• 제목/요약/키워드: Management diagnosis

검색결과 2,837건 처리시간 0.03초

DRGs(Diagnosis Related Groups)별 환자집중도 수준에 따른 입원진료비와 재원일수의 차이 분석 (Is the Hospital Caseload of Diagnosis Related Groups Related to Medical Charges and Length of Stay?)

  • 곽진미;이광수
    • 보건의료산업학회지
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    • 제8권4호
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    • pp.13-24
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    • 2014
  • This study analyzes the effects of hospital caseload on medical charges and length of stay for inpatients. Hospital caseload, representing the level of concentration of patients, was measured with the Internal Herfindal Index for three diagnosis related group (DRG) codes (appendectomy, operations on anus, and operations on uterus and adnexa). Ordinary least squares regression was used for analysis. Results showed that medical charges per inpatient and average length of stay significantly differed with respect to hospital concentration indices, and that hospital caseload was inversely related to operational performance for appendectomy and operations on uterus and adnexa. The significant negative relationship between concentration index and length of stay may decrease the total medical charges. The results imply that the expansion of the DRG payment system to hospitals will have a negative influence on their gross sales.

웹기반 임상 맥파 데이터 분석 시스템에 관한 연구 (The Study on the Web-Based Analysis System of Oriental Pulse Waveform)

  • 이준영
    • 전기학회논문지P
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    • 제61권1호
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    • pp.9-12
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    • 2012
  • This paper analyzes a web-based clinical management system and conducts research on the pulse. Pulse analysis and the clinical study management system proposed by the web-based research holds significance in that it improves the objectivity and accuracy of pulse diagnosis. In particular, exact data must be analyzed through the clinical interpretation of these studies. Eventually oriental pulse standardization work will be continuously sustained. The findings of this study will help achieve remote diagnosis and consultation and updating of database. Research must be expanded to the development of telemedicine technology to create u-Health that will lead this present era.

Diagnosis of diseases in livestock: Do's and not do's

  • Yoon, Kyoung-jin;Acvm, Diplomate
    • 한국수의병리학회:학술대회논문집
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    • 한국수의병리학회 2002년도 추계학술대회초록집
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    • pp.21-37
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    • 2002
  • Successful diagnosis of a disease in food-producing animals depends in many times on proper collection and handling of specimens, as well as careful clinical observation and evaluation of the diseased animals. During the period required to complete the appropriate laboratory tests, an awareness of the potential problems of disease spread to animals at risk and the available palliative treatments is essential. Because most microbial-induced diseases in herds or flocks cannot be effectively treated once the problem is established, management through prevention and control of the disease must be instituted to offer the maximum protection to animals at risk. Thus, the course of disease management for infectious diseases is oftentimes a difficult judgment decision. This paper presents a brief general guide to specimen collection and laboratory methods used for diagnosis of diseases in production animals. (omitted)

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국가승인통계 품질 등급 부여 및 상대지표 개발 (Research on grading the quality level and developing the comparability index of the national statistics)

  • 심규호
    • 품질경영학회지
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    • 제38권2호
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    • pp.150-160
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    • 2010
  • Statistics Korea has been diagnosis national statistics every year since 2006. They diagnosis over 200 kinds of national statistics. They have 7 quality dimension used for quality diagnosis. That is relevance, accuracy, Timeliness, Comparability, Coherence, Accessibility. Since we are interest in how well they produce national statistics, comparability has become the most important dimension recently. In this reason, Statistics Korea try to rating quality level and development comparability index for national statistics. This paper propose the practical method of grading the quality level and developing the comparability index of the national statistics.

DRG에 의한 포괄수가제 적용경험의 연구동향 분석 - DRG 제도에 대한 비판적 관점에서 - (A Critical Review of the Application Experiences of the DRG Reimbursement System in the USA)

  • 이선희;최귀선;조희숙;채유미;한은아
    • 보건행정학회지
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    • 제10권4호
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    • pp.20-56
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    • 2000
  • The purpose of this article was to evaluate the effects of reimbursement system on the basis of diagnosis-related groups(DRGs). We searched articles which was published from 1970 to 2000 using MEDLINE ; Key words "diagnosis-related groups, DRGs, prospective payment system, PPS. Then we reviewed 97 articles on classifying them into several categories of contents. It seems that the effects of DRGs in controlling hospitals cost in the U.S. was not clear cut. The U.S. Medicare PPS using DRGs remains vulnerable to compensatory increases in ambulatory care and long-term care facilities utilization despite cost per case and cost per admission being reduced. Also some research indicated the possibilities of deterioration in health care service quality. So putting theses results together, much more consideration is needed before the application of DRGs reimbursement system in Korea. Particularly there is the crucial difference between U.S. health care system and Korean, we must be aware of the limitations of DRGs and revise the DRG system to applicable in Korea.orea.

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SVM을 이용한 TFT-LCD 모듈공정의 불량 진단 방안 (A Fault Diagnosis Methodology for Module Process of TFT-LCD Manufacture Using Support Vector Machines)

  • 신현준
    • 반도체디스플레이기술학회지
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    • 제9권4호
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    • pp.93-97
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    • 2010
  • Fast incipient fault diagnosis is becoming one of the key requirements for economical and optimal process operation management in high-tech industries. Artificial neural networks have been used to detect faults for a number of years and shown to be highly successful in this application area. This paper presents a novel test technique for fault detection and classification for module process of TFT-LCD manufacture using support vector machines (SVMs). In order to evaluate SVMs, this paper examines the performance of the proposed method by comparing it with that of multilayer perception, one of the artificial neural network techniques, based on real benchmarking data.

Intraoperative consultation for ovarian tumors

  • Kim, Insun
    • Journal of Yeungnam Medical Science
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    • 제36권3호
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    • pp.163-182
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    • 2019
  • The primary function of intraoperative frozen consultation is to provide an as accurate and prompt diagnosis as possible during surgery and to guide the surgeon in further management. However, the evaluation of frozen section (FS) is sometimes difficult because of suboptimal tissue quality and frozen artifacts compared with routinely processed tissue section. The pathologist responsible for the FS diagnosis requires experience and good judgment. Ovarian tumors are a heterogeneous group of tumors including primary surface epithelial tumors, germ cell tumors and sex cord-stromal tumors, secondary tumors, and other groups of tumors of uncertain histogenesis or nonspecific stroma. Intraoperative FS is a very important and reliable tool that guides the surgical management of ovarian tumors. In this review, the diagnostic key points for the pathologist and the implication of the FS diagnosis on the operator's decisions are discussed.

Commentary on the new 2022 European Society of Human Reproduction and Embryology (ESHRE) endometriosis guidelines

  • Eun Hee Yu;Jong Kil Joo
    • Clinical and Experimental Reproductive Medicine
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    • 제49권4호
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    • pp.219-224
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    • 2022
  • Endometriosis is a prevalent benign illness defined by the presence of endometrial glands and stroma outside of the uterine cavity, primarily on the ovary, pelvic peritoneum, and rectovaginal septum, resulting in a variety of symptoms, including dysmenorrhea and infertility. Traditionally, prolonged medical therapy has been needed in most cases since a conservative approach to surgery has usually been taken, especially in young women. In 2022, new European Society of Human Reproduction and Embryology (ESHRE) guidelines were published that present different directions for diagnosis and treatment from the past. Furthermore, the guidelines for the diagnosis and management of endometriosis are more precise and applicable than in previous editions. Thus, referring to the representative changes in the new guidelines and important updates will be beneficial for the diagnosis and management of endometriosis. This paper provides a brief overview of these developments.

공중보건의의 고혈압 진단 및 치료과정 평가 (Quality Evaluation for the Diagnosis and Management of Hypertensives by Pubilc Health Doctors)

  • 송윤미;김윤;조홍준;정희숙;김용익
    • 한국의료질향상학회지
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    • 제3권1호
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    • pp.126-143
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    • 1996
  • Background : Little work has been carried out regarding quality assessment research in a primary care setting, comparing with that of hospitals. This study aims to evaluate the process of diagnosis and management of hypertension by public health doctors on the basis of pre-established clinical guideline, and to identify several modifying factors associated with them. Methods : Hypertension was selected as the target disease, because it is a chronic disease which is of great public health importance. Self-administered questionnaires were mailed to public health doctors practicing at health centers and health subcenters across the nation. The response rate was 20.9%. The questionnaire included the diagnosis and management process such as measuring blood pressure, history taking, physical examinations, and treatment approches and potentially modifying factors such as level of training, duration of practice as a public health doctor, and education on management of hypertension. Results : Public health doctors pay little attention in measuring BP, hypertension related history taking, performing physical examination and laboratory examination. But they devoted much effort in diagnosing hypertension exactly and giving nonpharmacological treatment. Among various antihypertensive drugs, calcium-channel blockers were the most preferred agent(50.9%). Level of training, duration of practice ad a public health doctor, and education on management of hypertension made no difference on quality of care(p>0.05). Conclusion : These public health doctors showed poor compliance with the pre-established clinical guidelines, which leaves much to be desired in diagnosing and managing hypertensive patients by public health doctors. This study might be able to contribute to develop some strategies, such as educational programs, which would be able to improve the process of care in hypertensives.

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네트워크 토폴로지 자동 구성 및 원격 장애진단 시스템 (Network topology automatic configuration and remote fault diagnosis system)

  • 심규철;황경호
    • 한국정보통신학회논문지
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    • 제22권3호
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    • pp.548-556
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    • 2018
  • NMS(Network Management System)는 네트워크 관리를 목적으로 소규모 또는 대규모 네트워크를 운영하는 곳에서 필수적으로 사용되는 시스템이다. 기존 NMS에서는 네트워크 규모가 커지고 구성정보가 복잡해짐에 따라 네트워크 현황파악이 점점 어려워지고 있으며 네트워크 장비의 장애진단에 시간이 많이 소요된다. 본 논문에서는 NMS의 문제점을 보완하기 위해 JavaScript와 Python, HTML5 기반의 TWaver를 이용하여 자동으로 웹 기반 네트워크 토폴로지를 구현한다. 토폴로지 세부 구현 내용으로는 NMS시스템에 등록된 장비 정보를 기반으로 장비의 연결정보를 자동으로 수집하여 수집정보를 데이터화하고, 웹 기반의 네트워크 토폴로지를 구현하며 구현된 토폴로지에서 원격 장애진단을 수행할 수 있는 기능을 포함한다. 네트워크 토폴로지에서 구성관리, 장애관리, 성능관리 기능을 종합적으로 추가하여 사용자가 네트워크 관리를 함에 있어 체계화된 데이터 관리를 통해 NMS시스템의 품질 향상을 기대할 수 있다.