• 보건행정학회지
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• 제19권2호
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• pp.71-84
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• 2009

Objectives : The purpose of this study is to analyze the proportion of admission via the emergency room(the rest is ER) in an emergency medical center and to examine the factors related to admission. Methods : This study used 2005 National Health Insurance claims data for admitted patients of 112 hospitals having emergency medical centers in Korea. The study sample had 2,335,610 patients. The data was classified into emergency admission and non-emergency admission. To investigate the factors affecting the type of admission, the following were included as independent variables: type of health assurance_(national health insurance beneficiaries or medical aid beneficiaries), demographic characteristics_ (sex, age), cause of admission_ (disease or injury), whether an operation was performed or not, DRG severity level, the number of beds, and the location of the hospital. Data were analyzed using the Chi-square test for the differences in emergency admission rates for each variables, and multiple logistic regression analysis was used for identifying the factors affecting admission type. Results : The proportion of admission via the ER accounted for 40.6% of the total admission among hospitals having emergency medical centers. The risk of admission via ER was relatively high for patients who were male, the aged, the injured, the surgical patients, the patients having more severe symptoms, and the patients admitted the hospitals located in metropolitan areas, and the patients admitted the hospitals having 300-699 beds. Medical aid patients were more likely admitted through the emergency room than health insurance patients after other variables ware adjusted. Conclusions and Discussion : We analyzed the proportion of admission via the ER for the total admission rate of hospitals having an emergency medical center in Korea. And we explored the factors related to admission via the ER. This proportion may be used as an indicator of the adequacy of medical utilization or low accessibility to hospitals of patients with low socioeconomic status.

• 한국콘텐츠학회논문지
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• 제21권9호
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• pp.51-62
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• 2021

본 연구는 H 대학의 입학전형계획 수립을 위한 정책 제안을 목적으로 대학입학전형에 따른 학업성취도 및 대학생활의 경향성을 비교해보았다. 연구대상은 H 대학교 재학생 3,025명이다. 연구결과는 다음과 같다. 첫째, 입학전형별로 H 대학 선택영향 요인들은 동일하게 나타났다. 둘째, 입학전형별로 GPA에는 차이가 나지 않았으나, 학년이 올라갈수록 학생부 종합전형 학생들이 상승하는 경향으로 나타났다. 셋째, 학생부 종합전형 학생들의 대학만족도와 전공만족도가 가장 높게 나타났다. 넷째, 학생부 종합전형 학생들은 대학교육 성과에 대해서도 가장 높게 평가하고 있었다. 결론적으로 H 대학은 학생부 종합전형에서 학생들의 미래 학업적 성장 가능성을 잘 평가하고 있음을 알 수 있다. 그러므로 H 대학에서는 정시보다는 학생부 종합전형 위주의 수시전형 확대가 적합한 정책이라고 볼 수 있다.

• ETRI Journal
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• 제39권3호
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• pp.345-352
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• 2017

Traffic management is a highly beneficial mechanism for satisfying quality-of-service requirements and overcoming the resource scarcity problems in networks. This paper introduces an optimal connection admission control mechanism to decrease the packet loss ratio and end-to-end delay in cognitive radio sensor networks (CRSNs). This mechanism admits data flows based on the value of information sent by the sensor nodes, the network state, and the estimated required resources of the data flows. The number of required channels of each data flow is estimated using a proposed formula that is inspired by a graph coloring approach. The proposed admission control mechanism is formulated as a semi-Markov decision process and a linear programming problem is derived to obtain the optimal admission control policy for obtaining the maximum reward. Simulation results demonstrate that the proposed mechanism outperforms a recently proposed admission control mechanism in CRSNs.

• 보건행정학회지
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• 제3권1호
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• pp.1-24
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• 1993

This study is designed to find clues to make a plan for efficient hospital bed utilization. Author has tried to estimate the level of appropriateness and to find out factors affecting intra-hospital variation of inappropriate bed utilization using modified Appropriateness Evaluation Protocol of which criteria are based on service intensity and patients' conditions. Systematic random sampling was done from the population of inpatients during one month in on university hospital. Data were collected by concurrent and retrospective medical record review and analysed by multiple logistic regression. In medical services, 83.5% of admission reveals appropriate and the level of inappropriate admission shows significant differences by patients' residence, type of department admitted to, admission 개\ulcorner, and length of stay. In surgical services, 97.3% and 34.7% are appropriate in location and timing of surgery respectively. Inappropriate timing of surgery differs significantly depending on patients' age, type of department admitted to, admission route, and length of stay. Sixty two percent of hospital days shows appropriate and the level of inappropriateness show marked differences by patients'age, type of services, admission routes, part of the month, part of the stay, and length of stay. Inappropriate hospital days are due to inappropriate level of care, premature admission, improper scheduling of diagnostic or therapeutic procedures, and problems in scheduling surgery in sequence. In conclusion, substantially high proportion of inappropriate hospital bed utilization was confirmed. To reduce it, it is necessary to develop alternative services with which can replace inpatient services, and to introduce utilization management system which may include internal peer review.

• 인터넷정보학회논문지
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• 제6권3호
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• pp.121-128
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• 2005

최근, 차별 서비스 망에서는 다양한 차세대 인터넷 서비스들을 지원하기 위해 효율적인 자원 관리를 위한 연구로서 동적 프로비저닝 (Dynamic Provisioning) 기법들을 이용한 수락 제어 메커니즘 연구가 활발히 진행되고 있다. 하지만, 수락 제어 메커니즘이 망에 적용되더라도 서로 다른 대역폭을 요구하는 서비스들에 대한 호 설정 요구가 들어오며 불공평한 호 블로킹 확률이 존재한다. 본 논문에서는 큰 대역폭을 요구하는 서비스와 작은 대역폭을 요구하는 서비스들 사이에 공평한 호 블로킹 확률을 제공하는 새로운 수락 제어 정책 Heuristic 알고리즘을 제안한다. 특히 제안된 알고리즘은 모의 실험 결과를 통하여 호 블로킹 확률의 공평성 및 높은 대역폭의 사용율을 제공할 수 있음을 보여 주었다.

• 디지털융복합연구
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• 제10권1호
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• pp.391-398
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• 2012

본 연구는 고등학교 교사들의 인식을 통해 입학사정관제의 면접영역에 대한 평가와 입학사정관제도 전반의 개선방안에 대해 검토하였다. 대전지역 인문계 고교 교사들의 응답을 대상으로 기술통계분석을 실시한 결과는 다음과 같다. 첫째, 교사들은 잠재력 평가와 관련하여 학생들의 가치관과 도전정신, 적극성 등을 중요한 요소로 평가하였고, 인성 평가와 관련하여 책임감과 공동체 의식, 갈등극복의 유연성을 중요하게 평가하였다. 이외에 입학사정관 전형에서 보강되어야 할 면접문항은 학생들의 의욕과 인생관, 창의성 등이었다. 둘째, 입학사정관제에 대한 만족도는 총 15점 중 9.34점으로 다소 높은 것으로 나타났다. 셋째, 입학사정관제의 운영 개선을 위한 방안으로는 선발과정의 공정성 확보를 가장 중요하게 인식하고 있었다. 이에 본 연구를 통해 입학사정관의 전문성을 보장하고, 입학사정관제도의 개선방안을 위한 정책적 대안을 제시하였다.

• 정보교육학회논문지
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• 제15권3호
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• pp.493-503
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• 2011

사이버대학 학생정원의 증원은 학생 규모에 따른 교육여건의 확보, 신입생 충원율 등을 감안하여 결정되는데 정원 관리를 위해 고려되는 항목들이 사이버대학의 특수성을 충분히 반영하지 못하고 있으며, 항목별 기준도 미약하여 증원에 대한 자율 통제, 학습권 보호, 교육의 질 담보를 제대로 수행하지 못하고 있다. 본 연구는 사이버대학 학생정원 관리 정책의 취약점을 보완하고 사이버대학의 특장점을 살려서 고등교육기관으로서의 교육의 질을 담보할 수 있는 학생정원 관리 방안을 제안하기 위하여 수행되었다. 본 연구를 통해 사이버대학의 현황 및 질 제고 요소 분석, 전문가 의견조사 등을 통하여 사이버대학 학생정원 관리모형을 도출하였다.

• Journal of Preventive Medicine and Public Health
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• 제25권4호
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• pp.413-428
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• 1992

The aim of this study was to evaluate the appropriateness of some kinds of surgery and admission, such as cesarean section (C/S), cholecystectomy, and pediatric pneumonia. For appropriateness evaluation, we ourselves developed some criteria, which were included in the category of explicit and linear criteria, with the assistance of specialists of relevant clinical field. The evaluation of appropriateness was performed by two family physicians. The major findings were as follows: 1. For cesarean section, 77.6% of deliveries were determined to be 'appropriate', but the level of appropriateness was not significantly different among hospitals and between hospital groups by size. The most freqeunt indication of C/S was repeated operation, followed by cephalopelvic disproportion (CPD). The labor trials for vaginal delivery among repeated C/S and CPD cases were performed in 24.5% of pertinent deliveries. 2. About 73.8% of cholecystectomy cases was appropriate to one of the surgical indications, without significant differences among hospitals. Of surgical indications, 'sufficiently frequent and intense symptom recurrence' was the most frequent, and 'confirmed acute cholecystitis' was the second. 3. Of children admitted due to pneumonia, only 57.4% of cases satisfied admission criteria, and the level of appropriateness of admission was different among hospitals. The common reasons fur admission were 'failure to initial treatment', 'suspected bacterial pneumonia', 'young infant', etc. We could find that there were differences of quality among hospitals in some procedures, especially in the pediatric pneumonia and labor trial before C/S, which suggested that the implementation of quality assurance activiteis would be necessary in this country. In this study, we used some simple and primitive research tools and the numbers of subjects and tracer procedures were limited. So advanced studios with plentiful subjects and more representative diseases or procedures should be tried.

• 정보처리학회논문지C
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• 제11C권4호
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• pp.429-438
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• 2004

본 논문에서는 정책기반의 IP 네트워크 관리구조에서 임의의 노드에 유입되어지는 트래픽에 대하여 퍼지 추론 방식을 사용한 어드미션 제어 구조를 설계하였다. 제안된 제어구조는 기존 정의된 정책 요구수준과 네트워크 상태에 따라 자원 할당을 결정하는 방식을 사용하였다. 이는 기존의 바이너리 방식의 정책 적용방식을 개선하여 사전에 정의된 임의의 005 정책에 대하여 예측할 수 없는 네트워크의 상태에 따라 적응적인 어드미션 제어를 제공함으로서 네트워크의 자원을 효율적으로 사용할 수 있도록 하였다. 볼 논문에서 설계한 퍼지 제어기를 통하여 제한된 환경에서의 시뮬레이션을 수행한 결과 비퍼지 환경에 비하여 트래픽의 패턴에 따라 평균 26%의 패킷 거부율을 향상하였고, 이는 퍼지 컨트롤러에 의해서 네트워크의 상태에 따라 비퍼지 환경에서의 수락/거절 동작이 아닌 소프트한 적응성을 보여주었기 때문이다.

• 보건행정학회지
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• 제9권1호
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• pp.72-109
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• 1999

This study is conducted to investigate the current status on the utilization of health care and plan for solving this problem. The claims data of the fiscal tear 1995 obtained from the regional health insurance society are used for the study. The main findings of the study are summarized as follows. Indexes(The Extremal Quotient(EQ), coefficients of variance(CV's))which represent the regional difference in the admission rate of the tertiary medical diagnosis group report that there is difference in quantity and quality of utilization of health care. The admission rate is lower in the big city areas, Kyoungkido, Kangwondo and Chunlapukdo. Even after age-sex adjustment, the admission rate is still low in Kangwondo, Chunlapukdo and Kyoungsangpukdo. The big city areas tend to have higher rates in the expenses per claim, hospital days per claim, and daily expenses but the rates are still low in some area in Kangwondo, Chunlanamdo and Kyoungsangpukdo. This result remains as same after age-sex adjustment. There is a large regional difference in average utilization rate for the tertiary hospital of the tertiary medical diagnosis group: 57.2%(SD 11.53). The utilization rates for the tertiary hospital in their large catchment area are 96.34%, 83.19% and 73.22% in each Kyoungin, Kyoungnam and Kyoungpuk areas whereas it is lower in a Chungpuk and Chungnam areas. The regional differences of health care utilization of the tertiary medical diagnosis group gave some relationships with their geographical characteristics such as socio-economic characteristics and supply factors of medical services. It is important that many medical policies should be developed in order to minimize and balance out the regional differences of health care utilization. The service allocation policy should include the reconstruction of manpower policy, developing the resource allocating formula, finding the self-sufficient catchment area and reforcing of public health services. Moreover, in order to achieve the balanced development by region, they should investigate and consider each county's microscopic properties under the consistent macrocopic policy. The further studies to find causes of regional difference are needed.