포괄수가지불제도 적용에 따른 산부인과 진료수입의 변화

황태연,유병철,정귀언,정수진,김성준,배기택,손혜숙,이종태,전진호,엄상화 인제대학교 2001 仁濟醫學 Vol.22 No.1

Objectives: Under the fee-for-service system, Korean hospitals have been suffering from the worsening profitability caused by law medical care fees. To overcome the difficulties, they have maximized the quantity of medical services and made relatively large investment in developing new medical services using high-priced medical equipment, medicines and medical supplies which were not covered by medical insurance system rather than reduced running costs. Materials and Methods: This study was made to analyze and forecast the revenue change of the department of Obstetrics and gynecology of an university hospital in Seoul, expecting the implementation of DRG system in 2000. Results: The results were as follows : 1.During the first two days of hospitalization. 41% of total medical service fee was occurred, which was thought that most of the check-ups and operations were made during this period. After two days of hospitalization, the new occurrence of medical service fee tended to reduce. 2.Out of total medical service fee, 67% of admission fee was occurred after 5 days of hospitalization. This was because medical service fees in obstetrics and gynecology department occurred during the first 5 days of hospitalization. 3.Out of fees for operation, treatment, medical supplies and blood transfusion. 71% was occurred during the first two days. 4. In case of fees for examination, 50% was occurred during the first two days. 5.A total of 53% of fees for medication and injection was occurred during the first 5 days. Conclusions: By the implementation of the DRG system, the income is forecast to increase by 800 won to 310,000 won by the disease group of obstetrics and gynecology department. To increase hospital income with the implementation of DRG system, the results of this study suggest that examinations should be done at out-patient departments before the hospitalization of patient, the discharge of patient should be noticed in advance to reduce the period of hospitalization, and admission appointment system should be implemented for the immediate operation and delivery.

주요우울증이 근로자의 생산성에 미치는 영향 : WHO-HPQ(Health and Work Performance Questionnaire)를 이용한 예비연구

김원,황태연,함병주,이준석,최병휘,김세주,서용진,강은호,우종민 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.6

Objectives : Major depressive disorder (MDD) causes patients' distress and makes socioeconomic burden, both directly and indirectly. We used the concept of lost productive time (LPT) to estimate the indirect costs and calculated both absenteeism and presenteeism among workers with MDD. Mcthods : Depression group was recruited from workers visiting psychiatric outpatient clinic who had MDD without major physical or mental disorders (N= 106). Age and sex matched healthy control group was also recruited through advertisement (M=100). All participants completed a interview using WHO Health and Work Performance Questionnaire (HPQ), Job Stress Measurement Scale for Korean Employees, and Hamilton Rating Scale for Depression. Statistical analysis was performed with independent t-test or χ² test as characteristics of values (p=0.05). Results : The number of absence (0.94-day/month vs. 0.10-day/month, P=0.015) andthe numberofearly leaving (2.56-day/month vs. 0.24-day/month, P<0.001) were significantly higher in the depression group. Depression group evaluated their Perfor-mance level much lower than controls with significant value (5.16 vs. 7.62, P<0.001). In addition, depression group estimated their performance level during the last 4 weeks lower compared to the level of past 1-year (5.16 vs 6.63, P<0.001). The estimated costs of absenteeism in depression group were higher than controls by 2,520,000 Korean Won per year, and those of presenteeism were also higher by 4,880,000 Korean Won per year. The total costs of LPT in depression group were higher than controls by 7,400,000 Korean Won, which corresponds to 26% ofmean annual salary. In addition, the level of occupational stress, such as high demand and interpersonal conflict, was higher in the depression group. Conclusion : Major depressive disorder costs substantial productivity loss to workers and their company. Presenteeism imposes more time cost than absenteeism. Effectiveness trials are needed to devise cost-effective programs for the early detection and treatment of depression at the workplace.

자동차 차체조립공정설계를 위한 시뮬레이션

황흥석,박태원,조규성,유진식 한국경영과학회 2000 한국경영과학회 학술대회논문집 Vol.- No.1

본 연구에서는 자동차의 차체조립공정설계를 위하여 FACTOR/AIM 및 자체 개발한 생산시스템 성능평가를 위한 시뮬레이션 프로그램을 이용하여 비교 연구하였다. 이를 위하여 먼저 자체에서 개발한 시스템성능 산정 방법으로 초기 해를 구하고 세부 생산라인의 고장 Data와 조립라인의 구성, 운반장비 등의 의 다양한 여건을 고려하기 위하여 FACTOR/AIM을 사용하였다. Data의 분석을 위하여 ExpertFit를 사용하였으며 초기 시스템 모델링 및 Data로 부터 목표 생산시스템을 만족하는 시스템을 단계별로 찾아가는 과정을 사용하여 최적 해를 구하였다. 본 연구에서 분석한 K회사의 경우 목표 생산량 70대/시간을 만족하기 위하여 4 차의 개선을 통하여 71.57대/시간의 생산라인을 구하였다. 본 연구에서 생산조립라인의 공정설계를 위한 시뮬레이션 과정을 실 예를 들어 제시하였으며 다른 제품의 생산공정분서에도 활용 가능하리라 생각된다.

Tabu 탐색법을 이용한 PI 제어기 설계

원태현,황기현,문경준,이용길 동의공업대학 2000 論文集 Vol.26 No.1

We propose an adaptive Tabu search method changing neighbor solution's range to be searched each iteration according to an objective function and design a PI controller using the proposed Tabu search. We apply it to a time-delay system to evaluate the usefulness of the proposed method. overshoot, rising time, and settling time.

RAM 및 LCC의 제조시스템의 능력에 대한 영향

황흥석,박태원 한국경영과학회 2000 한국경영과학회 학술대회논문집 Vol.- No.1

제조설비의 운영은 적절한 생산제품의 품질(신뢰도 생산단가 등)을 유지하는 조건으로 유지되어야 한다. 본 연구에서는 제조설비의 적정운영조건을 구하기 위하여 제조설비의 RAM 및 순기비용 (LCC)이 제조설비의 성능에의 영향을 분석하고 최적대안을 구하였다. 이를 위하여 우선 설비의 RAM 및 LCC 산정모델을 개발하고 이를 이용하여 제조설비의 성능에 미치는 영향을 분석하기 위한 수리모델을 제시하였다. 이를 위한 전산프로그램을 개발하고 이를 이용하여 제조시스템의 성능 분석 사례를 들어 보였다. 또한 다양한 환경에서 제조시스템의 성능을 예측하기 위하여 시스템의 복잡성이 큼 문제를 분석하는데 적절한 GMDH방법을 사용하여 추정하였다. 이를 이용한 성능예측의 실 예를 들어 본 연구의 과정을 보였다.

자동적하장비를 이용한 자동물류센터의 개념설계모델

황흥석,박태원 동의대학교 산업기술개발연구소 2000 産業技術硏究誌 Vol.14 No.-

The robotic palletizing vehicles are recently studied and have been successfully employed in industry for years. This research focuses on the technical and operational feasibility test of robotic palletizing vehicles and developing a conceptual model for distribution center which incorporates robotic palletizing vehicles. We also developed simulation program based on Siman simulator for performance evaluation of distribution centers. Based on data given, the performance of robotic palletizing vehicles improve order picking performances in the distribution centers. Key words : Order-Picking, Robot Palletized Distribution Center.

한국판 정신사회재활 성과 측정도구의 신뢰도 및 타당도 연구

황태연,강대엽,임영란,김명식,이원혜,박용범 용인정신의학연구소 1999 용인정신의학보 Vol.6 No.2

유전알고리즘을 이용한 모델추종형 퍼지제어기 설계

황기현,문경준,김문수,원태현 동의공업대학 1998 論文集 Vol.24 No.1

In this paper, a reference model following control system using a fuzzy logic controller (FLC) is proposed. A reference model whose response does not overshoot and has a fast rise time is designed. A FLC is designed to follow as close as possible the response of the reference model. The proposed design method has the robustness and the optimal tracking property under modeling error, disturbance and parameter perturbations. The proposed designing method is compared using a PD controller throughout the experiment. The effectiveness of the proposed designing method is verified through computer simulation and experiments for the second-order and the first-order reference model.

Ethyoene Oxide 폭로 근로자의 말초 임파구 자매염색분체 교환에 관한 연구

황천현,박종태,장성훈,김대성,이원진,김청식,김영환 大韓産業醫學會 1998 대한직업환경의학회지 Vol.10 No.4

Operators of hospital sterilizers who use ethylene oxide(EtO) were studied to determine the exposure of EtO level and the frequency of sister chromatid exchanges(SCEs) from June 12 to July 20, 1997. To evaluate SCEs in the peripheral blood cells, we selected 22 workers at the central supply room of 4 university hospitals and 22 unexposed workers at the same hospitals according to match sex, age, and smoking habit and also did questionnaires. The mean air concentrations(8-hr TWA) of EtO at 4 university hospitals were less than 1 ppm. The SCE frequencies in exposed workers to EtO and controls were normally distributed. The SCE frequencies in exposed workers to EtO and controls were 6.42±0.63, 5.86±0.69, respectively and their differences were statistically significant(p=0.0093). But there were no statistically significant differences in smoking, alcohol intake, coffee drinking. Especially smokers who exposed to EtO were increased SCE statistically significant than the exposed group who did not smoke.

원자력 사고 중 핵종의 건·습침적에 따른 농작물 오염 영향

황원태,김은한,서경석,한문희,최용호,이창우 대한방사선 방어학회 2002 방사선방어학회지 Vol.27 No.3

핵종의 지표 침적 모델의 고찰과 함께 방사성물질의 공기중 농도로부터 건침적 뿐 아니라 습침적에 따른 농작물 오염 영향을 분석, 고찰하였다. 이를 위해 방사성물질의 지표 침적량으로부터 농작물의 오염을 평가하는 기존 동적 섭식경로모델을 공기중 농도 또는 지표 침적량으로부터 평가할 수 있도록 개선하였다. 평가결과, 방사성물질의 지표 침적량은 습침적에 의한 영향이 건침적에 의한 영향보다 뚜렷이 높으나, 농작물의 오염정도는 핵종, 강우율 등에 따라 다르게 나타났다. 이러한 현상은 방사성물질의 지표 침적과 농작물에로의 차단중 어느 과정이 농작물 오염에 보다 지배적으로 작용하는가에 기인한다. Combined with deposition model onto the ground of radionuclides, the influence of radioactive contamination to agricultural products was analyzed due to wet deposition as well as dry deposition from radioactive air concentration during a nuclear emergency. The previous dynamic food chain model, in which initial input parameter is only radionuclide concentrations on the ground, was improved for the evaluating of radioactive contamination to agricultural products from either radionuclide concentrations in air or radionuclide concentrations on the ground. As the results, in case of deposition onto the ground, wet deposition was more dominant process than dry deposition. While the contamination levels of agricultural products were dependent on the a variety of factors such as radionuclides and rainfall rate. It means that the contamination levels of agricultural products are determined from which is more dominant process between deposition on the ground and interception onto agricultural plants.