• 제목/요약/키워드: Outcome analysis

검색결과 2,991건 처리시간 0.027초

Exploring the Appropriate Operation Ratio on Hospital Revenue Cost and Profit

  • Kim, Yang-Kyun;Sung, Joo-Ho;Kang, Jung-Chul
    • Journal of the Korean Data and Information Science Society
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    • 제18권1호
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    • pp.31-40
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    • 2007
  • Many previous researchers tried to analysis relationship between financial index of hospitals such as revenue, expenses, and profit and hospital outcome such as number of inpatient and outpatient or, between that financial index and hospital size including number of hospital beds. However, these studies did not find exact relationship between financial index and hospital efficiency and productivity. Therefore, purpose of the study explores exact relationship between hospital financial outcome and hospital efficiency and productivity using adjusted inpatient days concept from American Hospital Association. Through the empirical analysis, the researchers find that hospital profit has the U-shape quadratic function to operation ratio. 66.9% of operation ratio is changing point and hospitals with 55.8% through 75.0% of operation ration have experience deficit situation. Considering the hospital circumstance, Korean hospitals would be to maintain general hospital type with various specialty departments.

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수학 교수 효능감 도구 MTEBI 한글판의 신뢰도와 타당도 (Reliability and Validity of Korean-Translated Mathematics Teaching Efficacy Beliefs Inventory)

  • 량도형
    • 한국수학교육학회지시리즈A:수학교육
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    • 제46권3호
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    • pp.263-272
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    • 2007
  • Mathematics Teaching Efficacy Beliefs Inventory (MTEBI) was translated into Korean and conducted among Korean pre-service mathematics teachers. The Korean-translated MTEBI consists of two subscales with 16 items. Personal Mathematics Teaching Efficacy (PMTE) subscale has 10 items and Mathematics Teaching Outcome Expectancy (MTOE) subscale has 6 items. The purpose of this study is to investigate the internal reliability and the construct validity of the Korean-translated MTEBI. The Cronbach alpha coefficient of Korean-translated MTEBI and its two subscales are respectively .87, .83, and .74 which imply that the instrument is reliable. The construct validity was achieved by performing factor analysis. Principal component solution with varimax rotation for the Korean-translated MTEBI was used in factor analysis and thus the best fit simple structure was obtained by two factors which correspond to the self-efficacy dimension and the outcome expectancy dimension of Bandura's self-efficacy theory.

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비염 레이저 치료환자의 만족도 (Determinants of Patient Satisfaction -Allergic Rhinitis Patients Treated with Laser Therapy-)

  • 진기남;정우경;장승연
    • Journal of Preventive Medicine and Public Health
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    • 제30권2호
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    • pp.402-412
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    • 1997
  • The purpose of this study is to examine the factors influencing the allergic rhinitis patients' satisfaction with laser surgery. The data were collected by telephone interviews with 211 patients who visited I university hospital. The statistical methods used for the analysis were factor analysis, reliability test, and hierarchical multiple regression. We find that satisfaction level is a function of not only the surgery outcome but also the socio-psychological experience during treatment. With the improvement in nasal allergic condition, patients were more likely to be satisfied with medical services. And patients who had positive experience with physicians and facilities reported higher satisfaction level. While the surgery outcome explained 68% of the variation of satisfaction level, socio-psychological experience explained 23% of it. This result clearly shows that physicians need to pay attention to the socio-psychological aspect as well as the technical aspect of medical services.

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Review of cranioplasty after decompressive craniectomy

  • Cho, Yong Jun;Kang, Suk Hyung
    • Korean Journal of Neurotrauma
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    • 제13권1호
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    • pp.9-14
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    • 2017
  • Cranioplasty is an in evitable operation conducted after decompressive craniectomy (DC). The primary goals of cranioplasty after DC are to protect the brain, achieve a natural appearance and prevent sinking skin flap syndrome (or syndrome of the trephined). Furthermore, restoring patients' functional outcome and supplementing external defects helps patients improve their self-esteem. Although early cranioplasty is preferred in recent year, optimal timing for cranioplasty remains a controversial topic. Autologous bone flaps are the most ideal substitute for cranioplasty. Complications associated with cranioplasty are also variable, however, post-surgical infection is most common. Many new materials and techniques for cranioplasty are introduced. Cost-benefit analysis of these new materials and techniques can result in different outcomes from different healthcare systems.

양육의 개념 분석 (A Concept Analysis of the Rearing)

  • 이수연
    • Child Health Nursing Research
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    • 제4권1호
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    • pp.76-85
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    • 1998
  • Rearing is important to the growth and development of the child. Traditionally, nurturing is a maternal role which is expressive role. Maternal role was composed of mothering and maternicity. Rearing is a key concept of psychology, education and sociology discipline. Knowledge of the rearing is an essential component for the development of nursing as a science and a profession. The first thing to study a concept is thought to be a concept analysis. So, in this study, concept analysis of the rearing was performed to clarify a concept of the rearing as a basis for the study of rearing afterward. The approach used for the concept analysis was the approach presented by Walker and Avant (1993). The defining attributes of rearing, identified in this study were (1) a series of caring activities in parent-child relation, (2) an essential of the growth and development of a child, (3) changeable according to time, place and object, (4) effort is necessary to the rearing, (5) positive or negative aspects (6) attitude, behavior, environment is sub-concepts of the rearing concept. The identified antecedents of the rearing was child-birth. The identified consequences of rearing were desirable or undesirable outcomes. Desirable outcome was the emotional satisfaction and growth in parent-child relation. Undesirable outcome was the emotional disorder and social maladaptation of the child. The empirical referents of the rearing could be the caring phenomena in parent-child relation.

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Simple power analysis in causal mediation models for a dichotomous outcome based on the mediation proportion

  • Kim, Young Min;Cologne, John Bennett;Cullings, Harry Michael
    • Journal of the Korean Data and Information Science Society
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    • 제28권3호
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    • pp.669-684
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    • 2017
  • Mediation models are widely used in many fields of research and have recently gained attention in epidemiology. The mediation proportion is a standard measure to evaluate what part of the total exposure effect on an outcome may be explained by a particular mediator and to examine how important that pathway is relative to the overall exposure effect. A common question is how large a sample size is needed to achieve high statistical power or, equivalently, what magnitude of effect can be detected. Current power and sample size calculations for mediation analysis are limited and additional research is needed. We therefore propose a computer-intensive power analysis using the mediation proportion. We conduct simulation studies to calculate statistical powers and sample sizes. And then, we illustrate our power analysis using an example from the Adult Health Study of atomic-bomb survivors and demonstrate that the method is relatively straightforward to understand and compute.

자발성 지주막하출혈 후 발생하는 수두증에 대한 단락술의 필요성 및 예후에 관한 분석 - 뇌실외배액술의 기간, 일일배액량 및 총배액량과 예후관계 - (The Analysis of the Need Rate of Shunt and the Outcome in Hydrocephalus Following SAH - Relationship between the Outcome and the Duration, Daily and Total Amount of CSF Drainage at EVD -)

  • 이원창;최창화
    • Journal of Korean Neurosurgical Society
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    • 제30권sup1호
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    • pp.99-107
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    • 2001
  • Objective : Hydrocephalus and vasospasm are the common complications following subarachnoid hemorrhage (SAH). In spite of development of perioperative management and operative technique, hydrocephalus cause neurological deficit and poor prognosis. Usually CSF drainage procedure(external ventricular drainage(EVD) or shunt) is needed in hydrocephalus following SAH. The aim of this study was to investigate whether the need for shunting and the outcome after shunting in hydrocephaus following SAH can be related to the duration, daily and total amount of cerebrospinal fluid(CSF) drainage at EVD. Material and Method : IVH is one of several factors which cause hydrocephalus. In this retrospective study, firstly we investigated the incidence of IVH in total cases and frequency of IVH according to aneurysmal site and then prognosis of IVH following SAH. Among 629 patients with SAH, hydrocephalus was diagnosed by CT scan and symptoms. And then those 102 hydrocephalus following SAH were divided into two groups which were hydrocephalus with IVH group and without IVH group. In these two groups, we investigated and compared the incidence of hydrocephalus in all case, frequency of hydrocephalus according to aneurysmal site, the outcome according to H-H grade on admission and the need rate of shunt, etc. Of those hydrocephalus, 100 EVD procedures were done. The duration, daily and total amount of CSF drainage at EVD were investigated. Fifty cases expired during EVD was excluded. We analyzed whether the need rate of shunt and the final outcome after shunting can be related to IVH, the duration and daily and total amount of CSF drainage. Result : The incidence of hydrocephalus following SAH was 20%(with IVH group ; 64%, without IVH group ; 11%). As H-H grade on admission was better, the outcome of hydrocephalus was also better. The mortality rate of hydrocephalus with IVH was 64% which was higher than 40% that of hydrocephalus without IVH. The need rate of shunt in all cases of hydrocephalus following SAH was 20%, but those with IVH group excluding expired patients before shunt was 40%. This was very similar to 41% of the need rate of shunt in hydrocephalus without IVH. The total amount of CSF drainage was statistically related to the need rate of shunt(total amount : need rate of shunt/<1000cc : 15%, 1000-2000cc : 40%, >2000cc : 50%). The duration and daily amount of CSF drainage were not statistically related to the need rate of shunt, but as daily amount of CSF drainage was more and duration was longer, the need rate of shunt was increased(daily amount : need rate of shunt /<100cc : 16%, 100-200cc : 25%, >200cc : 40%//duration : need rate of shunt/<1week : 8%, 1-2weeks : 30%, >2weeks : 47%), and also the final outcome after shunting was poor. Especially the total amount of CSF drainage was significant related to the final outcome after shunting(total amount : GOS/<1000cc : I&II(3/4), 1000-2000cc : II(2/4), III(2/4), >2000cc : III&IV(6/7)). Conclusion : This study revealed that the incidence and mortality rate of hydrocephalus following SAH were influenced by IVH. So SAH associated IVH has the higher incidence of hydrocephalus and poor outcome. As the CSF drainage amount was more and duration of drainage was longer, the need rate of shunt was increased and the final outcome after shunting was poor. Especially the total amount of CSF drainage were strongly related to the need rate of shunt and the outcome after shunting.

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대학의 기술이전 성과와 기술가치평가의 역할 (The Role of Technology Valuation in Technology Transfer of Universities)

  • 김치환;박현우
    • 기술혁신학회지
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    • 제16권3호
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    • pp.754-783
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    • 2013
  • 본 연구는 최근의 대학기술이전 사례들을 활용하여 대학에서 개발된 기술에 대한 기술가치평가의 신뢰성을 향상시키기 위한 실증적인 접근방안을 제안하고자 하는 목적으로 수행되었다. 연구를 위해 대학의 내부역량관련 요인들과 기술분야별 특성에 관한 요인들이 대학기술이전 성과에 미치는 영향에 관해 조사하였다. 분석결과 최근 대학별 기술이전 성과의 기술분야별 분포는 크게 IT 및 NT 분야의 기술이전이 우세한 유형과 BT 및 기타분야의 기술이전이 우세한 유형으로 나눌 수 있었다. 또한 특허출원건수와 기술사업화 인력수가 기술이전 성과에 정의 영향을 미치는 가운데 기술이전 성과의 기술분야별 분포유형이 조절작용을 하는 것으로 나타났다. 이러한 분석결과는 대학의 기술개발역량 및 기술확산역량이 기술가치평가 전 영역에 직간접적으로 연관되어 있다는 점을 감안하면 이들과 관련된 요인들과 기술분야별 특성에 관련된 요인들을 활용하여 대학기술의 기술가치평가에 관한 신뢰성을 보다 향상시킬 수 있을 가능성을 시사한다.

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External Application of Herbal Medicines for Acne Vulgaris: A Systematic Review and Meta Analysis

  • Sung, Soo-Hyun;Choi, Gwang-Ho;Lee, Nam-Woo;Shin, Byung-Cheul
    • 대한약침학회지
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    • 제23권1호
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    • pp.8-17
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    • 2020
  • Aim of the study: The objective of this systematic review is to critically evaluate the evidence of the effectiveness and safety of external application of herbal medicines (EAHM) for acne vurgalis (AV). Methods: English, Chinese and Korean language databases were searched up to May 2018. Randomized clinical trials (RCTs) that reported the effects of EAHM for AV were included and analysed. Results: A total of 10 randomized trials with 656 AV patients were identified. A meta-analysis of two RCTs indicated that EAHM had a significant effect on improving primary outcome 'global assessment' compared with placebo (mean difference (MD) = -2.62, confidence interval (CI) = -4.84 to -0.40, p = 0.02). Furthermore, data extracted from two RCTs showed that EAHM significantly reduce primary outcome 'inflammatory lesion count of acne' (MD = -1.25, CI = -1.68 to -0.83, p < 0.00001) and 'non-inflammatory lesion count of acne' (MD = -1.32, CI = -1.75 to -0.90, p < 0.00001). No significant difference was observed between groups in secondary outcome 'sebum of skin' (MD = -0.21, CI = -0.53 to 0.11, p = 0.20) and 'patient-reported changes in symptom' (relative risk (RR) = 2.56, CI = 0.43 to 15.22, p = 0.30). No severe adverse events (AEs) were found and no treatment was stopped due to AEs of EAHM. Conclusions: EAHM seems to have affirmative effects, but quality of evidence, and non-standardized use of EAHM make our conclusion weak. Our suggestion is rigorously designed RCTs and standardization of EAHM are required in the future.