• Title/Summary/Keyword: cost per use

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Analysis of Medical Use and Costs Related to the Management of Liver Cirrhosis Using National Patients Sample Data (환자표본자료를 이용한 간경변증 환자의 의료이용 특성 및 의료비용 분석)

  • Kim, Hye-Lin;Park, Jae-A;Sin, JiYoung;Park, Seung-Hoo;Lee, Eui-Kyung
    • Korean Journal of Clinical Pharmacy
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    • v.26 no.4
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    • pp.341-347
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    • 2016
  • Background: Liver cirrhosis causes substantial socio-economic burden and is one of the major severe liver diseases in Korea. Nonetheless, there is only a few studies that analyzes disease burden of liver cirrhosis in Korea. Such study must be carried out due to its increasing need from the invention of new drugs for chronic hepatitis and demand for cost-effectiveness analyses. Methods: Patient sample data with ensured representativeness was analyzed retrospectively to compare the medical costs and uses for patients with compensated cirrhosis and decompensated cirrhosis. Patient claims data that include K74 and K703 from the year of 2014 were selected. Within the selected data, decompensated cirrhosis patient was identified if complications such as ascites (R18), encephalopathy (B190), hepatic failure (K72), peritonitis (K65), or esophageal varices (I85) were included, and they were compared to compensated cirrhosis patients. Results: 6,565 patients were included in the analysis. The average cost per patient was 6,471,020 (SD 8,848,899) KRW and 2,173,203 (4,220,942) KRW for decompensated cirrhosis and compensated cirrhosis, respectively. For inpatients, the average hospitalized days was 38.0 (56.4) days and 27.2 (57.2) days for decompensated cirrhosis and compensated cirrhosis, respectively. For outpatients, the average number of visits was 8.7 (9.1) days and 5.3 (7.5) days for compensated cirrhosis and decompensated cirrhosis, respectively. Conclusion: Compared to compensated cirrhosis patients, decompensated cirrhosis patients had higher costs, especially for hospitalization, injection, examination, and drugs administrated within medical institutions.

Analysis of Medical Use and Costs of Liver Transplant Patients Using National Patients Sample Data (환자표본자료를 이용한 간이식 환자의 의료이용 특성 및 의료비용 분석)

  • Kim, Hye-Lin
    • Korean Journal of Clinical Pharmacy
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    • v.28 no.1
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    • pp.57-64
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    • 2018
  • Background: Patients experience significant differences in aspects of mortality, quality of life, and costs between during the year of receiving liver transplant (LT) and the subsequent years (post-LT). This study aimed to estimate the medical utilization and cost of LT for patients compared to post-LT patients by using a recent National Patient Sample (NPS) data provided by the Korean Health Insurance Review and Assessment Service (HIRA). Methods: This study used a subset of the 2015 HIRA-NPS. Patient claims data that included Z944 (Korean Standard Classification of Diseases code for LT status) were selected. Within the selected data, LT patients were identified based on whether the national health insurance number code of Q80 (procedure code for LT surgery) was included, and they were compared to post-LT patients. Results: In the analysis, 330 patients were included. The average cost per patient was $90,066{\pm}36,959$ thousand KRW and $10,557{\pm}9,668$ thousand KRW for LT and post-LT patients, respectively. Especially, LT patients' costs for injection/procedure, surgery/treatment, and examination were higher than other costs, being $35,983{\pm}18,115$ thousand KRW, $28,246{\pm}9,408$ thousand KRW, and $12,131{\pm}6,604$ thousand KRW, respectively. For inpatients, the average number of hospitalized days was $63.5{\pm}66.0$ days for LT patients and $22.3{\pm}35.1$ days for post-LT patients. Conclusion: Compared to post-LT patients, LT patients had higher costs, especially for injection/procedure, surgery/treatment, and examination. Additionally, the LT group had longer hospitalization duration and higher costs for their hospital admission, whereas they did not show a significant difference in number of visits and medical costs for outpatient-care.

Synchronized sensing for wireless monitoring of large structures

  • Kim, Robin E.;Li, Jian;Spencer, Billie F. Jr;Nagayama, Tomonori;Mechitov, Kirill A.
    • Smart Structures and Systems
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    • v.18 no.5
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    • pp.885-909
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    • 2016
  • Advances in low-cost wireless sensing have made instrumentation of large civil infrastructure systems with dense arrays of wireless sensors possible. A critical issue with regard to effective use of the information harvested from these sensors is synchronized sensing. Although a number of synchronization methods have been developed, most provide only clock synchronization. Synchronized sensing requires not only clock synchronization among wireless nodes, but also synchronization of the data. Existing synchronization protocols are generally limited to networks of modest size in which all sensor nodes are within a limited distance from a central base station. The scale of civil infrastructure is often too large to be covered by a single wireless sensor network. Multiple independent networks have been installed, and post-facto synchronization schemes have been developed and applied with some success. In this paper, we present a new approach to achieving synchronized sensing among multiple networks using the Pulse-Per-Second signals from low-cost GPS receivers. The method is implemented and verified on the Imote2 sensor platform using TinyOS to achieve $50{\mu}s$ synchronization accuracy of the measured data for multiple networks. These results demonstrate that the proposed approach is highly-scalable, realizing precise synchronized sensing that is necessary for effective structural health monitoring.

Economic Feasibility Analysis of Applepear(Ping Guo Li) Farm Development in Yanbian Area in China ('사과배' 원 조성사업의 경제적 타당성분석 - 중국 연변지역을 중심으로 -)

  • Zhao, Lan-Hua;Lim, Jae-Hwan
    • Korean Journal of Agricultural Science
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    • v.29 no.1
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    • pp.55-65
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    • 2002
  • The most representative fruit in Yanbian area is Applepear(Ping Guo Li). It has been a important resource of farm income. According to the economic growth and income Increase of individual consumers, food consumption pattern will be changed from grain to high value cash crops such as Applepear and vegetables. The globalization and adapt ion of free market oriented economic policy of China government have led to change the collective farming system to individual farm management system. The institutional transformation have brought about high productivity of farm products and incomes of farmers. Therefore the plantation area of Applepear and requirement of investment cost for establishment of Applepear farms have increased rapidly since the 1980's, the time of perestroika and glasnost in Chinese economy. In prosperity of Chinese agriculture, individual farmer's decision making as free selection of farmland use, selection of high pay-off crops, free sale of the products in free market and credit support for the project might be the most important factors. In case of Applepear farm development, net present value of the project net benefit was estimated at 55.518won per hectare and financial rate of return was 21%. The benefit/cost ratio of the project was 2.11. Considering 10% of discounting rate or the opportunity cost of capital in China the Applepear farm development project showed us economically feasible in the light of the above efficiency indices. The Chinese government has to support Applepear farm development project financially and institutionally considering the high-payoff benefit of the fruit and farmer's in come increase in the future.

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A Study on the Practical Use of the Inn0er Part of a Roof of the New Hanok with a Structural Modification (지붕가구법의 변용을 통한 신한옥 보꾹공간의 활용에 대한 연구)

  • Kim, Hark-Rae
    • Journal of the Korean Institute of Rural Architecture
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    • v.14 no.2
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    • pp.1-10
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    • 2012
  • The purpose of this study is to provide the method of saving the construction cost per unit area of the New Hanok using the inner space of a roof as a floor space with a structural modification of it's roof. The proportion of a roof of the Traditional Hanok accounts for about a half of it's elevation, so it is an essential element of it. But, compare to the whole construction cost of the Traditional Hanok, it costs over a half of expenses to build it. Recently, at the traditional building type, it is found that the inner space of a roof of it is used as a floor space with a structural modification of it's roof. It can be divided into two types, the storage type and the living type. The New Hanok at downtown can accommodate various new lifestyle, so the length of it's Yangtong is longer than that of the Traditional Hanok. When we adjust the proportion of the traditional Hanok to the New Hanok, the height of the column and the roof of the New Hanok becomes also higher than those of the traditional Hanok. So, using the upper part of the column and the roof of the New Hanok, we can make the inner space of a roof of the New Hanok as a floor space -like a bed room, tea room, personal work space and a storage- vertically connect with the 1st floor as the main living area. As a result, it is expected to save the unit construction cost of the New Hanok and has an extensity of space when we build the New Hanok at downtown.

Feasibility Identification on Establishment of Solar Energy (Photovoltaic and Solar Heating) at the Environmental Basic Facilities in Busan (부산시 환경기초시설 내 태양에너지(태양광/태양열) 이용 시설 설치 타당성 확인)

  • Kim, Jiwon;Choi, Hyunho;Kim, Samuel;Park, Jeahong;Kim, Donghyun;Lee, Daeseon;Park, Sangtae;Kim, Gyusik;Yu, Jaecheul
    • Journal of Climate Change Research
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    • v.6 no.2
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    • pp.73-85
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    • 2015
  • With 12 environmental basic facilities (EBF) in Busan, each business place's present situation of the operation of new and renewable energy as well as the feasibility to establish additional systems of utilizing solar energy (photovoltaic power generation system [PPGS] and solar heating system [SHS]) were investigated. Currently, with the environmental basic facilities, the new and renewable energies (such as, waste heat, biogas, PPGS, SHS, and small hydro power) can produce 195 GWh per year as electric power unit. Among the energy sources, except waste heat, biogas (154 GWh/yr) appears as the highest. Next, PPGS is the second most widely used system and produces 5,560 MWh/yr at 11 business places. Through a field survey, it appears that 19 business places of total 27 places at 12 EBFs have good locational conditions and they need an introduction of PPGS. Through it, it is investigated that it would be possible to produce 5,311 MWh/yr and to reduce $2,348tCO_2/yr$. And, it is identified that SHS can be additionally introduced in only 4 EBFs. This can reduce energy cost as much as one ten million won/yr and green-house gas as much as $28tCO_2/yr$. A cost-benefic analysis shows that the use of governmental support or private investment can be the most efficient way, when PPGS and SHS are introduced in EBFs.

A Design of Economic CUSUM Control Chart Incorporating Quality Loss Function (품질손실을 고려한 경제적 CUSUM 관리도)

  • Kim, Jungdae
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.41 no.4
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    • pp.203-212
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    • 2018
  • Quality requirements of manufactured products or parts are given in the form of specification limits on the quality characteristics of individual units. If a product is to meet the customer's fitness for use criteria, it should be produced by a process which is stable or repeatable. In other words, it must be capable of operating with little variability around the target value or nominal value of the product's quality characteristic. In order to maintain and improve product quality, we need to apply statistical process control techniques such as histogram, check sheet, Pareto chart, cause and effect diagram, or control charts. Among those techniques, the most important one is control charting. The cumulative sum (CUSUM) control charts have been used in statistical process control (SPC) in industries for monitoring process shifts and supporting online measurement. The objective of this research is to apply Taguchi's quality loss function concept to cost based CUSUM control chart design. In this study, a modified quality loss function was developed to reflect quality loss situation where general quadratic loss curve is not appropriate. This research also provided a methodology for the design of CUSUM charts using Taguchi quality loss function concept based on the minimum cost per hour criterion. The new model differs from previous models in that the model assumes that quality loss is incurred even in the incontrol period. This model was compared with other cost based CUSUM models by Wu and Goel, According to numerical sensitivity analysis, the proposed model results in longer average run length in in-control period compared to the other two models.

Research on the Actual Condition of Dental Outpatient Prescriptions (치과 외래처방의 실태 조사)

  • Choi, Su-Mi
    • Journal of dental hygiene science
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    • v.5 no.2
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    • pp.51-56
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    • 2005
  • This study investigated the medicines prescribed in dental services in order to provide information and materials on dental clinics and hospitals, for the intention of leading the dental circle to make efforts for voluntary improvement, do adequate prescription, and attempt for bench marking through this unfolding of their tendency in continuous prescription behaviors, and leading the people to have a right recognition on adequate medicine use through this information on their medicine-taking behaviors including antibiotics and injections. From the records of outpatient prescriptions of medicines under health insurance over the period of June 1st to September 31th in 2003 in the 34,226 recuperation institutions, antibiotics and injections were analyzed into administration days, prescription frequency, medicine cost per administration day, the number of medicines per prescription, and the number weight of high priced medicines. The findings were as below: 1. Adminstration days of antibiotics was 90.11% in the dental clinics, which was a decrease than the same quarter and the previous quarter of the previous year. While the prescription frequency of antibiotics was 15.5%, higher than the same quarter and the previous quarter of the previous year. In dental hospitals, administration days and prescription frequency of antibiotics were 71.57% and 21.05%, respectively, a little higher than the previous quarter. Compared to other kind of recuperation institutions, dental clinics and hospitals had higher administration days and lower prescription frequency. 2. For injections, adminstration days and prescription frequency in dental clinics were 0.13% and 0.05%, respectively, which were decreases than the same quarter of the previous year. In dental hospitals, adminstration days and prescription frequency were 1.03% and 0.88%, respectively, a little lower than those of the previous quarter. Compared to other kind of recuperation institutions, dental clinics and hospitals were very lower in injection administration days and injection prescription frequency. 3. The number of prescribed medicines was 2.79 in the dental clinics, which was lower than the same quarter of the previous year but higher than the previous quarter. Dental hospitals put 2.67 numbers of medicines per prescription, an increase than the same quarter of the previous year and the previous quarter. Compared to other kind of recuperation institutions, dental clinics and hospitals put smaller number of medicines per prescription. 4. Medicine cost per administration day was 863 won in the dental clinics, which was an increase than the same quarter of the previous year and in the previous quarter. Compared to other kind of recuperation institutions, dental clinics and hospitals had lower medicine cost per administration day. 5. The number weight of high priced medicines was 46.43% in dental clinics, which was an increase than the previous quarter. In dental hospitals, it was 54.05%, so remarkable an increase than the previous quarter. Compared to other kind of hospitals and clinics, dental clinics and hospitals prescribed larger number of high priced medicines. 6. By districts, the frequency of antibiotics prescriptions was the highest in Kwanju and the lowest in Daejeon. The frequency of injection prescriptions was high in all Youngnam districts as was in the second quarter, while low in all the Metropolitan districts. There was a large variation in the prescription frequency to the districts, as the district of the highest prescription frequency had more than 2 times larger frequency than the district of the lowest frequency. Medicine cost per administration day was the highest in Ulsan but the lowest in the north part of Cholla province. The number of medicines per prescription was the largest in Kyonggi province while the smallest in Cheju-do.

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A Study on the Architecture of Cloud Hospital Information System for Small and Medium Sized Hospitals (중소형 병원의 클라우드 병원정보시스템 서비스 체계에 관한 연구)

  • Lee, Nan Kyung;Lee, Jong Ok
    • The Journal of Society for e-Business Studies
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    • v.20 no.3
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    • pp.89-112
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    • 2015
  • Recently, the business environment of healthcare has changed rapidly due to the entering the mobile era, the intensifying global competition, and the explosion of healthcare needs. Despite of necessity in expanding new IT-based medical services and investing IT resources to respond environmental changes, the small and medium sized hospitals could not realize these requirements due to the limited management resources. CHISSMH is designed and presented in this research to provide high valued clouding medical services with reasonable price. CHISMH is designed and presented in this research to provide high valued medical services with reasonable price through cloud computing. CHISME is designed to maximize resource pooling and sharing through the visualization. By doing so, Cloud Service provider could minimize maintenance cost of cloud data center, provide high level services with reasonable pay-per-use price. By doing so, Cloud Service provider could minimize maintenance cost of cloud data center, and could provide high level services with reasonable pay-per-use price. CHISME is expected to be base framework of cloud HIS services and be diffusion factor of cloud HIS services Operational experience in CHISSMH with 15 hospitals is analyzed and presented as well.

Food consumption behaviors of women by marital status: focus on the 2015 consumers survey data on food consumption behaviors (여성의 결혼여부에 따른 식품소비양상 연구 : 2015년 식품소비행태조사의 식품주 구입자 자료를 이용하여)

  • Kim, Eun-kyung;Ju, Se-Young
    • Journal of Nutrition and Health
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    • v.51 no.2
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    • pp.168-176
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    • 2018
  • Purpose: This study was conducted to analyze food consumption behavior of women by marital status based on the 2015 consumer survey data on Food Consumption Behaviors of the Korea Rural Economic Institute. Methods: We analyzed data describing 3,312 women aged 19 ~ 75 who were the main buyers of foods in their household. The food purchase patterns, dining-out behavior, and use of food-delivery and take-out were investigated. Results: Overall, 40.5% of unmarried women shopped for food once per week and 37.4% spent 200,000 ~ 400,000 won per month. Additionally, 43.1% of married women shopped 2 ~ 3 times per week and 26.6% spent 400,000 ~ 600,000 won (p < 0.0001). Dining-out frequency and one-time cost per person of dining-out for unmarried women were higher than those for married women. With delivery/take-out food frequency, 2 time per week was the highest rate among married women (34.6%) and once per week was the highest among unmarried women (31.2%) respectively. Conclusion: The results of this study indicate food consumption behaviors and trends of Korean women by marital status. This study provides basic data that will be useful for food industries establishing marketing strategies to better meet consumer demands.