• 제목/요약/키워드: Management of Details of Consultation

검색결과 7건 처리시간 0.02초

정규수술환자 중 마취통증의학과로 협진 의뢰한 환자의 분석 (Analysis of Anesthetic Consultation in Elective Surgical Patients)

  • 하지원;정성수
    • 대한치과마취과학회지
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    • 제10권1호
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    • pp.7-12
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    • 2010
  • Background: This study was carried out to contribute to effective management of operated patients by analyzing cooperative details about patients who were taken elective operation and consulted to the department of anesthesiology. Patients and Methods: One thousand patients who have been consulted to department of Anesthesiology, Chonnam National University Hospital from 2008. November to 2009. March were analyzed. The gender, age, cooperative departments, cooperative reason, the number of cancelled cases and cancelled reason were evaluated. Results: Among 1000 patients, there were 470 females and 530 males. After adjusting for age, middle-aged people which range 45 to 64 year-old are 39.9% and over 65 year-old people are 30.3%. Cooperative department is distributed to orthopedics which is highest occupying 20.6%, neurosurgery, otorhinolaryngology, obstetrics and gynecology in order. Dentistry occupied 2.0%. By specifying reasons of cooperation, cardiovascular diseases distribute to 38.4% which is the highest, the respiratory diseases, 17.5% and the endocrine diseases including diabetes 13.2%. Arranging details, hypertension is 23.9%, ECG abnormality 14.5%, chronic bronchitis in chest radiographic interpretation 14.2%. Of 1,000 consulted patients, delayed or cancelled cases are 58. And the reasons were 26 cases of need of appropriate the blood-sugar level. 26 cases needed appropriate treatment for comorbidities and others 6. Conclusion: Thoroughly evaluating patients before operation and maintenace of active cooperative system between operative department and anesthesiology department can contribute to reduction of cancellation rate and effective management of both hospitalizing and operating rooms.

춘천시 청소년 노동인권 조례 현황 및 개선 연구 (A Study on the Current Status and Improvement of the Youth Labor Rights Ordinance in Chuncheon City)

  • 김태인;권종욱;박상문
    • 아태비즈니스연구
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    • 제12권1호
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    • pp.165-182
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    • 2021
  • Purpose - The purpose of this study is to compare and analyze the ordinances of other local governments to propose implications and improvement plans for the ordinances of Chuncheon City. To this end, cases of overseas legislation related to youth labor rights, domestic laws and major policies of the central government were reviewed. Design/methodology/approach - This study mainly utilized literature research methods. In addition, it was based on foreign laws and case analysis, domestic laws and ordinances, and preceding research and data related to government policies. Findings - Chuncheon city ordinances are superior to those of other local governments. However, the details of the establishment of the implementation plan, the actual condition survey, and the establishment of the consultation system are included in the project contents of Article 6, so it is not concrete and clear. And there were no articles related to the labor environment check. Research implications or Originality - It is proposed to make the contents of the establishment of an implementation plan, survey, and consultation system as independent provisions. It is also proposed to establish a new article related to the youth labor environment check. In addition, it is desirable to establish detailed regulations by establishing the ordinance enforcement regulations.

건강보험 관리운영비 추이 분석 (An Analysis of the Trends of Korean National Health Insurance Administrative Cost)

  • 박종연;서남규;엄의현
    • 보건행정학회지
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    • 제15권3호
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    • pp.17-39
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    • 2005
  • Social solidarity, equity in financing, and efficiency in administration have been core issues in the development of Korean health insurance reformation since 1988. This study is to investigate the trend of administrative cost in Korean National Health Insurance from various aspects. For the analysis of administrative cost, the expenditures of each insurance society and the National Health Insurance Corporation are divided into 4 items of (1) insurance benefit, (2) administrative cost, (3) an agency provision accounts, (4) other expenses, and then they are reorganized. The analyses based on 5 types of the health insurance administrative cost showed that efficiency in administration has been improved generally. We, however, should consider qualitative aspects such as customer's satisfaction with health insurance administration, prompt service, control of unjust expenditure (unjust claims), and provision of medical service including health consultation in assessing efficiency of administration. And, in order to connect the administrative costs of health insurance with efficiency, we need to give a fundamentally new definition, which can contain elaborateness of expenditure in details including the structure and evaluation method of administrative costs. It may be necessary to develop new indicators or analyzing methods hereafter.

A Study on the Preparation of Distribution Table for Quantitative Evaluation of Small-Scale Environmental Impact Assessment

  • Dong-Myung CHO;Ju-Yeon LEE;Woo-Taeg KWON
    • 웰빙융합연구
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    • 제6권3호
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    • pp.13-18
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    • 2023
  • Purpose: The small-scale environmental impact assessment has been in operation since its implementation in August 2000, and is a system that meets the purpose of sustainable development in consideration of the environment in areas requiring conservation. However, when preparing a small environmental impact assessment report, the contents of the reduction measures are too qualitative, or reports are prepared to simply list the compliance stipulated by individual laws, and the contents of consultations prepared by consultative agencies and review agencies are not much different. In addition, the direction of consultation on development projects for similar locations of the same project type is frequently changed by reflecting the subjective judgment of the consultative officer of the Ministry of Environment (Environment Agency). Therefore, this study attempted to improve the establishment of measures to reduce the existing simple listing of qualitative contents and the inconsistent presentation of review opinions by consultative agencies and review agencies. Research design, data and methodology: The research method extracted absolute evaluation items and relative evaluation items among small environmental impact assessment items, analyzed and presented detailed items, and prepared a distribution table for each section according to the details of the relative evaluation items, and presented them as a table. Results: This study was conducted to derive uniform results with objective indicators in the preparation and consultation process of a small-scale environmental impact assessment. Conclusions: Once a quantitative evaluation is established, the consultant can objectively determine and process the environmental impact.

공동주택 건축공사 단위작업의 위험성 평가 방법 (Risk Assessment Method for Activities of Apartment Construction)

  • 박성표;최재욱;이찬식
    • 대한건축학회논문집:구조계
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    • 제36권3호
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    • pp.135-145
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    • 2020
  • Recently, the disaster rate of the construction industry has increased with high-rise, and complexity of the building, unlike the decrease in the disaster rate in other industries. Although risk assessment is performed to reduce the occurrence of disasters, it is difficult to estimate the risks accurately due to activity in which no disaster has occurred, and inconsistencies in the level of details of work. In this study, in order to evaluate the risk of the major activity for the apartment construction work, the activity was identified by referring to the risk assessment model of construction industry type by the KOSHA. The construction work types and activities were consistently organized in level of work into nine work types and 82 activities were through experts consultation. Analyzing the disaster types that occurred during work through KOSHA disaster cases, calculating the probability of disaster occurrence according to the type of disaster, and combining the probability of disaster with the severity of disaster to estimate the risk assessment method was presented. Using the daily report of the construction site of the apartment, the results of a case study confirmed the validity of the risk calculation method presented in this study.

환경영향평가 사후관리의 발전방향 설정과 실천전략 모색 (A Study on Future Direction and Practical Strategy for the Development of Environmental Impact Assessment Follow-Up)

  • 박지현;최준규
    • 환경영향평가
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    • 제25권3호
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    • pp.165-174
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    • 2016
  • 환경영향평가 사후관리는 환경영향평가 제도의 완성과 발전에 있어 필수적으로 요구되는 단계이다. 근자에 환경영향평가 제도가 안정기에 들면서 제도의 내실 있는 성장을 위한 환경영향평가 사후관리의 내실화 및 활성화에 대한 요구가 높아졌다. 최근까지도 다양한 환경영향평가 사후관리 개선방안이 제시되어 온 것은 사실이다. 그러나 실제 정책에 적용되기 위해서는 일정 수준의 선행준비가 필요하고 이러한 대내 외적인 여건 마련 부족 그리고 현실적 상황과 제안사항 사이의 간극으로 인해 실제 제도개선에의 적용에는 어려움이 있었다. 이에 본 논문에서는 환경영향평가 사후관리의 발전방향을 설정하고 단계별 실천전략을 제안하고자 한다. 이를 위하여 국내 제도의 현황을 다각도에서 분석하여 문제점을 도출하고 국외 동향과의 비교를 통해 우리나라 제도의 현 상황을 파악하였다. 최종적으로 연구결과를 종합하여 우리나라 환경영향평가 사후관리가 수행해야 하는 주요 기능 및 발전 방향과 최종 목표를 설정하고 최종 목표에 연착륙하기 위한 단계별 실천전략을 제시하였다.

경관협정의 지속성을 위한 성공요소 도출 - 옹진군 문갑도와 수원시 거북시장길 사례분석을 통하여 - (Derivation of Success Elements for the Sustainability of Landscape Agreements - A Case Study on Ongjin-gun Mungab Island and Suwon Gobuk Market -)

  • 박혜은
    • 한국조경학회지
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    • 제47권6호
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    • pp.24-36
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    • 2019
  • 본 연구는 경관관리에서 주민의 역할이 점차 중요해지고 있는 가운데, 경관협정이 지속적으로 운영될 수 있는 성공요소 도출 및 이를 추진하기 위한 방향을 제시하는 것이 목적이다. 이에, 1) 문헌조사 및 전문가 인터뷰 조사를 통해 경관협정의 지속성을 고려한 성공요소(안)을 제시하였고, 2) 참여주체 인터뷰 조사 및 문헌분석을 통해 경관협정의 지속적 운영의 성공요소(안)을 선진사례에 적용한 후, 경관협정의 지속성을 위한 성공요소의 최종안과 이에 대한 추진방향을 제시하였다. 그 결과, 첫째, 3개의 대분류와 10개의 중분류, 25개의 세부항목으로 구성된 경관협정의 지속적 운영 성공요소를 제시하였다. 이것은 주민의지, 실현가능성, 행정수단의 실효성, 예산확보, 유지관리, 홍보, 전문가 지원, 전담지원 조직, 참여의 지속성, 주민참여 의사소통방식에 대한 내용이며, 경관협정 체결 준비단계, 체결단계, 유지관리단계에서 전반적으로 고려해야 하면서도 구체적인 세부항목이다. 둘째, 경관협정 지속적 운영의 추진방향을 제시하였다. 경관협정 체결은 주민의지가 높으며 경관협정에 대한 공감대가 형성된 이후에 주민들 스스로 지킬 수 있는 내용 중심으로 하고, 행정 담당자의 업무 지속성, 경관협정 체결준비부터 유지관리단계에 소요되는 자문비 및 활동비의 예산확보 근거 마련을 위한 제도가 필요하다. 그리고 경관협정 체결자인 주민들 간 지속적인 교류 및 역량강화, 이를 위한 주민참여 역량 정도에 맞는 전문가의 단계별 지원과 이를 근거할 수 있는 제도도 역시 필요하다. 셋째, 공공사업과 연계하여 경관협정을 체결하더라도 주민참여 역량이 갖춰져 있는 곳의 대상 지원 여부, 주민참여 경관관리가 가능하도록 행정과 전문가의 지속적 지원 여부가 경관협정의 지속적 운영에 영향을 미칠 수 있다는 것을 알 수 있었다. 본 연구는 사례분석에 있어서 두 곳을 대상으로 한 한계점을 가지고 있으며, 성공하지 못한 사례를 포함한 다양한 사례분석을 통한 보다 더 심층적인 연구는 향후 과제로 남겨두고자 한다.