• 제목/요약/키워드: Implementation

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국내 의료기관의 질 향상 사업의 활성화에 영향을 미치는 요인 - 조직동인적 관점에서 (Factors Associated with the Degree of Quality Improvement Implementation)

  • 최귀선;강혜영;조우현;채유미;이선희
    • Journal of Preventive Medicine and Public Health
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    • 제34권4호
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    • pp.363-371
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    • 2001
  • Objectives : To assess the degree of quality improvement (QI) implementation and to identify its associated factors. Methods : A mailed questionnaire survey of the QI staffs at hospitals with 400 beds or more was conducted between September 15 and October 30, 2000. Of the 108 hospitals eligible for inclusion in our study, 79 participated, yielding a response rate of 73.1%. After excluding 12 hospitals that did not perform any QI activities, 117 responses from 67 hospitals were used in our analysis. The degree of QI implementation was measured using the Malcolm Baldrige National Quality Award Criteria (MBNQAC). Factors evaluated for association with the degree of QI implementation were cultural, technical, strategic, and structural factors of the hospitals. Results : The average 01 implementation score across the 7 dimensions of MBNQAC was 3.34 on a 5-point scale, with the highest score for the area of customer satisfaction (3.88) followed by information and analysis (3.59) and quality management (3.35). The results of regression analysis showed that hospitals with a ofter information system (p<0.05) and using scientific and systematic problem solving approach (p<0.01) tended to perform a higher degree of QI implementation. While statistically insignificant, positive associations were observed for the factors of group or developmental culture, the degree of employee empowerment, and the use of prospective strategy. Conclusions : It appears that the most important factors contributing to active implementation of QI in Korean hospitals were the use of scientific skills in decision making, and having a quality information system to produce precise and valid information.

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Adoption and Implementation of Tobacco Control Policies in Schools in India: Results of the Bihar School Teachers Study

  • Mathur, N;Pednekar, MS;Sorensen, GS;Nagler, EM;Stoddard, AM;Lando, HA;Aghi, MB;Sinha, DN;Gupta, PC
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권6호
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    • pp.2821-2826
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    • 2016
  • Implementation of no tobacco policies in schools is associated with lower tobacco use among teachers and students. In this study we assessed the extent that a school-based intervention for teachers resulted in adoption and implementation of tobacco control policies. From a random sample of government schools ($8^{th}-10^{th}$), 72 were randomized into intervention and control conditions. Intervention included health education programs for teachers and support for tobacco control policy implementation. Adoption and implementation of policies were assessed at baseline and immediately after intervention. All 36 intervention and one control school adopted a tobacco-control policy. Higher enforcement of tobacco-control policy was at post intervention (OR=3.26; CI: 2.35, 4.54) compared to baseline in intervention schools. Some 64% of intervention and 28% control schools showed "improvement" in policy implementation. Adoption and implementation of no tobacco policies was positively impacted by intervention. This study provides support for scaling up of school-based tobacco control interventions to promote school tobacco control policies.

노인장기요양보험 서비스 이용에 따른 의료이용 및 의료비 지출 양상의 변화 (The Impact of Long-term Care Insurance on Medical Utilization and Medical Cost in South Korea)

  • 강희진;장수현;장선미
    • 보건행정학회지
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    • 제32권4호
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    • pp.389-399
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    • 2022
  • Background: This study aimed to analyze changes in medical utilization and cost before and after long-term care (LTC) implementation. Methods: We used the National Health Information Database from National Health Insurance Service. The participants were selected who had a new LTC grade (grade 1-5) for 2015. Medical utilization was analyzed before and after LTC implementation. Segmented regression analysis of interrupted time series was conducted to evaluate the overall effect of the LTC implementation on medical costs. Results: The total number of participants was 41,726. A major reason for hospitalization in grade 1 was cerebrovascular diseases, and dementia was the top priority in grade 5. The proportion of hospitalization in grade 1 increased sharply before LTC implementation and then decreased. In grade 5, it increased before LTC implementation, but there was no significant difference after LTC implementation. As for medical cost, in grades 1 to 4, the total cost increased sharply before the LTC implementation, but thereafter, changes in level and trend tended to decrease statistically, and for grade 5, immediately after LTC implementation, the level change was decreasing, but thereafter, the trend change was increasing. Conclusion: Long-term care grades showed different medical utilization and cost changes. Long-term care beneficiaries would improve their quality of life by adequately resolving their medical needs by their grades.

연안자망어업의 안전조업 방안에 관한 IPA 기반 기초연구 (The IPA-based introductory survey and analysis for the safe fishery of the coastal gillnet fisheries)

  • 조윤형;박유진;안영수;안종갑
    • 수산해양기술연구
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    • 제59권1호
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    • pp.85-98
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    • 2023
  • This study analyzes the importance and implementation of countermeasures to reduce safety accidents that may occur during fishing in coastal gillnet fishing. Safety accidents that may occur in coastal gillnet fishing were classified into 56 measurement items in six areas: slips and trips, contact with machinery, falls, struck by object, musculoskeletal symptoms, and electrical shock. 35 fishermen belonging to coastal gillnet associations in Tongyeong and Namhae were selected as samples, and the importance and implementation of the proposed measurement items were investigated in the field. In addition, the results were evaluated visually by IPA analysis. As a result of the analysis, the importance of struck by object was the highest, and the implementation of slips and trips was the highest. On the other hand, prevention of musculoskeletal damage was found to be the lowest in both importance and implementation. The area with the most significant difference in importance and implementation by the classified area for measurement items was struck by object, and the area with the minor difference was slips and trips. Among the measurement items, the importance is highly recognized, but there are items with low implementation. To improve their level of implementation, countermeasures such as continuous education, economic support, and structural change of fishing boats should be prepared; moreover, policy support activities for implementation should be carried out.

IDEA 암호 알고리즘의 FPGA 구현 (A FPGA Implementation of IDEA Algorithm)

  • 송영아;장경선
    • 대한전자공학회:학술대회논문집
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    • 대한전자공학회 1999년도 추계종합학술대회 논문집
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    • pp.855-858
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    • 1999
  • In this paper, we present a FPCA implementation of IDEA algorithm. Target technology is Altera FLEX 10K FPCA. The correctness of the implementation is verified by the timing simulation with max+plus II.

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주택지 주차문제해결을 위한 주거지역 주차허가제의 실행 방안 - 서울시 주택지의 적용을 위한 이론적 연구 (Implementation Plan of the Residential Parking Permit Program for Solving Parking Problems in Residential Areas-With Special Reference to Theorectial Study for The Implementation in Seoul's Residential Areas - With Special Reference to Theorectional Study for The Implementation in Seoul's Residential Areas -)

  • 정봉현
    • 대한교통학회:학술대회논문집
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    • 대한교통학회 1993년도 제23회 학술발표회
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    • pp.70-83
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    • 1993
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PROFIBUS의 LLI 프로토콜 구현 (Implementation of LLI Protocol in the PROFIBUS)

  • 백인찬;홍승호
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2000년도 제15차 학술회의논문집
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    • pp.95-95
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    • 2000
  • In this study, the LLI software in the Profibus is developed by using MFC and API of visual C++. This paper presents the implementation method of LLI protocol. Software of LLI protocol was implemented as Window-based program and DOS-based program for PC and sensor module, respectively.

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품질실험계획 모형의 특징 및 적용방안 (Implementation and Features for Design of Experiment)

  • 최성운
    • 대한안전경영과학회:학술대회논문집
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    • 대한안전경영과학회 2010년도 춘계학술대회
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    • pp.519-524
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    • 2010
  • The research presents implementation strategy and features for experimental design of quality. The MINITAB models of experimental design classfies by the kinds of factors, orthogonality, blocking, confounding and rotationability. The results discussed in this paper can be easily used for practictioners.

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IT Infrastructure Library(ITIL) 서비스관리 시스템 구축과 효과에 관한 탐색적 사례연구 (An Exploratory Case Study on the Implementation of IT Infrastructure Library(ITIL) Service Management System)

  • 안준모;함유근;김현명
    • Journal of Information Technology Applications and Management
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    • 제15권4호
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    • pp.1-20
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    • 2008
  • Increasing number of corporations applies IT service management systems to optimize IT service delivery and support processes. For this reason, implementation experiences and effect of IT service management system are growing concerns for IT managers and researchers. This case study analyzes implementation experiences on an ITIL based service management systems in an medium sized corporation. The exploratory case analysis revealed that systems and service quality were improved from the implementation. This study will contribute to the successful implementation of IT service management system and developing a research model of IT service management process.

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조선해양 산업에서의 ERP 구축 사례 연구 (A Case Study on ERP Adoption in Shipbuilding and Marine Engineering Industry)

  • 정성립;이재광;조현
    • 한국IT서비스학회지
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    • 제12권1호
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    • pp.189-199
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    • 2013
  • As many organizations have adopted and implemented ERP systems, concerns about ERP performance also have increased. Former researches studied the ERP implementation of general large or medium size enterprises but there are not enough studies on ERP systems of a specific industry domain. In this paper, we introduce a case study on ERP adoption methodology of global leading company 'D' in shipbuilding and marine engineering industry. We examined ERP implementation background, method and scope and evaluated ERP performance in perspective of both quantitative and qualitative approaches. Quantitative research usually examines ERP performance based on financial statements and qualitative study typically examines organization change or improvement. As a result, ERP implementation in shipbuilding and marine industry can improve quantitative aspects such as cost, human resource and organization performance. As qualitative analysis, business process and tools can be unified and management transparency can be improved by ERP implementation. The result of this paper will be useful guideline for organizations which are considering ERP systems.