• 보건행정학회지
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• 제2권2호
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• pp.194-220
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• 1992

In recent years there has been a rapid influx of high cost MRI equipment into Korea. This diffusion has raised concerns about the changes it will bring for the health care utilization. Therefore, the purpose of this study is to identify socio-economic characteristics of MRI uses in Korea. A structured questionnaire was designed for this purpose, and 1, 091 users were surveyed at the 35 MRI units of 33 hospitals during a week, sometimes March 1992. The study reveals that high cost technology such as MRI, CT scanner is so prevalent in Korea. This is particularly the case in metropolitan areas. Among others, Seoul has the highest percentage of MRI equipment, 51.05%, Pusan 12.10% and Kwangju 11.9%. Unfortunately, most high cost technology equipments are foreign products. Thus, hospitals with such a high cost technology have difficulties in maintenance of the equipment. The average performance of MRI equipment has declined from 10.2 cases per day in 1988 to 7.16 cases in March 1992. Due to the rapid increase, the performance of MRI equipment seems to be deterioration. Male usere are dominant in the case of MRI use. The utilization rate has positively increased with the rise of educational level of users. The same is true for the level of income; the MRI utilization rate by income level shows that it is negatively proportional to income, which indicates that the poor have difficulties in the use of high cost technology. Particularly, the cost of MRI is so high that ordinary patients are unable to pay for it. For example, 86.3% of respondents have answered that the cost is too high even though they are insured by health insurance. This is the first empirical study on the use status of MRI. The information obtained in this study is sufficient to maintain that the Korean health insurance programme is urgently in need of improving the insurance benefit schemes. The easiest way to do this is to include provision of high cost technology service into the benefit package.

• 한국주거학회논문집
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• 제25권1호
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• pp.51-61
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• 2014

The purpose of this study was to explore housing characteristics of young single- or two-person households in the U.S. metropolitan urban areas and determinants of their housing cost burden. Total 764 single-person households, 744 two-person households and 424 households with three or more persons were selected from the 2011 American Housing Survey public-use microdata for the study based on specific sampling criteria. The major findings are as follows: (1) In comparisons with larger households, single- or two-person households were characterized to be headed by younger householders, to have less income, and to have a greater proportion of households living in central cities of metropolitan areas, renting housing units, living in smaller size units or multifamily structures; (3) housing cost of single- or two-person households were significantly less than a larger households while housing costs per unit square footage (SQFT) of single- or two-person households was significantly greater; (4) regardless of the household size, there are many household headed by young college graduates paying too much of their income for housing, and single-person households were found to have the greatest housing cost burden; and (5) a linear combination of low-income status, monthly housing costs per unit SQFT, annual household income, and unit SQFT per person was found to be most efficient to predict single- or two-person households with housing cost burden.

• 한국재난정보학회 논문집
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• 제8권4호
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• pp.319-327
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• 2012

본 연구는 대표적인 TMB 장비 회사인 독일 WRITH사에서 개발한 TMB 공법 적용 현장의 굴진보고서를 수집하여 작업운영 생산성을 분석하였다. 그리고 분석된 자료를 근거로 구경별(2.6m, 3.0m, 3.5m, 5.0m, 8.0m) 월굴진속도(m/월)를 도출하였다. 또한, 도출된 구경별 월 굴진속도를 근거로 독일의 WRITH사에서 구경별로 제시한 1m당 굴진에 소요되는 공사비 와 총공사기간을 산출하였다. 경암 40.0%, 연암 30.0%, 보통암 20%, 풍화암 10.0%로 구성된 암질을 기준으로 구경별로 도출된 월굴진속도, m당 공사비, 총공사기간은 향후 TBM 공법 적용시 기본계획단계와 기본설계단계에서 구경별 공사기간 및 공사비를 추정하는데 효과적인 활용 자료가 될 것으로 사료된다.

• 보건행정학회지
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• 제30권2호
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• pp.185-191
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• 2020

Background: From January 2018, a policy was applied to differentially apply the co-payment for medical expenses of 15,000 won or more from 30% to 10%-30% for each medical fee. This policy lowers the burden on the medical use of the elderly, and it is necessary to analyze the effect of the policy by confirming changes in medical use and supply behavior after 2 years. Methods: The National Health Insurance Service's national medical use database was used. As for the analysis method, first, the medical use and medical supply behavior change over the age of 65 years were confirmed, and second, in order to check the net effect of the policy, the 66-year-old as the experimental group and the 63-year-old as the control group were selected as the control group. The propensity score matching was performed using the variables of age, living alone, income quartile, residence, disability, chronic disease, and co-morbid disease scores, and then it was analyzed using the difference in difference analysis method. Results: The share of the number of treatments under 15,000 won decreased from 37.0% in 2017 to 20.2% in 2018, while the share of the number of treatments under 15,001-20,000 won increased from 8.0% to 22.7%. It was confirmed that the reason for the increase in the cost of treatment per treatment was the result of the increase in the amount of physical therapy and examination. As a result of the policy effect, the burden of co-payment per person was reduced, and as a result, the number of hospital visits per person and the total medical cost per person increased. Conclusion: The self-pay rate differential policy reduced the burden of medical expenses for the elderly and confirmed the increase in medical use. However, the interpretation of the increase in medical use was not able to distinguish whether the unsatisfactory medical care was satisfied or the inducement demand. Efficient allocation of resources is a more important point in the future when the super-aged society is in front. It is necessary to prepare a plan to induce rational medical use within a range that does not impair the medical accessibility of the elderly.

• International Journal of Reliability and Applications
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• 제12권1호
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• pp.41-48
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• 2011

This paper considers the maintenance model suggested by Jung and Park (2010) to adopt the Bayesian approach and obtain an optimal replacement policy following the expiration of NFRRW. As the criteria to determine the optimal maintenance period, we use the expected cost during the life cycle of the system. When the failure times are assumed to follow a Weibull distribution with unknown parameters, we propose an optimal maintenance policy based on the Bayesian approach. Also, we describe the revision of uncertainty about parameters in the light of data observed. Some numerical examples are presented for illustrative purpose.

• Journal of the Korean Data and Information Science Society
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• 제19권4호
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• pp.1345-1352
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• 2008

An inventory with constant demand is studied. We adopt a renewal argument to obtain the transient and stationary distribution of the level of the inventory. We show that the stationary distribution can be also derived by making use of either the level crossing technique or the renewal reward theorem. After assigning several managing costs to the inventory, we calculate the long-run average cost per unit time. A numerical example is illustrated to show how we optimize the inventory.

• 한국지하수토양환경학회지:지하수토양환경
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• 제21권6호
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• pp.156-168
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• 2016

The Korean government is planning to invest a lot of funds for conservation of the soil. Accordingly, it needs quantitative information on the soil. This paper attempts to analyze the total value of soil quantitatively: the total economic value of soil can be divided into use value and non-use value. To this end, we apply a replacement cost method (RCM) and contingent valuation method (CVM). Especially, CVM is most widely used to measure the non-use value such as environment goods. We employed the one-and-one-half-bounded dichotomous choice (OOHBDC) for willingness to pay (WTP) elicitation and a spike model. The monthly mean WTP was estimated to be KRW 3,949 per household for the next 10 years, which is statistically significant at the 1% level. Expanding the value to the relevant population gives us KRW 897.9 billion per year and as of the end of 2015, the non-use value of soil was assessed to be KRW 838.6 billion. Meanwhile, use value is subdivided into direct use value and indirect use value. This value was calculated KRW 3,277 trillion and KRW 51.8 trillion, respectively. As a result, total economic value of soil is estimated to be KRW 3,330 trillion in Korea.

• 대한산업공학회지
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• 제34권1호
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• pp.98-107
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• 2008

The purpose of this paper is to present an optimization scheme that aims at minimizing the expected cost per unittime. This study considers a linear connected-(r, s)-ouI-of-(m, n):f lattice system whose components are orderedlike the elements of a linear (m, n)-matrix. We assume that all components are in the state 1 (operating) or 0(failed) and identical and s-independent. The system fails whenever at least one connected (r, s)-submatrix offailed components occurs. To find the optimal threshold of maintenance intervention, we use a simulatedannealing(SA) algorithm for the cost optimization procedure. The expected cost per unit time is obtained byMonte Carlo simulation. We also has made sensitivity analysis to the different cost parameters. In this study,utility maintenance model is constructed so that minimize the expense under full equipment policy throughcomparison for the full equipment policy and preventive maintenance policy. The full equipment cycle and unitcost rate are acquired by simulated annealing algorithm. The SA algorithm is appeared to converge fast inmulti-component system that is suitable to optimization decision problem.

• Journal of Preventive Medicine and Public Health
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• 제28권1호
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• pp.207-223
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• 1995

A new medical delivery system which regulated outpatient department(OPD) use from tertiary care hospitals was adopted in 1989. Under the new system, patients using tertiary care hospital OPD without referral slip from clinics or hospitals could not get any insurance benefit for the services received from the tertiary care hospital. This study was conducted to evaluate the Patient Referral System(PRS) with respect to health care expenditures and utilization. Two data sets were used in this study. One was monthly data set(from January 1986 to December 1992) from the Annual Report of Korea Medical Insurance Corporation(KMIC). The other was monthly joint data set composed of personal data of which 10% were selected randomly with their utilization data of KMIC from January 1988 to December 1992. The data were analyzed by time-series intervention model of SAS-ETS. The results of this study were as follows: 1. There was no statistically significant changes in per capita expenditures following PRS. 2. Utilization episodes per capita was increased statistically significantly after implementation of PRS. The use of clinics and hospitals increased significantly, whereas in tertiary care hospitals the use decreased significantly immediately after implementation of PRS and increased afterwards. 3. Follow-up visits per episode were decreased statistically significantly after implementation of PRS. The decrease of follow-up visits per episode were remarkable in clinics and hospitals, whereas in tertiary care hospitals it was increased significantly after implementation of PRS. 4. There was no statistically significant changes in prescribing days per episode following PRS. Futhermore, clinics and hospitals showed a statistically significant decrease in prescribing days per episode, whereas in tertiary care hospital it showed statistically significant increase after implementation of PRS. 5. Except high income class, the use of tertiary care hospitals showed statistically significant decrease after implementation of PRS. The degree of decrease in the use of tertiary care hospitals was inversely proportional to income. These results suggest that the PRS policy was not efficient because per capita expenditures did not decrease, and was not effective because utilization episodes per capita, follow-up visits per episode. and prescribing days per episode were not predictable and failed to show proper utilization. It was somewhat positive that utilization episodes per capita were decreased temporarily in tertiary care hospitals. And PRS policy was not appropriate because utilization episodes per capita was different among income groups. In conclusion, the PRS should be revised for initial goal attainment of cost containment and proper health care utilization.

• 한국노년학
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• 제29권3호
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• pp.1043-1061
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• 2009

본 연구의 목적은 현재 실시되고 있는 장기요양보호서비스에 대하여 유형별로 비용측면에서 경제성을 분석하고 정책적 함의를 논의하는 것이다. 조사대상자는 2008년 7월부터 시행되고 있는 노인장기요양제도의 적용대상자로 인정받은 65세 이상 노인과 그 부양가족이었고, 주부양자를 대상으로 요양보호서비스유형별로 구분하여 설문조사하였다. 회수된 설문지 중에서 방문요양 155부, 방문간호 67부, 요양시설 108부, 요양병원 92부 총 422부가 본 연구의 분석 표본으로 사용되었다. 조사결과 다음과 같은 사실을 확인할 수 있었다. 첫째, 부양 가계의 가계소득이 높지 않았다. 둘째, 장기요양보험제도가 실시되고 있음에도 불구하고 노인부양가계가 노인을 위하여 직접 지불하는 금액이 여전히 높은 편이다. 셋째, 부양가계가 노인을 위하여 수발하는 데 소요되는 간접비용이 아주 높은 편이다. 특히 재가서비스인 방문요양의 경우엔 평균 756,947원, 방문간호인 경우 594,807원으로 시설서비스에 비하여 간접비용이 상대적으로 아주 더 높았다. 넷째, 장기요양보호 노인에 대한 사회적 비용이 아주 높다. 이 금액은 본 조사에서 확인한 부양가계의 평균가계소득과 비슷한 수준이다. 다섯째, 요양보호서비스 유형별로 부양가계가 부담하는 서비스 비용에서 유의한 차이를 보였다. 여섯째, 부양가계의 직접 비용에서도 요양보호서비스 유형별로 유의한 차이를 보였지만 서비스이용비용보다는 그 차이가 작았다. 일곱째, 사회적 직접 비용은 요양보호서비스 유형별로 아주 유의한 차이를 보였다. 여덟째, 요양보호서비스를 이용하는 노인에 대한 사회적 비용금액이 아주 크고 서비스 유형별 총 사회적 비용이 전체 서비스 이용노인의 평균적인 사회적 비용에 수렴하는 경향을 보였다.