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An Analysis of Determinants of Medical Cost Inflation using both Deterministic and Stochastic Models (의료비 상승 요인 분석)

  • Kim, Han-Joong;Chun, Ki-Hong
    • Journal of Preventive Medicine and Public Health
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    • v.22 no.4 s.28
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    • pp.542-554
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    • 1989
  • The skyrocketing inflation of medical costs has become a major health problem among most developed countries. Korea, which recently covered the entire population with National Health Insurance, is facing the same problem. The proportion of health expenditure to GNP has increased from 3% to 4.8% during the last decade. This was remarkable, if we consider the rapid economic growth during that time. A few policy analysts began to raise cost containment as an agenda, after recognizing the importance of medical cost inflation. In order to Prepare an appropriate alternative for the agenda, it is necessary to find out reasons for the cost inflation. Then, we should focus on the reasons which are controllable, and those whose control are socially desirable. This study is designed to articulate the theory of medical cost inflation through literature reviews, to find out reasons for cost inflation, by analyzing aggregated data with a deterministic model. Finally to identify determinants of changes in both medical demand and service intensity which are major reasons for cost inflation. The reasons for cost inflation are classified into cost push inflation and demand pull inflation, The former consists of increases in price and intensity of services, while the latter is made of consumer derived demand and supplier induced demand. We used a time series (1983-1987), and cross sectional (over regions) data of health insurance. The deterministic model reveals, that an increase in service intensity is a major cause of inflation in the case of inpatient care, while, more utilization, is a primary attribute in the case of physician visits. Multiple regression analysis shows that an increase in hospital beds is a leading explanatory variable for the increase in hospital care. It also reveals, that an introduction of a deductible clause, an increase in hospital beds and degree of urbanization, are statistically significant variables explaining physician visits. The results are consistent with the existing theory, The magnitude of service intensity is influenced by the level of co-payment, the proportion of old age and an increase in co-payment. In short, an increase in co-payment reduced the utilization, but it induced more intensities or services. We can conclude that the strict fee regulation or increase in the level of co-payment can not be an effective measure for cost containment under the fee for service system. Because the provider can react against the regulation by inducing more services.

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Development of a Multichannel Eddy Current Testing Instrument(I) (다중채널 와전류탐상검사 장치 개발(I))

  • Lee, Hee-Jong;Nam, Min-Woo;Cho, Chan-Hee;Yoon, Byung-Sik;Cho, Hyun-Joon
    • Journal of the Korean Society for Nondestructive Testing
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    • v.30 no.2
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    • pp.155-161
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    • 2010
  • Recently, the electromagnetic techniques of the eddy current testing(ECT), alternating current field testing, magnetic flux leakage testing and remote field testing have been used as a nondestructive evaluation method based on the electromagnetic induction. The eddy current testing is now widely accepted as a NDE method for the heat exchanger tube in the electric power industry, chemical, shipbuilding, and military. The ECT system mainly consists of the synthesizer module, analog module, analog-to-digital converter, power supplier, and data acquisition and analysis program. In this study, the synthesizer module and the analog module which are essential to the ECT system were primarily developed. The developed ECT system is basically a multifrequency type which is able to inject the maximum four frequencies based on the frequency and time domain multiplexing method. Conclusively, we confirmed that the EC signal was processed appropriately in each circuit modules, and the Lissajous EC signal was displayed in the impedance plane.

GIS-based Network Analysis for the Understanding of Aggregate Resources Supply-demand and Distribution in 2018 (GIS 네트워크 분석을 이용한 2018년 골재의 수요-공급과 유통 해석)

  • Lee, Jin-Young;Hong, Sei Sun
    • Economic and Environmental Geology
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    • v.54 no.5
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    • pp.515-533
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    • 2021
  • Based on the supply location, demand location, and transportation network, aggregate supply-demand characteristics and aggregate distribution status were analyzed from the results of the closest distance, service areas, and location-allocation scenarios using GIS network analysis. As a result, it was found that the average transport distance of aggregates from the supplier was 6 km on average, the average range of 7 km for sand, and 10 km for gravel was found to reach the destination. In particular, the simulated service area covers about 92% in Seoul-Gyeonggi Province, 85% in Busan-Ulsan-Gyeongnam Province, and more than 90% in Daejeon-Sejong-Chungnam Province. These results have a significant implication in quantitatively interpreting primary data on aggregate supply-demand. Furthermore, these results suggest the possibility of a wide-area quantitative analysis of aggregate supply regions necessary for establishing a basic aggregate plan. The results also evaluated by the site-allocation scenario show that aggregate supply may be possible through companies less than 200 with large-amounts quarries, which is the 700 companies currently supplying small amounts of aggregates on the country. Therefore, in terms of distribution of aggregates, a policy approach is needed to form an appropriate market for regions with high and low density of aggregate supply services, and the necessity of regional distribution and re-evaluation is suggested through an aggregate supply analysis demand across the country. Furthermore, in analyzing the supply-demand network for the aggregate market, additional research is needed to establish long-term policies for the aggregate industry and related industries.

Study on the Risk Management of the CERs Investment - Regarding Registration Risks and Price Change Risk in Investing Primary CERs - (탄소배출권 투자와 위험관리방안 연구 - 일차배출권(Primary CER) 투자 시 등록위험 및 가격변동 위험을 중심으로 -)

  • Lee, Chang Seok;Kim, Yun Soung;Jeon, Eui Chan
    • Journal of Climate Change Research
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    • v.2 no.2
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    • pp.115-131
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    • 2011
  • Out of all the possible actions that can be taken to respond to greenhouse gas reduction, including development of greenhouse gas reduction technology, infrastructure, actions to improve energy saving and efficiency, and offset with carbon emission reductions (CERs), this study shall focus on the investment on CERs. This study will take a look at risks involved with investing in CERs such as UN registration refusal risk and CERs price fluctuation, and will design risk management model which shall be verified. The goal of this paper is to provide optimized CERs investment strategies for different types of investors, such as general trading companies seeking for investment opportunities and financial companies with plans for green products development and investment by preparation for carbon market. It is expected that the global competitiveness of domestic financial companies shall be improved by taking actions on carbon market instead of previous passive response to climate change and that Korea, the number two Carbon Emissions supplier and number one derivatives market in terms of volume, shall be able to lead the worldwide carbon market.

Development of Robot Platform for Autonomous Underwater Intervention (수중 자율작업용 로봇 플랫폼 개발)

  • Yeu, Taekyeong;Choi, Hyun Taek;Lee, Yoongeon;Chae, Junbo;Lee, Yeongjun;Kim, Seong Soon;Park, Sanghyun;Lee, Tae Hee
    • Journal of Ocean Engineering and Technology
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    • v.33 no.2
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    • pp.168-177
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    • 2019
  • KRISO (Korea Research Institute of Ship & Ocean Engineering) started a project to develop the core algorithms for autonomous intervention using an underwater robot in 2017. This paper introduces the development of the robot platform for the core algorithms, which is an ROV (Remotely Operated Vehicle) type with one 7-function manipulator. Before the detailed design of the robot platform, the 7E-MINI arm of the ECA Group was selected as the manipulator. It is an electrical type, with a weight of 51 kg in air (30 kg in water) and a full reach of 1.4 m. To design a platform with a small size and light weight to fit in a water tank, the medium-size manipulator was placed on the center of platform, and the structural analysis of the body frame was conducted by ABAQUS. The robot had an IMU (Inertial Measurement Unit), a DVL (Doppler Velocity Log), and a depth sensor for measuring the underwater position and attitude. To control the robot motion, eight thrusters were installed, four for vertical and the rest for horizontal motion. The operation system was composed of an on-board control station and operation S/W. The former included devices such as a 300 VDC power supplier, Fiber-Optic (F/O) to Ethernet communication converter, and main control PC. The latter was developed using an ROS (Robot Operation System) based on Linux. The basic performance of the manufactured robot platform was verified through a water tank test, where the robot was manually operated using a joystick, and the robot motion and attitude variation that resulted from the manipulator movement were closely observed.

A study on the Construction of Seokjojeon Hall of Deoksugung Palace and the influx of Western Furniture, on the Daehan Empire (대한제국기 덕수궁 석조전 건립과 서양가구 유입)

  • Kim, Yun-hee
    • Korean Journal of Heritage: History & Science
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    • v.47 no.3
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    • pp.4-23
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    • 2014
  • Seokjojeon Hall is the Neoclassic style building situated in Deoksugung Palace, which was proposed by John McLeavy Brown who was a chief commissioner of the Daehan Empire and designed by John Reginald Hardings in 1897. Construction of the Seokjojeon Hall began in 1900 and completed in 1910 at the total cost of one million won. Decorating and furnishing of the interior was designed by Lovell and all the furniture of Seokjojeon Hall had been purchased from Maple&Co. The Maple&Co was the supplier of luxury furnitures and decorating items for luxurious residentials, hotels, embassies and the palaces and its headquarter was located in London. Ready-made furnitures were purchased as shown in the Maple's catalog. The designs and styles of the west were applied to Seokjojeon Hall. That is one of the aspects showing Daehan Imperial underwent a period of Westernization.

Rent-seeking Analysis of the Cultural Voucher from the Viewpoint of Culture and Arts Management (문화예술경영 관점으로 본 문화이용권사업의 지대추구론적 분석)

  • Bae, Seung-Ju
    • Management & Information Systems Review
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    • v.38 no.3
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    • pp.151-170
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    • 2019
  • This study deals with the rent-seeking behavior that exist in cultural voucher from the viewpoint of culture and arts management. Art organizations open to consumers, producers and governments of the arts are dependent on the internal and external influence of an open system. Researcher has found rent-seeking in the course of introducing policies and legalization of the cultural voucher business which has been promoted in the direction of democratization of culture or cultural democracy. Cultural voucher business is a legal term. Although the government has increased the budget or tried to change the policies of the cultural voucher business, the implementation of the cultural voucher business has been opposed to the diversity of consumption and equity as the consumption of genre and the concentration of the capital region have increased. These results were structurally related to the process of legalization and rent-seeking behavior in bureaucracy. This study reaffirms that the efficient operation standard of the cultural voucher business is a balance between the choice of the beneficiary, the competition of the supplier, and access to the cultural voucher. And the theory of rent-seeking was applied as a criterion to analyze this balance. Thus, it is suggested that the criteria of evaluation and improvement to check the conservativeness of bureaucrats are needed to establish a legal system applied to the purpose of 'cultural democracy' and 'democratization of culture' ideology and to guarantee individual creativity and autonomy.

A Study on The Influnene of Consulting Paticipation of The Consulted Firm on Consulting Repurchase Intention (수진기업의 컨설팅 참여도가 컨설팅 재구매 의도에 미치는 영향에 관한 연구)

  • Lee, Yang-Woo;Kim, Jung-Ryol;Kim, Sang-Bong
    • Journal of Digital Convergence
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    • v.17 no.1
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    • pp.111-122
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    • 2019
  • This study suggests that even if the consulting is started by the consulting of the company, it is difficult for the consulting firm to operate the consulting firm Consulting performance differs depending on the degree of understanding of consulting. Although consulting firms have been studying various prior research papers in view of the fact that there are many cases where they proceed with the sales strategy of repurchasing in mind, most of them deal with research on consulting performance on the supplier side, The purpose of this study is to investigate whether a company has a high level of participation in consulting in the event of a situation or situation and consequently influences the intention to purchase consulting. In order to find out whether they are visible, the reliability of the measured values and the fit of the measurement model by CFA were obtained through the exploratory factor analysis. The results were as follows: The results of this study are as follows. As a result of the study, it is necessary for the consultant to improve the participation of the consulting company and the understanding of the consulting in order to increase the intention of the consulting repurchase intention. Since the consultant shows the result in an empirical way, the consulting company participates in the role and process The results of this study are as follows. First, it is suggested that firms should be very careful about the participation and consulting understanding because they affect the repurchase intention of consulting firms.

The Effect of Information Sharing and Capability-trust between A Buyer and Its Supplier on the Buyer's Relationship Performance (구매자-공급자 간의 정보공유와 공급자에 대한 역량신뢰가 관계성과에 미치는 영향)

  • Park, Jinsoo;Pyun, Jebum
    • Journal of the Korean Data Analysis Society
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    • v.20 no.6
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    • pp.2967-2980
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    • 2018
  • In this study, we intended to find out how to improve the relationship performance between a hospital who is a buyer and its suppliers in the medical supply chain. For specific, in control of the transaction period and the number of bed, we investigated the effect of information sharing between a buyer and its suppliers along with the trust for the suppliers' capabilities perceived by the buyer on the buyer's relationship performance. In addition, in control of the transaction period and the number of bed, we also examined the influences of moderating effect of the interactional justice on the relations between information sharing and relationship performance, and between capability-trust and relationship performance. For this, we conducted reliability analysis, exploratory/confirmatory factor analyses, discriminant validity analysis, and moderated multiple regression analysis including control variables. Our results showed that there are positive effects of information sharing between a buyer and suppliers, and the buyer's perceived trust for the suppliers' capability on the relationship performance while controlling the transaction period and the number of bed. Besides, we empirically confirmed that there was the moderating effect of the interactional justice on the relations between capability-trust and relationship performance, whereas we could not find that statistically significant moderating effect of the interactional justice on the relations between information sharing and relationship performance.

Prediction of Distillation Column Temperature Using Machine Learning and Data Preprocessing (머신 러닝과 데이터 전처리를 활용한 증류탑 온도 예측)

  • Lee, Yechan;Choi, Yeongryeol;Cho, Hyungtae;Kim, Junghwan
    • Korean Chemical Engineering Research
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    • v.59 no.2
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    • pp.191-199
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    • 2021
  • A distillation column, which is a main facility of the chemical process, separates the desired product from a mixture by using the difference of boiling points. The distillation process requires the optimization and the prediction of operation because it consumes much energy. The target process of this study is difficult to operate efficiently because the composition of feed flow is not steady according to the supplier. To deal with this problem, we could develop a data-driven model to predict operating conditions. However, data preprocessing is essential to improve the predictive performance of the model because the raw data contains outlier and noise. In this study, after optimizing the predictive model based long-short term memory (LSTM) and Random forest (RF), we used a low-pass filter and one-class support vector machine for data preprocessing and compared predictive performance according to the method and range of the preprocessing. The performance of the predictive model and the effect of the preprocessing is compared by using R2 and RMSE. In the case of LSTM, R2 increased from 0.791 to 0.977 by 23.5%, and RMSE decreased from 0.132 to 0.029 by 78.0%. In the case of RF, R2 increased from 0.767 to 0.938 by 22.3%, and RMSE decreased from 0.140 to 0.050 by 64.3%.