• Title/Summary/Keyword: Mandatory

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Analysis of Drug Utilization after the Mandatory Application of the DRG Payment System in Korea (포괄수가제 당연적용 후 의약품 사용현황 분석)

  • Kang, Hee-Jeong;Kim, Ji Man;Lim, Jae-Young;Lee, Sang Gyu;Shin, Euichul
    • Korea Journal of Hospital Management
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    • v.23 no.2
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    • pp.18-27
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    • 2018
  • Purposes: This study aims to investigate the policy effect of mandatory application of DRG for 7 disease groups in general and tertiary hospitals. Methodology: As DRG was fully implemented in July 2013, this study compares two periods before and after the change(from July 2012 to June 2013, and from July 2013 to June 2014). The benefit claim data of the National Health Insurance Service was used for the comparison. Target patients were those who visited general or tertiary hospitals between July 2012 to June 2014. For pharmaceutical consumption, Interrupted Time Series (ITS) analysis was used to see the effect of DRG mandatory application. Findings: The number of drugs prescribed per patient and pharmaceutical expenditure both showed significant reduction compared to before the DRG implementation. Practical Implications: This study used 2 sets of 1 year period data from before and after the full implementation of DRG to analyze pharmaceutical consumption. When the comparison data accumulates further, it would be possible to conduct more diverse analysis to assess policy effect and to provide way forward for the future.

Problems in Mandatory Course Evaluations (강제적인 대학 강의평가의 문제점)

  • Han, Kyung-Soo;Choi, Sook-Hee;Park, Jae-Cheol
    • Communications for Statistical Applications and Methods
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    • v.18 no.1
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    • pp.35-45
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    • 2011
  • Some researchers insist that many students respond to the course evaluation surveys without sincerity and even without reading the questions. To analyze the pattern of student responses, the results of course evaluations for five semesters at Jeonbuk National University are reviewed. In mandatory course evaluations, 20% of the students marked the same option numbers to all questions regarding their lectures. In addition, consistent responses were over 50%. These results show that the university administration should reform the current course evaluation system in all respects.

A Study on the German Mandatory Prescription System : Implications for the Korean System (독일 의약분업제도 운영에 관한 연구 : 한국 의약분업제도에의 함의)

  • Lee, Jun-Young
    • Korean Journal of Social Welfare
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    • v.46
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    • pp.349-376
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    • 2001
  • The objectives of this study is to examine the German mandatory prescription system in terms of the applicability and restriction of the pharmaceutical policy in order to obtain some useful implications for solving the problems in Korean prescription system. Recently, in Germany, an issue about the security of the prescription, the price control of the pharmaceuticals and the containment of the increasing prescription expenditure has been intensively discussed. Similar problems are also occurred in Korea. So, the policy measurements of Germany could be used in Korea. But it could not easy to introduce the German policy measurements in Korea because of the social-institutional differences between the two countries, which are following; (1) Korea has a short experience with the mandatory prescription system, (2) the German concept of the management differs from that of the Korea, (3) the subscribers and the patients are excluded from the decision making process, (4) the medical service providers often resist against reform plans. For the stable development of the Korean prescription system the principle of self-government, the collective bargaining concept for cost containment, and social consensus about optimal expenditure of the pharmaceuticals are expected to be needed.

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The Welfare Effect of Mandatory Prescription in Korea (의약분업이 소비자후생에 미치는 영향)

  • 유정식
    • Health Policy and Management
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    • v.9 no.4
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    • pp.65-86
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    • 1999
  • In this study, we investigate the welfare effect of mandatory prescription(MP) in Korea. An immediate effect of MP is the increase in the implicit price of prescribed medicine, which could be obtained easily from drug stores before MP. This will lower the quantity demanded. which will in turn reduce the abuse of drugs. The key to the cost-benefit analysis of MP, therefore, should be focused on this point; price increase in the cost side and quantity decrease in the benefit side. Since we do not have as much information as needed for the analysis, however, we made strong assumptions for the clarity of numbers; the severity of moral hazard of medical doctors related to the sales of hospital drugs, constant demand elasticity, constant benefit multiplier of reduced drug usage, and so on, With these rather strong assumptions, we find that i) the benefit side is much more sensitive to demand elasticity than the cost side effect ii) the larger the demand elasticity, the greater the size of net gain of MP, though the result depends on the size of the benefit multiplier. This analysis shows that we need to have more information on the specific institutional path of health benefit diffusion caused by the reduction of drug usage, which was the major target of MP.

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Protection of Consumer Privacy in Electronic Commerce -Focused on On-line Monitoring Survey of Electronic Commerce Firms- (전자상거래에 있어서 소비자 프라이버시 보호에 관한 연구 -인터넷 전자상거래업체의 온라인모니터링조사를 중심으로-)

  • Kim, Hea-Seon;Seo, Min-Kyo;Chun, Cheong-Ghi
    • International Commerce and Information Review
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    • v.6 no.2
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    • pp.219-242
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    • 2004
  • This study is conducted to find out whether companies which use electronic commerce for their business are collecting the least personal information. of consumers that are necessary for providing electronic commerce services to consumers. Investigators visited website of 799 electronic commerce companies, and checked out the personal informations of consumers that were asked when they join the site as a member. The collected data were analyzed with frequency, percentage, and cross-tab analysis using SPSS program. Generally most electronic commerces required more personal information of consumers than necessary for providing their services to consumers. These phenomena are partly due to the fact that regulations regarding consumer privacy in electronic commerce are advisory rather than mandatory at present. Therefore, it is suggested that mandatory regulation which makes companies poot their identification within a certain area of their web page has to enforced for the protection of consumer privacy in electronic commerce. And it would be more efficient if consumers are consistently educated about self protection guideline regarding personal information in using electronic commerce in addition to a mandatory regulation.

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A Study on the Improvement of Building Administration by Local Government (지방자치단체 건축행정 개선방안에 관한 연구)

  • Kim, Min-Ji;Ryu, Su-Yeon;Cho, Young-Jin;Yu, Kwang-Heum
    • Journal of the Architectural Institute of Korea Planning & Design
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    • v.33 no.12
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    • pp.3-11
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    • 2017
  • The non-mandatory guidance and illogical ordinance of local government generate complicated and vague regulations and procedures. These cause inconvenience in building administration, and give rise to unnecessary social and administrative expenses. The purpose of this study is to suggest the improvement of building administration by local government from an institutional point of view through the literature review and the specialist survey focusing on the problems arising from the building ordinances and non-mandatory guidance. The results of this study are as follows; In the first place, the connection between law and ordinance should be improved in a systematic, definitude manner and high-degree of completion. Second, the monitoring management system should be arranged in order to excavate and improve the non-mandatory guidance. Third, the effort should go into improving ability and disposition of building official. Fourth, it is necessary to materialize and clarify the regulatory contents and adjust them to fit the legal system. Lastly, it is important to reinforce incentives and procedures of verification in order to manage building ordinances of legal government's own free will. In order to improve of building administration by local government, it is necessary to make the structure of sustainable improvement and discuss not only institutional aspect but also elements of building administration in later study.

Effects of Voluntary Tutoring and Mandatory Tutoring on Academic Performance

  • Eun Hye KWON;John SMITH;Sukho LEE
    • Journal of Sport and Applied Science
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    • v.7 no.3
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    • pp.27-35
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    • 2023
  • Purpose: Providing tutoring services may be one of the most effective practices for improving academic performance and student retention. However, there is little information on the difference between mandatory tutoring (MT) and voluntary tutoring (VT) on the impact of student academic performance. This investigation compared the effectiveness of VT and MT services in the three upper level undergraduate classes. Research design, data, and methodology: Baseline data were collected in a spring semester where no tutoring of any kind was offered (control group (CG), n=78). The MT (n=104) was required in the following fall semester, and in the next spring semester only VT (n=97) was offered. Descriptive statistics and One-way ANOVA using IBM SPSS v23 (Chicago, IL) were used to analyze the final grades of the courses to identify differences in final grades between semesters. Results: Although final grades averaged from three classes were highest in the MT group, there were no statistical differences between the MT and VT groups, F(2, 292) = 1.150, p =.318. Conclusion: This study indicates there was no significant difference in academic performance between the two tutoring types, but that both tutoring services can be effective.

Mandatory Lane-changing Behavior under the Congested Work Zone Traffic Operation (정체상황에서의 강제 차로변경행태 분석 (도로공사로 인한 차로폐쇄 시뮬레이션 기반))

  • Kang, Kyeong-Pyo;Lee, Kwang-Hoon
    • Journal of Korean Society of Transportation
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    • v.26 no.1
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    • pp.215-223
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    • 2008
  • Due partly to lack of actual lane-changing data and partly to few studies on simulation functions to consider the lane-changing behavior, it may result in significant difference between simulation-based and real conditions. The objectives of this study are to estimate the set of mandatory lane-changing models and to analyze their features, depending on the merge control strategies under the lane-closed work zone operations. To achieve them, first, the elaborated calibration is required to simulate the mandatory lane-changing behaviors with the actual field data. Second, one can estimate their models with the logistic regression models, to obtain traffic variables as well as the lane-changing frequencies under the various levels of work zone traffic conditions. As a result, one can state that the well-calibrated simulation has the potential to properly reflect the target mandatory lane-changing behaviors. In addition, it should be mentioned that the set of proposed models is not practicable but preliminary result needed to identify the relations between the actual traffic conditions and lane-changing maneuvers and to develop their practical models for the actual applications.

Effects of Chronic Disease Management Based on Clinics for Blood Pressure or Glycemic Control in Patients with Hypertension or Type 2 Diabetes Mellitus (고혈압·당뇨병 환자의 혈압·혈당 조절에 미치는 의원 기반 만성질환관리사업의 효과)

  • Cheong, Won;Yim, Jun;Oh, Dae-Kyu;Im, Jeong-Soo;Ko, Kwang Pil;Kim, Yun Mi
    • Journal of agricultural medicine and community health
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    • v.38 no.2
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    • pp.108-115
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    • 2013
  • Objective: This study aimed to examine the effects of chronic disease management program based on clinics for blood pressure control or glycemic control in patients with hypertension or type 2 diabetes mellitus in Incheon. Methods: An observational follow up study was done on 11,501 patients registrated at clinics from January 1st to December 31st, 2010 in Incheon. Experience of education and mandatory laboratory tests were assessed with the registration data and income status was identified by National Health Insurance data. The odds ratio and 95% confidence intervals were derived from logistic regression models. Results: The experience of education has a positive effect for blood pressure control in the non-control group with hypertension at the time of registration (Odds ratio 1.357, confidence intervals: 1.112~1.655). The experience of mandatory laboratory tests has a positive effect for blood pressure control in the control group with hypertension at the time of registration (Odds ratio 1.738, confidence intervals: 1.387~2.178). But the effects of the experience of education and mandatory laboratory test in patients with type 2 diabetes mellitus were not identified. Conclusions: This study revealed the relationship between the experience of education or mandatory laboratory testing and blood pressure control in patients with hypertension.

Analysis of the Impact of the Expansion of Direct Construction Works and Suggestions on the Application (직접시공 확대의 영향 분석 및 직접시공의무제도 적용을 위한 대응방안 제언)

  • Lee, Meesung;Kim, Siyeon;Yu, Ilhan;Han, Ju-yeon;Son, JeongWook
    • Korean Journal of Construction Engineering and Management
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    • v.22 no.6
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    • pp.15-23
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    • 2021
  • As the construction production system is reorganized as part of the construction industry innovation plan, direct construction is expanding. According to this trend, this study analyzed the impact and problems of the expansion of direct construction through the position of the construction industry and a study of foreign cases. In addition, by diagnosing the impact of the measures to expand direct construction from various aspects, countermeasures were suggested to suitably apply the direct construction mandatory system. Also, for each alternative, effects and problems were evaluated through interviews with experts in policy/administrative and architecture fields. The alternatives for expanding and improving the efficiency of the direct construction mandatory system derived from this study are four items: granting the discretion of the client, differentiation by scale of construction, utilization of construction guarantee system, and introduction of flexible working group leader system. As a result of the expert interview, all of them were evaluated to have a positive impact directly and indirectly on the expansion of direct construction. This study contributes literature to the application of the direct construction mandatory system by examining the current status of direct construction, and suggests a direction for expanding direct construction through deduction of alternatives for applying the direct construction mandatory system and expert evaluation.