• 제목/요약/키워드: Institutional quality

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과민성방광 환자 치료를 위한 항무스카린성 약물의 경제성 평가 - Solifenacin과 Tolterodine IR을 중심으로 - (Pharmacoeconomic Evaluation of Antimuscarinic Agents for the Treatment of Overactive Bladder - With Solifenacin and Tolterodine IR -)

  • 박선영;이의경
    • 한국임상약학회지
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    • 제18권1호
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    • pp.28-37
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    • 2008
  • Objectives: Overactive bladder(OAB), defined as 'urgency, with or without urge incontinence, usually with frequency and nocturia', is a major burden for patients and impairs quality of life. The aim of this study is to evaluate the cost-effectiveness of antimuscarinic agents for the treatment of overactive bladder including quality of life in societal perspective. Methods: A decision-analysis model was developed to compare the cost-effectiveness of solifenacin and tolterodine IR over 12 weeks. We used data from the published literature to develop the framework for the model. Resource utilization and costs were calculated with public institutional data and supplemented this information with clinical expert opinion, where necessary. Results: The expected costs per patient for solifenacin were 48,762 KRW less expensive than tolterodine IR over 12 weeks. Also, all outcomes including quality of life for solifenacin were more effective than tolterodine IR over 12 weeks. In conclusion, solifenacin dominates tolterodine IR and appears to be cost-effective options for the management of overactive bladder.

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제도적인 관점에서 본 성과중심교육 (What is Outcome-Based Education?)

  • 김복기;민상원;윤우영
    • 의학교육논단
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    • 제15권1호
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    • pp.1-8
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    • 2013
  • Outcome-Based education (OBE) is reviewed from the institutional perspective. The demand for and international trends in OBE are briefly examined and several term related to OBE, especially educational objective and program outcomes (POs), are introduced. It is stressed that systems for continuous quality improvement and quality assurance should be established to ensure the maintenance of the OBE system. Because the criteria for accreditation contain a criterion regarding the quality assurance related to program outcomes, several critical issues are considered regarding the POs themselves and the reduction of the POs. The core value of OBE is not only to provide appropriate education services to students to prepare them with the minimum skills and abilities for advancing their professional service, but also to guarantee the quality of graduates. In addition, the educational program should be continuously improved by employing the evaluation results acquired during the operation of the OBE systems. It is certain that an OBE system is one important aspect of student-centered education.

¿México: revolución truncada o democracia intempestiva? El problema: equidad-calidad en la educación básica

  • Mendez-Ramirez, Oswaldo
    • 이베로아메리카
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    • 제12권2호
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    • pp.383-428
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    • 2010
  • To make a critical revision on the inherited social problems throughout the time in Mexico, not always turns out to be easy task, especially when the subject is lent to approach it from diverse perspective, one of them, the educative one. To analyze the low quality of the educative supply is complex subject. One of the maximum profits of institutional revolutionary Mexico was the creation of the Public Education Ministry in 1921. In the post-revolutionary and modern period, the seventies were characterized to be applied to the growth the infrastructure and the fortification of the educative system following the policy of "modernization and development". From the eighties, to lift the quality of the education was considered like one of the specific rules in the strategy of the call "educative revolution". In the nineties, through political programs and agreements, structural changes within the educative system were carried out with the intention to lift the quality of the services. In synthesis, the perspective in the educative policy of Mexico during the last thirty years of century xx, or post-revolutionary period, can be understood, from at least five specific conditions: educative profits in cover, modifications in the educational programs and contents, profits in the political agreements between the agents who take part within the educative system, changes and modifications to the laws applicable to the education, and; the search of the fairness through the compensatory programs. This paper tries to give answer to questions such as: The educative system reflects the ideals of the revolution? The present educative system is the product of a truncated revolution or the fruit of an untimely democracy?

지방자치단체 숲가꾸기 사업 수행역량에 관한 연구 (A study on performance capability of local government on the forest tending project)

  • 김명관;오도교;김세빈
    • 농업과학연구
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    • 제40권1호
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    • pp.1-11
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    • 2013
  • The study proposes to draw out the correlation on what kinds of influences local government personnel's performance capability affect the overall quality of the project, and to suggest institutional supplement policies. For the study, two analytical methods are conducted. First, a hypothesis per each factor was set by classifying the factors which affect the personnel's performance capability into organizational and individual factors. Second, a survey was conducted targeting the project management personnels and presented the result on the verification of the hypothesis through statistic techniques. As the result, it is considered that the quality of forest tending project is more affected by the individual factors than the organizational factor, thereby this study suggests the methods of reinforcement in project management personnel's performance capability.

The Role of IT Usage in Mediating the Relationship between Knowledge Sharing and Academics Performance

  • Naief G Azyabi
    • Asia pacific journal of information systems
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    • 제28권3호
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    • pp.167-182
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    • 2018
  • The purpose of this study is to investigate the relationship between knowledge sharing and academic performance in the context of quality-assurance related work. It furthermore aims to explore the role of information technology in mediating this relationship. Quantitative method was applied to collect data from the participants using an online-based questionnaire. Convenience sampling technique was used. The responses were collected from 140 participants in a university from Saudi Arabia. The study found a strong positive relationship between knowledge sharing and individual performance. It was also found out that information technology partially mediates the relationship between knowledge sharing and individual performance. The research unearths the significant contribution made by information technology in mediating the relationship between individual-level knowledge sharing and the individual performance. This helps to understand the positive impacts on individual work performance in institutions of higher education that would be derived if individuals use various forms of IT to share knowledge. The focus of the research is the individual performance as the pertinent contribution towards positive outcomes in institutional performance.

원격재활을 활용한 물리치료 서비스의 현황과 전망 (Current Status and Prospects of Physical Therapy Services Using Telerehabilitation)

  • 유경태
    • 대한물리의학회지
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    • 제19권2호
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    • pp.47-54
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    • 2024
  • PURPOSE: This study examined the status and prospects of telerehabilitation to identify the challenges and propose strategies for its promotion both domestically and internationally. The study also focused on the preconditions and improvements required for adopting telerehabilitation, considering technological, institutional, and socio-cultural factors. METHODS: A thorough database search was conducted. The relevant research, papers, and reports were collected, and the literature was evaluated to summarize the findings. RESULTS: Tele-rehabilitation showed promise in enhancing the healthcare service quality and accessibility. However, addressing challenges requires a comprehensive analysis of its status, global research trends, and the formulation of adoption strategies. Research in this direction is expected to improve healthcare services. CONCLUSION: Tele-rehabilitation can enhance healthcare services by overcoming geographical limitations. On the other hand, addressing challenges through analysis and strategic planning is essential for its effective adoption and advancing healthcare quality and accessibility.

자활분야의 주거복지서비스 변화와 함의 (A study on the Application of Housing Welfare Service in Self-sufficiency Assistance Program)

  • 서광국
    • 토지주택연구
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    • 제7권2호
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    • pp.87-95
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    • 2016
  • 국민기초생활보장법에 따라 2002년 시행되어 온 주거현물급여사업은 "주거급여법" 제정(2014.1.24.)으로 변화를 맞이하고 있다. 그동안 주거현물급여는 수급자 가구의 주거환경개선과 저소득층의 자활일자리 창출이라는 이중의 목표에 맞추어 13년간 사업이 시행되어 왔지만 각 지방자치단체에서의 이를 관리하고 시행하는데 따른 편차에 따라 사업의 효율성을 확보하는데 한계를 보였다. 이에 그동안 중추적인 역할을 담당했던 주거분야의 자활기업과 사업단의 매출액, 수익금의 변화와 새롭게 형성된 중앙 단위조직인 전국자활기업연합체가 향후 사업수혜자에 대한 만족도 향상과 제도변화에 따른 대응, 저소득층 일자리로서의 기능을 유지하는데 필요한 서비스 수준 향상 가능성과 사업관리체계의 변화요구에 대한 자기노력과 선도적 대응을 요청받고 있는 것 또한 사실이다. 이에 그동안의 주거현물급여사업에 대한 기존연구를 보완함과 동시에 새로운 제도 환경에 맞는 현장의 변화유인을 확인하고 그에 따른 대응을 검토하였다. 이를 위하여 첫째 전국자활기업이 저소득 대상에 대한 이해도 높은 특화된 서비스제공, 둘째 전국자활기업을 주거현물급여의 품질을 향상시키기 위한 전문화된 기관으로 전환 유도, 셋째 공급기관으로서의 수선유지에 대한 업무와 관련된 명시적인 지침의 제시를 통한 제도변화와의 조응, 마지막으로 사업수행과정프로세스에서의 일관된 기준과 절차적 표준화를 위한 혁신이 동반되어야 한다.

A Study of Institutional Status of Risk Management for Radiotherapy in Foreign Country

  • Lee, Soon Sung;Shin, Dong Oh;Ji, Young Hoon;Kim, Dong Wook;An, Sohyoun;Park, Dong-Wook;Cho, Gyu Suk;Kim, Kum-Bae;Koo, Jihye;Oh, Yoon-Jin;Choi, Sang Hyoun
    • 한국의학물리학회지:의학물리
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    • 제27권3호
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    • pp.139-145
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    • 2016
  • With the development in field of industry and medicine, new machines and techniques are being launched. Moreover, the complexity of the techniques is associated to an increasing risk of incident. Especially, a small error in radiotherapy can lead to a serious patient-related incident, risk management is necessary in radiotherapy in order to reduce the risk of incident. However, in field of radiotherapy, there are no legally binding clauses for risk management and there is an absence of risk management systems at an institutional level. Therefore, we analyzed institutional status of risk management, reporting & classification systems, and risk assessment & analysis in 31 countries. For risk management and reporting systems, 65% of countries investigated had legislation or regulations; however, only 35% of countries used classification systems. It was found that 43% more countries had legislation for risk management in healthcare than those for radiotherapy; 19% more countries had reporting systems for healthcare than those for radiotherapy. For classification systems, 60% more countries had legislation, recommendation, and guidelines in the field of radiotherapy than those for healthcare. Recently, international institutes have published several reports for risk management and patient safety in radiotherapy, owing to which, countries adopting risk management for radiotherapy will gradually increase. Before adopting risk management in Korea, we should precisely understand the procedures and functions of risk management, in order to increase efficiency of risk management because classification & reporting system and risk assessment & analysis are connected organically, and institutional management is needed for high quality of risk management in Korea.

Housing Welfare Policies in Scandinavia: A Comparative Perspective on a Transition Era

  • Jensen, Lotte
    • 토지주택연구
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    • 제4권2호
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    • pp.133-144
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    • 2013
  • It is commonplace to refer to the Nordic countries of Sweden, Norway, Denmark, Finland and Iceland as a distinctive and homogenous welfare regime. As far as social housing is concerned, however, the institutional heritage of the respective countries significantly frames the ways in which social housing is understood, regulated and subsidized, and, in turn, how housing regimes respond to the general challenges to the national welfare states. The paper presents a historical institutionalist approach to understanding the diversity of regime responses in the modern era characterized by increasing marketization, welfare criticism and internationalization. The aim is to provide outside readers a theoretically guided empirical insight into Scandinavian social housing policy. The paper first lines up the core of the inbuilt argument of historical institutionalism in housing policy. Secondly, it briefly introduces the distinctive ideal typical features of the five housing regimes, which reveals the first internal distinction between the universal policies of Sweden and Denmark selective policies of Iceland and Finland. The Norwegian case constitutes a transitional model from general to selective during the past quarter of a decade. The third section then concentrates on the differences between Denmark, Sweden and Norway in which social housing is, our was originally, embedded in a universal welfare policy targeting the general level of housing quality for the entire population. Differences stand out, however, between finance, ownership, regulation and governance. The historical institutional argument is, that these differences frame the way in which actors operating on the respective policy arenas can and do respond to challenges. Here, in this section we lose Norway, which de facto has come to operate in a residual manner, due to contemporary effects of the long historical heritage of home ownership. The fourth section then discusses the recent challenges of welfare criticism, internationalization and marketization to the universal models in Denmark and Sweden. Here, it is argued that the institutional differences between the Swedish model of municipal ownership and the Danish model of independent cooperative social housing associations provides different sources of resistance to the prospective dismantlement of social housing as we know it. The fifth section presents the recent Danish reform of the governance model of social housing policy in which the housing associations are conceived of as 'dialogue partners' in the local housing policy, expected to create solutions to, rather than produce problems in social housing areas. The reform testifies to the strategic ability of the Danish social housing associations to employ their historically grounded institutional relative independence of the public system.

더블허들모형에 의한 품질인증 수산물 수요분석 (Demand Analysis of Quality Certificated Fisheries Products using Double Hurdle Model)

  • 백진이;이승래;조재환
    • 수산경영론집
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    • 제34권2호
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    • pp.131-139
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    • 2003
  • The products of the quality certificated fisheries which are protected from environmental pollution, decomposition are hygienically safe and convenient for food. However, consumers have not yet understood the recognition of the system of quality certfication so far because of lack of demand on the quality certification fisheries. Above all, to put the system of the quality QC in place sucessfully, to understand the variation of consumer's inclination efficiently, the empirical study must be carried out by both consumer's take part in the market of the quality certificated fisheries products and how much the amount of consumption is in this market. The purpose of this study, under the preconditions where these have limited fisheries items in consumer's inclination survey, is to analyze the demand of QC though the Double Hurdle Model. Explanatory variables included were household characteristics such as housewives' age and education, her job, household income as well as their health perceptions and food purchase behaviors. Survey from 530 household was collected in Pusan City in 2003, of 502 were actually used for empirical analysis. The Double-hurdle framework proved to a better representation of the factors influencing the separate decision participation and consumption levels. According to the results of this study, whether or not, participating In the market of quality certicipating in the market of qualify certificated fisheries products is affected by how much experience and confidence these have got. housewives' having a job or not. Furthermore, the amount of consumption is mostly affected income. This value is attributed to the safety of QC fisheries products in comparison with regular fisheries. Findings suggest that the consumers put substantially high monetary value on safe food, such as high quality fisheries products. Therefore, first of all, legal and institutional systems should be clearly and strictly identified for the QC products.

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