• Title/Summary/Keyword: Quality examination

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Factors Related to Diabetic Patients' Quality of Life: The 8th Korean National Health and Nutrition Examination (1st Year, 2019) (당뇨 환자의 삶의 질 관련 요인: 제 8기 1차년도(2019년) 국민건강영양조사)

  • Woo, Sang Jun;Kim, Eun A
    • The Journal of Korean Society for School & Community Health Education
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    • v.23 no.2
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    • pp.51-64
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    • 2022
  • Objectives: This study aims to examine diabetic patients' quality of life by using the data of the 8th Korea National Health and Nutrition Examination Survey (1st year, 2019), identify the factors related to this, and utilize the results as basic data for intervention that can improve diabetic patients' quality of life. Methods: For the research subjects, this study extracted 624 patients who were diagnosed with Diabetes by a doctor from the total sample of 8,110 participants of the 8th Korea National Health and Nutrition Examination Survey. The SPSS(version25.0) program was used for the analysis of the collected data. Then, this study used a backward elimination multiple regression analysis method that applied complex sample, to examine the factors related with the finally estimated quality of life. Results: The results of this study revealed that diabetic patients' quality of life was related with gender, age, occupation, restriction of activity, subjected health status. The final model explained 35.7% of the variance (Wald F=28.210, p<.001). Conclusions: In order to improve the quality of life of diabetic patients, it would be desirable to provide differentiated management by developing a customized intervention strategy that takes into account gender, age, and occupation. When managing diabetic patients, the state, local governments, and hospitals should include content that prevents and copes with restrictions on activities that may occur due to disease. In addition, it is required to prepare a strategy to induce positive perception of the subject's own health status.

A Study on the Quality Certification Guideline of Recycled Aggregate (순환골재 품질인증 기준설정에 관한 연구)

  • Lee, Sea-Hyun;Song, Tae-Hyoub;Shim, Jong-Woo
    • Proceedings of the Korea Concrete Institute Conference
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    • 2006.05b
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    • pp.113-116
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    • 2006
  • After laws for recycling promotion of construction wastes was established on December, 2003, successive technical and institutional measures related to construction wastes are driven. Typically quality standards for recycled aggregate were enacted and officially announced, and recently the quality assurance system for recycled aggregate is promoted to be established. In relation, this study reviewed major factors affecting certification examination necessary to carry out quality assurance system for recycled aggregate and related standards to guarantee the quality of recycled aggregate. More specifically it is suggested that working place examination related to manufacturing facility and planning, quality control manpower and system, environmental and safety control, etc, and quality inspection with classified by for road construction, for concrete, and for asphalt concrete are used as quality assurance standards.

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Comparison of customer satisfaction with health examination programs provided by the Korea National Health Insurance and private healthcare organizations in Korea (건강보험공단 건강검진과 자비 건강검진 수검자간의 만족도 비교)

  • Shin, Youn-Soo;Park, Chong Yon;Jung, Sang Hyuk;Jung, Hye Young;Kang, Hye-Young
    • Quality Improvement in Health Care
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    • v.12 no.1
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    • pp.40-51
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    • 2006
  • Backgrouds : This study was performed to compare the satisfaction levels for health examination programs provided by between the Korea National Health Insurance Corporation (KNHIC) and private healthcare organizations in Korea. We investigated factors associated with the satisfaction level for the KNHIC health examination. Also, factors explaining for the additional receipt of private healthcare organization's examination were identified. Methods : A self-administered questionnaire survey was conducted in June 2004 with 250 beneficiaries of the KNHIC industrial workers' program and 100 beneficiaries of the KNHIC selfemployed program. A total of 297 completed the questionnaire, including 213 (85.2%) and 84 (84.0%) for each insurance program. Ten questions measuring satisfaction levels for each examination program were rated on a scale ranging from 1 (strongly unsatisfied) to 5 (strongly satisfied). Results : Among the subjects receiving both examinations, the mean satisfaction level for the KNHIC examination (3.07) was significantly lower than that for the private healthcare organization's examination (3.50) (p<0.05). The KNHIC examination showed lower satisfaction for all of the 10 items than the counterpart. In particular, the KNHIC examination had the scores of lower than 3.0 for the items reflecting post-examination management services. According to the multiple regression analysis results, the satisfaction for the KNHIC examination was positively associated with the positive attitude toward health examination(${\bullet}$,=0.38, p<0.00). The logistic regression results showed that the likelihood of receiving the private healthcare organization's examination in addition to the KNHIC examination increases as the respondents were less healthier(OR=0.29, 95% CI = 0.10¢¶0.84), the satisfaction level for the KNHIC examination decreased(OR=0.46, 0.28¢¶0.75) or the attitude toward health examination was more positive (OR=2.56, 1.31¢¶5.12). Conclusion : The relatively low satisfaction level for both examination programs suggests that there's ample room for improvement of health examination services in Korea. The negative association between additional receipt of private healthcare organization's examination and satisfaction level for the KNHIC examination implies that the improvement of the satisfaction for the KNHIC examination would help to reduce the national expenditure spent on the additional examination.

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Water Quality Management of Simple Piped Water Supply System and Its Satisfaction of the Residents (簡易上水道의 水質管理實態와 給水利用住民의 滿足度)

  • Chae, Han-Uk;Park, Jae-Yong;Moon, Hyo-Jung
    • Journal of Environmental Health Sciences
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    • v.25 no.3
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    • pp.13-22
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    • 1999
  • For the purpose of inquiring into the actual conditions of water quality management of Simple Piped Water Supply(SPWS) and the satisfaction and attitudes of inhabitants about utilizing water-supply, this research was done through the questionnaires, the investigation of surrounding environment and water quality analysis in the Sangju city, Kyungsang-pookdo during 4 months from March to June, 1998. The fountainhead of SPES using ground water accounted for 65.3%, which was the highest rate in the group. Most of them was at least 10 years in the number of utilization year. 79.6% of them were exposed to many sorts of surrounding pollution origins. The examination of water was performed only through a test about water purification and 24.5% of them disinfection by chlorine also no residual chlorine was detected at all. All the waterworks did not have any education to the managers of water quality and 81.5% of them held physical examination. As a result of the water examination about SPWS, 65.3% of them were found incongruity and the valley and springing water accounted for higher than the underground water in the rate of incongruity. Looking into the details of the result in the water examination, a category of colon bacilli was ranked in the highest rate and the next one was general bacilli, nitric acid nitrogen and turbidity in order. In the satisfaction degree of the water quality, the satisfied accounted for 44.6%, and 29.2% each. Over the state of satisfaction about the ways of water examination, satisfaction accounted for 44.6%, and unsatisfaction 28.3%. Summarizing the result of the above-stated, the state of Water Quality Management of the SPWS was in a poor condition. Thus for the water Quality Management, systematic and scientific water Quality Management mainly by the administrative organization other than voluntary management by the village should be done beyond doubt. Additionally the opinions and demands of inhabitants utilizing the water supply have to be positively reflected in the affairs of water Quality Management so that the distrust of inhabitants to the SPWS should be settled.

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The Evaluation of Effect in employees' health examination program with web and OCS (Web 및 OCS(Order communication system)를 활용한 직원 건강검진 프로그램의 효과분석)

  • Song, Jung Hup;Ha, Tae Hi
    • Quality Improvement in Health Care
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    • v.15 no.2
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    • pp.121-130
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    • 2009
  • Objectives : To evaluate the effect of heath examination program which introduce web-based input system, OCS(Order communicating system) and interface with national health insurance corporation, this study was done. Method : To Exam/Order and tests separately at anytime, the experimental health examination program which had web-based questionnaire input system, on-line measurement input system, interface program with national health insurance corporation and introduced OCS was developed. Experiment and old examination program were compared in terms of satisfaction and cost. Result : The 95.7% of respondents were satisfied with web-based input system, the 95.4% satisfied with OCS use, and 97.8% satisfied with test at anytime they want. The cost and time reduction between experiment and old program were 4,159,000won and $600.3{\pm}5.75$(seconds) per man input-time. Conclusion : The experimental health examination program is good for employee and hospital. If the health examination program for non-employee will be developed, it will be done efficiently and effectively, but Internet securities will be considered.

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Study on dose and image quality by Added filter and Grid change when exam abdominal fluoroscopy (복부투시조영 검사 시 Added filter와 Grid 변화에 따른 선량 및 화질에 관한 연구)

  • Hong, Seon Sook;Kang, Kyeong Mi;Seong, Min Suk;Lee, Jong Woong
    • Korean Journal of Digital Imaging in Medicine
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    • v.14 no.2
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    • pp.47-56
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    • 2012
  • Amount of radiation exposure by seeing through fluoroscopy examination while is many patient exposure administration and unprepared misgovernment be. In this study, abdominal fluoroscopy during the scan, the dose and image quality change according to the use of grid and added filter optimized by measuring the test condition is proposed. Uses seeing through fluoroscopy examination equipment of Image Intensifier of Easy Diagnost Eleva (Philips), under tube type and uses Human phantom and measures average area dose according to grid insertion existence and nonexistence and added filter kind change. Measure sum of 29 organ dose and effective dose through PCXMC imagination simulation program and image J program through noise, SNR, image distortion was measured. Resolution, sharpness, and analyzed using the MTF curves. Fluorography the grid to insert the filter thickness and thickening and increased the average area dose and organ doses and effective dose. In the case of spot examination, when inserted grid, average area dose and organ dose and effective dose increased. Filter thickens the average area dose decreased, but the organ doses and effective dose were increased when use 0.2mmCu+1mmAl filter, decreased slightly. Noise and SNR measurements without inserting the gird, if you do not use the added filter was the lowest and when measure the distortion, 0.1mmCu+1mmAl filter was no difference of image quality in case insert grid was judged that when did not use occasion added filter that do not use grid, difference of image quality does not exist. Did not show a big difference, according to the grid and uses of the added filter sharpness, and resolution. Patient dose increases with factors that reduce the quality of the image so reckless grid and the use of the added filter when abdominal fluoroscopy examination should be cautious in using.

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Achievements, Problems, and Future Direction of the Quality Control Program for Special Periodic Health Examination Agencies in Republic of Korea

  • Won, Yong Lim;Ko, Kyung Sun;Park, Jae Oh;Choi, Yoon jung;Lee, Hyeji;Sung, Jung-min;Lee, Mi-young
    • Safety and Health at Work
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    • v.10 no.1
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    • pp.125-129
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    • 2019
  • The ultimate goal of the quality control program for special periodic health examination agencies is to diagnose the health condition of a worker correctly, based on accurate examination and analysis skills, leading to protect the worker's health. The quality control program on three areas, chemical analysis for biological monitoring since 1995, and pneumoconiosis, audiometric testing since 1996, has contributed to improve the reliability of occupational health screenings by improving the issues including standardization of testing methods, tools, diagnostic opinions, and reliability of analysis for biological monitoring. It has contributed to improving the reliability of occupational health monitoring by rectifying the following issues associated with previous monitoring: absence of standardized testing methods, testing tools that are not upgraded, mismatching diagnostic opinions, and unreliable results of biological specimen analysis. Nevertheless, there are issues in need of further improvement such as lack of expertise or the use of inappropriate method for health examination, and passive and unwilling participation in the quality control. We suggested solutions to these problems for each area of quality control program. Above all, it is essential to provide active support for health examiners to develop their expertise, while encouraging all the health screening agencies, employers, and workers to develop the desire to improve the system and to maintain the relevance.

Analysis of Factors Delaying on Waiting Time for Medical Examination of Outpatient on a Hospital (일 병원의 외래진료대기시간 지연요인 분석)

  • Park, Seong-Hi
    • Quality Improvement in Health Care
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    • v.8 no.1
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    • pp.56-72
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    • 2001
  • Background : To shorten processing time for variety of medical affairs of the patient at the outpatient clinic of a big hospital is very important to qualify medical care of the patient. Therefore, patient's waiting time for medical examination is often utilized as a strong tool to evaluate patient satisfaction with a medical care provided. We performed this study to investigate factors delaying related with waiting time for medical examination. Methods : The data were collected from June 26 to July 30, 1999. A total 275 case of medical treatment and 5,634 patients who visited outpatient clinics of a tertiary hospital were subjected to evaluate the waiting time. The data were analyzed using frequency, t-test, ANOVA, $X^2$-test by SPSS Windows 7.5 program. Results : The mean patient's waiting time objectively evaluated ($30.9{\pm}33.9$ min) was longer than that subjectively by patient evaluated ($25.1{\pm}26.2$ min). Patient waiting time objectively evaluated was influenced by the starting time of medical examination, consultation hours, patients arriving time etc, as expected. The time discrepancy between two evaluations was influenced by several causative factors. Regarding the degree of patients accepted waiting time with the medical examination is 20 min. Conclusion : The results show that, besides the starting time of medical examination, consultation hours and patients arriving time, influence the patient's subjective evaluation of waiting time for medical examination and his satisfaction related with the service in the big hospital. In order to improve patient satisfaction related with waiting time for medical examination, it will be effective examination rather than to shorten the real processing time within the consultation room.

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A Study on the Time of Examination of Buyer in Contract for International Sale of Goods (국제물품매매계약(國際物品賣買契約)에서 매수인(買受人)의 물품검사시기(物品檢査時期))

  • Oh, Won-Suk
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.20
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    • pp.63-82
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    • 2003
  • The time of examination of buyer in international sales contract is very significant, because the time is related with the period of claim in buyer's aspect. From the legal point of view, the time of delivery, the time of examination and the time of quality decision should be in accord. But the buyer, whose main place of business is located in importing country, wants to examine the goods in his own country. Therefore in CIF or FOB Contract, the place of delivery and the place of examination are divided. Thus the CISG, the Common Law System and the Civil Law System including Korean Law stipulate the buyer's examination at the destination if the sales contract involves carriage of the goods. This author, from the buyer's perspective, would like to make the following suggestions in regard to the time of examination when the sales contract is made. First, the time of examination and the time of quality decision should be in accord, even though the time of delivery is different. Second, the buyer should clearly indicate the time, the place, the inspector, the particulars and the burden of proof in regard to examination when contracting. Third, the buyer should also clearly indicate the period of notice for the lack of conformity in Claim Clause of sales contract, which should be counted from the time of examination. Fourth, the buyer should remember that he many lose the right to rely on the lack of conformity of the goods if he does not give the seller notice thereof within the stipulated time or reasonable time. Finally, if the buyer wants, to examine the goods at the place of shipment, it is desirable for the buyer to designate internationally recognized inspection organization like SGS.

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Development of Dental Patient Education System using Mutimedia (멀티미디어를 이용한 치과환자교육 시스템 개발)

  • Kim, M.S.;Lee, S.J.;Nam, G.K.;Kim, H.I.;Lee, Y.W.;Jun, K.R.
    • Proceedings of the KOSOMBE Conference
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    • v.1996 no.11
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    • pp.52-56
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    • 1996
  • The elevation of present medical service using advanced science contributes to offer medical examination and treatment of good quality under the subject of patient satisfaction as well as patient impression. The dental service field charging some part of public health promotion and public welfare promotion also intends to improve the dental examination and treatment quality utilizing advanced science. The object of this research is the development of dental patient education system (DPES) using multimedia of new technology. DPES can be employed for these object, harmonious operation of dental examination and treatment, treatment quality improvement, disease notice to patient under the subject of patient satisfaction and patient impression, explanation of some selective treatment course, the verification of treatment necessities and treatment validation, and the improvement of treatment effect through the oral cavity sanitation education in the sense of prevention. This research also serves the development environment, the step to collect educational document, visual information and to structure those, and the examination of DPES efficiency in clinic.

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