• Title/Summary/Keyword: Health Care Optimization

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Restructuring Primary Health Care Network to Maximize Utilization and Reduce Patient Out-of-pocket Expenses

  • Bardhan, Amit Kumar;Kumar, Kaushal
    • Asian Journal of Innovation and Policy
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    • v.8 no.1
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    • pp.122-140
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    • 2019
  • Providing free primary care to everyone is an important goal pursued by many countries under universal health care programs. Countries like India need to efficiently utilize their limited capacities towards this purpose. Unfortunately, due to a variety of reasons, patients incur substantial travel and out-of-pocket expenses for getting primary care from publicly-funded facilities. We propose a set-covering optimization model to assist health policy-makers in managing existing capacity in a better way. Decision-making should consider upgrading centers with better potential to reduce patient expenses and reallocating capacities from less preferred facilities. A multinomial logit choice model is used to predict the preferences. In this article, a brief background and literature survey along with the mixed integer linear programming (MILP) optimization model are presented. The working of the model is illustrated with the help of numerical experiments.

Health Care Optimization by Maximizing the Air-Ambulance Operation Time

  • Melhim, Loai Kayed B.
    • International Journal of Computer Science & Network Security
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    • v.22 no.2
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    • pp.357-361
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    • 2022
  • Employing the available technologies and utilizing the advanced means to improve the level of health care provided to citizens in their various locations. Citizens have the right to get a proper health care services despite the location of their residency or the distance from the health care delivery centers, a goal that can be achieved by utilizing air ambulance systems. In such systems, aircrafts and their life spans are the essential component, the flight duration of the aircraft during its life span is determined by the maintenance schedule. This research, enhances the air ambulance systems by presenting a proposal that maximizes the aircraft flight duration during its life span. The enhancement will be reached by developing a set of algorithms that handles the aircraft maintenance problem. The objective of these algorithms is to minimize the maximum completion time of all maintenance tasks, thus increasing the aircraft operation time. Practical experiments performed to these algorithms showed the ability of these algorithms to achieve the desired goal. The developed algorithms will manage the maintenance scheduling problem to maximize the uptime of the air ambulance which can be achieved by maximizing the minimum life of spare parts. The developed algorithms showed good performance measures during experimental tests. The 3LSL algorithm showed a higher performance compared to other algorithms during all performed experiments.

A Study on Optimization Model for IoT and IoB based Optimal Medical Care (IoT(Internet of Things)와 IoB(Internet of Body) 기반 적정 의료를 위한 의료 최적화 모델 연구)

  • Park, Sunho;Kim, Young-kil
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2017.05a
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    • pp.551-554
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    • 2017
  • The largest industry in the world is the medical industry, and due to aging and growing demand for well-being, it is necessary to review the competition strategy of the healthcare industry. We will secure competitiveness among medical institutions through the rapid dissemination of ICT convergence, study the intelligence level of digital health care by increasing the capacity of intelligent medical care by combining big data of medical data and artificial intelligence, And to find a countermeasure for constructing a medical optimization model.

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Pharmaceutical Care for Medication Safety in Critically Ill Neonates (신생아중환자의 안전한 약물사용을 위한 약료서비스)

  • An, Sook Hee
    • Korean Journal of Clinical Pharmacy
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    • v.30 no.3
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    • pp.143-148
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    • 2020
  • Objective: This study aimed to investigate pharmaceutical care for critically ill neonates and suggest targeted strategies compatible with the Korean health-system pharmacy. Methods: Articles that reported pharmacy practices for critically ill neonates were reviewed. Pharmaceutical care practices and roles of neonatal pharmacists were identified, and criteria were developed for neonates in need of specialized care by clinical pharmacists. Results: Neonatal pharmacists play many roles in the overall medication management pathway. For clinical decision support, multidisciplinary ward rounds, clinical pharmacokinetic services, and consultation for pharmacotherapy and nutrition support were conducted. Prevention and resolution of drug-related problems through review of medication charts contributed to medication safety. Pharmaceutical optimization of intravenous medication played an important role in safe and effective therapy. Information on the use of off-label medicine, recommended dosage and dosing schedules, and stability of intravenous medicine was provided to other health professionals. Most clinical practices for neonates in Korea included therapeutic drug monitoring and nutrition support services. Reduction in medication errors and adverse drug reactions, shortening the duration of weaning medicines, decreasing the use and cost of antimicrobials, and improvement in nutrition status were reported as the outcomes of pharmacist-led interventions. The essential criteria of pharmaceutical care, including for patients with potential high-risk factors for drug-related problems, was developed. Conclusion: Pharmaceutical care for critically ill neonates varies widely. Development and provision of standardized pharmaceutical care for Korean neonates and a stepwise strategy for the expansion of clinical pharmacy services are required.

Effects of a Self-Care Reinforcement Program for Socially Vulnerable Elderly Women with Metabolic Syndrome in Korea

  • Park, Mikyung;Sung, Kiwol
    • Research in Community and Public Health Nursing
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    • v.30 no.3
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    • pp.271-280
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    • 2019
  • Purpose: This study evaluates the efficacy of a Self-Care Reinforcement Program (SCRP) based on the Selection Optimization Compensation (SOC) model, in socially vulnerable elderly women with metabolic syndrome. Methods: This study adopts a pretest-posttest nonequivalent control group design. The participants were 64 socially vulnerable elderly Korean women with metabolic syndrome (experimental group: 31, control group: 33). Participants' body composition analysis, nutrient intake, risk factors of metabolic syndrome, depressive symptoms, and social network were measured. Data were analyzed with an independent t-test; statistical significance levels were set at p<.05. The SCRP, including metabolic syndrome education, nutritional education, exercise, and social network, was performed three times a week for 8 weeks. Results: There were statistically significant differences between the experimental and control groups in terms of systolic blood pressure, diastolic pressure, fasting blood sugar, triglycerides, sodium intake, depressive symptoms, and social networks. Conclusion: The SCRP is effective and can be recommended as a community health nursing intervention for socially vulnerable elderly women with metabolic syndrome.

The Development of New Cost-Effective Optimization Technology for OLED Market Entry

  • Kwon, Woo-Taeg;Kwon, Lee-Seung;Lee, Woo-Sik
    • Journal of Distribution Science
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    • v.17 no.4
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    • pp.51-57
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    • 2019
  • Purpose - This study aims to improve the distribution structure of the OLED market and develop cost-effective optimization techniques. Specifically, it is a study on the optimization of ferric chloride to improve the etch of SUS MASK for OLED. Research design, data, and methodology - Applying the optimal conditions of the experiment, the final confirmation was evaluated for improvement by the Process Capability Index (Cpk). It is possible to derive social performance such as improvement of precision of SUS MASK manufacturing, economic performance such as defect rate, reduction of waste generation and treatment cost, technological achievement such as SUS MASK production technology, improvement of profit structure of technology development and process improvement do. Results - The improvement of the Cpk before the improvement was made was confirmed to be 0.57% with a defect estimate of 25.07% with a failure estimate of 0.57% after the improvement, and 8.84% with a failure estimate of 0.57% level after the improvement. Conclusions - If the conclusions obtained from the specimen experiment are applied to the manufacturing process of SUS MASK, it will be possible to expect excellent cost-effective competitiveness due to the improvement of precision and reduction of defect rate to enhance the OLED market penetration.

A Comprehensive Study for Two Damage Sites of Human Hair upon UV-B Damage

  • Song, Sang-Hun;Son, Seongkil;Kang, Nae Gyu
    • Korea Journal of Cosmetic Science
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    • v.2 no.1
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    • pp.1-10
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    • 2020
  • Protection mechanisms for skin damage of ultraviolet (UV) absorbers in personal care products for protection against UV are well studied, but not for hair protection. The purpose of this study is to describe and compare the changes of physical property produced in human hair by doses of the UV-B exposure causing protein degradation. To observe the change of physical properties in hair, the experimental intensity of UV-B exposure has been established on the basis of statistical data from official meterological administration as daily one hour sunlight exposure for two weeks. Polysilicone-15, ethylhexyl methoxycinnamate (OMC), and octocrylene were employed for UV-B absorber, and those were treated to hair swatch by rubbing wash through shampoo and conditioner. Bending rigidity displayed kinetically successive reduction at high doses of UV exposure up to the 8,000 s, and exhibited different level at each sample of UV-B absorber. However, the values of Bossa Nova Technologies (BNT) for shinning factor were already saturable at the 2,000 s exposure except that treated with polysilicone-15. The differential scanning calorimetry (DSC) to measure a strength of inner protein produces a successive reduction of enthalpy as like a reduction of bending rigidity upon UV exposure. Surface roughness from lateral force microscope (LFM) acquired immediately after UV exposure show a saturable frictional voltage which has been also found in a saturable BNT data as the time of UV exposure increases. Through researching the DSC and the LFM, shinning of hair was much correlated to the protein damage at the surface, and bending rigidity could be regulated by the protein structural damage inside hair. Therefore, the optimization of efficient strategy for simultaneous prevention of hair protein on the surface and internal hair was required to maintain physical properties against UV.

A study on the optimization of the film sensing part for measuring heart rate in wrist (손목에서의 맥박 측정을 위한 필름 센서부 최적화에 관한 연구)

  • Jo, Sung-Hyun;Kim, Sheen-Ja;Lee, Young-Woo
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2009.05a
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    • pp.241-244
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    • 2009
  • We studied the optimization method of sensing part for measuring heart rate in wrist. In order to know optimum structure of sensing part, we measured the heart rate signal by changing the shape and size of sensor pad structure and the thickness of silicon. The shapes of structure using in experiment are Empty, Rectangle, Embossing, Length, Width. We were compared the amplitude of output signal about each shape when thickness of silicon pad is increasing from 0 to 7 mm by 1 mm.

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A Stay Time Optimization Model Emergency Medical Center (EMC) (응급의료센터 체류시간 최적화)

  • Kim, Eun-Joo;Lim, Ji-Young;Ryu, Jeong-Soon;Cho, Sun-Hee;Bae, Na-Ri;Kim, Sang-Suk
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.18 no.2
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    • pp.81-87
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    • 2011
  • Purpose: The aim of this study was to estimate optimization model of stay time in EMC. Methods: Data were collected at an EMC in a hospital using medical records from June to August in 2007. The sample size was 8,378. The data were structured by stay time for doctor visit, decision making, and discharge from EMC. Descriptive statistics were used to find out general characteristics of patients. Average mean and quantile regression models were adopted to estimate optimized stay time in EMC. Results: The stay times in EMC were highly skewed and non-normal distributions. Therefore, average mean as an indicator of optimal stay time was not appropriate. The total stay time using conditional quantile regression model was estimated about 110 min, that was about 166 min shorter than estimated time using average mean. Conclusion: According to these results, we recommend to use a conditional quantile regression model to estimate optimal stay time in EMC. We suggest that this results will be used to develop a guideline to manage stay time more effectively in EMC.

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The efficient operatiing system construction for the multidemensional optimization of the operating theatre (수술장 최적화를 위한 효율적 운영시스템 구축)

  • Baek, Rong-Min;Yang, Jin-Gi;Yang, Jae-Sun;O, Deok-Yeong;Gang, Seong-Beom;Gu, Ja-Won;Kim, Jae-Yong;Kim, Tae-U;O, Ju-Han;Yun, Pil-Yeong;Lee, Jae-Ho;Im, Cheong;Jeon, Yong-Tak;Heo, Chan-Yeong;Hong, Seong-Gyu;Hwang, Jeong-Won;Kim, Chun-Ok;Kim, Eun-Gyeong;Jo, Eun-Ju;Yun, Gyeong-Mi;Won, Hyeon-Gyeong;Im, Se-Yeong;Mun, Hyeon-Mi;Lee, So-Yeong;Kim, Hae-Dong;Kim, Min-Su;Kim, Se-Jin
    • Quality Improvement in Health Care
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    • v.14 no.2
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    • pp.67-74
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    • 2008
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