The main function of the general hospital building is to provide medical facilities and service. However, damage to the non-structural elements such as architectural, medical, mechanical and other components will interrupt those functions after the earthquake. Especially, it is considered that, damage to the non-structural elements is a serious event because it is directly associated with the lives of patients. Therefore, this study evaluated whether the certain non-structural elements of general hospital building has the seismic performance to provide hospital medical services after the earthquake. The evaluation is conducted by selecting the non-structural elements used in general hospital which are sensitive to acceleration, such as cooling towers, air handler, MRI and CT. As a result, the non-structural elements located on the upper floor without suitable support method did not meet the performance objective. Therefore, adequate anchorage against the seismic event is required for such non-structural elements that are acceleration-sensitives.

The building which are essential for disaster recovery is classified as a special seismic use group. Especially, achievement of seismic performance is very important for the hospital, so the hospital should be able to maintain its function during and right after an earthquake without significant damage on both structural and non-structural elements. Therefore, this study aimed at checking the seismic performance of a hospital building, but which was limited to structural elements. For the goal, a plan with a configuration of general hospitals in Korea was selected and designed by two different seismic-force-resisting systems. In analytical modeling, the shear behavior of the wall was represented by three inelastic properties as well as elastic. Nonlinear dynamic analyses were conducted to evaluate the performance of structural members. The result showed that the performance of shear walls in the hospital buildings was not satisfied regardless of the seismic-force-resisting systems, while the demands on the beams and columns did not exceed the capacities. This is the result of only considering the shear of the wall as the force-controlled action. When the shear of the wall was modeled as inelastic, the walls were yielded in shear, and as the result, the demands for frames were increased. However, the increase did not exceed the capacities of the frames members. Consequently, since the performance of walls is significant to determine the seismic performance of a hospital building, it will be essential to establish a definite method of modeling shear behavior of walls and judging their performance.

Hospital costing has generally been using ABC costing method. However, based on increase of expensive equipment, the fixed cost is increased in the hospital industry. The most common equipment industry are using building block costing method for depreciation and equipment management costing elements. Additionally it presents three options that may be considered to be supported by the IT system to find the most appropriate alternative.

병원원가란 병원에서 진료, 수술, 교육 및 연구에 소비된 재화와 용역의 가치를 화 폐액으로 표시한 것으로 원가정보는 원가항목별로 표시되어 관리자와 경영자에게 제 공되어야 한다. 이러한 병원원가는 예산수립, 투자의사 결정 및 성과평가 등 내부 경 영관리를 위한 목적으로 유용한 정보를 제공해야 하고 외부적으로는 적절한 의료수가 결정의 기초자료로 활용될 수 있다. 그러나, 우리나라의 주요 병원에서 운영 중인 ABC 원가계산 방법은 병원원가 계산 의 거의 유일한 원가계산 방법 인정받고 있으며, 효과성이 우수함에도 불구하고 원가 계산 결과에 대한 신뢰성의 저하와 운영비용의 증가 등으로 인하여 활용도가 저조해 지고 경우에 따라서 폐기되는 사례도 발생하고 있다. 따라서 최근 병원에서 발생되는 비용의 구체적 특성과 병원의료 환경이 설비 의존형으로 변화됨에 따라 간접비가 증 가하고 있는 경영환경의 변화를 이해하여, 병원 원가계산 시스템의 발전적인 새로운 방식이 모색되어야 한다. 대안 중의 하나로 대표적인 장치산업의 하나인 통신업에서 사용되는 Building Block Costing 방식에 대한 적용 방식을 소개하고자 한다. Building Block Costing은 감가 상각비로 대표되는 자산관련 간접비와 설비와 시설 운영에 소요되는 인건비, 경비 등 의 비용을 ABC원가계산 방식과는 차별화된 원가계산 방식이다.