• Title/Summary/Keyword: 보험수가

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Analysis of the Continuity of Outpatient among Adult Patients with hypertension and its Influential Factors in Korea (우리나라 성인 고혈압환자의 외래진료 지속성과 이에 영향을 미치는 요인 분석)

  • Son, Kyung-Ae;Kim, Yoon-Shin;Hong, Min-Hee;Jeong, Mi-As
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.6
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    • pp.2161-2168
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    • 2010
  • The administration data of the national health insurance and health insurance bills were utilized in this study. The data of 485,953 patients who were at the age of 30 and up and used the out-patient departments of every medical institution located in some regions involving two southern and northern provinces once or more during a 184-day period from July to December, 2008. As a result of analyzing their Continuity of Ambulatory Care and factors affecting it, the following findings were given: The continuity of ambulatory care among the adult patients with hypertension in our country turned out to be on a high level(MMCI $0.96{\pm}0.13$, MFPC $0.96{\pm}0.12$). Given examining the outpatient medical-cure continuity level according to index, the averagely medical-cure continuity level was calculated to be high level with MMCI, $0.96{\pm}0.13$, and MFPC $0.96{\pm}0.12$. Thus, the tendency of visiting only one medical provider was high. The findings of the study illustrated that the average continuity of ambulatory care among the adult patients with hypertension in our country was on a high level, and it seemed that special care should be provided to patients with a low-level continuity of ambulatory care, such as women and elderly people aged 64 and over. The findings of the study are expected to serve as one of the barometers for the health care of patients with hypertension and for the performance of national hypertension management plans.

Age-Related Physical Function(ADL, IADL) and its Related Factors of Elderly People in Korea (우리나라 고령자의 연령에 따른 신체적 기능(ADL, IADL)과 관련요인)

  • Song, Young-Su;Bae, Nam-Kyou;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.3
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    • pp.2002-2011
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    • 2015
  • This study was performed to determine the levels of physical function (ADL, IADL) and to reveal its association with the related factors in the elderly people. The study subjects were 1,756 (male 872, female 884) people aged over 70 who received medical check-ups and long-term care services between 2009 and 2012 from the National Health Insurance Corporation. As a result, the distribution of impaired ADL and IADL increased significantly with age. Logistic regression showed that the risk ratio of impaired ADL was increased significantly in the following groups: female, urban, low weight, stroke history group, smoking, alcohol drinking, and not regular exercise group. The risk ratio of an impaired IADL were increased significantly in the group of females, low weight, smoking, alcohol drinking. On the other hand the risk ratio of an impaired ADL and IADL was similar in each age group. As above results, the levels of ADL and IADL in the study subjects are closely related to the socio-demographic characteristics and health related behaviors. In particular, they suggested that the levels of ADL and IADL were lower in the poor group of the health-related behaviors, such as smoking, alcohol drinking, and regular exercise.

Significance Analysis of Yellow Dust Related Disease Using Tweet Data (트윗 데이터를 이용한 황사 관련 질병 유의성 분석)

  • Jung, Yong-Han;Seo, Min-Song;Yoo, Hwan-Hee
    • Journal of Cadastre & Land InformatiX
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    • v.47 no.1
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    • pp.267-276
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    • 2017
  • Damages have occurred in various fields such as agriculture, industry, and citizen's health due to the yellow dust. Therefore, it is urgent to take measures against it. In this regard, this study collected data of yellow dust over 11 days on a basis of Feb. 23. 2015 when yellow dust was the greatest after 2009, issue words analysis and recomposed health related tweet data. After testing the significance of yellow dust related diseases by association rule analysis with diseases, it obtained the study results as follows: As a result of significance test for the patients with rhinitis, asthma and conjunctivitis by acquiring the condition data of patients from the Health Insurance Review & Assessment Service, conjunctivitis appeared to be significant in 13 cities for 16 cities at 5% significance probability, while asthma and rhinitis showed a significance in 3 and 6 areas. As described above, it is possible to obtain information about citizens' health from SNS data, such as Tweet data and it is judged that these data will provide useful information for establishing measures of citizens' health care.

The Present State and Prospect of Geriatric Denture Prosthetic Dentistry Affairs among Community Dental Hygienists (전국보건소 치과위생사의 노인의치보철사업 현황 및 전망)

  • Yoon, Young-Suk;Kwon, Yang-Ok
    • Journal of dental hygiene science
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    • v.6 no.4
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    • pp.255-261
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    • 2006
  • The purpose of This study was to survey the present state and prospect of geriatric denture prosthetic dentistry among community dental hygienists in Korea. Questionnaires about the present state and prospect of geriatric denture prosthetic dentistry were distributed to the community dental hygienists in Korea, July 2006. Collected questionnaires from 89 cases were analyzed. All collected data were analyzed using the SPSS program. The significance of differences among groups were assessed using chi-square test or Fisher's exact test. The results of this study were summarized as follows: The public relations of the geriatric denture prosthetic dentistry were enforced good, mainly by village offices. Appointed dental clinics made a production of full dentures connecting in Korean Dental Association. Above findings suggest that further study about the present state and prospect of geriatric denture prosthetic dentistry is necessary in improving the oral health related quality of life in elders.

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A Comparative Analysis on Safety Evaluation System in the PQ Process of Public Construction Projects - Focus on PQ process in Korea and Los Angeles, California, USA - (공공공사의 PQ 심사 시 안전평가체계 비교분석 - 한국과 미국 캘리포니아 주 LA지역의 PQ 제도를 중심으로 -)

  • Park, Heetaek;Oh, ChiDon;Park, Chansik;Choi, Jinwoo
    • Korean Journal of Construction Engineering and Management
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    • v.14 no.6
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    • pp.3-13
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    • 2013
  • The converted accident rates that included in Pre-Qualification (PQ) are to evaluate the results of accidents which have occurred. Therefore, it is demanded the development of proactive evaluation contents to evaluate the safety management activities and efforts on construction companies. The purpose of this study is to provide basic data for the establishment of proactive evaluation contents at public construction project in Korea through the collected and analyzed the PQ documentation applied by public agencies in Los Angeles, USA. The results indicated that diverse reactive safety evaluations are implemented to examine accidents which occurred in past projects such as occupational health insurance, regulation violation. And also, when the accidents occurred, it is evaluated the proactive safety management actions such as safety education, accident prevention programs, and safety management plans are reflected on the evaluation. Thus, if proactive safety related evaluation contents are established and reflected in PQ examinations together with diverse existing reactive safety evaluations considering converted accident rates, not only the existing function of converted accident rates can be reinforced but also businesses' active safety management activities can be induced and decreases in the construction industry's accident rate can be expected.

Analysis on Geographical Variations of the Prevalence of Hypertension Using Multi-year Data (다년도 자료를 이용한 고혈압 유병률의 지역간 변이 분석)

  • Kim, Yoomi;Cho, Daegon;Hong, Sungok;Kim, Eunju;Kang, Sunghong
    • Journal of the Korean Geographical Society
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    • v.49 no.6
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    • pp.935-948
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    • 2014
  • As chronic diseases have become more prevalent and problematic, effective cares for major chronic diseases have been a locus of the healthcare policy. In this regard, this study examines how region-specific characteristics affect the prevalence of hypertension in South Korea. To analyze, we combined a unique multi-year data set including key indicators of health conditions and health behaviors at the 237 small administrative districts. The data are collected from the Annual Community Health Survey between 2009 and 2011 by Korea Centers for Disease Control and Prevention and other government organizations. For the purpose of investigating regional variations, we estimated using Geographically Weighted Regression (GWR) and decision tree model. Our finding first suggests that using the multi-year data is more legitimate than using the single-year data for the geographical analysis of chronic diseases, because the significant annual differences are observed in most variables. We also find that the prevalence of hypertension is more likely to be positively associated with the prevalence of diabetes and obesity but to be negatively associated with population density. More importantly, noticeable geographical variations in these factors are observed according to the results from the GWR. In line with this result, additional findings from the decision tree model suggest that primary influential factors that affect the hypertension prevalence are indeed heterogeneous across regional groups. Taken as a whole, accounting for geographical variations of health conditions, health behaviors and other socioeconomic factors is very important when the regionally customized healthcare policy is implemented to mitigate the hypertension prevalence. In short, our study sheds light on possible ways to manage the chronic diseases for policy makers in the local government.

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A Study on Policy Improvement for Ensuring the Effectiveness of Suicide Prevention Law (「자살예방 및 생명존중 문화 조성을 위한 법률」의 실효성 확보를 위한 정책적 개선 방안 - 「개인정보보호법」과의 충돌문제 해결을 중심으로 -)

  • Kwon, Do-Hyun;Park, Jong-Ik;Ah, Yong-Min
    • The Korean Society of Law and Medicine
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    • v.20 no.2
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    • pp.261-285
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    • 2019
  • The essential policy of suicide prevention is to continuously manage and treat suicide attempted people through data base related to suicide retry rate and follow-up study report. In Korea, only few people are allowed to follow-up by the Personal Information Protection Act. As a result, the research participation rate and the service participation rate are rather low, so that the research participants is limited to a part of the suicide attempted people. Therefore, the policy proposals to be improved in the Ministry of Health and Welfare Act were examined comparatively in order to increase the practical utilization of the suicide prevention about Article 14 and Article 20 of the Suicide Prevention Act. As a criterion for policy improvement, measures for non-discrimination of information to be considered in terms of technical and ethical dimensions and non-profit research and medical information for medical purposes were suggested. In addition to the severity of the suicide, the suicide risk was assessed and the criteria for the objective assessment of the follow-up observation were considered in consideration of the severity of the suicide.

A Study on Types and Reasons of Engine Troubles Related to Fuel Oil (연료유에 의한 선박 디젤엔진 손상에 관한 연구)

  • Na, Eun-Young;Baik, Shin-Young
    • Journal of the Korean Society for Marine Environment & Energy
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    • v.12 no.3
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    • pp.143-150
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    • 2009
  • Fuel oil mostly used for a ship is made from crude oil by refining process. In order to produce plenty of high-quality fuel oil, the Fluid catalytic cracking(FCC) method is widely adopted to many refinery factories during the decomposition process from high molecule into lower molecule. The major constituents in spent FCC catalysts are Si, Al, Fe, Ti, alkali metals and some others. The spent catalyst is also composed small amounts of rare metals such as Ce, Nd, Ni and V. The big problem in FCC oil is mixing the catalyst in the oil. This reason is unstable separation of FCC catalyst in separator. Such a FCC catalyst will become a reason of heavy wear down in moving parts of engine. The impurity in oil is ash and deposit compound, such as Al, Si, Ni, Fe and V, which will accelerate the wear down on fuel pump, fuel injection valve cylinder liner and piston ring. It is important to find a basic reason of an engine trouble for preventing similar troubles anymore. Insurance compensation will be different according to the reason of an engine trouble which might be natural abrasion or other external causes. In this study, types and reasons of engine troubles related to fuel oil will be covered.

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Analysis of the 2015 reform plan of government employees pension system (GEPS) through monte carlo simulations (모의실험을 통한 2015년 공무원 연금제도 개정안의 효과분석)

  • Lee, Jieun;Song, Seongjoo
    • Journal of the Korean Data and Information Science Society
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    • v.27 no.1
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    • pp.19-32
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    • 2016
  • Due to the increasing fiscal burden and structural unbalanced premium/benefit costs, the new reform on the government employees pension system (GEPS) was considered even after the recent reform in 2009. This article examines the various effects of recent amendment in 2015 on GEPS using a simple probabilistic model. We consider effects on both sides, the pensioners and the government. First of all, the expected net value of pension payment for an individual employee was calculated based on the supposed survival distribution. The fairness of individual pension holders was compared using the benefit-cost ratio. Secondly, from pension system users' point of view, the default probability and the government subsidy were examined by Monte-carlo simulation. From the simulation experiment, we could see that the 2015 reform plan indeed reduces the default probability and the size of the fiscal burden of government by increasing the premium and decreasing the benefit. However, the size of the effect is not very standout at this moment because the number of new employees who are fully subject to the reform will be much smaller than the number of previous employees for a while. Thus, the effect of the reform is expected to appear in a slow manner.

A Study on the Transition of North Korean Income Security Terminology: 1936-2013 (북한 소득보장 용어의 변천에 관한 연구: 1936-2013)

  • Min, Kichae
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.4
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    • pp.1-8
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    • 2020
  • Existing studies have used a variety of terms related to North Korea's income guarantees, causing some confusion. It can be said that it is a problem that appears only when dealing with the contents of a specific statute in an existing study. To this end, we will look at the laws and regulations related to income security by period and analyze the contents of dictionaries that are also the explanations of the laws and the status of orders and rules. As a result of the analysis, living subsidies are classified into subsidies under the national social insurance system and pension and subsidy under the national social security system. Among them, the pension under the national social security system, which is an income security system for non-workers, includes old age pensions, labor capacity loss pension(general work ability loss pension, accidental work ability loss pension, honored soldiers' work ability loss pension), and survivor pension(general survivor pension, war deads' survivor pension, victims' survivor pension). In particular, it was confirmed that the terminology for social security pension, which has been confusing in previous studies, is a collective jargon for all pensions under the national social security system. This study is significant in that it synthesized the historical transition process of the terminology of income security from the 10th Platform for the National Liberation Society in 1936 to the Socialist Constitution of the Democratic People's Republic of Korea in 2013.