• Title/Summary/Keyword: distribution of utilization

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A Ppoisson Regression Aanlysis of Physician Visits (외래이용빈도 분석의 모형과 기법)

  • 이영조;한달선;배상수
    • Health Policy and Management
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    • v.3 no.2
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    • pp.159-176
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    • 1993
  • The utilization of outpatient care services involves two steps of sequential decisions. The first step decision is about whether to initiate the utilization and the second one is about how many more visits to make after the initiation. Presumably, the initiation decision is largely made by the patient and his or her family, while the number of additional visits is decided under a strong influence of the physician. Implication is that the analysis of the outpatient care utilization requires to specify each of the two decisions underlying the utilization as a distinct stochastic process. This paper is concerned with the number of physician visits, which is, by definition, a discrete variable that can take only non-negative integer values. Since the initial visit is considered in the analysis of whether or not having made any physician visit, the focus on the number of visits made in addition to the initial one must be enough. The number of additional visits, being a kind of count data, could be assumed to exhibit a Poisson distribution. However, it is likely that the distribution is over dispersed since the number of physician visits tends to cluster around a few values but still vary widely. A recently reported study of outpatient care utilization employed an analysis based upon the assumption of a negative binomial distribution which is a type of overdispersed Poisson distribution. But there is an indication that the use of Poisson distribution making adjustments for over-dispersion results in less loss of efficiency in parameter estimation compared to the use of a certain type of distribution like a negative binomial distribution. An analysis of the data for outpatient care utilization was performed focusing on an assessment of appropriateness of available techniques. The data used in the analysis were collected by a community survey in Hwachon Gun, Kangwon Do in 1990. It was observed that a Poisson regression with adjustments for over-dispersion is superior to either an ordinary regression or a Poisson regression without adjustments oor over-dispersion. In conclusion, it seems the most approprite to assume that the number of physician visits made in addition to the initial visist exhibits an overdispersed Poisson distribution when outpatient care utilization is studied based upon a model which embodies the two-part character of the decision process uderlying the utilization.

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Quantitative and Qualitative Difference in the Utilization of Health Care - Based on the Survey of Gwangju-Jeonnam Residents (소득계층별 보건의료이용의 양적.질적 차이 분석 -광주.전남 지역주민을 대상으로-)

  • Kim, Jeong-Ju;Oh, Ju-Hwan;Moon, Ok-Ryun;Kwon, Soon-Man
    • Health Policy and Management
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    • v.17 no.3
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    • pp.26-49
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    • 2007
  • The purpose of this study is to analyze the equity of health care utilization by income groups in terms of both quantity and quality of care, which is measured by expenditure, type of care, and type of health care institutions. Equity in health care utilization is measured by HIwv index, based on the survey of 1,480 Gwangju-Jeonnam residents. Health care utilization in terms of the probability and quantity of outpatient and inpatient care show equitable or pro-poor inequitable distribution, whereas the distribution of health care expenditure, which can account for the quality of care, is pro-rich inequitable, implying that the better off tend to use more expensive medical care. In terms of the types of care, simple visits for basic care show equitable distribution, whereas the distribution of the utilization of traditional tonic medicine, comprehensive health examination, CT, MRI, and ultrasound is pro-rich inequitable. Utilization of general hospitals and traditional health institutions show pro-rich inequitable distribution, hospitals and dental care institutions equitable, and physician clinics and public health centers pro-poor inequitable.

Study for Determining an Inventory Level of Spare Parts according to System Utilization (시스템 가동률에 따른 수리 부속 제품의 재고 수준 결정에 관한 연구)

  • Jeong, Suk-Jae;Han, Sung-Hoon;Kim, Kyung-Sup
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.30 no.3
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    • pp.117-126
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    • 2007
  • It has been a major issue to repair the broken system quickly for improvement of productivity and utilization. Generally, high utilization of system requires the high amount of spare parts in inventory and inventory cost. Therefore, it is necessary to determine the proper amount of inventory with regard to utilization of system. This study designs a methodology for determining the proper amount of inventory level in a two-echelon spare parts distribution system. The requirements are to satisfy proper customer demands at a distribution center and to maintain over the utilization of the whole system at customers. This methodology minimizes total inventory investment at a distribution center and customers.

Northward expansion trends and future potential distribution of a dragonfly Ischnura senegalensis Rambur under climate change using citizen science data in South Korea

  • Shin, Sookyung;Jung, Kwang Soo;Kang, Hong Gu;Dang, Ji-Hee;Kang, Doohee;Han, Jeong Eun;Kim, Jin Han
    • Journal of Ecology and Environment
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    • v.45 no.4
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    • pp.313-327
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    • 2021
  • Background: Citizen science is becoming a mainstream approach of baseline data collection to monitor biodiversity and climate change. Dragonflies (Odonata) have been ranked as the highest priority group in biodiversity monitoring for global warming. Ischnura senegalensis Rambur has been designated a biological indicator of climate change and is being monitored by the citizen science project "Korean Biodiversity Observation Network." This study has been performed to understand changes in the distribution range of I. senegalensis in response to climate change using citizen science data in South Korea. Results: We constructed a dataset of 397 distribution records for I. senegalensis, ranging from 1980 to 2020. The number of records sharply increased over time and space, and in particular, citizen science monitoring data accounted for the greatest proportion (58.7%) and covered the widest geographical range. This species was only distributed in the southern provinces until 2010 but was recorded in the higher latitudes such as Gangwon-do, Incheon, Seoul, and Gyeonggi-do (max. Paju-si, 37.70° latitude) by 2020. A species distribution model showed that the annual mean temperature (Bio1; 63.2%) and the maximum temperature of the warmest month (Bio5; 16.7%) were the most critical factors influencing its distribution. Future climate change scenarios have predicted an increase in suitable habitats for this species. Conclusions: This study is the first to show the northward expansion in the distribution range of I. senegalensis in response to climate warming in South Korea over the past 40 years. In particular, citizen science was crucial in supplying critical baseline data to detect the distribution change toward higher latitudes. Our results provide new insights on the value of citizen science as a tool for detecting the impact of climate change on ecosystems in South Korea.

A Simulation Study on the Effects of Station Distribution Patterns to the Performance of DMSA Protocol (스테이션 분포형태가 DMSA 프로토콜의 성능에 미치는 효과에 대한 시뮬레이션 연구)

  • Joo, Gi-Ho
    • The Journal of Engineering Research
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    • v.2 no.1
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    • pp.95-102
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    • 1997
  • In this paper, we investigate the effects of various station distribution patterns in the DMSA system which is a random access LAN protocol. Via Monte Carlo simulation, we investigate the utilization achieved by the individual stations for several station distribution types. We then investigate the effects of the number of stations to the utilization-delay performance.

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A Study for Integrated Ocean Energy Utilization System (해양에너지의 복합이용시스템에 관한 기초연구)

  • 김현주;홍석원
    • Proceedings of the Korea Committee for Ocean Resources and Engineering Conference
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    • 2001.05a
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    • pp.83-86
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    • 2001
  • This paper aims to make a feasibility study and to propose a master plan for the development of "integrated ocean energy utilization system", which utilizes various renewable ocean energies. Fossils energy, as the most important energy resources which are inevitable for the living and industrial development, becomes exhausted and its consumption creates serious environmental problem. It is important to utilize renewable ocean energy for a sustainable and environmentally friendly development. We survey the integrated utilization of ocean energy based on surveyed energy density distribution and propose concepts of integrated ocean energy utilization plant for both onshore and offshore system. The results of this study can support national effort for renewable energy development utilizing integrated ocean energy and refer as a guideline for the technical development of sustainable integrated ocean energy.

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Exploratory Study of Distribution and Logistics Industry: Do Global Competitive Capabilities Affect Business Performance?

  • KIM, Boine;KIM, Byoung-Goo
    • Journal of Distribution Science
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    • v.20 no.2
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    • pp.101-108
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    • 2022
  • Purpose: In this logistics disturbance period, this study conducts research of distribution and logistics firms in Korea. The purpose of this exploratory research is to analyze global competitive capability influence on business performance. And give managerial implications and contribute to academics. Research design, data, and methodology: This research empirically analyzes the relationship between global competitive capability and business performance. As for business performance this research considered non-financial performance and measured with business performance fulfillment. As for antecedent variables, this research measured three global competitive capability constructs; preparation, utilization, intensive capability. And each construct includes two capability concepts. This study used 2,316 executing direct export distribution and logistics industry firmsfrom KOTRA's GCL data. This research used frequency analysis, reliability analysis, correlation analysis, and step-wise regression analysis by SPSS26. Results: The result shows that all the variables except export infra showed statistically significant. As results show, mid/long strategy & global mind of preparation capability, both communication and marketing of utilization capability and market strategy and product/goods/service of intensive capability give a positive influence on business performance fulfillment. Conclusions: Based on the results, this research provide implication for practical management, contribution to academic, and suggestion for feature research.

Analysis of Steady State and Transient State according to the Number of Pole in LVDC Distribution System (저압직류 배전계통의 극 수에 따른 정상상태 및 과도상태 특성 분석)

  • Song, Jong-Il;Noh, Chul-Ho;Kim, Doo-Ung;Gwon, Gi-Hyeon;Oh, Yun-Sik;Han, Joon;Kim, Chul-Hwan
    • Proceedings of the KIEE Conference
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    • 2015.07a
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    • pp.383-384
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    • 2015
  • DC system is still unexploited in public distribution systems. As the weight of cost efficiency and reliability requirements of distribution networks are expected to increase in the future, with the utilization of distributed generation, there will be demand for novel distribution techniques. The utilization of the Low Voltage DC (LVDC) distribution system opens new possibilities for network development. This paper presents analysis of steady state and transient state according to the number of pole in LVDC distribution system.

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Economic Evaluation far the Application of the Distribution Automation System (배전자동화시스템 적용을 위한 경제성 평가)

  • Hong, Soon-Hak;Ha, Bok-Nam;Kim, Ho-Yong;Jung, Kyung-Hee
    • Proceedings of the KIEE Conference
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    • 1993.07a
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    • pp.36-38
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    • 1993
  • This study considers the economic aspect of the distribution automation system, which is the decision-making criteria of the electric utilities for the investment. The feeder automation candidate region is divided into two types of the urban and the rural. The total investment cost of the feeder automation for each type is estimated. The annual cost, is also estimated, by finding the fixed charge rate. To compare the annual cost and the economic effect cost, for the investment decision-making, the costs are quantitatively estimated on the following effects : the manpower replacement, the outage cost saving, the main transformer utilization improvement, the feeder utilization improvement, and the line loss reduction.

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The Processes Contributing To The Vertical Distribution Of Apparent pH In The Northeastern Pacific Ocean

  • Park, P.Kilho
    • 한국해양학회지
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    • v.3 no.1
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    • pp.1-7
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    • 1968
  • Two major processes that affect the vertical distribution of apparent pH in the Subarctic region of the Northeastern Pacific Ocean are (1) apparent oxygen utilization by marine organisms and (2) carbonate dissolution. Simplified mathematical approximations show that, in the pH ravge of 7.2 to 8.3, the utilization of 0.1 mM of oxygen (2.24 ml/liter) lowers the pH by 0.20 units and 0.1 mM of carbonate dissolution increases the pH by 0.25 units. Since Oxygen utilization exceeds 0.3 mM while the carbonate dissolution, with respect to the surface, is about 0.05mM, the effect of oxygen utilization is much greater than the dissolution effect of carbonate on the pH of seawater.

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