• Title/Summary/Keyword: National Priority

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Priority setting for expanding health insurance benefit package using Analytic Hierarchy Process (계층화분석법(AHP)을 이용한 건강보험급여확대상병 우선순위 결정)

  • Choi, Sook-Ja;Ko, Su-Kyoung;Kim, Jung-Hee;Lee, Sang-Yi
    • Health Policy and Management
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    • v.16 no.1
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    • pp.73-94
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    • 2006
  • This study was carried out to show how the Analytic Hierarchy Process technique could be used in setting the priority among selected diseases to increase the range of health insurance benefit. Thirty experts, including doctors (group1), experts for preventive medicine or public health(group2), and representatives of the insured(group 3), participated in the study panel that is conducted for priority setting. They were asked to evaluate the priorities among 6 selected criteria and then 42 selected diseases. The results were as follows; First, representatives of the insured think that the magnitude of out-of-pocket payment should have high priority while doctors think that effectiveness of treatment should have high priority. Second, all experts think that catastrophic diseases such as malignant neoplasm, major heart disease, and cerebral vascular disease should have high priority in health insurance coverage even though there is little difference among groups. These results can be useful to establish a systematic strategy for expanding health insurance benefit package.

A study of Priority-setting in Korean National Dental Health Insurance Scheme (치과 건강보험 우선순위 설정을 위한 고찰)

  • Han, Ji-Hyoung;Hwang, Yoon-Sook
    • Journal of Korean society of Dental Hygiene
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    • v.6 no.3
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    • pp.243-261
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    • 2006
  • Priority setting in national health insurances in major advanced countries and the nation was investigated to draw the criteria for priority setting and suggest the most rational criteria for dental insurance so as to help secure the efficiency of medicare financing and individual's health right and also elevate medical consumers' satisfaction with health insurance. 1. Priorities in national health insurance are different from country to country, depending on the medical security systems, priority introducing conditions, and social environment, but have many common factors. 2. The priority setting criteria for national health insurance in those countries include the following in common: the efficiency, equity, and cost effect of treatment, emergency of treatment, consumption of expense, efficacy of treatment, patient's receptiveness, patient's demand, severity of disease, and patient's responsibility for the disease. 3. In oral diseases, severe diseases including oral cavity cancer are low in rate, and in-hospital treatments are few. From the above findings, it is suggested that dental insurance should establish discriminative criteria for priority setting by reflecting the aspects of dental diseases and system difference between dental and other health insurances and taking account of efficiency of treatment through prevention, cost effect, prevalence and incidence of generalized diseases, and individual's financing burden.

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Priority Areas for National Health Care Quality Evaluation in Korea (의료의 질 평가 우선순위 설정)

  • Shin, Suk-Youn;Park, Choon-Seon;Kim, Sun-Min;Kim, Nam-Soon;Lee, Sang-Il
    • Health Policy and Management
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    • v.19 no.3
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    • pp.1-26
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    • 2009
  • Objectives : To identify target areas and set priorities among those areas identified for national quality evaluation. Methods : Target areas were identified from: i) analysis of the national health insurance claims data, mortality and prevalence data ii) various group surveys, including representatives from 22 medical specialty associations, 19 physician associations, QI staffs in hospital, civil organizations, and commissioners of Health Insurance Review and Assessment Service(HIRA) ⅲ) literature reviews and RAM(RAND/UCLA appropriateness method). The priority areas for national quality evaluation represented the full spectrum of health care and the entire life span. The criteria for selecting the priority areas were impact, improvability, and measurability. The priority areas were divided into three categories : short-term, mid-term, long-term. Results: Based on the group surveys and the data analysis, 46 candidates were selected as quality evaluation priority areas. 13 areas were selected as having a short-term priority areas: tuberculosis, community acquired pneumonia, stroke, ischaemic heart disease, diabetes, hypertension, chronic lower respiratory disease(asthma, chronic obstructive pulmonary disease), intensive care unit, emergency room, nosocomial infection, use of antibiotics, multiple medication and renal failure. This results suggested that we need to enlarge the target priority areas to the chronic diseases in short-term. Conclusions: The priority areas identified from the study will assist healthcare quality associated institutions as well as HIRA in selecting quality evaluation areas. It is required to develope and implement strategies for improving the quality of care within the next 5 years.

A Study on Evaluation of the Priority Order about Framework Data Building (기본지리정보 구축 우선순위 평가에 관한 연구)

  • 김건수;최윤수;조성길;이상미
    • Proceedings of the Korean Society of Surveying, Geodesy, Photogrammetry, and Cartography Conference
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    • 2004.11a
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    • pp.361-366
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    • 2004
  • Geographic Information has been used widely for landuse and management, city plan, and environment and disaster management, etc., But geographic information has been built for individual cases using various methods. Therefore, the discordancy in data, double investment, confusion of use and difficulty of decision supporting system have been occurred. In order to solve these problems, national government is need to framework database. This framework database was enacted for building and use of National Geographic Information System and focused on basic plan of the second national geographic information system. Also, the framework database was selected of eight fields by NGIS laws and 19 detailed items through meeting of framework committee since 2002. In this research, The 19 detailed items( road, railroad, coastline, surveying control point etc.,) of framework database consider a Priority order, In the result of this research, the framework database is obtain to a priority order for building and the national government will carry effectively out a budget for the framework database building. Each of 19 detailed items is grouping into using the priority order of the framework database by AHP analysis method and verified items by decision tree analysis method. The one of the highest priority order items is a road, which is important for building, continuous renovation, and maintain management for use.

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Conservation of Dermaptra in Youngnam Region I. Choosing Priority Area by Taxonomic Root Weighting and Dsitribution Analysis

  • Yun, Il-Byong-Yoon;Moon, Tae-Young-Moon
    • Animal cells and systems
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    • v.1 no.2
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    • pp.305-311
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    • 1997
  • Dermaptera was investigated, examined and reviewed in taxonomy and for distribution in Youngnam region. Based on the data, the local species groups were measured to choose priority-conservation-area by taxonomic root weighting and distribution analysis at 232 geographical conservation units. Eleven species belonging to 4 families and 8 genera were recorded mounting up to 68.75% of species diversity known in Korea. Found remarkably were the rare and endangered Challia fletcheri Burr at Sobaek Mountain National Park, and unusually Anisolabis maritima (Bonelli) in Taegu, Euborellia pallipes (Shiraki) at Island Geoje and E. plebeja (Dohrn) at Hwanho near Pohang. The highest species diversity was found at the temple Huibang area at Sobaek Mountain National Park with 8 species, which was measured also as the primary priority-conservation-area with 83.41 % of accumulated taxonomic root weighting indices in percentage. Geoje and Hwanho both measured as 12.18% of accumulated taxonomic root weighting index in percentage and complimentary to Sobaek Mountain National Park but supporting 5 and 3 species, respectively. The priority goes to the geographical conservation unit supporting higher species richness between two geographical conservation units in comparison. By the rule, the second priority-conservation-area should be Geoje and the third Hwanho. It is, thus, demonstrated how 11 species can be all conserved by choosing 3 priority-conservation-areas out of 232 geographical conservation units to maintain maximum species in minimum areas.

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Priority Analysis of Activation Policies for Agro-healing services (치유농업 서비스 활성화를 위한 정책 우선순위 분석)

  • Bae, Seung-Jong;Kim, Soo-Jin;Kim, Dae-Sik
    • Journal of Korean Society of Rural Planning
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    • v.25 no.3
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    • pp.89-102
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    • 2019
  • This study was conducted to investigate priority recognition of experts and related facility operators in establishing policies for revitalizing agro-healing services. After reviewing related studies, 5 policy division and 19 detailed sector were drawn, including improving accessibility, improving promotion and information provision method, improved public relations and information provision, diversification of facility and program, financial support, and expansion of expert and specialized institutions. A questionnaire survey was conducted on agro-healing experts, agro-healing facility operators, social welfare experts, and social welfare facility operators. The AHP analysis indicated that agro-healing experts and facility operators had the highest priority in the division of expansion of expert and specialized institutions, while social welfare experts and facility operators had the highest priority in financial support. The IPA analysis was conducted to identify the priority of each policy sector. Respondents recognized above normal importance to policy divisions, but were relatively aware of the importance of improving accessibility, with overall satisfaction level appearing to be moderate. The results of this study are expected to provide useful information for establishing agro-healing policies and for establishing effective strategies.

Relationship between biofilm formation and the antimicrobial resistance in the Staphylococcus spp. isolated from animal and air

  • Seo, Yeon-Soo;Lee, Deog Young;Kang, Mi Lan;Lee, Won Jung;Yoo, Han Sang
    • Korean Journal of Veterinary Research
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    • v.49 no.3
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    • pp.231-236
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    • 2009
  • Biofilm has been described as a barrier, which produced by microorganisms to survive and protect themselves against various environments, like antibiotic agents. Staphylococcus spp. is a common cause of nosocomial and environmental infection. Thirty-six and thirty-five Staphylococci were isolated from animals and air, respectively. Based on the biofilm forming ability of the bacterium reported in our previous report, relationship between biofilm formation and antibiotic-resistance was investigated in this study. Regarding antibiotics susceptibility, cefazolin was the most effective agent to the bacteria. Strong biofilm-forming Staphylococcus spp. isolates might have a higher antibiotic resistance than weak biofilm isolates regardless of the presence of antibiotic resistance genes (p < 0.05). This result suggested that the chemical complexity of the biofilm might increase the antibiotic resistance due to the decrease of antibiotic diffusion into cells through the extensive matrix.

Performance improvements through policy reorganization in SELinux with loadable policy (로드 가능한 정책을 사용하는 SELinux의 정책 재구성을 통한 성능 향상)

  • Ko, Jae-yong;Cho, Kyung-yeon;Lee, Sang-gil;Lee, Cheol-hoon
    • Proceedings of the Korea Contents Association Conference
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    • 2017.05a
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    • pp.359-360
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    • 2017
  • Priority-TE란 SELinux 에서 사용하는 타입에 우선순위를 부여하여 성능상의 이점을 확보하기 위한 방식이다. 기존의 Priority-TE 관련 연구는 SELinux 의 모놀리식 정책 방식에 Priority-TE 기반의 정책을 적용하였다. 모놀리식 정책 방식은 사용자가 시스템 부팅 후에도 추가적인 정책의 생성 및 수정, 삭제를 할 수 없기 때문에 사용함에 불편함이 있을 수 있다. 본 논문에서는 로드 가능한 정책방식이 적용된 SELinux 상에서 Priority-TE 기반 정책을 도입하여, 시스템 부팅 후에도 원활히 타입의 우선순위를 변경하여 시스템의 성능을 개선하는 기법을 제안한다.

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A Study on the Command Priority between Railway Traffic Controllers Based on Railway Control System Using AHP Method

  • Chae, Yun Seok;Kim, Sigon
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.44 no.3
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    • pp.417-423
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    • 2024
  • This study compared and analyzed the importance of command priority between railway traffic controllers through pairwise comparison of AHP analysis. 27 railway traffic controllers working on metropolitan railway control center, urban railway control center, and unmanned driving control center responded. As a result of the analysis, all the railway traffic controllers generally recognized the train driving control and train signal control as the most important priorities. For the controller in the manned driving system, a train driving control was the highest at 0.375. On the other hand, the controller based on unmanned driving recognized train signal control as the highest priority at 0.469. In the result of the AHP analysis considering all the variables, the braking system was the highest priority at 0.19 based on manned train driving. On the other hand, the controller based on unmanned train driving recognized wired and wireless network systems and SCADA as the highest priority at 0.267.

Field efficacy of a combined vaccine supplemented with recombinant Pasteurella multocida toxin subunits against atrophic rhinitis

  • Kang, Mi Lan;Shin, Seung Won;Rayamahji, Nabin;Seo, Yeon Soo;Lee, Su In;Lee, Won Hyung;Yoo, Han Sang
    • Korean Journal of Veterinary Research
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    • v.48 no.1
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    • pp.53-60
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    • 2008
  • We have investigated efficiency of a recombinant subunit Pasteurella multocida toxin (PMT) that was mixed with a vaccine consisted of inactivated whole cells of Bordetella bronchiseptica, P. multocida (types A and D). For verification of the efficacy of the vaccine, all experimental pigs (suckling piglets, sow and gilts) in the three farms were vaccinated. Antibody titers against B. bronchiseptica and P. multocida type A of the vaccinated pigs by microplate agglutination were significantly higher than those of the control pigs (p < 0.05). Similar patterns were observed in the analysis of anti- PMT neutralizing antibody by serum neutralizing method using Vero cell (p < 0.05). Anti- P. multocida type D antibody titer of the vaccinated sows and gilts by ELISA showed significant differences with those of the non-vaccinated pigs (p < 0.05). Although antibody titers increased, it was unable to find out the difference in the clinical signs between the vaccinated and non-vaccinated pigs. However, the increase in body weight of the vaccinated piglets was observed in comparison with the non-vaccinated piglets on a farm. At slaughtering of the pigs, pathological lesions in the turbinate bones of the vaccinated pigs were significantly lower than those of the non-vaccinated pigs (p < 0.001). These results suggested that efficacy of the vaccine in pigs demonstrated to protect against atrophic rhinitis in Korea.