• 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.

• 현장농수산연구지
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• 제17권1호
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• pp.101-111
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• 2015

The purpose of this study is to identify any differences in academic records of students after they got into the Korea National College of Agriculture and Fisheries through the entrance exam. The target group was the students of 1,035 who enrolled from the year of 2012 to 2014 by the exams respectively, and this study compared those first year's records. As a result, this study found that their academic achievements have no significant differences statistically. With regard to the result, we could recognize that the average achievements of students are arithmetically high, who were accepted by admission officer's interview(talented students of agriculture and fisheries) and regular admission procedure to which the scholastic test result is applied. Accordingly, it is more desirable that we should rather focus on measures to improve the admission procedure that could contribute to academic achievements of students who are mostly accepted through the nonscheduled admission. It is pointless to focus on discussion that the achievement of students selected by a particular procedure is low. That kind of criticism proved groundless. Secondly, the study of the correlation between their admission records and after admission records of the freshmen in 2012 shows that a significant difference does not exist whereas those of in 2013 and 2014 has a slightly different statistically, though a coefficient of correlation was a mere 0.17. It account for this result that KNCAF has increased the applied-rate of highschool transcript from 33.3% to 50.0.% in admission procedure from the year of 2013. However, lowering the applied-rate of farming and fishing background is not everything as we consider the graduates' easy settling into rural area. It is a well-known fact that after graduation, the majority of students who have applied for a grace period of the delay in performing the obligation of farming and fishing, and of students who have paid the school expenses back came from ones with no sufficient foothold. This means that we should formulate a supporting policy for the students to settle into rural area smoothly after graduation if we keep the regulation of lowing the applied-rate of farming and fishing.

• 보건행정학회지
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• 제27권1호
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• pp.30-38
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• 2017

Background: This study aims to analyze the behavioral changes of healthcare providers and influencing factors after the reviewer unification of auto insurance medical benefit claims by an independent review agency. Methods: The comparison data were collected from the second half of 2013 and the same period of 2014. The key indicators are the number of admission days, the number of outpatient visits, inpatient ratio, inpatient medical expenses, and outpatient medical expenses. Results: Four indicators (number of admission days, number of outpatient visits, inpatient ratio, and outpatient medical expenses) showed statistically significant drops, while one indicator (inpatient medical expenses) showed no significant change. Conclusion: The reviewer unification of auto insurance medical benefit claims by an independent review agency showed significant reduction in cost and patient days.

• 보건행정학회지
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• 제29권2호
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• pp.237-244
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• 2019

Background: Weekend admission is known for having association with increased mortality attributed by poor quality of care and severe patients. We investigated the association between hospital admission on weekends and the in-hospital mortality rates of patients with cardiovascular disease. Furthermore, we examined this association stratified by admission via emergency room or not. Methods: We analyzed claim data provided by the Health Insurance Review & Assessment in 2013. In total, 80,817 cardiovascular patients were included in this study, which treated in-hospital mortality (early and during total length of stay) as a dependent variable. A generalized linear mixed effects model was used. We conducted subgroup analyses stratified by admission via emergency room or not. Results: Patients who admitted on weekend showed higher in-hospital mortality both early (odds ratio [OR], 1.48; 95% confidence interval [CI], 1.23-1.78) and during total length of stay (OR, 1.17; 95% CI, 1.02-1.33) compared to those admitted on weekdays. Patients who were admitted to the hospital on a weekend by emergency room were more likely to experience early in-hospital mortality compared to those admitted on weekdays. Furthermore, we found that patients not admitted to the hospital through the emergency department were more likely to experience both early and total length of stay in-hospital mortality. Conclusion: Our study shows higher in-hospital mortality rates for cardiovascular patients admitted on weekends. Efforts to improve the quality of care on weekend are important to mitigate the 'weekend effect' and improve patient outcomes.

• 한국의료질향상학회지
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• 제1권1호
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• pp.96-108
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• 1994

Background: An appropriate use of hospital beds can improve productivity of hospital significantly. The authors' previous study revealed that approximately one third of Korean hospital bed days and one sixth of admissions were inappropriately used, when it was measured by Appropriateness Evaluation Protocol(AEP) and Delay Tool modified into Korean situation by the authors. This study aims to evaluate applicability of the instruments in a new hospital. More specifically the study aims to measure appropriateness of the instruments used by newly trained nurse reviewers at a new hospital setting. Methods: In order to evaluate applicability of these instruments, agreement rates of the scores recorded by newly trained nurse reviewers with by skilled nurse reviewer and also compared with the scores recorded by physician's implicit decision were assessed. Agreement rates were derived from concurrent application of AEP and Delay Tool to 52 admissions and 104 patient days from internal medicine, pediatrics, and general surgery of one university hospital. Overall agreement rate, specific nonacute agreement rate, and kappa statistics were used to indicate level of agreement. Results: Overall agreement rates on appropriateness between newly trained nurse reviewers and skilled nurse reviewer were 100% in admission and 98% in bed days. Overall agreement rates on reason for inappropriateness between newly trained nurse reviewers and skilled nurse reviewer were 96% in admission and 91% in bed days. Overall agreement rates between newly trained nurse reviewers and physician reviewer were 86% in admission and 87% in bed days. Conclusion: Results indicated that AEP and Delay Tool were applicable to a new hospital in detecting inappropriate utilization of beds and reasoning of the inappropriateness. These instruments could contribute to enhance efficiency of hospital use, through continuous monitoring of level of inappropriate hospital use at national or individual hospital level.

• 보건행정학회지
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• 제21권4호
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• pp.541-564
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• 2011

This study aimed to investigate health outcome of acute myocardial infarction (AMI) patients such as mortality and length of stay in hospital and to identify factors associated with the health outcome according to the comorbidity index. Nation-wide representative samples of 3,748 adult inpatients aged between 20-85 years with acute myocardial infarction were derived from the Korea National Hospital Discharge Injury Survey, 2005-2008. Comorbidity index was measured using the Charlson Comorbidity Index (CCI). The data were analyzed using t-test, ANOVA, multiple regression, logistic regression analysis in order to investigate the effect of comorbidity on health outcome. According to the study results, the factors associated with length of hospital stay of acute myocardial infarction patients were gender, insurance type, residential area scale, admission route, PCI perform, CABG perform, and CCI. The factors associated with mortality of acute myocardial infarction patients were age, admission route, PCI perform, and CCI. CCI with a higher length of hospital stay and mortality also increased significantly. This study demonstrated comorbidity risk adjustment for health outcome and presented important data for health care policy. In the future study, more detailed and adequate comorbidity measurement tool should be developed, so patients' severity can be adjusted accurately.

• 한방재활의학과학회지
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• 제23권4호
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• pp.213-223
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• 2013

Objectives Low back pain (LBP) is one of the most common reason for people in Korea to visit Korean medical institutions. To assess actual amounts of use in the treatment of LBP in Korean medicine and to provide objective base line data for policy decision making, research regarding the current state of LBP patients' treatment in Korean medical institutions are in need. Methods The current study was designed as a retrospective chart review to investigate descriptive characteristics of LBP patients. The clinical records of 304 patients who were hospitalized for the treatment of LBP in Korean rehabilitation medicine inpatient clinics of five different Korean medicine hospitals were analyzed. The percentage of patient characteristics such as sex, age, average duration of admission, insurance type, diagnosed LBP related disease code, and rates of interventions applied were assessed. Results 1. The female sex was significantly predominant among patients with LBP : 105 patients (34.5%) were male and 199 patients (65.5%) were female. Percentage of the patients' age appeared as followed : 76 people (25.0%) were in their 50s, 64 people (21.1%) were in their 40s, 51 people (16.8%) were in their 30s, 37 people (12.2%) were in their 60s, and 33 people (10.9%) were in their 70s. Approximately half of the total LBP patients investigated were older than 50. 2. The average duration of admission was 16.2 days. Approximately one third (30.3%) of the patients were hospitalized for 8 to 14 days. 3. Female patients tended to stay admitted in hospitals slightly longer than male patients. Elderly (age 60~79) patients stayed in hospitals longer (17.8 days) compared to younger (age 20~39) patients (13.5 days). 4. More than half of the patients (171 cases, 56.3%) had their hospital bills covered with automobile insurance. 40.1% (122 cases) of the patients had medical insurance to cover their hospital bills. The average duration of admission of patients who had automobile insurance was 14.2 days, while that of the patients who had medical insurance was 18.4 days. 5. "Sprain and strain of the lumbar spine and pelvis" was the most commonly used (195 cases, 64.1%) disease code in patients with LBP. Patients diagnosed as "lumbar and other intervertebral disc disorders with radiculopathy" required the longest admission duration (22.1 days). 6. Herbal medication was applied to all of the patients during admission. Acupuncture was applied to all of the patients except one case diagnosed as spinal stenosis. Physical therapy, cupping therapy, moxibustion therapy, chuna therapy, and pharmacopuncture therapy were applied to 94.7, 92.8, 85.2, 83.9, and 49.7% of the patients, respectively. 7. There were certain differences among Korean medicine hospitals in terms of the LBP patients' duration of admission, type of insurance, frequency of the disease code use, type of intervention applied. Conclusions It is thought that the current study can be used as reference data in assessing the current state of LBP treatment in Korean rehabilitation medicine and a basis for future research. Provided improvements of certain limitations of the current study in future researches, such data would act as better base line data in policy decision making.

• 응용통계연구
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• 제32권3호
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• pp.423-434
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• 2019

지난 2018년, 우리사회를 뜨겁게 달구었던 이슈 중 하나로 대입제도 개편에 관한 논쟁을 꼽을 수 있겠다. 그 중에서도 학생부종합전형에 대한 쟁점이 무엇인가를 파악하기 위해 감시와 비판이라는 언론의 기능에 주목하여 관련 뉴스 기사에 대한 토픽 분석을 시도해 보았다. 그 결과 수능체제 개편 논의가 비중있는 주제로 등장하여 수능시험에 대한 한국 사회의 민감성을 보여 주었다. 학생부종합전형과 직접적 관련이 있는 주제로는 학생부종합전형의 세부적인 선발 요소에 대한 논의가 등장하였고, 대입전형의 공정성에 관한 논의와 밀접한 관계를 보였다.

• 디지털융복합연구
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• 제14권4호
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• pp.437-448
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• 2016

본 연구는 대학에서 학생들에게 입학과 함께 전문지식과 덕성을 갖출 수 있도록 관리 지원하는 프로그램(K-Leader마일리지)을 통해 대학생의 핵심역량 데이터를 입학전형 유형별로 나누어 그 차이를 비교 분석하였다. 분석결과는 리더십과 인간관계 영역을 제외하고 나머지 영역은 상대적으로 활동인원이 많이 부족한 것으로 나타났다. 리더십과 인간관계는 수능위주(수능) > 학생부위주(교과), 학생부위주(종합) 학생부위주(교과) 수능위주(수능) > 수능위주(수능+학생부), 글로벌 영역은 수능위주(수능+학생부) 수능위주(수능) > 학생부위주(종합), 수능위주(수능+학생부) 수능위주(수능) > 학생부위주(교과), 진로 및 취업활동은 학생부위주(종합) 학생부위주(교과) > 수능위주(수능+학생부), 마일리지점수 합계는 수능위주(수능) > 학생부위주(교과) 수능위주(수능)의 결과로 나타났다. 이러한 결과로 볼 때, 리더십과 인간관계의 항목인 공동체 참여의 활동만으로 보면 기존 연구와 같이 학생부위주(종합)전형의 학생이 학교생활을 잘한다는 연구 결과와 같다. 그러나 본 논문에서의 K-Leader 마일리지 분석결과는 수능위주(수능)전형이 대학생활을 잘 한다는 결과를 얻을 수 있었다.

• Journal of Preventive Medicine and Public Health
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• 제26권3호
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• pp.400-411
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• 1993

The aim of this study is to analyze the variations among hospitals and hospital groups in resource use and procedures of diagnostic and therapeutic process, such as laboratory tests, radiologic examinations, tissue diagnosis, timing of surgery after admission, the time required for operation. The study was performed for five procedures including cesarean section (C/S), appendectomy, cholecystectomy, cataract extraction, and pediatric pneumonia. The 2,316 subjects were selected from medical insurance claims list, and from this list 413 cases were sampled for medical record review. The patterns of resource utilization and process of treatment were described according to hospitals and characteristics of hospital groups. The major results were as follows : 1. The numbers of laboratory and radiologic tests showed significant difference among hospitals and hospital groups. In case of hospital groups, we could find tendencies of more tests with increasing hospital bed size. 2. In general, the proportion of operative cases evaluated by tissue diagnosis postoperatively among all operations ranged from 28.3% to 100%. The proportion varied among hospital groups, of which general hospital A group(more than 15 specialty) showed the highest proportion. 3. Post-admission delay until operation and the time required for operative procedure were not invariable among hospitals and hospital groups. The duration of operation in tertiary hospitals was slightly shorter than general hospitals, with varying statistical significance. We could find that probably there were differences of quality among hospitals in some components of procedures, which suggested that the implementation of quality assurance activities would be mandatory. In this study, we simply described the patterns of resource utilization and some features of clinical process, with institution of the need for advanced studies with in-depth analyses for each component of diagnosis and treatment procedures.