for severe diseases. This study demonstrates that the cost-effectiveness, budget impact and severity of disease are the main reimbursement decision criteria in South Korea, and that DCE can be a useful tool in analyzing the decision making process where a variety of factors are considered and prioritized.

양분선택형 조건부가치측정법 응답자료의 실증적 쟁점분석 (A Critical Evaluation of Dichotomous Choice Responses in Contingent Valuation Method)

  • 엄영숙
    • 자원ㆍ환경경제연구
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    • 제20권1호
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    • pp.119-153
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    • 2011
  • 본 연구는 조건부가치측정법(CVM)의 지불의사유도 방법으로 가장 많이 적용되고 있는 양분선택형 응답자료를 활용하여 WTP 함수의 추정과 편익의 측정단계에 쟁점이 될 수 있는 경제이론적 근거, 확률분포의 가정, 확률모형의 표기, 함수형태 그리고 편익의 범위 등 분석자의 입장에서 중요한 제요소들에 대해 이론적으로 검토하고 산림보존을 위한 가치추정 자료를 사용하여 실증적으로 분석하였다. WTP 함수를 선형으로 표기하는 한, 확률효용모형과 확률지출모형은 쌍대적 접근으로 해석할 수 있었고, 또한 확률모형의 오차항의 분포를 정규분포로 하든지 로지스틱분포로 가정하든지 계수들의 추정치와 이들을 사용하여 측정된 표본 WTP도 차이가 없었다. 그러나 이중양분선택모형은 WTP 함수 추정과 편익측정 결과는 두 CV 제시금액에 대한 응답이 같은 WTP 분포로 왔다고 보기 어려워 단일양분선택형 모형이 갖는 유인일치성이 약화되었다. 나아가서 WTP를 비음의 영역으로 제한하는 WTP 함수형태의 경우 척도모수가 클 경우 표본 WTP의 평균과 중앙값이 크게 다른 것으로 나타났다.

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혼잡통행료 징수와 대중교통 차내 혼잡수준의 관계 (The Relationship Between Congestion Pricing and In-vehicle Crowding Level in Public Transport)

  • 유상균;배기목
    • 대한교통학회지
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    • 제34권6호
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    • pp.510-522
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    • 2016
  • 대중교통을 포함한 연구들에서 사회적 효용 증진은 대중교통서비스 개선 또는 승용차 이용 억제책을 통한 대중교통 수요증가에 의한 것으로 풀이된다. 하지만 지금까지 대중교통 수요증가는 통행수단의 통행량 변화를 통해 사회적 효용에 영향을 미치고 관찰될 뿐, 대중교통 차내 혼잡도는 고민의 대상이 아니었다. 본 연구는 혼잡통행료 시행으로 증진되는 사회적 효용과 변화되는 대중교통수단 차내 혼잡도를 관찰하고 원인을 규명한다. 본 연구에서 혼잡통행료 시행은 대중교통수단 차내 혼잡도를 증가시키고, 대중교통 전용차로가 없는 경우 대중교통수단 혼잡도는 더욱 심화된다. 주목할 점은 대중교통수단 차내 혼잡도가 도심보다 도심 외곽구역에서 더욱 악화되고, 최선의 혼잡통행료는 차내 혼잡도를 상대적으로 덜 악화시키면서 효용증진 임무를 완수한다. 이러한 결과는 통행자의 직주근접성 변화, 통행횟수 조절, 그리고 혼잡통행료 징수가 가져올 우발적인 왜곡효과 때문으로 해석된다.

공공보건의료체계 발전 방안에 대한 상대적 중요도 분석 (Analyzing the Relative Importance for the Development Plan of the Public Health Care System)

  • 김유호
    • Journal of health informatics and statistics
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    • 제43권4호
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    • pp.300-306
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    • 2018
  • Objectives: The purpose of this study is to demonstrate empirically through a specialist AHP analysis what factors should be more important in the development of the public health care system. In addition, we will use Analytic Hierarchy Process (AHP) method for experts to achieve research purpose. Methods: The data analysis method of this study is as follows. First, we set up three metrics in order to measure the relative importance between the factors to be improved for the development of the public health care system and each of the sub-factors. A total of nine measurements (items) were set by combining the three measurement criteria for each measurement index. Second, the relative importance and priority analysis use the AHP analysis. Third, the subjects of this study were 15 experts in the field of public health care. The statistical processing was performed using the Expert Choice 2000 statistical program. Results: In order to development of the public health care system, experts ranked the most important as improvement in the systematic aspect of public health care (56%) as the first priority. Next, the relative importance analysis of the measurement items considering the multiple-weights of the sub-factors is as follows. The strengthen institutional improvement (revitalization of secondary public function hospital) was the number one, strengthen cooperation between agencies was the second, and Re-establishing the role of local public health care system was the third place. Conclusions: Considering the relative importance, factors that are considered to be important in the first place may not be improved as the best policy alternative due to limitations in spatial, temporal, financial, and institutional aspects. In this case, we suggest that we should choose the best policy alternative by using prioritization considering relative weights.