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The Refinement Project of Health Insurance Relative Value Scales: Results and Limits (건강보험 상대가치 개정 연구의 성과와 한계)

  • Kang, Gil-Won;Lee, Choong-Sup
    • Health Policy and Management
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    • v.17 no.3
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    • pp.1-25
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    • 2007
  • Relative value scales introduced in 2001 remarkably improved health insurance fee schedule, but current relative value scales have many problems. In the beginning the government intended to introduce 'resource based relative value scales(RBRVSs)' like USA, but political adjustment of RBRVS studied in 19.17 weakened the relationship between relative value scale and resource consumption. So unbalance of health insurance fees are existing till now. Also relative value was not divided to physician work and practice expense, and malpractice fee was not divided separately. To correct the unbalance of current relative value scales, the refinement project of health insurance relative value scales started in 2003. The project team divided relative value scales into three components, which are physician work, practice expense, malpractice fee. Physician work was studied by professional organizations like Korean medical association. To develop the practice expense relative value, project team organized clinical practice expert panels(CPEPs) composed of physicians, nurses, and medical technicians. CPEPs constructed direct expense data like labor costs, material costs, equipment costs about each medical procedures. The practice expense relative values of medical procedures were developed by the allocation of the institution level direct & indirect costs according to CPEPs direct costs. Institution level direct & indirect costs were collected in 21 hospitals, 98 medical clinics, 53 dental clinics, 78 oriental clinics, and 46 pharmacies. The malpractice fee relative values were developed through the survey of malpractice related costs of hospitals, clinics, pharmacies. Putting together three components of relative values in one scale, the final relative values were made. The final relative values were calculated under budget neutrality by medical departments, that is, total relative value score of a department was same before and after the revision. but malpractice fee relative value scores were added to total scores of relative values. So total score of a department was increased by the malpractice fee relative value score of that department This project failed in making 'resource based' relative value scales in the true sense of the word, because the total relative value scores of medical departments were fixed. However the project team constructed the objective basis of relative value scale like physician's work, direct practice expense, malpractice fee. So step by step making process of the basis, the fixation of total scores by the departments will be resolved and the resource based relative value scale will be introduced in true sense.

A Study on Real-Life Conditions and Quality of Life among Korean-Chinese in Korea (재한 중국 조선족의 생활 형태 및 삶의 질에 관한 연구)

  • 최덕경
    • Journal of Family Resource Management and Policy Review
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    • v.5 no.1
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    • pp.1-13
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    • 2001
  • The purpose of this study was not only to identify real-life conditions of Korean-Chinese in Korea(clothing habits, eating habits, housing habits, economic life and leisure activities) but also to reveal the related variables that shall affect life quality. The subjects were selected from Korean-Chinese in Korea related to ‘Compatriots House’. The survey was conducted from June 20th to July 5th, 2000. A total of 225 questionnaires out of 350 were used as the final data analysis. All data were analyzed using the SAS/PC for frequency, percentage, F-test and Regression analysis. The study revealed the following results. 1. Significant differences were found in life quality of Korean-Chinese in Korea according to age(p<.05), optimum income (p<.001), health condition(p<.001), education level(p<.005), and entry motivation(p<.05). 2. Variable such as optimum income(β=.334) education level(β=-.190), monthly income(β=.170), health condition(β=.151), and self-esteem(β=.133) affected life quality of Korean-Chinese in Korea. Korean-Chinese’s life quality was explained by these variable(35%). The optimum income variable was the primary influential factor.

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The Anti-obesity Effect of 5 Herbal Formulas in High Fat Diet Induced Obese Mice (5종 방제의 항비만 효과 비교)

  • Chun, Jin Mi;Choi, Goya;Kim, Dong-Seon;Sung, Yoon-Young;Nho, Kyoung Jin;Kim, Seung-Hyung;Kim, Ho Kyoung
    • Herbal Formula Science
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    • v.21 no.2
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    • pp.44-52
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    • 2013
  • Objectives : Samhwangsasim-tang (SST), Hwangryeonhaedok-tang (HHT), Ukgan-san (UGS), Onjunghwadam-hwan (OHH) and Samul-tang (SMT) have been used for the treatment of various diseases. This study was performed to compare the anti-obesity effects of 5 herbal formulas in high fat diet-(HFD) induced obese mice. Methods : The mice were randomly divided into seven groups that were fed a normal diet (ND), a HFD, a HFD plus SST (HFD + SST), a HFD plus HHT (HFD + HHT), a HFD plus UGS (HFD + UGS), a HFD plus OHH (HFD + OHH), or HFD plus SMT (HFD + SMT) at 300 mg/kg/day for 7 weeks. All groups were assayed for body weights, food efficiency ratio (FER), final liver and fat weight and blood biochemical parameters. Results : The increased body weights, food efficiency ratio (FER), and serum total triglyceride were decreased in HFD + OHH group relative to the same measurements in HFD group. Furthermore, the HFD + SST group significantly reduced FER, liver and abdominal subcutaneous fat weight gains, and serum total triglyceride, whereas HDL-cholesterol level was increased compared to HFD group. Conclusions : These results suggested that HFD + OHH and HFD + SST exert anti-obesity effects in HFD-induced obese mice.

Resource Optimization for Mixed Service of IVOD and NVOD in a Muli-level VOD Network (IVOD와 NVOD 혼합 서비스를 위한 다계층 VOD망의 자원 최적화)

  • Cho, Myeong-Rai;Kim, Yeo-Keun;Cho, Geon
    • IE interfaces
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    • v.11 no.2
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    • pp.39-48
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    • 1998
  • It is strongly believed that Video on Demand(VOD) will become one of the most promising services for Broadband Integrated Services Digital Network(B-ISDN). VOD service can be classified into two types of services: Near VOD(NVOD) and Interactive VOD(IVOD). Although VOD network requires many kinds of resources, we only consider video servers, programs. and storages. In the network. some video servers should be installed at some nodes(especially, at the root node for NVOD service). so that each node with video server stores video programs and distributes stored programs to customers. We take into account three kinds of costs related with the above resources: a program transmission cost, a program storage cost, and a video server installation cost. There exists a trade-off relationship among those three costs according to the locations of video servers and the kinds of programs stored at each video server. Given a multi-level VOD network and the total number of programs being served in the network. the resource. optimization problem for providing both IVOD and NVOD services is to determine where to install video servers, and which and how many programs should be stored at each video server, in order to minimize the total cost. In this paper we develop an efficient dynamic programming algorithm to solve the problem. We also implement the algorithm based on two different service policies assumed in this paper.

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Influence of yeast hydrolysate supplement on growth performance, nutrient digestibility, microflora, gas emission, blood profile, and meat quality in broilers

  • Sampath, Vetriselvi;Han, Kyudong;Kim, In Ho
    • Journal of Animal Science and Technology
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    • v.63 no.3
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    • pp.563-574
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    • 2021
  • A total of 1512 Ross 308 broilers (one - day - old) were assigned (random blocks) to 1of 3 dietary treatments with 28 replicates of 18 chicks/cage. The dietary treatments were Cornsoybean-meal based basal diet supplemented with 0%, 0.1%, and 0.2% of commercial yeast hydrolysate (YH [Saccharomyces cerevisiae]). The graded level of YH supplementation has linearly increased broilers body weight gain on d 21, 35, and overall (p = 0.044, 0.029, and 0.036, respectively) experimental period. In addition, the increased level of YH supplementation has linearly reduced feed conversation ratio of broilers on d 21, 35, and overall trial period (p = 0.041, 0.052, and 0.032, respectively). However, the feed intake and mortality of broilers were not affected by the graded level of YH supplementation. Though nutrient digestibility of dry matter (p = 0.012) and nitrogen (p = 0.021) was linearly increased in broilers fed YH supplementation, at the end of the trial it fails to affect the total track digestible energy. Dietary inclusion of YH supplementation showed a beneficial effect on the microbial population as linearly improved lactobacillus (p = 0.011) and reduced Escherichia coli counts (p = 0.042). An increasing level of YH supplementation has tended to decrease NH3 (p = 0.069) and linearly decrease H2S (p = 0.027) of noxious gas emission in broilers. Moreover, dietary YH supplements trend to increase the glucose (p = 0.066) and reduced cholesterol (p = 0.069) level. At the end of the test, YH supplementation elicited a linear reduction in drip loss on days 5 and 7, respectively (p = 0.045, and 0.021). Furthermore, dietary inclusion of YH supplementation had linearly increased villus height (p = 0.051) but fails to affect crypt depth. Therefore, in terms of positive effects on the broiler's overall performance, we suggest that dietary supplements containing graded YH levels in the broilers diet could serve as a potential alternative for growth promoters.

Life Attitude Patterns and Post-Retirement Adaptation among Men Retirees (남성 퇴직자의 생활태도 유형화 및 유형별 퇴직후 적응도)

  • 성미애;옥선화
    • Journal of the Korean Home Economics Association
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    • v.40 no.1
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    • pp.1-21
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    • 2002
  • The purposes of this study is to classify retiree's job, leisure, and family attitude; to identify the characteristics of each attitude types; and to examine the retirement adaptation level of each attitude type. The major findings of the study are as follows: First, four attitude types can be categorized: 'the job involved attitude type', 'the total positive attitude type', 'the leisure positive attitude type', and 'the total negative attitude type'. Second, the result of the discriminant analysis shows that 'the job-family experience before retirement and number of unmarried children' element was the most crucial in classifying the retiree's attitude. And 'the retirement reception and individual resource element' was in orders of discrimination power Third, 'the total positive attitude type' is the highest level of retirement adaptation.

Effect of Lactobacillus acidophilus based probiotic product supplementation on the blood profile, fecal noxious gas emission, and fecal shedding of lactic acid bacteria and coliform bacteria in healthy adult Beagle dogs

  • Sun, Hao Yang;Kim, In Ho
    • Korean Journal of Agricultural Science
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    • v.47 no.3
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    • pp.437-443
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    • 2020
  • The aim of this study was to evaluate the effect of Lactobacillus acidophilus probiotic (LAP) product supplementation on the blood profile, fecal noxious gas emission, and fecal shedding of lactic acid bacteria and coliform bacteria in healthy adult Beagle dogs. In total, 14 Beagle dogs with an average initial body weight of 10.19 ± 0.61 kg were randomly assigned into two dietary treatments,with and without LAP supplementation, for a 28-day feeding trial. At the end of the experiment, there was no significant (p > 0.05) difference in the concentration of serum total cholesterol, high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), white blood cell (WBC), red blood cell (RBC), blood lymphocyte percentage, fecal hydrogen sulfide (H2S) and total mercaptans (R.SH) emission, and fecal coliforms counts. However, the serum concentrations of the triglyceride and fecal ammonia (NH3) emission of the LAP treatment were significantly (p < 0.05) decreased in the group compared with the CON dogs. Fecal total lactic acid bacteria counts were significantly (p < 0.05) increased in the LAP treatment. In conclusion, the supplementation of LAP in Beagle dog diets could decrease the blood triglyceride level and enhance the gut Lactobacillus count which may have positive effects on dogs.

Analysis of management status of oak mushroom management in Chungcheongnam-do

  • Oh, Do Kyo;Ji, Dong Hyun;Kim, Se Bin
    • Korean Journal of Agricultural Science
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    • v.48 no.3
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    • pp.483-492
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    • 2021
  • This study attempted to estimate the degree of management of oak mushroom farms in Chungcheongnam-do and to provide information to establish oak mushroom cultivation-related policies. The oak mushroom management standard diagnostic table consists of three major categories, growing condition, inoculation management, cultivation management and management administration, along with 20 subcategories. Thus, 209 households of oak mushroom farms were surveyed from 2015 to 2018 in Gongju, Cheongyang, Buyeo and Seochun in Chungcheongnam-do. The average score for the 20 subcategories was 71.5 points (representing a significant level), indicating that these areas have excellent management conditions. The analysis of the management performance indicators revealed a high number of indicators with scores of five or above. The total score was higher, and the amount per bed log and the rate of top-grade products in the total output were also higher, indicating a significant correlation. These findings will provide consulting services to oak mushroom growers as they highlight the correlation between the higher scores of indicators in the oak mushroom management standard diagnostic table and the management performance of farmers. We found that the scores of the indicators for management administration, such as management record and analysis and fund plan were relatively lower than those of other indicators. It is assumed that the owners aging has led to negligence in recording the details on incomes, expenditures, and work and lowered the willingness to make substantial profits. Therefore, it is essential to overcome these problems for profitable oak mushroom farming.

Establishing Weights among Indicators of Rural Residents' Quality of Life Using AHP (AHP를 이용한 농촌주민 삶의 질 지표의 중요도 설정)

  • Noh, Seok-Ho;Lee, Han-Sung;Jung, Won-Ho
    • Journal of Korean Society of Rural Planning
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    • v.28 no.1
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    • pp.27-35
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    • 2022
  • This study aims to establish the indicator system of the quality of life of rural residents and to estimate the weights among criteria or sub-criteria that constitute the indicator system of the quality of life using AHP(Analytic Hierarchy Process) method. Indicator system consists of four criteria, that is, health care, eduction & culture, living environment, and income and jobs. Each criterion include three sub-criteria that make up corresponding criterion. The results show that income and jobs was most highly evaluated among the four criteria. It was followed by health care, living environment, and eduction & culture. Among the total 12 sub-criteria, annual income was most highly evaluated, followed by medical service level, job satisfaction, and public transportation environment in terms of global weight which was deduced from expert questionnaire survey. This study implies that rural development policy needs to focus on increasing rural residents' income by creating good quality occupations and increasing the level of medical services, and expanding public transportation services in rural areas. This study has failed to collect local residents' opinions regarding their quality of life in spite of the efforts to reflect the opinions from various expert groups, which is the limitation of this study.

Environmental Consciousness and Environmental Preservation Behavior of Textile Producers (섬유제품 생산자의 환경의식과 환경보전행동)

  • 김용숙
    • Journal of the Korean Home Economics Association
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    • v.34 no.5
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    • pp.183-196
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    • 1996
  • The purposes of this study were to review the effects of textiles production on the environment, and to investigate the environmental consciousness and environmental preservation behavior of textile producers. This study was conducted by reference analysis and empirical research. To develope theoretical framework of dimensions of environmental behavior, references concerned were analyzed. And for empirical study, researcher developed a questionnaire based on the free writing by producers and references. The questionnaire included problems about environmental consciousness, environmental behavior, demographic variables, and environmental variables. 135 questionnaires were used for final data analysis. ANOVA and factor analysis were used. The results were as follows: First, the level of global environmental problem consciousness was relatively high. The conscious level of water pollution caused by the waste water from textile mills was the highest, and that of desertation of mountain caused by timber cutting was the lowest. The effects of textile dyers and finishers on the environment were the highest, and that of designers were the lowest. Second, the results of reference analysis showed that the dimensions of textile producers environmental behavior were resource and energy saving, solid waste reduction, and green product production. And the results of empirical study were resource and energy saving, resource reuse or recycling, solid waste reduction, and green product production, and total variances was 62.3%. The practice was the lowest. Third, global environment problem consciousness, environment problem consciousness caused by the textile life-cycle concerned, and clothing seperate-collection or not at residing place were effective on environmental behavior, and 52.45% of environmental behavior was explained with above variables.

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