• 사회복지연구
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• 제39호
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• pp.253-286
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• 2008

노인장기요양보험 수가는 서비스시장에게 국가가 노인장기요양정책을 이끌고 나가고자 하는 정책방향을 보여주는 정책적 신호의 의미를 지닌다. 본 논문에서는 첫째, 한국의 노인장기요양보험의 급여종류별 수가가 어떠한 방법과 근거를 가지고 개발되었는가를 살펴보고, 그 특성을 규명하고자 하였다. 둘째, 평가기준을 가지고 수가개발의 타당성과 현실적 적절성 등을 평가해보고자 하였다. 셋째, 수가가 노인장기요양보험 시장의 합리적 형성 및 운영을 위한 중요한 요인임을 감안하여, 가격결정자와 규제자로서의 국가의 역할에 주안점을 두고 정책과제를 도출해보고자 하였다.

• 한국대기환경학회지
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• 제33권4호
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• pp.403-410
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• 2017

With the growing importance of GHG reduction, wood pellets are considered as a cheaper renewable energy and carbon neutral. On the other hand, there is a concern that the burning wood pellets may release even more air pollutants such as CO and VOCs. In this study, we analyzed the social costs of burning fuels including wood pellets and coals based on the unit calorific value. The social costs were calculated by sum of the import costs of the fuels and the emission costs of the air pollutants. The results showed that wood pellets are inferior to coals in the aspect of the social costs. It is necessary to improve the quality of the wood pellets and pellet boiler facilities for being used eco-friendly energy sources in the future. We suggest that the control facilities of CO and VOCs should be installed, if the control costs are lower than the pollution costs.

• 한국건축시공학회:학술대회논문집
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• 한국건축시공학회 2020년도 봄 학술논문 발표대회
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• pp.202-203
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• 2020

Unlike price calculation by cost accounting, which categorizes costs into material costs, labor costs, and miscellaneous expenses to determine the construction budget price, construction cost calculation based on Construction Standard Unit Prices utilizes unit prices extracted from market prices of items from projects already completed to estimate costs of similar construction projects. Although unit price information is collected through construction site surveys to revise these construction standard unit prices every year, but due to the limitations of the site survey method, it is difficult to quickly implement the rapid changes in the construction methods and market prices. As such, an important issue that arose was the identification of work items whose prices need urgent revision. This study conducted research on factors that need to be considered when developing online survey system for monitoring construction site market prices. This study is expected to enhance convenience for users, and provide an efficient data collection and management system for administrators.

• Asian Journal of Business Environment
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• 제7권3호
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• pp.17-22
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• 2017

Purpose - Clarifying one of the biggest public Hospital Costs and incomes according to patients' case mix. It leads to prepare financial information about pubic medical tariffs and hospital operational costs. Research design, data, and methodology - This study calculates the costs both, with and without taking into account capital costs. This holds for comparison of hoteling based on case mix in all medical procedures. The checklists were reviewed and filled by reviewing accounting documents of the hospital, warehouse exclusion list, and daily books of laundry and CSR. Data was analyzed descriptively by using Excel. Results - In both cases, the hospital is losing in terms of hoteling. Because the buildings and equipment are new, this loss is not tangible. However, this will be revealed when costs of reconstruction and replacement of equipment. The loss rate per day of hospitalization was 569318 Rials for Coronary Care Unit (CCU), 528171 Rials for Post Intensive Care Unit (Post ICU), 474570 Rials for ICU, 233183 Rials for Post CCU and 204803 for Surgical ward. Conclusions - Income of hoteling was lower than its costs. ANOVA showed a strong relationship between case mix and hospital costs as well as case mix and its income. This suggests that optimal case mix can minimize the costs and maximize income.

• 대한산업공학회지
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• 제29권3호
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• pp.206-212
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• 2003

In this paper, we propose a mathematical optimization model with a suitable algorithm to determine delivery and backlogging quantities by minimizing the total cost including the penalty costs for delay. The system has fixed transshipment costs and demands are fulfilled by some delivery units that represent the volume of delivery amount to be shipped in a single time period. Since, backlogging is allowed, demands could be delivered later at the expense of some penalty costs. The model provides the optimal decisions on when and how much to he delivered while minimizing the total costs. To solve the problem, we propose an algorithm that uses the Lagrangian dual in conjunction with some primal heuristic techniques that exploit the special structure of the problem. Finally, we present some computational test results along with comments on the further study.

• Nuclear Engineering and Technology
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• 제47권7호
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• pp.849-858
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• 2015

This study set the pyroprocess facility at an engineering scale as a cost object, and presented the cost consumed during the unit processes of the pyroprocess. For the cost calculation, the activity based costing (ABC) method was used instead of the engineering cost estimation method, which calculates the cost based on the conceptual design of the pyroprocess facility. The calculation results demonstrate that the pyroprocess facility's unit process cost is $194/kgHM for pretreatment, $298/kgHM for electrochemical reduction, $226/kgHM for electrorefining, and $299/kgHM for electrowinning. An analysis demonstrated that the share of each unit process cost among the total pyroprocess cost is as follows: 19% for pretreatment, 29% for electrochemical reduction, 22% for electrorefining, and 30% for electrowinning. The total unit cost of the pyroprocess was calculated at $1,017/kgHM. In the end, electrochemical reduction and the electrowinning process took up most of the cost, and the individual costs for these two processes was found to be similar. This is because significant raw material cost is required for the electrochemical reduction process, which uses platinum as an anode electrode. In addition, significant raw material costs are required, such as for $Li_3PO_4$, which is used a lot during the salt purification process.

• 노동경제논집
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• 제33권2호
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• pp.27-52
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• 2010

본 연구는 생활시간조사를 사용하여 시간의 기회 비용이 모의 시간 배분에 미치는 영향에 대해 시장노동/가사노동/돌봄노동/여가로 나누어 SUR 모형으로 분석하였다. 분석 결과, 보육서비스 가격이 올라가면 시장노동시간은 감소하고, 여가/가사노동/돌봄노동시간은 증가했다. 임금률은 이와 반대되는 효과를 나타냈으며, 임금률의 증가가 돌봄노동시간의 감소로 이어진다는 결과는 선행연구 결과와 다른 것이다. 이러한 결과는 학력별로 차이가 있었다. 모의 시장노동 참여 지원 정책이 기회비용이 비시장 시간에 미치는 영향에 관심을 기울여야 함을 시사한다.

• 보건행정학회지
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• 제32권2호
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• pp.154-163
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• 2022

Background: The costliness index (CI) is an index that is used in various ways to improve the quality of medical care and the management of appropriate treatment in medical institutions. However, the current calculation method for CI has a limitation in reflecting the actual medical cost of the patient unit because the outpatient and inpatient costs are evaluated separately. It is desirable to calculate the CI by integrating the medical cost into the episode unit. Methods: We developed an episode-based CI method using the episode classification system of the Centers for Medicare and Medicaid Services to the National Inpatient Sample data in Korea, which can integrate the admission and ambulatory care cost to episode unit. Additionally, we compared our new method with the previous method. Results: In some episodes, the correlation between previous and episode-based CI was low, and the proportion of outpatient treatment costs in total cost and readmission rates are high. As a result of regression analysis, it is possible that the level of total medical costs of the patient unit in low volume medical institute and rural area has been underestimated. Conclusion: High proportion of outpatient treatment cost in total medical cost means that some medical institutions may have provided medical services in the ambulatory care that are ancillary to inpatient treatment. In addition, a high readmission rate indicates insufficient treatment service for inpatients, which means that previous CI may not accurately reflect actual patient-based treatment costs. Therefore, an integrated patient-unit classification system which can be used as a more effective CI indicator is needed.

• 보건행정학회지
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• 제32권2호
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• pp.125-136
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• 2022

The costliness index (CI) is an index that is used in various ways to improve the quality of medical care and the management of appropriate treatment in medical institutions. However, the current calculation method for CI has a limitation in reflecting the actual medical cost of the patient unit because the outpatient and inpatient costs are evaluated separately. It is desirable to calculate the CI by integrating the medical cost into the episode unit. We developed an episode-based CI method using the episode classification system of the Centers for Medicare and Medicaid Services to the National Inpatient Sample data in Korea, which can integrate the admission and ambulatory care cost to episode unit. Additionally, we compared our new method with the previous method. In some episodes, the correlation between previous and episode-based CI was low, and the proportion of outpatient treatment costs in total cost and readmission rates are high. As a result of regression analysis, it is possible that the level of total medical costs of the patient unit in low volume medical institute and rural area has been underestimated. High proportion of outpatient treatment cost in total medical cost means that some medical institutions may have provided medical services in the ambulatory care that are ancillary to inpatient treatment. In addition, a high readmission rate indicates insufficient treatment service for inpatients, which means that previous CI may not accurately reflect actual patient-based treatment costs. Therefore, an integrated patient-unit classification system which can be used as a more effective CI indicator is needed.

• 한국농공학회논문집
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• 제50권4호
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• pp.51-58
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• 2008

Unit costs for energy production in bioenergy facilities are dependent upon both fixed cost for facility construction and operational costs including biomass feedstock supply. With the increase of capacity, unit fixed cost could be decreased while supply cost tends to increase due to the longer transportation distance. It is desirable to take into account biomass availability in planning bioenergy facilities. A cumulative curve relationship was proposed to relate biomass availability and cumulative products of biomass amount and transportation distance. Optimum size of gasification facilities was affected by collection cost, biomass cumulative relationship. Based on biomass availability of Icheon-City, optimum sizes were about $400kW_{th}$ for gas production, and about $200kW_{el}$ for power generation. Unit cost of bioenergy production could be substantially reduced by reducing collection cost through supplying biomass from diverse sources including land development areas where significant amount of waste wood is generated. When planning bioenergy facilities, however, biomass availability and spatial distribution are key factors in determining the size of capacity.