• Health Policy and Management
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• v.19 no.2
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• pp.51-70
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• 2009

Background : Previous studies have reported that enhanced continuity of care prevented a sudden worsening in progress among chronic disease patients, and as a result was favorable for efficient spending of health care funds. This study aims to estimate the continuity of care of Korean with diabetes and to identify factors affecting the continuity of care. Methods : This study used the Korean National Health Insurance Claims Database which includes E11 (ICD-10) as a primary or secondary disease as of 2006. Study population is 1,160,725 type 2 diabetics (20-84 years). Continuity of Care Index (COC), Modified, Modified Continuity Index (MMCI), and Most Frequent Provider Continuity (MFPC) were used as indexes of continuity of care. Results : The continuity of care in the study population was $0.94{\pm}0.10$ as calculated by MMCI, $0.91{\pm}0.16$ as calculated by MFPC and $0.86{\pm}0.23$ as calculated by COC. The lower continuity of care was shown in the patients who were female, 65 and over years old, Medical Aid recipients, 13 times or more visitors, hospital users as main attending medical institution, patients experienced hospitalizations or comorbidities. Conclusion : The continuity of care for adult patients with type 2 diabetes was high in Korea, and showed variation according to patients' characteristics. This result provides empirical evidence for policymakers to develop or strengthen programs for managing patients showing low continuity of care.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.7
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• pp.3528-3537
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• 2013

Evaluation indices of the panelizing optimization for Architectural freeform surfaces are proposed for quantitative evaluation through the case studies on panelizing optimization and evaluation index for Architectural freeform surfaces. Proposed evaluation items are adherence to original design intent, production ease, and continuity. The evaluation index for adherence to original design intent is surfaces fitness, the evaluation indices for production ease are planarity, planar panel ratio, and the evaluation indices for continuity are tangent continuity, and divergence. Algorithms are also suggested to compute the proposed evaluation indices.

• Korean Journal of Construction Engineering and Management
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• v.16 no.2
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• pp.46-53
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• 2015

Electrical construction cost index is composed of the cost of albor and material. The producer price index is used to the cost of material. The Bank of Korea restructured the formation method and the basic period of the producer price index in 2013. Because fixed-weighted method can't faithfully reflect industrial structure changes. The weighted value and price index of fixed-weighted method is fixed on the basicp eriod. Electrical construction cost index is changed from fixed-weighted method to chain-weighted method in september 2014, because of these on the need. But the change of organization in formation method changes the weighted value. So there is the need of analysis about the statistical continuity of electrical construction cost index. This study is focused on the time series analysis between fixed-weighted and chain-weighted electrical construction cost index. We uses unit root test, cointegration test, regression analysis of long and short term equation, fitness for the estimation of static forecast as time series analysis. We verify that chain-weighted electrical construction cost index can be replaced to fixed-weighted construction cost index accounting analyses result. So users of it recognize that chain-weighted electrical construction cost index has statistical continuity.

• Journal of Preventive Medicine and Public Health
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• v.40 no.1
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• pp.51-58
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• 2007

Objectives : The objectives of this study were to estimate the continuity of care for all Koreans with diabetes and to identify factors affecting the continuity of care. Methods : We obtained National Health Insurance claims data for patients with diabetes who visited health-care providers during the year 2004. A total of 1,498,327 patients were included as study subjects. Most Frequent Provider Continuity (MFPC) and Modified, Modified Continuity Index (MMCI) were used as indexes of continuity of care. A multiple linear regression analysis was used to identify factors affecting continuity of care. Results : The average continuity of care in the entire population of 1,498,327 patients was $0.89{\pm}0.17$ as calculated by MFPC and $0.92{\pm}0.16$ by MMCI. In a multiple linear regression analysis, both MFPC and MMCI were lower for females than males, disabled than non-disabled, Medicaid beneficiaries than health insurance beneficiaries, patients with low monthly insurance contributions, patients in rural residential areas, and patients whose most frequently visited provider is the hospital. Conclusions : The continuity of care for patients with diabetes is high in Korea. However, women, the disabled and people of low socio-economic status have relatively low continuity of care. Therefore, our first priority is to promote a diabetes management program for these patients.

• Health Policy and Management
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• v.29 no.3
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• pp.262-276
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• 2019

Background: The most important thing to strengthen primary care is to prove that the continuity of primary care is an essential area for good health outcomes. The purpose of this study is to analyze the effect of outpatient continuity of primary care on the hospitalization experience of diabetes mellitus in new diabetic patients. Methods: Using the Korean National Health Insurance Service national sample cohort (NHIS-NSC 2011-2015) data, 3,391 new diabetic patients in 2012 were selected for the study. Multiple logistic regression was performed to investigate the effect of outpatient continuity of primary care on hospitalization in new diabetic patients. Results: The outpatient continuity of primary care in new diabetic patients was measured by the continuity of care index, which showed that 69.4% (n=2,352) were high level and 30.6% (n=1,039) were low level. Patients who had high continuity of primary care at the early stage of diabetes diagnosis showed 3.49 times more likely to maintain high continuity of primary care in the second year (95% confidence interval [CI], 2.72-4.49). Patients with low continuity of primary care for 2 years from the initial diagnosis of diabetes were 2.56 times more likely to be hospitalized due to diabetes than those who did not (95% CI, 1.55-4.25). Conclusion: This study identified the need for policies to increase the continuity of primary care for new diabetic patients and could contribute to lowering the admission rate of diabetic patients if the policy for this would work effectively.

• Mood & Emotion
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• v.9 no.2
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• pp.126-132
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• 2011

Background and Objectives : This study aims to identify sociodemographic and disease-related variables which predicts continuity of outpatient treatment after discharge among bipolar patients. Materials and Method : The medical records of patients who discharged with the diagnosis of bipolar disorder from Department of Psychiatry, St. Mary's hospital from 2005 to 2009 were reviewed. Data on sociodemographic and disease-related variables were analyzed. Results : It showed older age, higher rate of male and higher rate of being married in 1-year follow-up group than in non-follow-up group. And it showed longer duration of index hospitalization, higher rate of previous psychiatric outpatient treatment within 3 months before index hospitalization, higher rate of involuntary admission in 1-year follow-up group than in non-follow-up group. The univariate logistic regression analysis revealed that older age, being male, previous psychiatric treatment and longer duration of index hospitalization were significantly related to an increased likelihood of 1-year follow-up visits. Conclusion : Age, sex, history of previous psychiatric treatment, and duration of hospitalization seems to have influence on continuity of outpatient treatment after discharge.

• 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.

• Journal of the Society of Disaster Information
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• v.14 no.2
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• pp.203-210
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• 2018

Purpose: The purpose of this study is to build a model for the meta - evaluation of the national infrastructure system and to improve the evaluation system of the national infrastructure system using the model. Method: For the study, the disaster-related laws and regulations, the evaluation report of the national infrastructure system published by the government, the guideline for the establishment of the national infrastructure protection plan, the meta-evaluation previous research data, To analyze the actual state of the evaluation. Results: Among the indices of evaluation of the current national infrastructure system, the supplementary requirements were derived from seven indicators such as appropriateness of education and training plan and implementation of disaster response, evaluation and communication with stakeholders, and evaluation committee training time. Conclusion: It is expected that the improvement plan derived from this study can be used to improve the evaluation index of the national infrastructure system.

• Journal of Environmental Impact Assessment
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• v.31 no.4
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• pp.201-213
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• 2022

Creation and administration of green space are emphasized to solve the environmental problem and the management of green space in urban area. Urban area with high development pressure faces green space fragmentation, so the planned approach is needed to improve the continuity of green space. However, the current institutional green axis, used to enhance continuity of urban space is merely an abstract concept under the master plan so that is not a consistent framework for urban green continuity providing no detailed information such as position and path. Therefore, in order to consistently manage green space in continuous point of view, it is insufficient not being connected to each individual green space development projects. This study proposes a method for finding the connection path to enhance urban green space continuity. This proposed method consists of two phases. First phase is finding nodes to connect current green space and second is to calculate the least cost path. We calculate connection cost using NDMI (Normalized Difference Moisture Index), impervious ratio and official land cost, applying to Suwon city and potential greening site that was planned in official master plan. According to the results, we confirm a possibility of finding a cost-effective connection path with detailed spatial information instead of unrealistic abstract concepts and discuss worth applying to a legally plan and policy.

• Atmosphere
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• v.21 no.4
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• pp.337-347
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• 2011

In this paper, we developed a detection and correction method of noisy pixels embedded in the time series of normalized difference vegetation index (NDVI) data based on the spatio-temporal continuity of vegetation conditions. For the application of the method, 25-year (1982-2006) GIMMS (Global Inventory Modeling and Mapping Study) NDVI dataset over the Korean peninsula were used. The spatial resolution and temporal frequency of this dataset are $8{\times}8km^2$ and 15-day, respectively. Also the land cover map over East Asia is used. The noisy pixels are detected by the temporal continuity check with the reference values and dynamic threshold values according to season and location. In general, the number of noisy pixels are especially larger during summer than other seasons. And the detected noisy pixels are corrected by the iterative method until the noisy pixels are completely corrected. At first, the noisy pixels are replaced by the arithmetic weighted mean of two adjacent NDVIs when the two NDVI are normal. After that the remnant noisy pixels are corrected by the weighted average of NDVI of the same land cover according to the distance. After correction, the NDVI values and their variances are increased and decreased by 5% and 50%, respectively. Comparing to the other correction method, this correction method shows a better result especially when the noisy pixels are occurred more than 2 times consistently and the temporal change rates of NDVI are very high. It means that the correction method developed in this study is superior in the reconstruction of maximum NDVI and NDVI at the starting and falling season.