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ALLOCATION AND PRICING IN PUBLIC TRANSPORTATION AND THE FREE RIDER THEOREM

  • Beckmann, Martin J.
    • 한국경영과학회지
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    • 제3권1호
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    • pp.31-46
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    • 1978
  • Consider a time interval during which the demand for trips is fixed (e.g. the rush hour period). The traveller has a choice between various public modes, whose travel times and fares are fixed, and the automobile mode, for which travel time and cost depend on the volume of traffic flow on those roads, which are subject to congestion. We consider the equilibrium in terms of a representative travellerm, who choses for any trip the mode and route with the least combined money and time cost. When several (parallel) model or routes are chosen, then the combined cost of money and time must be equal among these. Our problem is first, to find the optimal flows of cars and of public mode carriers on the various links of their networks and second the optimal fares for trips by the variousmodes. The object is to minimize the total operating costs of the carriers and car plus the total time costs to travellers. The optimal fares are related to, but not identical with the dual variables of the underlying Nonlinear Program. They are equal to these dual variables only in the case, when congestion tolls on trips or on the use of specific roads are collected from automobile users. When such tolls are not collected, they must be passed on as subsidies to travellers using competing modes. The optimal fares of public modes are then reduced by the amounts of these subsidies. Note that subsidies are not a flat payment to public carriers, but are calculated on the basis of tickets sold. Fares and subsidies depend in general on tile period considered. They will be higher during periods of higher demand. When the assumption of fixed trip demand is relaxed, this tare system is no longer best, but only second best since too much traffic will, in general, be generated. The Free Rider Theorem states the following : Suppose road tolls can be charged, so that a best pricing system for public modes is posssible. Then there may exist free rides on some routes and modes, but never on a complete round trip.

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Therapeutic lumbar facet joint nerve blocks in the treatment of chronic low back pain: cost utility analysis based on a randomized controlled trial

  • Manchikanti, Laxmaiah;Pampati, Vidyasagar;Kaye, Alan D.;Hirsch, Joshua A.
    • 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.

1995년 실시된 도시지역조합의 농어촌지역조합의 통합 이후 나타난 변화에 관한 연구: 통합의료보험을 위한 정책제언 (A Study on the Effect of the 1995 Merger of Some Rural and Urban Regional Health Insurance Societies: Policy Implications for the Merger Plan of the Entire Health Insurance Programs)

  • 유태균
    • 한국사회복지학
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    • 제37권
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    • pp.307-326
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    • 1999
  • 본 연구에서는 지난 1995년 실시된 도시지역의료보험조합과 농어촌지역의료보험의 통합 이후 나타난 조합재정 및 피보험자들의 의료서비스 이용강도에 있어서의 변화를 분석함으로써 지난 1998년 10월 실시된 지역의료보험과 공무원 교직원의료보험의 통합과, 더 나아가서는 오는 2000년 시행 예정에 있는 전체 의료보험통합으로 인해 나타날 수 있는 변화를 예측하는데 필요한 기초자료를 제공하고자 시도했다. 분석결과, 1995년 실시된 통합이 조합의 총지출 증가율 및 보험급여비 증가율에 변화를 가져왔다고 볼만한 결과는 발견할 수는 없었다. 또한 입원 및 외래진료 수진률과 건당진료비로 정의되는 의료서비스 이용강도에 있어서도 통합에서 비롯된 것이라 볼 수 있을 만한 뚜렷한 변화는 나타나지 않았다. 반면, 1995년의 통합이 조합의 평균관리운영비 증가율을 감소시키는 결과를 가져왔음을 발견할 수 있었다. 이러한 연구 결과가 갖는 정책적 함의에 대한 논의와 함께 앞으로의 의료보험통합을 위한 몇 가지 제언을 시도하였다.

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데이타마이닝을 이용(利用)한 CRM 사례연구(事例硏究) - A 패션기업(企業)을 중심(中心)으로 - (A CRM Study on the Using of Data Mining - Focusing on the "A" Fashion Company -)

  • 이유순
    • 패션비즈니스
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    • 제6권5호
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    • pp.136-150
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    • 2002
  • In this study, we proposed a method to be standing customers as the supporting system for the improvement of fashion garment industry which was the marginal growth getting into full maturity of market. As for the customer creation method of Fashion garment company is developing a marketing program to be standing customer as customer scoring to estimate a existing customer‘s buying power, and figure out minimum fixed sales of company to use a future purchasing predict. This study was a result of data from total sixty thousands data to be created for the 11 months from september. 2000 to July. 2001. The data is part of which the company leading the Korean fashion garment industry has a lot of a customer purchasing history data. But this study used only 48,845 refined purchased data to discriminate from sixty thousands data and 21,496 customer case with the exception of overlapping purchased data among of those. The software used to handle sixty thousands data was SAS e-miner. As the analysis process is put in to operation the analysis of the purchasing customer’s profile firstly, and the second come into basket analysis to consider the buying associations for Association goods, the third estimate the customer grade of Customer loyalty by 3 ways of logit regression analysis, decision tree, Artificial Neural Network. The result suggested a method to be estimate the customer loyalty as 3 independent variables, 2 coefficients. The 3 independent variables are total purchasing amount, purchasing items per one purchase, payment amount by one purchasing item. The 2 coefficients are royal and normal for customer segmentation. The result was that this model use a logit regression analysis was valid as the method to be estimate the customer loyalty.

Optimal Charging and Discharging for Multiple PHEVs with Demand Side Management in Vehicle-to-Building

  • Nguyen, Hung Khanh;Song, Ju Bin
    • Journal of Communications and Networks
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    • 제14권6호
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    • pp.662-671
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    • 2012
  • Plug-in hybrid electric vehicles (PHEVs) will be widely used in future transportation systems to reduce oil fuel consumption. Therefore, the electrical energy demand will be increased due to the charging of a large number of vehicles. Without intelligent control strategies, the charging process can easily overload the electricity grid at peak hours. In this paper, we consider a smart charging and discharging process for multiple PHEVs in a building's garage to optimize the energy consumption profile of the building. We formulate a centralized optimization problem in which the building controller or planner aims to minimize the square Euclidean distance between the instantaneous energy demand and the average demand of the building by controlling the charging and discharging schedules of PHEVs (or 'users'). The PHEVs' batteries will be charged during low-demand periods and discharged during high-demand periods in order to reduce the peak load of the building. In a decentralized system, we design an energy cost-sharing model and apply a non-cooperative approach to formulate an energy charging and discharging scheduling game, in which the players are the users, their strategies are the battery charging and discharging schedules, and the utility function of each user is defined as the negative total energy payment to the building. Based on the game theory setup, we also propose a distributed algorithm in which each PHEV independently selects its best strategy to maximize the utility function. The PHEVs update the building planner with their energy charging and discharging schedules. We also show that the PHEV owners will have an incentive to participate in the energy charging and discharging game. Simulation results verify that the proposed distributed algorithm will minimize the peak load and the total energy cost simultaneously.

농지이용증진사업의 경제효과분석 (Analysis of Economic Effects of the Land Utilization and Promotion Projects(In the Case of Sinseok Area, Dangjin Districts in Chungnam Province))

  • 박재근;임재환
    • 농업과학연구
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    • 제25권2호
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    • pp.293-309
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    • 1998
  • This study is aimed at identifying the decision making criteria as B/C ratio, IRR and NPV based on the expected benefits and costs of the land utilization and promotion projects which have implemented to improve agricultural structure under WTO system. To carry out the objectives of the study, Sinseok project area located at Dangjin district, Chungnam province was selected. Sinseok project area has 306.2 ha of paddy area with 172 farm households. The project area will be operated by the 33 specialized farm households after completion of the project which will have 20 years of economic life. After completion of the project, farm size will be increased from 1.8ha to 9.3ha. Land intensity of the project area will be increased by 10%. Increase of land productivity and cost saving due to the labor saving technology as farm mechanization will be expected. According to the survey results, the annual amount of production cost savings per farm was estimated 3.884million won and increased total farm income was expected about 43.8million won per year. The total expexted project benefits was expected 174million won per year. The project costs to promote land utilization and structural change consisted of handling charges, and direct payment for land movility. The decision making criteria representing economic feasibility of the project such as B/C ratio, NPV and IRR were estimated 2.49, 483million won and 30% respectively when the cut-off rate was taken into account 10%. In conclusion, the land utilization and promotion project proppeled by the Korean Government under the agricultural land law is considered economically feasible from the view points of expected project benefits and costs. Accordingly the project have to be implemented more strongly under the G't financial support considering WTO and UR negociation which were aimed at achieving the free trade and improvement of international competitiveness of farm products.

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병원 급식 식대 급여화에 따른 입원 환자의 급식만족도 조사 (A Study of Hospital Foodservice Satisfaction after Covering Hospital Foodservice in the National Health Insurance)

  • 황라일;권진희
    • 대한지역사회영양학회지
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    • 제13권3호
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    • pp.396-404
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    • 2008
  • This study aimed to evaluate the amount of patients' satisfaction with hospital foodservices among those who were benefited from national health insurance during their hospitalization. A total of 3,094 inpatients from 191 medical institutions were enrolled in this survey. The survey was carried out from July 23 to September 14, 2007 through the face-to-face interview method. All analyses were made using the SPSS software (version 13.0). The mean age of the participants was 53.3 years, 57.0% were women; 34.7% were high-school graduates. Among the respondents, 30.9% stayed in the hospital for $7{\sim}14$ days long, and 52.0% were hospitalized in multi-patient rooms for six persons. The 87.7% of total population had a general diet, and 9.6% selected the food menu that was notcovered by health insurance. In addition, 38.3% of patients regarded the fee of foodservice as inexpensive. Overall, the satisfaction score with hospital foodservice was 3.63 on a Likert-type scale ranging from 1 (extremely dissatisfied) to 5 (extremely satisfied). However, the limitations were indicated including the lack of providing nutritional information and quality of taste. In conclusion, the quality of hospital foodservice might not deteriorate even after enforcement of national payment of medical insurance. Further efforts are required for the diversification of menus and legislative work for improving quality of food service for a successful hospital foodservice policy.

전국민 의료보험 실시에 따른 사회전체 순편익 분석 (Economic Benefits of Implementing National Health Insurance by Measurement of Changes in the Consumer's Surplus)

  • 김한중;이해종
    • Journal of Preventive Medicine and Public Health
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    • 제22권3호
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    • pp.398-405
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    • 1989
  • A change in the consumer's surplus was measured in order to evaluate the social benefit to be derived from expanding health insurance to the entire population. The most refined and correct way to measure a project's net benefit to society is to determine a change in the consumer's surplus. Benefits from introducing the health insurance program to the uninsured people can be classified into two elements. The first is the pricing-down effect(E1) which results from applying the insurance price system, which is lower than the actual price, to the uninsured patients. The second effect(E2) is a decrease in actual payment because an insured patient pays only a portion of the total medical bill(copayment). We collected medical price information from the data banks of 93 hospitals, and obtained information of medical utilization by referring to the results of other research and from data published by the Korean Medical Insurance Societies. The total net benefit was estimated as \214 billion, comprising the first effect(E1) of \57 billion and the second effect(E2) of \157 billion. The price elasticity of physician visits is less than that of hospital admissions: however, benefits from the increase in physician visits are greater than those from hospital admissions because there are considerably more of physician visits than hospital admissions. The sensitivity analysis also shows the conclusion that expansion of the health insurance program to the entire population would result in a positive net benefit. Therfore, we conclude that the National Health Insurance Program is socially desirable.

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장애인 구강진료 접근성 제약 - Part 1. 장애인 치과 의료진 측면에서의 고찰 (TREATMENT BARRIERS OF SPECIAL NEEDS PATIENTS - PART 1. CONSIDERATION FROM THE PERSPECTIVES OF SPECIAL CARE DENTISTS)

  • 장주혜
    • 대한장애인치과학회지
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    • 제15권1호
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    • pp.7-13
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    • 2019
  • The aim of this study was to clarify the barriers of dental treatment for special needs patients felt by dentists and to determine the dentist-related factors contributing to the obstacles in treatment planning and decision making. Questionnaires were distributed and responded by dentists working at five public-based special care clinics in South Korea. Factors divided into three parts (dentist demographics, clinical factors, and educational and administrational factors) were assessed and analyzed for correlations between dentist-related factors and dentist-felt burdens for special care treatment. Fisher's exact test and Chi-square test were used at the level of 0.05. A total of 34 dentists responded to the questionnaires. Almost all dentists had obstacles in the treatment of special needs patients in terms of the patients' lack of cooperation (94.1%), proxy communication with caregivers (94.1%), payment reward system (63.6%), deficient workforce (67.7%), and others. The longer dentists had been practicing for special needs patients, the more they were dissatisfied with the reward system and a longer time was spent for communication with patients and their caregivers (p<0.05). For specialists, more obstacles were experienced in treatment planning due to a deficiency in the clinical information obtained from their patients compared to general practitioners (p<0.05). A total of 82.4% of the respondents approved of mandatory educational programs for special care dentists. There were practitioner-based factors related to the amount of obstacles felt by special care dentists. To overcome the treatment barrier of special needs patients, in-depth education and training are required in special care dentistry.

Development of a Competency-Based Master Gardener Coordinator Curriculum: Focusing on Public Service Rural Extension Workers

  • Kim, Ji-Sung;Han, Seung-Won
    • 인간식물환경학회지
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    • 제23권2호
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    • pp.149-158
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    • 2020
  • The purpose of this study was to establish the role of master gardener coordinators and develop an education program to enhance their job competencies. To analyze and develop the new job of master gardener coordinator, we used the CBC method for curriculum development. The research findings can be summarized as follows. The analysis result of need and importance of education based on the performance level and demand level revealed 20 core competencies, which were classified into organizational education, learning by experience, individual learning, low-priority competencies for program development, with focus on the importance and need for education. The 17 courses are comprised of Eastern and Western Garden History, Understanding of Community Garden, Garden Aesthetics and Environmental Design, Master Gardener's Mission & Management, Garden Plants, and Garden Design and Practice etc. and the curriculum is 33 hours in total. The master gardener coordinator education program was conducted on 73 rural extension workers and the curriculum was evaluated by those who completed the program. The overall satisfaction was 4.29 and 97.1% of the trainees decided that the program would help them perform their duties. The analysis result discovered that all 20 core competencies increased after the program. As a result of conducting contingent valuation to determine the value of the program, willingness to pay (WTP) per hour was KRW 33,223 and the total WTP was KRW 1.096 million, which, when multiplied by 73 participants, is approximately KRW 80.008 million. This is relatively higher than the budget used (KRW 22.943 million), indicating that the program is worth it.