• Title/Summary/Keyword: unit costs

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Unit Costs of Care Services in Long-Term Care Insurance in Korea - Its Characteristics and Evaluation - (노인장기요양보험 수가 개발의 특성과 평가)

  • Seok, Jae-eun
    • Korean Journal of Social Welfare Studies
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    • no.39
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    • pp.253-286
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    • 2008
  • The care market has a unique characteristic that cannot be understood only by pure consumerism. It is not simply constituted by the relationship between consumers and providers at a uni-dimensional level of consumerism logic; rather, it operates in the tripartite-dimensional relationship between the state, consumers and providers through the design and regulation of policies by the state(Evers 1994). The unit costs of long-term care insurance has a meaning as the signal of state for policy direction. This paper consists three contents. The first, it provides to examine the developing process and method of the unit costs of long-term care and to define the characteristics of the developing method of unit costs of the Korean Long term care Insurance. The second, it tried to evaluate the adequacy, validity, and equity of unit costs of care. The third, it proposed the policy direction and measures focused on state's role as price determinator and regulator of care market in that unit costs of care is very important factors for formation and operating of care market.

Comparison on Social Cost by Unit Calorific Value between Wood Pellets and Coals (목재펠릿과 석탄의 단위 발열량에 따른 사회적 비용 비교 분석)

  • Li, Lingying;Kim, Joon Soon
    • Journal of Korean Society for Atmospheric Environment
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    • v.33 no.4
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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.

Study of a Online Survey System for Monitering of Construction Cost on Construction Site (건설현장 시장가격 모니터링을 위한 온라인 상시조사에 관한 기초연구)

  • Lee, Ju-hyun;Baek, Seung Ho
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2020.06a
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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.

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Relationship between Hospital Case Mix and Costs and Incomes of Tehran Heart Center

  • Langroudi, Hamed Rahimpour;Kakhani, Mohammad Jamil;Hojabri, Roozbeh
    • Asian Journal of Business Environment
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    • v.7 no.3
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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.

An Optimal Distribution Model under Consideration of Delivery Unit and Backlogging Costs (수송단위에 의한 지연납기를 고려한 최적 수송량 결정 모형)

  • Lee, Yang Ho;An, Joon-Hong;Choi, Gyunghyun
    • Journal of Korean Institute of Industrial Engineers
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    • v.29 no.3
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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.

ASSESSMENT OF ACTIVITY-BASED PYROPROCESS COSTS FOR AN ENGINEERING-SCALE FACILITY IN KOREA

  • KIM, SUNGKI;KO, WONIL;BANG, SUNGSIG
    • Nuclear Engineering and Technology
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    • v.47 no.7
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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.

An Analysis of Determinants of Maternal Time Allocation (모(母)의 시간 배분 결정요인 분석)

  • Yoon, Jayoung
    • Journal of Labour Economics
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    • v.33 no.2
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    • pp.27-52
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    • 2010
  • This study, using Korean Time Use Survey 1999, analyzes how opportunity costs of maternal time affects the ways in which mothers allocate their time to market work/housework/child care/leisure. Opportunity costs include two kinds: hourly child care costs and log hourly wage rates. Results show that a unit increase in child care costs reduces market work but increases housework, child care, and leisure. The effects of log wage rates are opposite those of child care costs. The result that a unit increase in the log wage rates decreases child care lime is not consistent with a previous study for the United Stales. These results differed by mother's educational attainments. This study suggests that policy-makers should pay careful attention to the effects of various types of mother's opportunity costs on non-market time in promoting maternal employment.

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Limitations and Improvement of Using a Costliness Index (진료비 고가도 지표의 한계와 개선 방향)

  • Jang, Ho Yeon;Kang, Min Seok;Jeong, Seo Hyun;Lee, Sang Ah;Kang, Gil Won
    • Health Policy and Management
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    • v.32 no.2
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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.

Medicare's Reimbursement for Innovative Technologies: Focusing on Artificial Intelligence Medical Devices (미국의 혁신의료기술 지불보상제도: 인공지능 의료기기를 중심으로)

  • Lee, Boram;Yim, Jaejun;Yang, Jangmi
    • Health Policy and Management
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    • v.32 no.2
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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.

Strategic Planning for Bioenergy Considering Biomass Availability in Rural Area (바이오매스 부존특성을 고려한 농촌지역 바이오에너지 보급전략)

  • Hong, Seong-Gu
    • Journal of The Korean Society of Agricultural Engineers
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    • v.50 no.4
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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.