• 제목/요약/키워드: Compliance Cost

검색결과 153건 처리시간 0.027초

지역소재 종합병원에서 소화성궤양 환자의 약물요법 사용실태 분석 (The Study of Different Regimens Prescribed for the Treatment of Peptic Ulcer Disease in a Community Hospital)

  • 박영미;오정미
    • 한국임상약학회지
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    • 제10권3호
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    • pp.111-119
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    • 2000
  • The objective of this study was to evaluate the efficacy and the pattern of regimens prescribed for the treatment of peptic ulcer disease in a regional community hospital. 226 patients were treated as an outpatient and followed for one year. 88 patients $(38.9\%)$ had gastric ulcer (GU) alone, 6 patients $(2.7\%)$ had duodenal ulcer (DV) alone, 5 patients $(2.2\%)$ had gastroesophageal reflux disease (GERD) alone, 25 patients $(11.1\%)$ had both GU and DU, 88 patients $(38.9\%)$ had both GU and GERD, and 14 patients $(6.2\%)$ had both DU and GERD. During this study period no one was treated for Zollinger-Ellison Syndrome. The disease showed higher occurrence in male population (139 patients, $61.5\%$) and among the ages of 30 and 40 $(62.4\%)$. The average age of these patients was 41.3 years and there was no difference between the genders. $81.4\%$ of these patients underwent CLO test to check for the existence of Helicobacter and $66.3\%$ of these Patients showed the positive response. $65.6\%$ of patients with GU and $80\%$ of patients with DU showed the positive response and there was no difference between the genders $(65.4\%\;vs.\;67.6\%)$. 184 patients $(81.4\%)$ were deemed to be cured based on the disappearance of their symptoms after completing the regimens. Compliance rate did not differ for gender or different diseases, while showing a difference in age. Patients between the ages of 20 to 30 years old showed the worst compliance rate. In addition, the compliance was lower among the patients who had previous occurrence of the disease, and this was more evident among female patients. Although 184 patients out of the total 226 patients were deemed to be cured, 36 patients $(20.65\%)$ of these returned to the hospital for relapsed diseases within one year. The factors that affected for patients to relapse were the diseases accompanied by ulcer and social environments, such as smoking, alcohol consumption, and previous history of the diseases (smoking P<0.001, alcohol consumption P<0.02, previous history of disease P<0.05). The regimen using $H_2$ receptor antagonists+tripotassium dicitrato bismuthate+clarithromycin showed the lower rate of relapse, and the regimens of omeprazole (OMP)+amoxicillin+tripotassium dicitrato bismuthate and OMP+amoxicillin+metronidazole showed better compliance rate. Patient education by pharmacists on the importance of compliance to regimens and the risk factors fer relapse can provide a better patient care. This would ultimately result in more cost-effective treatments by preventing additional cost for treating relapsed symptoms in approximately $20\%$ of patients.

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경영진 역할과 보호동기 요인이 정보보안정책 준수 의지에 미치는 영향: 계획행동이론을 기반으로 (Role of Management and Protection Motivation's influence on the Intention of Compliance with Information Security Policies: Based on the Theory of Planned Behavior)

  • 신혁;강민형;이철규
    • 융합보안논문지
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    • 제18권1호
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    • pp.69-84
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    • 2018
  • 본 연구에서는 정보보안정책 준수 의지에 미치는 영향에 대하여 Ajzen(1991)이 제시한 계획행동이론을 토대이론으로 활용하여, 계획행동이론이 정보보안정책 분야에서 활용된 선행연구 사례를 분석하고, 경영진 역할 및 보호동기 요인이 계획행동 선행요인인 태도, 주관적 규범, 지각된 행동조절력을 매개변수로 정보보안정책 준수 의지에 미치는 영향에 대한 인과관계를 검증하고자 연구모형을 설계하여 가설을 검증하고, 경쟁모형을 활용하여 연구모형과 경쟁모형을 비교 검증을 실시하였다. 그 결과 연구모형에서 태도와 주관적 규범은 경영진 신뢰, 반응효용성, 반응비용 및 자기효용성과 준수 의지간의 매개역할을 하고, 지각된 행동조절력은 경영진 신뢰와 자기효용성과 준수 의지간의 매개역할을 하였다. 그리고 경영진 역할, 보호동기 요인과 준수 의지간의 관계를 설명하는 데 있어 매개변수를 활용한 연구모형이 경쟁모형보다 적합도 검증을 통해 우월한 것으로 확인할 수 있었다.

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당뇨병 표준진료지침 적용 효과에 관한 연구 (Effect of Critical Pathway on Diabetes Mellitus)

  • 신미옥;서신원;송복례;김경희;윤건호;유양숙;김희승
    • 한국의료질향상학회지
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    • 제7권1호
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    • pp.60-70
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    • 2000
  • Background : The aim of this study was to examine the effectiveness of the critical pathway to diabetic patients who were admitted in the hospital. Methods : For establishment of critical pathway for diabetic patients, we organized the multidisciplinary care team. During 5 months, 31 diabetic inpatients were applied the critical pathway and the results were compared with 11 diabetic inpatients who were treated with conventional way. We assessed the patients satisfaction, knowledge on the disease, compliance of medical regimen, length of stay(LOS) and hospital cost. We used the computer program SAS for statistical analysis. Data were summarized with mean, and analyzed using t-test repeated measures ANOVA and Wilcoxon rank sum test. Results : Length of stay(LOS) was remarkably shortened in critical pathway group compared with the conventional treatment group($7.6{\pm}1.23$ vs $12.0{\pm}4.73$, p<0.000). Although LOS was significantly shortened in critical pathway group, patients satisfaction was much higher than conventional treatment group. There were no significant difference of knowledge on the disease, compliance of medical regimen and blood glucose level between two groups at discharge. Hospital cost of each patients also significantly decreased in critical pathway group(890,000 won vs 1,280,000 won, p<0.05). Conclusion : These results showed that establishment of critical pathway for diabetic inpatients with team approach is the one of the way to improve the quality of diabetic patients management and to enhance the efficiency of hospital management.

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웹 접근성을 준수한 웹 사이트 제작에 영향을 미치는 요인 (Analyses of Factors Affecting Accessible Website Design)

  • 강영무;홍순구;김동완;차윤숙
    • 한국IT서비스학회지
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    • 제11권1호
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    • pp.1-14
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    • 2012
  • The Web accessibility compliance rate of public organizations and private enterprises is still low due to the lack of awareness of Web accessibility by website developers and managers in spite of the fact that web accessibility compliance became mandatory in 2008. Web developers and managers think the website visual quality might be compromised or the website requires more development time and budget in order to comply with the web accessibility guidelines. Therefore, this paper has analyzed whether developers with various training in web accessibility or experience on website development have different perception on time, cost and design issues for developing accessible websites. For this purpose, 72 Web developers with hand-on experience working for website development companies in Korea were sent to the questionaries. The results have indicated that the group of developers with many hours of training in web accessibility and rich experience on website development perceives that they can develop accessible website without additional cost and time or compromising design quality. The contributions of this paper are following: (1) proving the widely recognized perception on budget, time, and design for developing accessible website is incorrect and (2) motivating further research on this subject in the future.

제주지역 폐기물 배출처리 특성과 정책에 대한 소고 (A Study on Waste Discharge Characteristics and Disposal Policy of Jeju)

  • 황석준;황욱;김현철
    • 한국폐기물자원순환학회지
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    • 제35권7호
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    • pp.627-639
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    • 2018
  • Waste management in Jeju Province, Korea, has recently emerged as an urgent problem. The increasing waste discharge requires more landfills but, since it is an island, the available land is restricted. Accordingly, an efficient waste management urgently requires environmentally sustainable policies. In this article, the waste discharge characteristics (such as the amount of waste, its composition, etc.) of Jeju Province have been compared with those in the rest of Korea. The current industrial waste management of two cities on the Island, Jeju City and Seogwipo City, has been also analyzed to suggest policies for an efficient management. The local government's endeavor to enhance environmental awareness of the community has been known to reduce the private cost of policy compliance, and have individuals recognize the results of their policy compliance. Policies to achieve the above are then proposed.

Tobacco Control Law Enforcement and Compliance in Odisha, India - Implications for Tobacco Control Policy and Practice

  • Panda, Bhuputra;Rout, Anita;Pati, Sanghamitra;Chauhan, Abhimanyu Singh;Tripathy, Asima;Shrivastava, Radhika;Bassi, Abhinav
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권9호
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    • pp.4631-4637
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    • 2012
  • Introduction: Tobacco use is a leading cause of deaths and disabilities in India, killing about 1.2 lakh people in 2010. About 29% of adults use tobacco on a daily basis and an additional 5% use it occasionally. In Odisha, non-smoking forms are more prevalent than smoking forms. The habit has very high opportunity cost as it reduces the capacity to seek better nutrition, medical care and education. In line with the WHO Framework Convention on Tobacco Control (FCTC), the Cigarettes and Other Tobacco Products Act (COTPA) is a powerful Indian national law on tobacco control. The Government of Odisha has shown its commitment towards enforcement and compliance of COTPA provisions. In order to gauge the perceptions and practices related to tobacco control efforts and level of enforcement of COTPA in the State, this cross-sectional study was carried out in seven selected districts. Materials and methods: A semi-structured interview schedule was developed, translated into Odiya and field-tested for data collection. It mainly contained questions related to knowledge on provisions of section 4-7 of COTPA 2003, perception about smoking, chewing tobacco and practices with respect to compliance of selected provisions of the Act. 1414 samples were interviewed. Results: The highest percentage of respondents was from the government departments. 73% of the illiterates consumed tobacco as compared to 34% post graduates. 52.1% of the respondents were aware of Indian tobacco control laws, while 80.8% had knowledge about the provision of the law prohibiting smoking in public places. However, 36.6% of the respondents reported that they had 'very often' seen tobacco products being sold 'to a minor', while 31.2% had seen tobacco products being sold 'by a minor'. In addition, 24.8% had 'very often' seen tobacco products being sold within a radius of 100 yards of educational institutions.

발주기관 및 공사규모별 산업안전보건관리비 법정 기준의 준수비율 분석 (Compliance Status of OSH Expense Regulation by Client Types and Project Amount)

  • 이규진
    • 한국건축시공학회지
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    • 제15권1호
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    • pp.73-79
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    • 2015
  • 산업안전보건관리비 계상기준은 1988년에 제정된 이래 건설 현장의 안전성 향상에 긍정적인 영향을 주고 있다. 기존 연구에서는 안전보건관리비의 요율이 건설 현장의 안전과 건강을 보장하기에 충분하지 않다 주장되고 있는데, 최근 조사에 의하면 다수의 건설현장에서 그나마도 준수하지 않는 것으로 나타났다. 본 연구는 안전보건관리비 기준의 준수 실태를 알아보기 위해 완성공사원가통계에서 집계된 원가비율을 공사규모와 발주자 유형별로 분석하였다. 그 결과 준수율이 발주자 유형별로 볼 때 대부분의 유형에서 실질적으로 매우 낮은 결과가 나왔다. 이는 최소한의 법적 기준마저 준수되지 않고 있음을 의미하며, 향후 산업안전보건관리비 등을 비롯한 관련 법규정의 준수를 위한 강력한 법집행이 요구된다.

철도차량 유지보수 적용방향에 관한 연구 (A Study on the Application of Maintenance for Rolling Stock)

  • 이강성;손웅;강찬용
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2009년도 춘계학술대회 논문집
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    • pp.1655-1660
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    • 2009
  • At the Rolling-stock, most important thing is thorough maintenance for safety as a mass transit. Recently, many studies of cost down method and acquisition of high reliability have being progressed with considering of safety. Maintenance cost is closely relative to the preventive maintenance. But generally the preventive maintenance is decided in compliance with an experience. So the study of cost down method at the preventive maintenance is difficult. In this study, many results of effectiveness and optimization for the preventive maintenance are checked. Then., it is possible that efficiency preventive maintenance method will be able to suggest.

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The Damped Outrigger - Design and Implementation

  • Smith, Rob
    • 국제초고층학회논문집
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    • 제5권1호
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    • pp.63-70
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    • 2016
  • The use of outriggers with dampers (the damped outrigger concept) has been shown to be a cost effective method of adding structural damping to a high rise building, and has been described in previous work by the author. This paper further develops the methods used to design such systems and highlights lessons learned in their application. This includes calculation methods, a review of subsequent research from others, and discussions regarding code-compliance.

경계요소법에 의한 기차진동전파 연구 (Study of the Propagation Problem of the Railway Vibration Using Boundary Element Method)

  • 허영
    • 한국전산구조공학회:학술대회논문집
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    • 한국전산구조공학회 1992년도 가을 학술발표회 논문집
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    • pp.162-167
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    • 1992
  • The effects of railway vibration on nearby structures or equipment become severe with increasing the train speed and they may be also sufficiently intense to annoy the recipients. Often, the cost of the postcautionary measures may be more expensive than that of the precautionary ones to eliminate potential problems. This paper presents the Boundary Element approach for the evaluation of the dynamic response (in the form of the compliance matrix) of sleeper which can be used to predict the change of the vibration level.

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