• Title/Summary/Keyword: Program Provider

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Legal Standings of the Patient and the Doctor within the National Health Insurance - With its focus on the issue of arbitrary medical charge cover - (건강보험에 있어서 의사와 환자간의 법률관계 - 임의비급여 문제를 중심으로 -)

  • Hyun, Doo-Rhyun
    • The Korean Society of Law and Medicine
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    • v.8 no.2
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    • pp.69-118
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    • 2007
  • In providing general medical treatments, the medical service contract between the patient and the doctor is the mutually responsible onerous contract. However, the nature of the mutually assumed contract standings of the patient and the doctor has been changing since the implementation of the national health insurance program. For instance, besides the cases of beyond excessive medical charges and medical negligence, if the doctor charged for his/her medical treatments violating the post-treatment/nursing cover criteria, the overpaid medical charge, regardless of being collected with the patient's consent, has to be refunded back to the patient. Medically needed aspects, treatment results, and unfair benefits favoring the patient are not at all taken into consideration in the health insurance scheme. This makes it easier for patients to get refunds for their share of the medical payments by involving the Health Insurance Review & Assessment Service or the National Health Insurance Corporation, without engaging in civil law suits (for reimbursement claim) against doctors. In other words, the doctor's responsibility to provide medical treatments and the patient's responsibility to pay for the medical treatment provided within the contractual realm are being demolished by the administrational arbitration of the National Health Insurance system. The basic rights of medical service providers, and the patient's right to choose are as important constitutional rights, as the National Health Insurance program, which is essential in the social welfare system. Furthermore, the development of the medical fields should not be prevented by the National Health Insurance system. If the medical treatment services can be divided into necessary treatments, general treatments, and high quality treatments, the National Health Insurance is supposed to guarantee the necessary and general treatments to provide medical treatments equally to all the insured with limited financial resources. However, for the high quality treatments, it is recommended that they should not be interfered by the National Health Insurance system, and that they should be left to the private contract between the patient and the doctor.

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Effects of a Simulation-based Training for Advanced Cardiovascular Life Support on the Knowledge and Competence for Nursing Students (시뮬레이션기반 전문심장소생술교육이 간호학생의 지식, 수행능력에 미치는 효과)

  • Shin, Seung-Hwa;Kwon, Mal-Suk;Kwon, Sang-Min
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.11
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    • pp.5819-5826
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    • 2013
  • Purpose: The purpose of this study was to examine the effects of the simulation-based training for advanced cardiovascular life support on the knowledge and competence of nursing students. Method: The subjects were 22 nursing students, who ungraduated D university. Data were analyzed with SPSS/Win 18.0 program. Results: There was a significant improvement in knowledge and competence after receiving than before training. Conclusion: Simulation-based training for advanced cardiovascular life support is effective strategy for increasing the knowledge and competence of nursing students and will can provide basic data in development of standardized emergency nursing education programs. Further research is needed in the comparative analysis about various learning of advanced cardiac life support education and a longitudinal study of maintenance the knowledge and competence.

Knowledge, Perception and Health Behavior about Metabolic Syndrome for an at Risk Group in a Rural Community Area (농촌지역 대사증후군 위험집단의 질병에 대한 지식, 인지도 및 생활습관 관련 건강 행위)

  • Oh, Eui-Geum;Bang, So-Youn;Hyun, Sa-Saeng;Chu, Sang-Hui;Jeon, Justin-Y.;Kang, Myung-Sook
    • Journal of Korean Academy of Nursing
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    • v.37 no.5
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    • pp.790-800
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    • 2007
  • Purpose: This study was to identify knowledge, perception and health behavior about metabolic syndrome for an at risk group in a rural community area. Methods: A descriptive cross-sectional survey design was used. A total of 575 adults with hypertension, diabetes mellitus, dyslipidemia, and/or abdominal obesity were recruited from 11 rural community health care centers. A questionnaire was developed for this study. Anthropometric measures were measured and blood data was reviewed from the health record. Results: Knowledge about the metabolic syndrome was low as evidenced by only a 47% correct answer rate. Only 9% of the subjects ever heard about the disease, and 87% answered they do not know the disease at all. 87% of the subjects were not performing regular exercise, 31% drank alcohol more than once a month, 12.5% were current smokers, and 33.6% are did not have a regular health check-up. Conclusion: Development of systematic public health care programs are needed to prevent future increases in cardiovascular complications and to decrease health care costs. These might include educational programs for the primary health care provider and an at risk group, a therapeutic lifestyle modification program, and a health screening program to identify potential groups.

Perceptions of Residents Visiting Local Health Centers on the Collaborating Care of Korean Traditional Medicine and Western Medicines (양.한방협진에 대한 지역주민의 인식 - 일부 보건소 이용자를 중심으로 -)

  • Yoon, Tae-Hyung;Park, Hae-Mo
    • Journal of Society of Preventive Korean Medicine
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    • v.14 no.1
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    • pp.37-48
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    • 2010
  • Objective : The purpose of this research was to provide basic data for developing the collaborating care of Korean traditional medicine and western medicines by analyzing the perceptions of residents visiting local health centers on the collaborating care. Method : To this end, a self-administrated questionnaire was surveyed to 417 participants from March 10 to March 19, 2005. The questionnaires were regarding medical preferences, effectiveness, co-operative treatment types, and the demographic characteristics of the study population. The main statistical methods employed for analysis were frequency chi-square test analysis, using SPSS system 12.0 software for Windows. Result : First, the perceptions of collaborating care, such as preference and effectiveness, were better for residents who had experienced Korean traditional medicine(p < 0.05). Second, the most favorable collaborating care type was the neuromuscular disease and rehabilitation, and in particular, the preference of the patient who had experienced Korean traditional medicine was much higher than those who had not experienced it(p < 0.05). Third, as for recognizing the future of collaborating care, respondents insisted that collaboration care has to be conducted under evidence-based research. The reasons why collaborating care has not been active were reported as "difference in solving disease problems between oriental medicine and western medicine." The most important role of the Korean traditional medicines in the public sector was to provide specialized service for the elderly and low income households. Conclusion : Most respondents expected the positive effects of the collaborating care and wanted it to develop, particularly for neuromuscular diseases. As for the health promotion program in health centers, it was more popular than the home visiting program for the elderly and preventive rehabilitation for stroke. Now we must plan to balance between the need of the community and the medical provider on collaborating care.

A Comparative Analysis of Domestic and Foreign Cloud Service Agreements (국내외 클라우드 서비스 이용약관 비교 분석 연구)

  • Song, Jiwon;Lee, Hwansoo
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.6 no.8
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    • pp.499-509
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    • 2016
  • The MSIP has implemented "Act on The Development of Cloud Computing and Protection of Its Users" from September 2015 and invigorated the cloud service industry. The act mainly includes the improvement cloud computing reliability and user protection for the development foundation and use activation. In order to expand the cloud market, it is important to increase the reliability of individual users. However, practical discussions and approach for cloud services adoption are still limited. In fact, there is no agreement standard for domestic cloud services. As a user agreement is not standardized, users feel difficulty compare to each agreement of cloud service provider and may be damaged because of unfair terms. Thus, it is necessary to examine the unfairness of cloud service agreement for user protection. This study analyzes domestic and foreign cloud service agreements including Practical Guide to Cloud Service Agreement of Cloud Standards Customer Council and suggests the direction of the standard agreement of cloud services.

Characteristics of Park Program Operation of Seoul Metropolitan Government (서울시의 공원 프로그램 운영 특성)

  • Cho, Yun Joo;Chae, Young;Wee, Man-Gyu;Jung, Sang Hak;Song, Hyeong Nam;Kim, Yun-Geum
    • Journal of the Korean Institute of Landscape Architecture
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    • v.48 no.2
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    • pp.10-19
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    • 2020
  • The park program can adeptly cope with the diversification of leisure needs in accordance with the changing times. The program also makes the relationship between the users and the park itself closer. For this reason, the Seoul Metropolitan Government has operated a variety of programs, beginning with the Botanical Class Program at the Namsan Outdoor Botanical Garden in 1997. The government additionally began to organize park programs by establishing the Park and Leisure Department and three Park Greenery Offices. However, research on park programs is mainly focused on park users. Therefore, this study intends to reveal the structure of the programs by studying the program operation. The specific purposes of this study are '1. Review the institutional characteristics that underlie the operation of the Park Program in Seoul by examining the relevant laws, the operation organizations, and the personnel composition, 2. Analyze the operation methods, such as procurement and the execution of the program, operation costs, and public-private cooperation methods, etc. 3. Analyze the composition and contents of the program from 2015 to 2017, and process and identify the relationship between the structure of the program operation and the program itself.' Summarizing the results obtained from the study, as far as the structure of the first program operation, the support laws were not systematic, but the operating organization was working to establish a system. The second characteristic of the operation is that most of the budget was funded by local governments, but the level of citizen involvement was low. Third, when we looked at the characteristics of the program, the number of programs increased, but they were focused on a specific theme and few programs actively used the park facilities. Based on the results, three tasks can be proposed. The first is that the 'Act on Parks and Green Spaces' should include the concepts and support for park programs. Second, there is a need to change from the ideas of the quantitative increase of programs to qualitative improvements. Lastly, it is necessary to reorganize the Green Seoul Bureau of the Seoul Metropolitan Government into a citizen-led and leisure-oriented organization to promote the park leisure culture. This study has significance, as it was conducted with a service provider, not a program user, unlike many previous park program-related studies. The results of this study will be able to contribute not only to the Seoul Metropolitan Government, but also to other local governments to suggest the direction of the management and the operation of the park for the consumer, and consequently, it will help prepare the long-term vision of parks as the closest leisure location for most citizens.

Study on Effect of SCM Performance and ERP Diffusion through Supplier Development Maturity Model (공급자개발 성숙도모형이 ERP 확산과 SCM 성과에 미치는 영향에 관한 연구)

  • Song, Jang-Gwen;Park, Kyung-Hye
    • Journal of Distribution Science
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    • v.14 no.5
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    • pp.71-80
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    • 2016
  • Purpose - In case of automobile parts, there has been a lot of progress in the study on supplier development plans and SCM in industrial progress study as well as on the relationship between ERP and SCM. But supplier development program providers have researched on SCM performance in accordance with the interests of the supplier development program most, thus, buyers were knowledgeable about the earlier program performance. Therefore, the purpose of this study is to prove correlation factor, supplier factor, purchaser factor affecting SCM performance and ERP activating diffusion through the process of supplier development. Supplier development maturity formation model is considered important variables as mediators related to the procedure. Finally, the performance formation model of the supplier development maturity through supplier development factor would be presented as the outcome of this study. Research design, data, and methodology - Data gathering was as follows: questionnaires were delivered to 87 companies that have business connection with H Company. The empirical research to test our hypothesis was grounded on statistical analysis (adapting SPSS 19.0 & AMOS 19.0). The hypothesis is that the supplier development factor variables consist of correlation factor, supplier factor, purchaser factor, and have non-negative effects on the next variables: mediators such as supplier development maturity; and the supplier development maturity variables have a positive effect on the next variables: ERP activating diffusion, ERP activating diffusion has a non-negative effect on supply chain performance. We experimented the hypothesized model using path analysis with latent variables. Results - First, it was known that cooperation

    , reliability

    , comprehension on the purpose of SDP

    , adaptation of change

    , knowledge transfer program

    , have significant positive effects on supplier development maturity. Second, supplier development maturity has positive effects significantly on ERP activating diffusion
    . Finally, the causal relationships from ERP activating diffusion to SCM performance were significantly accepted. Its significance, as through the hypotheses, presented a structural model for the elaboration, suppliers develop maturity, and ultimately SCM performance that affect ERP leveraging spread beyond the concept of maturity of information system. Therefore, it was a mainstay of research on the existing ERP has they believed. Conclusion - First, with the fast changes in business circumstances, company should get the right information to implement SCM appropriately. For successful SCM, firms should understand the supplier development maturity formation and ERP activating diffusion. Second, supplier development factor has significant effects on supplier development maturity. Third, mediator such as supplier development maturity significantly affects ERP activating diffusion. Finally, ERP activating diffusion has significant impacts on SCM performance. This study makes a meaningful contribution to further appreciation on how supplier development maturity formation affects SCM performance. This study shows implications. First, there would not have been dealt with introducing the concept of supplier development maturity. Second, through empirical analysis and provider factors, the providers will develop the maturity that affect interactive factors between purchaser and supplier.

Development of Win32 API Message Authorization System for Windows based Application Provision Service (윈도우 기반 응용프로그램 제공 서비스를 위한 Win32 API 메시지 인가 시스템의 개발)

  • Kim, Young-Ho;Jung, Mi-Na;Won, Yong-Gwan
    • The KIPS Transactions:PartC
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    • v.11C no.1
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    • pp.47-54
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    • 2004
  • The growth of computer resource and network speed has increased requests for the use of remotely located computer systems by connecting through computer networks. This phenomenon has hoisted research activities for application service provision that uses server-based remote computing paradigm. The server-based remote computing paradigm has been developed as the ASP (Application Service Provision) model, which provides remote users through application sharing protocol to application programs. Security requirement such as confidentiality, availability, integrity should be satisfied to provide ASP service using centralized computing system. Existing Telnet or FTP service for a remote computing systems have satisfied security requirement by a simple access control to files and/or data. But windows-based centralized computing system is vulnerable to confidentiality, availability, integrity where many users use the same application program installed in the same computer. In other words, the computing system needs detailed security level for each user different from others, such that only authorized user or group of users can run some specific functional commands for the program. In this paper, we propose windows based centralized computing system that sets security policies for each user for the use of instructions of the application programs, and performs access control to the instructions based on the security policies. The system monitors all user messages which are executed through graphical user interface by the users connecting to the system. Ail Instructions, i.e. messages, for the application program are now passed to authorization process that decides if an Instruction is delivered to the application program based on the pre-defined security polices. This system can be used as security clearance for each user for the shared computing resource as well as shared application programs.

A Study of the Effects of Health Contracting on Compliance with Health Behaviors in Clients with Hypertension (자가간호증진을 위한 건강계약이 고혈압자의 건강행위 이행에 미치는 영향)

  • 이향련
    • Journal of Korean Academy of Nursing
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    • v.17 no.3
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    • pp.204-217
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    • 1987
  • It is generally accepted that the delivery of health care is undergoing many changes specially those related to acute, contagious disease care and to the increase of chronic illnesses which can not be cured but are controlable. The health care practitioner can not be soley responsible for the control of their clients' care. Because the clients will play a vital role in controlling their illnesses, long term participation by both the health care provider and the client is necessary. Since most individuals with hypertension do not experience signs or symptoms, the disease is difficult to detect and even when diagnosed, clients do not comply well with their hypertension regimens. The noncompliant client is at increased risk for compliants involving the heart, brain, kidney and other organs. In an effort to explore methods of increasing patient participation in and adherence to treatment programs for hypertension, the researcher used health contracting to promote self care. The research questions are; 1) Will the health contracting increase compliance in health behavior and reduce the blood pressure\ulcorner 2) If clients comply with their regimens will this reduce their blood pressure\ulcorner The research design utilized in this study was a quasi-experimental design. A purposive sample, was abtained from two churches in the 1. area, consisting of 64 clients with hypertension. The data was collected from the middle of January to the 1st of September 1985. Randomization was only of the two church groups into experimental and control groups. Compliance with health behavior related to the hypertensive regimen, blood pressure and body weight were measured, compared and analyzed. In the experimental group measurements were made 6 times; one month before the education program after education program when health contracting was done and 4 more times once a month for 4 months. In the control group measurements were made 3 times; one month before the education program after the education program, and once 4 months later. There was no health contracting. The data were analyzed by t-test, Pearson correlation and ANOVA according to purpose of the study. The result of this study may be summarized as follows: The result related to the hypothesis on the effect of health contracting are as follows: H$_1$; “The hypothesis that the experimental group, with a health contractual agreement will demonstrate increased compliance levels for health behavior than the control group” was supported(t=-5.29, df=62, p=.000). H$_2$; “The hypothesis that the experimental group, with a health contractual agreement, will demonstrate a greater reduction in blood pressure than the control group” was supported (for systolic blood pressure t=2.72, df=62, p=.009, for diastolic blood pressure t=1.95, df=62, p=.050). H$_3$; The hypothesis that the greater the compliance of the client with health behavior the lower the client's blood pressure will be was partially supported (for systolic pressure r=-.2981, p=.008, for diastolic pressure r=-.1720, p=.087). From the examination of the results of this study it can be concluded that the interaction between the nurse and the client, contracting to define goals and reinforcing compliant behavior, leads to improved compliance with health care behaviors and thus to an increase in the effectiveness of nursing care. Further consideration need to be given to the inclusion of the concept of health contracting in primary nursing and to further research in this area.

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Context Awareness Model using the Improved Google Activity Recognition (개선된 Google Activity Recognition을 이용한 상황인지 모델)

  • Baek, Seungeun;Park, Sangwon
    • KIPS Transactions on Software and Data Engineering
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    • v.4 no.1
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    • pp.57-64
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    • 2015
  • Activity recognition technology is gaining attention because it can provide useful information follow user's situation. In research of activity recognition before smartphone's dissemination, we had to infer user's activity by using independent sensor. But now, with development of IT industry, we can infer user's activity by using inner sensor of smartphone. So, more animated research of activity recognition is being implemented now. By applying activity recognition system, we can develop service like recommending application according to user's preference or providing information of route. Some previous activity recognition systems have a defect using up too much energy, because they use GPS sensor. On the other hand, activity recognition system which Google released recently (Google Activity Recognition) needs only a few power because it use 'Network Provider' instead of GPS. Thus it is suitable to smartphone application system. But through a result from testing performance of Google Activity Recognition, we found that is difficult to getting user's exact activity because of unnecessary activity element and some wrong recognition. So, in this paper, we describe problems of Google Activity Recognition and propose AGAR(Advanced Google Activity Recognition) applied method to improve accuracy level because we need more exact activity recognition for new service based on activity recognition. Also to appraise value of AGAR, we compare performance of other activity recognition systems and ours and explain an applied possibility of AGAR by developing exemplary program.