A change in the consumer's surplus was measured in order to evaluate the social benefit to be derived from expanding health insurance to the entire population. The most refined and correct way to measure a project's net benefit to society is to determine a change in the consumer's surplus. Benefits from introducing the health insurance program to the uninsured people can be classified into two elements. The first is the pricing-down effect(E1) which results from applying the insurance price system, which is lower than the actual price, to the uninsured patients. The second effect(E2) is a decrease in actual payment because an insured patient pays only a portion of the total medical bill(copayment). We collected medical price information from the data banks of 93 hospitals, and obtained information of medical utilization by referring to the results of other research and from data published by the Korean Medical Insurance Societies. The total net benefit was estimated as \214 billion, comprising the first effect(E1) of \57 billion and the second effect(E2) of \157 billion. The price elasticity of physician visits is less than that of hospital admissions: however, benefits from the increase in physician visits are greater than those from hospital admissions because there are considerably more of physician visits than hospital admissions. The sensitivity analysis also shows the conclusion that expansion of the health insurance program to the entire population would result in a positive net benefit. Therfore, we conclude that the National Health Insurance Program is socially desirable.
The regulation of Material safety data sheets(MSDS) was required for the chemicals in use in the workplace from July 1976. Under the provisions of the workplace hazardous materials information system, employers in Korea must be provided with accurate and comprehensive MSDS. To examine the reliability of MSDS for organic solvents, 63 organic solvents and MSDS were collected from the workplace of 39 companies located in Kyonggi province. Manufacture\`s MSDS were compared with the actual composition of the collected samples, and further examined the reliability by checking whether the chemicals analyzed were included in the MSDS correctly. 38 solvents were able to analyze their composition by gas chromatography-mass selective detector(GC-MSD). Among them, 28 solvents were incorrect in their composition and contents. In some case, health hazardous or carcinogenic chemicals which were not included in the MSDS were detected from samples. As a result of evaluating whether the MSDS correspond to the regulation required by Industrial Safety and Health Act (ISHA), the information in the MSDS including hazard classification, occupational exposure level, toxicity, regulatory information were incorrectly provided, and some MSDS did not disclose carcinogenic in their MSDS, and some MSDS were not written in the standard format. From this survey, continuous monitoring and promoting correct MSDS, and analyzing the components of the solvents were required to endure the reliability of MSDS for organic solvents.
Purpose: The present study was done to discover the structure of universal actual experiences 'Considering tomorrow' of health and quality of life among North Korean refugees in terms of the socio-cultural context of South Korea. Method: The research question was 'what is the structure of the actual experience of 'Considering tomorrow?', which was examined based on the Parse's human becoming research method. Five North Korean adult refugees were recruited from a National Reconciliation Committee in Seoul/Incheon. The data was gathered from dialogues and collected from February, 2006 to November, 2006. Results: The structures found in this study were: 'hope for future life by taking responsibility and having harmony with South Koreans, by forming an integrated identification; having a chance for positive engagement, by attaining human freedom and hope; feeling respected, by assimilating self to the new world; getting freedom back, by facing a new challenge and preparing self for a new social role; overcoming cultural differences with fortified hardiness for survival, by making a decision for a life course with individual growth. In addition, conceptual integration was that 'Considering tomorrow is transforming the enabling-limiting values'. Conclusion: Health professionals need to know North Korean refugees' psychological difficulties, expectations of treatment, help seeking behavior, and expectations from mainstream culture. Additionally, understanding North Korean refugees' needs for reality, health education and a multi-disciplinary team approach are necessary to improve their health.
At present, many machine leaning and data mining methods are used for analyzing and predicting structural response characteristics. However, the platform that combines big data analysis methods with online and offline analysis modules has not been used in actual projects. This work is dedicated to developing a multifunctional Hadoop-Spark big data platform for bridges to monitor and evaluate the serviceability based on structural health monitoring system. It realizes rapid processing, analysis and storage of collected health monitoring data. The platform contains offline computing and online analysis modules, using Hadoop-Spark environment. Hadoop provides the overall framework and storage subsystem for big data platform, while Spark is used for online computing. Finally, the big data Hadoop-Spark platform computational performance is verified through several actual analysis tasks. Experiments show the Hadoop-Spark big data platform has good fault tolerance, scalability and online analysis performance. It can meet the daily analysis requirements of 5s/time for one bridge and 40s/time for 100 bridges.
Journal of Korean Society of Occupational and Environmental Hygiene
/
v.8
no.2
/
pp.178-185
/
1998
In order to evaluate and improve the performance of local exhaust ventilation systems for two TCE degreasing (A, B) and two electroplating (C, E) and one acid dipping & plating (D) operations located in Kimhae, the performance test was conducted with trace gases and a thermal anemometer (Kanomax 24-6111, Japan). For the inadequately designed systems, the improvement and redesigns in compliance with recommendation by ACGIH was suggested. The results of performance test for each system are as follows; 1. System of Workplace A was generally well-designed. Actual exhaust air flow rate was in excess of 68% above the recommended standard exhaust air flow rate. 2. System of Workplace B was very well-designed and completely enclosed. 3. All systems of Workplace C including hoods were poorly-designed and actual exhaust air flow rates were insufficient for open tanks. All systems should be upgraded according to ACGIH recommendations. 4. Supply and exhaust air flow rate of push-pull exhaust systems in Workplace D should be greatly increased. The width of flange of dipping tank hood should be increased with the value suggested. 5. System of Workplace E was well-designed. Actual exhaust air flow rate was in excess of 54% above the required.
The Journal of Korean Society for School & Community Health Education
/
v.9
no.2
/
pp.33-46
/
2008
Objectives: This study was conducted to find out the actual status and recognition of food safety among undergraduates in some areas and verified the results. Method: 328 undergraduate students at two colleges in J-city, J-province were chosen and data were collected from May 10 to June 20, 2008 and analyzed. For data analysis, SPSS 12.0 Version was utilized. Results: Of the students surveyed 66.8% had experienced food poisoning. Of the students who had experienced food poisoning, 57.1% were treated after food poisoning. 75.6% of the students surveyed said that food safety recognition on food distribution was insufficient. The relationship between expectation and satisfaction of food safety was positive(r=.575, p<.01). Recognition scale of food hygiene behavior was 1.32 points on average. And recognition scale of personal hygiene was 1.24 points and recognition of food management related-hygiene was 1.39 points.
By the research of the actual state of food consciousness as the object of male, female 421 college students by major, non-major in food dietetics, the results are as follows. The validity degree of the guestion article appeared at the analysis of the knowledge of nutrition(the figure of Cronbach "${\alpha}$" overall 0.58, major 0.62, non-major 0.57). In the interest degree about nutrition knowledge of the major students were significant(P<0.05), but the non-major students were not significant, and there was a difference between two groups of the male and female, major and non-major students in the information about knowledge. The knowledge of the major students mostly get from school education, non-major from mass communication as TV and rodio, etc. There was not significant difference in self-consciousness degree of health of all the male, female students by major, non-major, and the self-consciousness degree about health of should not be significant to the food habit. Therefore deviating from acquirement of nutrition knowledge by the wrong medium of food consciousness of home dietary life, improvement plans should be activated for the right knowledge to practice in actual life. Taking the opportunity of food and nutrition education through literary subject in the curriculum of the college for students, good food consciousness must be properly applied all the part of dietary life, and it is urgent for them to carry out scientific and reasonable curriculum and educational material development.
The Korean government has a new system for charging patient care for patients in hospital, on hold for the present(9 / 1995) but to start implementation in certain areas of patient care next year. From the latter half of next year the Ministry of Health and Welfare would like to start demonstration projects for hospitals who want to start using DRGs for frequently seen medical diagnosis and for patients with a course that is predictable and for whom non-insurance costs are minimal : such as the patient who has a delivery, cesarean deliveries, cataract surgery, tonsillectomy or an appendectomy, and apply the DRG system of payment for hospital care for these patients. The purpose of this study was to establish a recording system to give effective home health care to postpartum women and their newborns. Recently the government announced a DRG system to apply to postpartum women for pilot purposes starting next year. This gives impetus to the need to develop home care records that will allow for systematic recording and provide continuity and consistency in care across all health professionals and with in-depth communication between the professions to assure high quality care. There has been a rise in medical costs and a shortage of patient bed space in hospitals, particularly since the introduction of national medical insurance. The study focused on developing client selection criteria, a primary assessment tool, progress notes and nursing diagnoses applicable to postpartum and newborn clients. Selection criteria for home health care, assessment tool content, nurses progress notes and diagnoses were developed through a review of the literature, advice from professionals who are expert in home health care and actual practice in the use of recording tools through workshops. The recommendations based on the research results are as follows : 1) Replication and application of these tools is needed to test the validity of the tools 2) In order to have systematic nursing records standardization of records has to be done after nurses have had experience using them. 3) Reliability and validity of the tools has to be established through applicability to actual care situation.
In order to provide data of effective health education for practice of preventive health behavior for visual acuity care. The authors investgated the actual acuity and health behavior for visual acuity care. The subjects of this study were 2250 students in high school. The data were collected by questionnaire developed for the purpose of this study which has been made through references and student's health record. The results were as follows, 1) As students move up to grade, the number of students with decreased visual acuity had a tendency to increase. In cases with decreased visual acuity below 0.2 in one or both eye, the number of cases was increased in accordance with moving up to grade, especially visual acuity of right eye was more decreased than that of left eye. 2) As to proportion of the group with decreased visual acuity among the total students, among 2250 students, students with decreased visual acuity was 35.6%(800 students). According to school type, in academic school, frequency of students with decreased visual acuity in day school was higher then that in night school. In commercial school, the frequency of students who had decreased visual acuity in night school were higher than that of students in day school. 3) As to variables influencing the decreased visual activity, there was a significant different between groups with normal visual acuity and groups with subnormal in terms of awareness of visual acuity by themself, parent's visual acuity, unbalanced eating habit, distance from television, or books, posture in watching television, posture in reading, awareness of illumination in classroom. 4) As to practice of protective and preventive health behavior for visual acuity care, In group with normal visual acuity. There was good practice such as proper eating habit, proper studying habit, and health habit in its descending order, but proper illumination and regular eye test were practiced poorly. In group with subnormal visual acuity, one of the vest practice in visual acuity care was an effort to prevent eye strain. Other good practice involve tasking regular eye test, maintaining proper studing habit, in its descending order.
The purpose of this study was to evaluate appropriateness of home health care travel cost. For the evaluation, investigated the operating costs of vehicles used by home care nurses and then were components of home care nurses's annual salaries. Travel costs were then calculated based on actual travel expenses of home health care service. Actual data of 23 hospital-based home care agencies between July, 2002 to December, 2002 were collected for the analysis of the travel costs. The results of this study are : 1) For home visit, 65% of home care agencies turned out to be using only hospital owned cars, and 17.1% be depending purely on home care nurses' cars. On average, 1.9 cars used for home visit. 2) Out of 89 agencies, 23 agencies responded to the travel cost survey. Total maintenance cost of a car per month was 381,457 won. 3) Average per visit personal expenses of home care nurses during travel time turned out to be 7,124won assuming 8 working hours per day, 4 visits per day, and 30 minuets of travel time for each visit. 4) Total home health care travel cost per visit was 12,069 won, which was the sum of actually paid travel cost of 4,945 won and personal expenses during travel time of 7,124. In conclusion. we reckon that current compensation price of home care nurses' travel is inappropriate because total home health care travel costs of 12,069 won per visit turned out to be 2.1 times of currently prevailing standard compensation price of 5,830 per visit.
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