• Perspectives in Nursing Science
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• 제15권2호
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• pp.49-69
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• 2018

Purpose: The purpose of this study was to derive contextual indicators of medical provider quality and assess their relative importance along with the individual utilization of antenatal care (ANC) and institutional births with a skilled birth attendant (SBA) in India using a multilevel framework. Methods: The 2015~2016 Demographic and Health Survey (DHS) from India was used to assess the outcomes of neonatal, infant, and under-five child mortality. The final analytic sample included 182,980 children across 28,283 communities, 640 districts, and 36 states and union territories. The contextual indicators of medical provider quality for districts and states were derived from the individual-level number of ANC visits (<4 or ${\geq}4$) and institutional delivery with SBA. A series of random effects logistic regression models were estimated with a stepwise addition of predictor variables. Results: About half of the mothers (47.3%) had attended ${\geq}4$ ANC visits and 75.8% delivered in institutional settings with SBAs. Based on ANC visits, 276~281 districts (43.1~43.9%) and 13~16 states (36.5~44.4%) were classified as "low" quality areas, whereas 268~285 districts (41.9~44.5%) and 8~9 states (22.2~25.0%) were classified as "low" quality areas based on institutional delivery with SBAs. Conditional on a comprehensive set of covariates, the individual use of both ANC and SBA were significantly associated with all mortality outcomes (OR: 1.17, 95% CI: 1.08, 1.26, and OR: 1.10, 95% CI: 1.02, 1.19, respectively, for under-five child mortality) and remained robust even after adjusting for contextual indicators of medical provider quality. Districts and states with low quality were associated with 57~61% and 27~43% higher odds of under-five child mortality, respectively. Conclusion: When simultaneously considered, district- and state-level provider quality mattered more than individual access to care for all mortality outcomes in India. Further investigations are needed to assess the importance of improving the quality of health service delivery at higher levels to prevent unnecessary child deaths in developing countries.

• 품질경영학회지
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• 제47권1호
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• pp.17-32
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• 2019

Purpose: CMMI is a process model used to assess or improve an organization's software development capabilities. This paper deals with the quality indicators when using CMMI and their priorities for possible improvement. Methods: The 22 process areas and 167 practices of CMMI are matched with 60 indicators of Quality Scorecard(QSC) first to analyze the balance of CMMI in terms of prevention, appraisal, and final result categories and second to isolate a set of key areas for quality focused performance measures. Results: A total of 86.2% (144 out of 167) CMMI practices were mapped to QSC. According to the CMMI level of maturity, level 2 and 3 accounted for more than 75% of the total. The practices at the maturity level of 4 and 5 were mapped to more than 52% of the final result's measurements. It has been observed that CMMI practices need further elaboration at higher levels to consider prevention, appraisal, and final results simultaneously. Conclusion: In order to improve the quality performance of the organization by applying CMMI, the final result measures should be refined in metrics, cycles, and methods, and then corrective actions could be conducted to improve the performance of CMMI practices. This strategy would help the practitioners benefit from CMMI in fostering the overall quality level of key activities for the organization's business goals.

• 한국문헌정보학회지
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• 제31권4호
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• pp.165-186
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• 1997

평가에 관한 선행연구 결과를 종합적으로 검토하고 우리나라 도서관 환경을 고려하여 대학도서관 서비스의 질적 평가를 위한 모형을 개발하였다. 구체적으로 도서관 이용과 이용의 질에 관하여 7개 부문의 25가지 평가지표를 설정하고 각 지표별 데이타 수집 방법과 측정과정 그리고 기준과 평가척도를 제시하였다. 또한 평가의 실행과 후속연구를 위한 방안을 제언하였다.

• KDI Journal of Economic Policy
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• 제38권3호
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• pp.53-77
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• 2016

Financial soundness in the household sector matters for financial stability and for the real economy. The level of household debt in Korea raises concern about the financial soundness of the household sector due to its size, growth rate and quality. Against this backdrop, we assess the financial vulnerability of borrowers based on an analysis of credit bureau (CB) data, in which the actual credit activities of most individuals are recorded at a high frequency in Korea. We construct over-indebtedness indicators from the CB data and then assess the predictability of forthcoming defaults. Based on the over-indebtedness indicators, we show how borrowers are distributed in terms of over-indebtedness and how the over-indebted differ from average borrowers in terms of their characteristics. Furthermore, we show how the aggregate credit risk in the household sector would change under macroeconomic distress by analyzing how each borrower's credit quality would be affected by adverse shocks. The findings of this paper may contribute to assessing household debt vulnerability and to enhancing regulatory and supervisory practices for financial stability.

• Environmental Sciences Bulletin of The Korean Environmental Sciences Society
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• 제3권3호
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• pp.143-150
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• 1999

Mobile source emissions are important inputs to photochemical air quality models. Since most mobile source emissions are calculated at the county-level, these emission should be geographically allocated to the computational grid cells of a photochemical air quality model prior to running the model. The traditional method for the spatial allocation of these emissions has been to use a "spatial surrogate indicator" such as population, since grid-specific emission calculations are very labor-intensive and expensive, plus the necessary data are often not available for such grid resolutions. Accordingly, new spatial surrogate indicators for mobile source emissions(specifically for highway emissions) were developed using Geographic Information Systems(GIS) tools due to the spatially variable nature of mobile source emissions. These newly developed spatial surrogate indicators appear to be more appropriate for the allocation of highway emissions than the population surrogate indicator. It was also revealed that the conventional spatial allocation method underestimates the maximum levels of air pollutant emmissions.mmissions.

• 한국도로학회논문집
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• 제11권3호
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• pp.111-120
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• 2009

본 논문에서는 도로포장의 성능개선을 유도하기 위한 제도적 수단인 공사비 차등지급규정(지불규정)을 제시하고 이를 고속도로 아스팔트 포장 공사에 처음으로 적용한 결과를 다루고 있다. 지불규정을 적용하기 위한 단위구간(lot)은 덧씌우기 포장의 일평균 시공연장으로 정의하였다. 단위구간은 다시 포장의 초기상태 평가를 위한 최소 단위인 세부단위구간(sublot)으로 나누었으며, 세부단위구간에서 측정한 품질항목의 평균과 표준편차를 이용하여 단위구간을 대표하는 품질항목별 지불계수(pay factor)를 산정하였다. 마지막으로, 각각의 품질항목이 포장의 중장기 공용성에 미치는 상대적 영향을 고려하여 합성지불계수를 결정하였다. 본 연구에서 제시한 지불규정은 2008년에 한국도로공사 6개 지역본부(충청, 호남, 경북, 경남, 경인, 강원)에서 시행된 아스팔트 덧씌우기 포장공사에 적용하였으며, 이 과정에서 제기된 고려사항 및 문제점을 정리하였다. 결론적으로, 품질항목에 대한 평가결과가 품질관리한계를 만족하는 경우에는 기존 공사비 대비 최대 50% 가까이 인센티브 지급이 가능함을 알 수 있었다. 반면에, 다짐도와 같은 주요 성능관련 품질이 낮을 경우 기존 공사비 대비 최대 10% 가까이 공사비 감액도 있을 수 있음을 확인하였다.

• 대한교통학회지
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• 제27권1호
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• pp.191-200
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• 2009

본 연구는 현재 보행교통류율, 보행자지체 등의 정량적인 지표만을 고려하고 있는 기존 보행자 이동공간 서비스수준(Level of Service) 평가의 한계를 극복하고, 보행자의 이동공간(보도 및 횡단보도)만족도에 영향을 미치는 정성적 요인을 반영하여 보행자의 실질적인 서비스 질(QOS : duality of Service)을 측정할 수 있는 통합적 지표를 개발하는 것이 목적이다. 연구를 위한 기초자료 수집은 설문조사를 이용하였고, 통합지표 개발을 위해 계층분석법(AHP)과 네트워크분석법(ANP)을 활용하였다. 주요 연구결과는 첫째, 보행자가 서비스수준을 판단할 경우 중복성을 느끼고 있음을 알 수 있어, 네트워크분석법에 의한 지표를 적용하는 것이 적절함을 확인하였다. 둘째, 보행자 행태, 유지관리, 보행경관 및 환경과 같은 정성적인 요인을 고려해야 한다는 것을 알 수 있었으며 특히 주거지역에서 정성적인 요인의 중요도가 높은 것을 알 수 있었다. 향후 실질적인 보행자 서비스 질을 평가하기 위해서는 정량적인 지표는 물론 정성적인 지표를 고려하는 것이 적절할 것이라 판단된다.

• 대한한방부인과학회지
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• 제24권4호
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• pp.114-125
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• 2011

Objectives: To understand relations general characteristics, lifestyle habits including smoking, alcohol habit, exercise, eating habit and menopausal symptoms measurement indicators during treatment for hot flush in menopausal women. Methods: The participants were 159 women (45~60 yr) who were not currently on hormone therapy, and had reached hot flash scores of 10 or higher. The evaluating indexes of this trial are hot flush score, hot flush visual analogue scale(VAS), Hot flush consistence time, sweating visual analogue scale(VAS), Menopause Rating Scale(MRS), Menopause-specific quality of life questionnaire(MENQOL), Kupperman's Index. Results: 1. When the participants divided according to body mass index(BMI), overweight group showed a high score in all indicators. Therefore, obesity can aggravate the symptoms of menopause. 2. When the participants divided according to drinking habits, Hot flush consistence time of non-alcohol group showed a statistically significant difference. However, the sample size is uneven. Additional studies will be needed. 3. When the participants divided according to eating habits, Hot flush consistence time of regular group showed a statistically significant difference. However, the sample size uneven. Additional studies will be needed. 4. When the participants was divided depending on whether exercise, non-exercise group showed a high score in all indicators. Thus, exercise will be able to improve menopausal symptoms. Conclusions: Improvement of obesity and exercise will be able to improve menopausal symptoms.

• 한국학교ㆍ지역보건교육학회지
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• 제22권2호
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• pp.75-91
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• 2021

Purpose: The purpose of this article is to clearly describe research trends on health life expectancy using oral health indicators that have been published from 2010 to 2020 then suggest the direction of future research. Methods: Online academic databases in English (PubMed, Web of Science and Embase) were used to find those articles by applying a variety of keywords, including terms (adjusted life year, adjusted life expectancy, dental and oral). We identified relevant articles based on the following classification method of Mathers: (1) health gaps, (2) health expectancies. Results: Among 1,728 articles from the online databases, the final 13 studies satisfied the inclusion criteria and were selected for analysis. Health life expectancy studies indicate that research growth was recently achieved overseas. Among the literature collected in this study, 10 studies using health gap indicators yielded seven Disability-Adjusted Life Year (DALY), and three calculated Quality-Adjusted Life Year (QALY), which differed in the nature of the survey data used in the study measuring DALY and QALY. There are only three health expectancies and the number of papers were smaller than the health gap study. Conclusion: Establishing a foundation to calculate health life expectancy indicators through the development and improvement of oral health level are needed. More studies in the area of health life expectancy estimation research is based on actual prevalence and oral health-related quality of life are also needed.

• 대한지역사회영양학회지
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• 제8권3호
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• pp.319-326
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• 2003

The purposes of this study were: a) to develop the a quality measurement tool for the contract-managed hospital foodservice, and b) to evaluate their performance with the developed quality measurement tool, and c) to verify the reliability and validity of the quality measurement tool. The developed quality measurement tool comprised two parts, which were foodservice management and medical nutrition care service. The foodservice management part was classified into six functional categories which were Menu, Procurement and Storage, Production and Distribution, Facility and Utility, Sanitation and Safety, and Management and Evaluation. The medical nutrition care service part indicated the medical nutrition care provided. Quality measurement tool had 91 standards and 324 indicators. The quality measurement tools were distributed to the hospital foodservice manager employed by the foodservice company. The 324 indicators were measured by foodservice manager on the 5-Likert-type scales, and then adapted to a 100 point scale. The SPSS Ver. 11.0 was used for statistical analysis. The categories whose scores were evaluated as being high were Procurement', General Sanitation', Personal sanitation' and Waste' and the categories whose scores were evaluated as being low were Diet Order Manual', Standard Recipe', Appropriateness (Facility and Utility)', Check (Facility and Utility)'and Information Management'. All the categories of medical nutrition service were evaluated as having seriously low scores. Therefore, it was necessary for the contract-managed hospital foodservice to improve its performance in the area of medical nutrition care service. For the verification of the developed quality measurement tool, the reliability obtained by calculating Cronbach's α was 0.8747, and the content validity was also proved by scrutiny of the modification of the Professional group's techniques. (Korean J Community Nutrition 8(3) : 319∼326, 2003)