• 제목/요약/키워드: Improvement Approaches

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Quality Improvement in Patient Care Services : Obstacles and Approaches (진료의 질관리에 대한 시론 -장애와 접근-)

  • 한달선
    • Health Policy and Management
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    • v.2 no.2
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    • pp.112-130
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    • 1992
  • Patient care services are provided to individual patients in response to their health needs produced by illnesses or injuries. The services are often addressed to very serious conditions, and also they constitute the most expensive component of health care services. Therefore, the importance of quality is emphasized, but there are many indications that patient care quality is far from a satisfactory state in most of the countries. Based upon this observation, it is attempted to examine obstacles and approaches to quality improvement in patient care services. In doing so, following Taguchi's(1986) definition of product quality, quality of patient care services is conceived of as better when the less is the sociental loss attributalbe to variability of intended function and harmful side effects they emhibit after being delivered. Some distinguishing features of medical care sector pose difficulties in implementing effective quality improvement programs in patient care services. Nevertheless, newly proposed method of quality management, based on industrial quality management approach, seems to have a great deal of potential to effectively cope with such difficulties. This method, unlike the traditional approach to quality assurance, focuses on total organisational processes, not individuals, as the obproach to quality assurance, focuses on total organizational processes, not individuals, as the objects of quality improvement; variation, not comparison with standards, in quality measurement; and continuous improvement, not removing only bad quality care, as an ideal. Prerequisite to a successful use of any quality mangement method is motivating providers to improve quality. Conceivable approaches for such motivation are self-regulation, external controls and promotion of competition. Since these approaches are not mutually exclusive, they may be employed in an appropriate combination. In Korea, medical care providers are now functioning under the circumstances where they have little reason for making efforts to improve quality of their services. Once these circumstantial conditions are changed to exert pressures on providers to improve quality, the use of adequate quality management method becomes an issue. In this connection, much attention shoould be directed to the newly proposed method described above. In all these efforts for improving quality of patient care services, health insurance would be able to play a pivotal role. Poviders of medical care, buth indiciduals and organizations, are usually very responsive to the measures that affect their financing, and thus health insurance can be a strong instrument for motivationg providers to improve quality. Also, the insurance continuously acquires data on patient care, which could be processed to produce information required to effective quality control.

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Innovative Approaches to Training Specialists in Higher Education Institutions in the Conditions of Distance Learning

  • Oksana, Vytrykhovska;Alina, Dmytrenko;Olena, Terenko;Iryna, Zabiiaka;Mykhailo, Stepanov;Tetyana, Koycheva;Oleksandr, Priadko
    • International Journal of Computer Science & Network Security
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    • v.22 no.12
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    • pp.116-124
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    • 2022
  • Information and communication technologies used in the social sphere are born due to the development of computer technologies. The main task of the distance learning process in higher education institutions is not to provide information, but to teach how to obtain and use it. The purpose of the article: to identify innovative approaches in the training of specialists in higher education institutions in the context of distance learning. Various innovative approaches to organizing the work of students of higher educational institutions in the context of distance learning are considered. Based on the conducted research, it is concluded that each of the approaches described by us outlines the study of the phenomenon of professional training of a specialist in the condition of distance learning. All the described approaches significantly contribute to the improvement of professional training of specialists, encourage students to self-improvement, professional development and enrich their professional competence in modern conditions. The emergence and spread of innovative technologies means not only a change in the activity itself and its inherent means and mechanisms of its implementation, but also a significant restructuring of goals, value orientations, specific knowledge, skills and abilities. Therefore, the current stage of the development of civilization, scientific and technological progress requires the emergence of such specialists who would have broad humanitarian thinking, would have good psychological training, would be able to build professional activities according to laws that take into account the relationship between economic productivity and creativity, as well as the desire of the individual for constant renewal, self-realization. Only such qualities will help you master the specifics of innovative technologies well. We see the prospects in the study of innovative approaches to training specialists in higher education institutions in the condition of distance learning in foreign countries.

A Study on Modeling and Analysis of Rock Characteristics at Depth (대심도 암반특성의 모델링 및 해석에 대한 고찰)

  • Cho, Nam-Kak;Shin, Sung-Ho;Jeong, Yong-Jin;Song, Han-Chan
    • Proceedings of the Korean Geotechical Society Conference
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    • 2009.09a
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    • pp.591-604
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    • 2009
  • This paper presents some important issues in modeling rock behaviour around an underground opening at depth which characterized as stress-induced fractural failure of rock. Unlike other conventional modeling approaches, stress-induced rock failure is highly complex process due to its own heterogeneous and discrete natures. Because of this complexity, many researchers has been struggled to mimic such processes as close as possible to reality with various approaches in both analytical, and numerical approaches for past few decades. Such approaches which are based on continuum mechanics, analytical fracture mechanics, and DEM(Discrete Element Method) were explored in this paper, and fundamental shortcomings for each approaches were illustrated here. In addition, DEM approach using $PFC^{2D}$(Particle Flow Code) was also implemented and illuminated in this paper and discuss the improvement and considerations for the future research.

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Correlation between Epidurographic Contrast Flow Patterns and Clinical Effectiveness in Chronic Lumbar Discogenic Radicular Pain Treated with Epidural Steroid Injections Via Different Approaches

  • Gupta, Ruchi;Singh, Saru;Kaur, Sukhdeep;Singh, Kulvinder;Aujla, Kuljeet
    • The Korean Journal of Pain
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    • v.27 no.4
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    • pp.353-359
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    • 2014
  • Background: Epidural steroid injections are an accepted procedure for the conservative management of chronic backache caused by lumbar disc pathology. The purpose of this study was to evaluate the epidurographic findings for the midline, transforaminal and parasagittal approaches in lumbar epidural steroid injections, and correlating them with the clinical improvement. Methods: Sixty chronic lower back pain patients with unilateral radiculitis from a herniated/degenerated disc were enrolled. After screening the patients according to the exclusion criteria and randomly allocating them to 3 groups of 20 patients, fluoroscopic contrast enhanced epidural steroids were injected via midline (group 1), transforaminal (group 2) and parasagittal interlaminar (group 3) approaches at the level of the pathology. The fluoroscopic patterns of the three groups were studied and correlated with the clinical improvement measured by the VAS over the next 3 months; any incidences of complications were recorded. Results: The transforaminal group presented better results in terms of VAS reduction than the midline and parasagittal approach groups (P < 0.05). The epidurography showed a better ventral spread for both the transforaminal (P < 0.001) and the paramedian approaches (P < 0.05), as compared to the midline approach. The nerve root filling was greater in the transforaminal group (P < 0.001) than in the other two groups. The ventral spread of the contrast agent was associated with improvement in the VAS score and this difference was statistically significant in group 1 (P < 0.05), and highly significant in groups 2 and 3 (P < 0.001). In all the groups, any complications observed were transient and minor. Conclusions: The midline and paramedian approaches are technically easier and statistically comparable, but clinically less efficacious than the transforaminal approach. The incidence of ventral spread and nerve root delineation show a definite correlation with clinical improvement. However, an longer follow-up period is advisable for a better evaluation of the actual outcom.

Detection of Lane Marking Candidates by Using Scale-space (스케일-공간을 이용한 차선 마킹 후보 검출)

  • Yoo, Hyeon-Joong
    • Transactions of the Korean Society of Automotive Engineers
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    • v.21 no.4
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    • pp.43-53
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    • 2013
  • Lane marking detection based on a mono camera sensor provides a low cost solution to both ITS (intelligent transportation systems) and DAS (driver assistant systems). A number of methods and implementations have been reported in the literature. However, reliable detection is still an issue. Traditional approaches are mostly based on statistics or Hough transforms. However, the former approaches usually include many irrelevant detection areas, and the latter are not practical because actual lanes are not usually suitable for the approximation with linear or polynomial equations. In this paper, we focus on increasing the reliability of detection by reducing the detection of irrelevant areas while improving the detection of actual lane marking areas, which is usually a tradeoff for most conventional approaches. We use scale-space for that. Through experiments with real images obtained from various environments, we could achieve a significant improvement over traditional approaches.

Adopting Production System in Cognitive Psychology to Improve the Extraction Process of Persuasive Design Characteristics for Healthcare-related Applications

  • Zhang, Chao;Wan, Lili
    • The Journal of Information Systems
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    • v.27 no.3
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    • pp.25-42
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    • 2018
  • Purpose The purpose of this study focused on adopting production systems in cognitive psychology to improve the extraction process of persuasive design characteristics for healthcare-related mobile applications. Design/Methodology/Approach A research approach with four stages was developed. We developed and updated the evaluation guideline for persuasive design characteristics (PDC). We tried to summarize and analyze each of 28 PDC and prepared related production rules. Verification process for both guideline approach and production system approach were performed. Top one hundred apps from both medical category and health and Fitness category were selected and evaluated by two approaches. By comparing the results of the two approaches, we tried to explain the improvement and reliability of introducing the production system in the PDC extraction process. Findings Based on the updated guideline for healthcare-related mobile applications, a production system in cognitive psychology was developed. By comparing the PDC extraction results by two approaches, production system showed a better improvement for evaluation precision and efficiency for decision-making process. The findings of this study can be used for researchers and app developers to apply production system to analyze, evaluate, and develop better healthcare-related apps with persuasion.

Study on Survey and Improvement Approaches on Basic Mathematics Ability of Engineering College Students (공과대학생의 수학 기초능력에 대한 실태 조사 및 개선 방안에 관한 연구)

  • Kim, Jong Hwa;Cho, Sung Eui
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.9 no.4
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    • pp.111-118
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    • 2013
  • Today, universities in Korea give a great effort to complement basic college scholastic ability of freshman. Maybe it could be unnecessary effort from university. However, we cannot just leave students who have poor academic performance about 10 to 30% in a university. Universities have to prepare to solve this problem. Thus government and universities investigate a lot of efforts but there is no guarantee. As a result, e-learning could be the best solution to complement poor academic performance of freshman and it also could be the best way to reduce financial burden of university. So, many universities introduce e-learning system and they also support professors to make e-learning content. We need to promote content usage and to improve overall operations. In this paper, we discuss poor academic performance problems under the current middle and high school education systems and review approaches to solve these problems. From this analysis, we propose the design of an effective e-learning system and a method of operation to complement students who achieve poor academic performance.

Systematic Approaches to Develop and Improve the Standard Processes of an R&D Organization (연구개발 조직의 표준 프로세스 개발 및 지속적인 개선을 위한 체계적인 접근방법)

  • Hwang, Yeong-Ha;Park, Jong-Geun
    • Journal of Korea Technology Innovation Society
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    • v.8 no.1
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    • pp.220-236
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    • 2005
  • In today's R&D environment, as the complexity of IT systems increases and the expected quality level for R&D outcomes enlarges, it has been critical issues for us to effectively define and improve the R&D standard processes tailored for our organization and projects. To meet this needs, we defined the R&D standard processes based on the international standards for systems and software engineering and our existing traditional work methods, and then applied them of our ongoing projects. Now, we are improving our defined R&D standard processes continuously by monitoring of the processes and products and through the feedback of the application results. In this paper, we introduce the R&D standard process model developed by our organization (E research Institute in Korea) and the requirements and approaches used for their development and improvement. We compare our defined R&D standard processes with ISO/IEC 15288 which is the international standards for systems engineering and summarize the lessons learned through their development and improvement.

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Survey of Sampling-Based Algorithms for Path Planning (경로 계획을위한 샘플링 기반 알고리즘 조사)

  • Vo, Vi Van;Yeoum, Sanggil;Choo, HuynSeung
    • Proceedings of the Korea Information Processing Society Conference
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    • 2019.05a
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    • pp.76-78
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    • 2019
  • Sampling-based algorithms are one of the most commonly approaches which give good results in robot path planning with many degree of freedom. So that many proposed methods as well as their improvement based on these approaches have been proposed. The purpose of this paper is to survey some current algorithms using for path planning, the original proposed methods as well as their improvement. Some advantages and disadvantages of these algorithms will be also mentioned, how the improved version of the proposed methods overcome the original proposed methods' drawback.

Roles of Participatory Action-oriented Programs in Promoting Safety and Health at Work

  • Kazutaka, Kogi
    • Safety and Health at Work
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    • v.3 no.3
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    • pp.155-165
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    • 2012
  • Reflecting the current international trends toward proactive risk assessment and control at work with practical procedures, participatory action-oriented approaches are gaining importance in various sectors. The roles of these approaches in promoting the safety and health at work are discussed based on their recent experiences in preventing work-related risks and improving the quality of work life, particularly in small-scale workplaces. The emphasis placed on the primary prevention at the initiative of workers and managers is commonly notable. Participatory steps, built on local good practices, can lead to many workplace improvements when the focus is on locally feasible low-cost options in multiple aspects. The design and use of locally adjusted action toolkits play a key role in facilitating these improvements in each local situation. The effectiveness of participatory approaches relying on these toolkits is demonstrated by their spread to many sectors and by various intervention studies. In the local context, networks of trainers are essential in sustaining the improvement activities. With the adequate support of networks of trainers trained in the use of these toolkits, participatory approaches will continue to be the key factor for proactive risk management in various work settings.