• 제목/요약/키워드: Quality indicators

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의료질평가지원금 제도의 의약품안전사용서비스 평가지표 도입에 따른 의료기관의 행태 변화 (Changes in the Behavior of Healthcare Organizations Following the Introduction of Drug Utilization Review Evaluation Indicators in the Healthcare Quality Evaluation Grant Initiative)

  • 김현정;유기봉;원영주;장한솔;이광수
    • 보건행정학회지
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    • 제34권2호
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    • pp.178-184
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    • 2024
  • 연구배경: 본 연구는 의료질평가지원금 drug utilization review (DUR) 평가지표 도입 전·후의 DUR 점검률 및 의약품 중복처방 예방률 변화 차이를 비교하여 DUR 평가지표의 도입과 안전한 의약품 사용 간의 효과성을 파악하고자 한다. 방법: 본 연구는 2018년 건강보험심사평가원(Health Insurance Review and Assessment Service) DUR 자료(DUR 평가지표 도입 전)와 2023년 의료질평가지원금 평가 결과 산출 자료(DUR 평가지표 도입 후)를 활용하였다. 종속변수는 DUR 평가지표로, DUR 점검률과 의약품 중복처방 예방률 지표를 활용하였다. 독립변수는 DUR 평가지표 도입 여부이며, 통제변수는 의료기관 단위변수로, 종별 구분, 설립 구분, 소재지, DUR 청구 software 업체, 병상 수를 선정하였다. 결과: DUR 평가지표 도입 전·후의 의약품 중복처방 예방률 변화 차이를 분석한 결과, DUR 평가지표 도입 전·후의 의약품 중복처방 예방률은 통계적으로 유의미한 차이가 있었으며, DUR 평가지표 도입 후 의약품 중복처방 예방률이 유의미하게 증가하였다. 결론: 본 연구의 정책적 시사점은 다음과 같다. 첫째, DUR 시스템의 지속적인 평가 진행이 필요하다. 본 연구를 통해 DUR 평가지표 도입 후 의약품 중복처방 예방률이 유의하게 증가한 것을 확인하였다. 따라서 DUR 시스템의 효과를 계속해서 검토하고 의약품 사용의 안전성을 확대하기 위해 DUR 시스템의 지속적인 평가 진행이 필요할 것으로 판단된다. 둘째, DUR 시스템 정보를 활용하는 의료기관과 이를 관리하는 기관과의 협력 파트너십 구축이 필요하다. 의료기관의 적극적인 DUR 점검 참여와 관리기관의 다각적인 지원을 바탕으로 공동의 노력과 협력이 이루어진다면, DUR 시스템의 활성화를 통해 안전한 의약품 사용을 보장하고 국민건강을 보호하며, 의료의 질적 수준 향상을 불러올 것으로 판단된다.

QFD Model for Quality Performance Self-assessment

  • Liu, Yumin;Xu, Jichao
    • International Journal of Quality Innovation
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    • 제7권1호
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    • pp.112-127
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    • 2006
  • How to measure Quality Performance (QP) or excellence performance in organizations is very important for improving the quality of an organization's products and services. This paper takes Quality Function Deployment (QFD) as a useful tool to identify the key characteristics of quality performance and measure the influence factors on quality performance. Most national quality awards provide a framework of the criteria to show the essential elements of an organization's quality performance and get the Quality Performance Score (QPS) by self-assessment using the criteria. By means of these criteria, especially, the criteria of China Quality Award (CQA), a measurable indicator system for quality performance is set up. A four-phase QFD model of assessment for quality performance is developed. This QFD model not only presents the most important efforts for the deployment of the measurable indicators of quality performance, but also takes great advantage of evaluating the quality performance and obtaining the quality performance score. The measurable indicator hierarchy of quality performance is formed and its implementation method for assessment quality performance is described in this paper.

체제통합국 건강지표 비교를 통한 통일 후 보건의료에 대한 시사점 (The Implications on Healthcare System of the Unified Korea: Lesson from System Integration Countries)

  • 주영준;허성은;이주은
    • 보건행정학회지
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    • 제30권3호
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    • pp.301-310
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    • 2020
  • Background: In this study, we aimed to investigate the recent trends for health care indicators including maternal mortality ratio, infant mortality rate, under-five mortality rate, life expectancy, years of life lost, and healthcare resources in South Korea, North Korea, Germany, Russian Federation, Mongolia, Vietnam, China, Czech Republic, Poland, and Hungary. Methods: We used data from five sources: World Health Organization, Federal Institute for Population Research, World Bank, Organization for Economic Cooperation and Development health statistics, and national statistics. Results: In the early 1990s, health indicators continued to improve in countries that switched to the health insurance system, but the gap widened in North Korea as health indicators worsened. Conclusion: The establishment of a sustainable health care system after unification of the Korean peninsula requires substantial changes in the health care system and efforts to improve the health of North Koreans.

행복결정요인이 지역주민 건강인식에 미치는 영향 연구 (Study on Effect about The Determinants of Happiness to The Local Residents of Their Cognition of Health)

  • 남희은;백정원;류지선
    • 보건의료산업학회지
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    • 제5권4호
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    • pp.53-63
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    • 2011
  • This study focused on 'The Health' which should considered as a precondition for the local residents by reinvestigating the indicators of happiness after Young-Do ward formulate a community social welfare plan. There is purpose of this study as below. I searched an general attribute and the indicators of happiness, then looked how does results from questions about health and factors of the indicators of happiness can affects the health with some kinds of elements. Five hundred people from the inhabitants of Young-Do ward who is living in Young-Do district were separated by using the random sampling method as the subject of the study. The investigation took effect from October to November of 2010 and an investigator visited the inhabitants of a ward with structured questionnaire. An investigator had one-on-one talk with inhabitants of Young-Do ward while the investigation and I also collected the data through self-administered questionnaire as well. I found the physical elements influence in the health much more than the outside factors from the study. Higher satisfaction of their career, relationship between friends and co-workers, work environment and married life reflects the fact that higher self-contentment means high quality health level.

대학종합평가인정제 실시에 따른 대학도서관의 평가에 관한 연구 (A Study on the Evaluation of Academic Libraries in the Context of Accrediting Universities in Korea)

  • 서혜란
    • 한국문헌정보학회지
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    • 제30권1호
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    • pp.19-34
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    • 1996
  • 현행 대학종합평가인정제의 실시배경과 목적, 평가절차, 평가영역 및 부문별 가중치를 개관하였다. 대학교육협의회에서 설정한 대학종합평가 기준 가운데 대학도서관에 관련된 평가항목 및 가중치, 평가지표를 분석하고 문제점을 지적했다. 외국에서의 대학 도서관 평가의 최근 경향을 살펴보고 그것에 기초하여 현행 평가기준 중 도서관 평가와 관련한 대안을 제시하였다. 단 평가 항목에 대한 정량적 평가척도 문제는 제외하였다.

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분야별 의료 취약지 선정지표 개발 및 적용 (Development and Adjustment of Indicators for Underserved Area)

  • 곽미영;이태호;홍현석;나백주;김윤
    • 보건행정학회지
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    • 제26권4호
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    • pp.315-324
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    • 2016
  • Underserved area is a region that has a lack of healthcare resources. In the context of Korea, however, there are not enough detailed criteria for underserved areas. In this study, we aimed to develop indicators for underserved area through Delphi technique. We systematically reviewed the existing measure of underserved area. Sixty indicators were extracted as candidates across four domains in secondary medical care. Four domains are demand, medical resource, quality of care, and health outcome. To develop indicator, two round Delphi survey was conducted among 15 professional experts such as professionals and public administrators. In conclusion, 2 final indicators (accessibility, medical utilization) was determined as an appropriate measure in order to designate underserved area for secondary medical services. Using our criteria from Delphi technique, 36 areas were found as underserved areas for the secondary medical care.

특허의 정량적 지표를 활용한 스마트시티 주요기술 분석 (Analysis of Smart City Core Technology Using Quantitative Indicators of Patentes)

  • 권원진;이정훈;이남정
    • Journal of Information Technology Applications and Management
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    • 제28권4호
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    • pp.79-101
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    • 2021
  • The purpose of this research is to define detailed technologies of smart city based on excellent patents through patent analysis related to major technologies of smart city, and to use quantitative indicators to classify relatively high technology importance and identify related technologies. To achieve the purpose of the study, patent collection is conducted by reflecting literature research and expert opinions based on information related to the smart city Internet of Things/Internet of Things communication core technology. Also, DEA were used to determine the relatively high technology. The inputs and outputs used in the study used quantitative indicators to determine technical value and made up of impact assessment, performance assessment and value assessment. As a result of the analysis, various technology groups were classified into smart city-related platform technologies, information sharing technologies, and network-related technologies, and based on the results of this research, it is expected that it will be able to apply technology patents related to smart cities to research and development strategies through key detailed technologies by major technologies of Smart City.

이용자 수요를 반영한 수변 공간 개발요소와 방향설정에 관한 연구 (A Study on the Development Elements and Direction of Waterfront Reflecting User Demands)

  • 박기범
    • 한국환경과학회지
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    • 제27권11호
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    • pp.1083-1094
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    • 2018
  • In this study, we analyzed the characteristics of six waterfront users who are currently being used to select indicators for waterfront development. It can be classified into urban type, inland type and coast type according to the place where waterfront space is located. These waterfront design elements include accessibility, public activity, and waterfront characteristics. Waterfront environment involves selecting the elements for considered and examined these with resepect to the goals of the study. In terms of accessibility to most waterfronts, it is analyzed that users who are located within 30 minutes' distance of walking are most likely to use it. As shown in the satisfaction survey of this study, the unsatisfactory satisfaction of water quality and quantity was found to be low in Unam pond, and the result shows that the overall satisfaction of waterfront space is also low. In the case of Chunggye Chun, the results of the survey on weekdays showed that the office workers, such as the offices located in the surrounding area, were mainly resting places. In the case of Naesungchun, it is possible to select the indicators that can help the direction of the festival as a survey on the users during the festival period. In this study, waterfront location, purpose of use, characteristics, environment, and subdivision are presented as indicators to be considered when developing the waterfront. It is expected that the proposed indicators will be able to determine the direction of development by reflecting characteristics of users.

환경보건지표를 이용한 지역 환경보건수준 평가 사례연구 (A Case Study on the Evaluation of Environmental Health Status based on Environmental Health Indicators)

  • 정순원;이영미;홍성준;장준영;유승도;최경희;박충희
    • 한국환경보건학회지
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    • 제42권5호
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    • pp.302-313
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    • 2016
  • Objectives: This study was conducted to assess environmental health status on a local scale using environmental health-related indicators. It demonstrated the possibility of using a structural equation model, a methodological approach to provide synthesized information. Methods: Eighteen indicators were selected from official statistical data published by local governments. Each environmental health-related indicator was classified according to the PSR (pressure-state-response) model. Aggregation methods were performed using principal component analysis and fuzzy sets. Results: The five principal components were classified through principal component analysis (PCA) and obtained eigenvalues >1.0 from the initial 18 indicators. The aggregated index was obtained by condensing the original information into two broad and simple categories through fuzzy sets. Conclusion: This could be useful in that the aggregation procedure may provide a basis for establishing environmental health policies and a decision-making process. However, the availability and quality of indicators, assessment of aggregation method bias, choice of weighted scores for indicators, and other factors should be examined in future studies.