• 제목/요약/키워드: Priority management areas

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

  • 신숙연;박춘선;김선민;김남순;이상일
    • 보건행정학회지
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    • 제19권3호
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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.

계층분석법(AHP)과 GIS를 이용한 고양시 일대의 지하수오염 관리우선순위 평가 (Priority Assessment for Groundwater Contamination Management Using Analytic Hierarchy Process (AHP) and GIS Approach)

  • 이명진;현윤정;김영주;황상일
    • 한국지하수토양환경학회지:지하수토양환경
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    • 제18권5호
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    • pp.26-38
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    • 2013
  • In this study, priority for groundwater contamination management was assessed based on regional vulnerability in Goyang-si area, Gyonggi-do, Korea using analytic hierarchy process (AHP) and geographic information system (GIS). We proposed a concept for regional vulnerability to groundwater contamination with using socio-environmental vulnerability factors, which can be classified into three properties including regional hydrogeological property, contamination property, and groundwater use property. This concept is applied to Goyang-si area. For AHP analysis, an expertise-targeted survey was conducted. Based on the survey, a total of 10 factors (criteria) and corresponding weights for regional vulnerability assessment were determined. The result shows that regional contamination property is the most weighted factor among the three property groups (hydrogeological property: contamination property: groundwater use property = 0.3: 0.4: 0.3). Then, database layers for those factors were constructed, and regional vulnerability to groundwater contamination was assessed by weighted superposition using GIS. Results show that estimated regional vulnerability score is ranged from 22.7 to 94.5. Central and western areas of Goyang-si which have groundwater tables at shallow depths and are mainly occupied by industrial and residential areas are estimated to be relatively highly vulnerable to groundwater contamination. Based on assessed regional vulnerability, we classified areas into 4 categories. Category 1 areas, which are ranked at the top 25% of vulnerability score, take about 2.8% area in Goyang-si and give a high priority for groundwater contamination management. The results can provide useful information when the groundwater management authority decide which areas should be inspected with a high priority for efficient contamination management.

우포늪 습지보호지역 보전계획 개선방안 (The Improvement of Wetland Conservation Plan for Upo Wetland Protected Area)

  • 김수련;송원경
    • 한국환경복원기술학회지
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    • 제22권4호
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    • pp.65-80
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    • 2019
  • The Wetland Conservation Plan is used as a tool to set the management direction of wetland protected areas, and which is establishing a plan for the conservation, wise-use, and management based on wetland's condition. This study was conducted to establish a conservation plan considering the functions and management conditions of Upo wetland protected area. To this end, there are analyzed the current issues, plans and implementation status of Upo Wetland Conservation Plans in the past. The management elements to be considered in establishing the Wetland Conservation Plan were selected through prior research analysis and the priority of those elements was identified through the AHP. As a result, it was found that lack of considering the changes and performance evaluation of the existing plans in wetlands, conducting short-term projects related to maintenance original function of wetland, different management methods for wetland protected areas and other adjacent areas, lack of understanding and cooperation by stakeholders, inconsistencies in timing of the Conservation Plan and survey of wetland protected areas. In order to improve the problem, it needs to include the performance evaluation stage of establishing the conservation plan, strengthen cooperation of stakeholders and expertise, continuing of projects for wetlands' maintenance, priority of the project considering the management side, and to adjust the timing of plans to improve data availability.

팔당호 상류수계에 위치한 공공 하수종말처리시설의 총인 배출 최적관리 (Optimal Management Scheme for Phosphorus Discharged from Public Sewage Treatment Plant Located in Upstream Basin of Paldang Lake)

  • 우영국;박은영;전양근;정명숙;임재명
    • 한국물환경학회지
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    • 제27권2호
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    • pp.200-209
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    • 2011
  • The purpose of the study is to optimally manage sewage treatment plant with analysis of phosphorus contribution and improvement of water quality contributing rate in the effect of inflowing point of effluent and Pal-Dang lake after reducing T-P discharge from large scale public sewage treatment plant at upstream of Pal-Dang lake. Also, this study, for enforcement of T-P in effluent, plans optimal management of effluent T-P through examining propriety of environmental, technological, and economical aspect such as water quality standard of domestic and foreign T-P and related policy. In regarding optimal management of T-P discharged from public sewage treatment plant located in upstream of Pal-Dang lake, the study drew following conclusions. With the optimal management of public sewage treatment plant, it showed that a pollution level became higher in the order of Sumgang E in South-Han river, C in Dalcheon, B1 B2, A in North-Han river, and J in Kyungancheon, and it is required reduction of T-P first. The highest value in analysis of benefit-costs from sewage treatment plant in the selected research area was Kyungan B, and the others are with the order of Jojong A, Bokha A, Kyungan A, and Yanghwa A. With result of this study, all 14 areas are required more enforced phosphorus treatment. The study resulted that the most top priority areas were Hangang F, Sumgang B, and Gyungan A, top priority areas were Bokha A, Dalcheon B, and Cheongmi A, priority areas were Hangang E, Heukcheon A, Gyungan B, and Jojong A, and potential areas were Sumgang A, Yanghwa A, Dalcheon A, and Hangang D. It seems to be appropriate to apply 0.2 mg/L of T-P treatment for water supply source reservation, 0.5 mg/L for the other areas by locally, and 0.2~0.5 mg/L for biological nitrogen phosphorus treatment method and 0.5~1 mg/L for Conventional Activated Sludge by technologically. Also, it may be appropriate to apply 0.2 mg/L for the most top priority area(I), 0.3 mg/L for the top priority area(II), 0.4 mg/L for priority area(III), and 0.5 mg/L for potential area(IV) by the separation of priority area.

고양이(Feliscatus)의 분포밀도와 잠재서식지 예측을 이용한 우선 관리 대상 지역 분석 (Analyzing Priority Management Areas for Domestic Cats (Felis catus) Using Predictions of Distribution Density and Potential Habitat)

  • 정아미;이상돈
    • 환경영향평가
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    • 제32권6호
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    • pp.545-555
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    • 2023
  • 본 연구는 국내 고양이(Felis catus)의 분포밀도와 잠재 서식지를 예측하여 핵심분포지역을 선정하고, 보호지역을 중첩하여 우선으로 고양이 관리가 시행되어야 할 지역을 선정하고자 하였다. 분포밀도 파악을 위해 커널밀도추정을 사용하였고, 고밀도 지역을 분류한 결과 수도권 지역과 충남, 대전, 대구에서 밀도가 높았다. MaxEnt 모형을 활용한 잠재 서식지 예측에서는 고도, 시가지로부터의 거리, 지표 거칠기 등이 중요한 변수로 확인되었고, 임계값을 기준으로 출현/비출현 지역을 분류한 결과 수도권과 세종, 대전, 충남, 대구에서 출현 예측 지역의 면적이 높았다. 고밀도 지역과 출현 예측 지역을 중첩하여 핵심분포지역을 선정하였고, 핵심분포지역과 야생동물 보호지역을 중첩하여 우선으로 관리해야 할 지역을 파악하였다. 그 결과 경기도와 충남지역이 제일 면적이 넓은 지역으로 선정되었다. 또한 보호지역과 같은 우선 관리 대상 지역을 중심으로 핵심분포지역이 둘러싸고 있어, 추가적인 유입을 막고 관리하기 위한 완충구역을 설정하는 것이 필요하다. 이러한 결과는 고양이의 서식현황을 조사하고, 우리나라 실정에 맞는 관리방안 설정을 위한 기초자료로 활용될 수 있다.

재난안전사고 피해특징을 고려한 재난안전사업 투자방향 제시 (Investment Direction of Disaster Safety Projects Considering Characteristics of Disaster Safety)

  • 허보영;조성은
    • 대한안전경영과학회지
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    • 제19권2호
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    • pp.41-50
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    • 2017
  • Disaster and safety budget can be characterized as a large-scale public asset on which the government has a significant role. It is of a crucial importance to properly allocate the limited national budget to various areas as necessary. Higher investment efficiency of the budget related to disaster and safety management requires distribution criteria based on relevance and efficiency. Currently, the budget related to disaster and safety management is orchestrated through the prior consultation system. However, there is still no clear framework for reviewing the investment direction and setting the priority investment areas by prior consultation. This study analyzes the status and characteristics of disaster and safety management projects by damage type and proposes a structured system for prioritization. This framework can be useful in selecting the areas that need priority investments by damage type of disaster and safety management projects, thereby contributing to improving investment efficiency.

부산시 토양오염 취약지역 등급화를 이용한 우선관리대상 순위 선정 (The Priority Management Ranking by using the Classification of Vulnerable Areas for the Soil Contamination in Busan Metropolitan City)

  • 정현정;이민희;도진우
    • 한국지하수토양환경학회지:지하수토양환경
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    • 제20권7호
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    • pp.1-12
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    • 2015
  • The purpose of this study is to highlight the National Classification System related to cleanup the soil contaminated sites and to provide some guidance to address the priority management rank system before the remediation for Busan metropolitan city. Based on the previous soil investigation data, the quantitative classification of vulnerable areas for soil pollution was performed to successfully manage the contaminated sites in Busan. Ten evaluation factors indicating the high soil pollution possibility were used for the priority management ranking system and 10 point was assigned for each factor which was evenly divided by 10 class intervals. For 16 Gu/Guns in Busan, the score of each evaluation factor was assigned according to the ratio of the area (or the number) between in each Gu (or Gun) and in Busan. Ten scores for each Gu (or Gun) was summed up to prioritize the vulnerable Gu or Guns for soil pollution in Busan. Results will be available to determine the most urgent area to cleanup in each Gu (or Gun) and also to assist the municipal government to design a successful and cost-effective site management strategy in Busan.

낙동강 지류·지천 모니터링 결과를 이용한 수질환경 평가 (Water Quality Analysis in Nakdong River Tributaries)

  • 임태효;손영규
    • 한국환경과학회지
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    • 제25권12호
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    • pp.1661-1671
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    • 2016
  • Water quality in Nakdong river was analyzed using 699 monitoring data sets including flow rates and water quality concentrations collected at 195 tributary monitoring stations (the priority management areas: 35 stations, the non-priority management areas: 160 stations) in 2015. The highest average concentrations of all data for BOD, COD, T-N, T-P, SS, and TOC were 30~600 times higher than the lowest concentrations while the highest average loading rates were 800,000~2,700,000 times higher than the lowest loading rates. Because of the very large differences in the concentrations and loading rates, the variation of the concentrations and loading rates in a priority management monitoring station for BOD, T-P, and TOC was analyzed using the coefficient of variation, the ratio of the standard deviation value to the mean value. For BOD, T-P, and TOC, the coefficients of variation for concentration were mostly less than 100%, whereas the coefficients of variation for loading rate ranged from 31.1% to 232.2%. The very big difference in the loading rates was due to the large variation in flow rates. As a result of this, the estimation of water quality at each monitoring station using the average values of the concentrations and loading rates might be not rational in terms of their representativeness. In this study, new water quality analysis methods using all collected monitoring data were suggested and applied according to the water quality standard in medium-sized management areas.

농작업 안전보건관리 전문가 양성과정의 교육과정 개발 (Development of Curriculum for Agricultural Work Safety and Health Management Specialist Training Course)

  • 이현경;채혜선;박수인;김인수
    • 농촌지도와개발
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    • 제29권3호
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    • pp.131-142
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    • 2022
  • This study aims to develop a curriculum for nurturing experts who perform agricultural safety and health management tasks. This study was conducted in three stages. First, job definitions and job models of agricultural safety and health managers were derived through job analysis using the DACUM technique. Second, job demand analysis was conducted by conducting a survey on the difficulty, importance, and frequency of each task. Third, IPA analysis was performed as the first priority tasks of job demand analysis to present the courses and subjects of the training course for safety and health managers in agricultural work. The job of the agricultural safety and health manager was defined as "to conduct guidance and advice on safety and health education, risk factors, and evaluation and management of harmful factors to protect farmers' professional health and safety." The job model consisted of 4 tasks, 31 core tasks, and 67 detailed tasks. As a result of job demand analysis, there were 39 tasks in the 1st priority, 22 in the 2nd priority, and 6 in the 3rd priority. As a result of the IPA analysis, there were 13 'capacity development focused areas', 4 'capacity development effort areas', 11 'low priority areas', and 3 'continuous maintenance areas'.

관리 우선순위 선정을 위한 낙동강 지류·지천 지점의 수질 오염 특성 분석 (Water Quality Analysis in Nakdong River Tributaries for the Determination of Priority Management Areas)

  • 임태효;나승민;신상민;손영규
    • 대한환경공학회지
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    • 제38권10호
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    • pp.558-565
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    • 2016
  • 낙동강 195개 지류 지천 지점에서 2015년 수집된 699회의 유량 및 BOD/COD/T-N/T-P/SS/TOC 농도 등의 수질 자료를 이용하여 중점관리지점 선정 연구를 수행하였다. 각 모니터링 지점에서 BOD, T-P, TOC 농도 및 오염부하량에 대한 변동계수가 매우 크게 확인되어 1년 평균 자료를 이용한 중점관리지점 선정이 경우에 따라 불합리할 수 있을 것으로 지적되었다. 이러한 이유로 본 연구에서는 각 모니터링 자료를 평균화하지 않고 독립적으로 이용할 수 있는 두 가지 방법을 제시하였다. 첫 번째 방법으로 각 모니터링 시점별로 수집된 BOD, T-P, TOC 농도를 낙동강 중권역별 목표수질과 비교하여 목표수질을 초과하는 횟수를 각 지점별로 산정하였다. 두 번째로 BOD, T-P, TOC 항목에 대한 오염부하량을 각 모니터링 시점별 및 지점별로 산정하여 % 순위를 산정하는 방법을 적용하였다. 이상의 방법을 통해 결정된 중점관리지점을 서로 비교하였으며, 이를 통해 낙동강 유역의 수질의 전반적 특성을 분석하였다.