This study was conducted to analyze the status radiological imaging examinations assessment in Korea medical institutions conducted in the public sector and suggest a direction for improvement. Among the assessment of medical institutions, the main assessment related to radiographic imaging examinations are the certification evaluation of medical institutions and the adequacy assessment of radiographic imaging examinations. The certification evaluation of medical institutions evaluates the image inspection operation process, provision of accurate results, and compliance with safety management procedures. In the assessment of adequacy of radiographic imaging examinations, structural indicators related to manpower and equipment, patient evaluation implementation rate, and exposure reduction programs were included. However, for safer and higher-quality radiological imaging examinations, it is necessary to increase the participation rate of medical institutions in certification evaluations. In addition, it is necessary to improve the manpower indicator, and incentive payments can be considered to induce quality improvement of medical institutions in the future. Integrated management of radiation exposure at the national level should also be carried out simultaneously.
This study explored the impact on the DRG(Diagnosis-Related Groups)-based prospective payment system(PPS) operated by voluntarily participation providers. We analyzed whether the provides in the DRG-based PPS and in traditional fee-for-service(FFS) systems showed different the degree of variation in length of stay(LOS), and the providers' behaviors depending on the differences according to the varied participation periods. The study sample included all data 2,061 institutions participated in DRG-PPS in 2007 and all cases 473 FFS institutions which reported fee-for-service claims were reviewed same diagnosized diseases at least 10cases claims during three months We compared the differences of the LOS among health care institutions according to their type, region, and size. For DRGs showing significant differences in LOS, multiple regression analyses were performed to find out factors associated with LOS and interaction effect participation and hospital types or participation periods. The result provide the evidence that the DRG payment system operated by volunteering health care institutions had impact on resources use, which can reduce the institutions' the length of stay. While some DRGs had no correlation between participation periods and LOS, other DRGs, DRG participation period reversely linear relationship with LOS. That is to say, the longer participation year, the less reducing the LOS. These results support the future expansion of the DRG-based PPS plan to all health care services in Korea.
The Journal of the Institute of Internet, Broadcasting and Communication
/
v.20
no.6
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pp.151-156
/
2020
Various institutions provide various welfare-related services, and accordingly, the quantity and quality of welfare-related services are improved. Along with the improvement of welfare services, the rate of fraudulent and redundant supply and demand due to inappropriate applicants is also increasing. In particular, in the case of similarly promoted projects by various institutions, confirmation of duplicate applications may be insufficient due to system inconsistency between institutions and delays in qualification verification, which may result in duplicate supply and demand. In this paper, in order to prevent the redundant supply and demand related to welfare service similar projects in various institutions, the problem of data management and sharing between institutions was reviewed and a method of applying blockchain technology was proposed step by step. Through the proposal of this paper, transparent data management of recipients is possible, and through this, trust-based welfare benefit management will be possible.
The purpose of this study was to explore the ideas about mother's school-age child rearing that are represented on cyber space. The method used for this study was content analysis and the data consisted of articles about mother's school-age child rearing on the Hitel bulletin board during 1 year in 2003. It was found that these articles dealt with problems of practice in teaching, counseling, nurturing, interfacing between home and social institutions, and disciplining. For example, 410 articles put great emphasis on teaching. 262 on the child's cognitive development, 208 on counseling with children, especially about school related matters, and 127 on interfacing between home and social institutions(especially school), From these results, we might conclude that many mothers gave their children school related care.
Objectives : This study aimed to analyze the trends in research and development projects related to herbal medicine and natural products in the field of traditional Korean medicine (TKM) over the past 20 years. Methods : Research projects were identified using "Korean medicine" as the subject heading in the National Science and Technology Information Service. The included projects investigated Korean medicine, natural products, or were related to the TKM industry. Data pre-processing and network analysis were performed using Python and Networkx package, and the network was visualized using the ForceAtlas2 visualization algorithm. Results : 1. Over the study period, 4,020 projects were conducted with a research budget of KRW 835.2 billion. Seven institutions performed over 100 projects each, accounting for 2.4% of all participating institutions, and the top 10 institutions accounted for 58.9% of total projects. 2. Obesity was the most frequently mentioned disease-related keyword. Chronic or age-related diseases such as diabetes, osteoporosis, dementia, parkinson's disease, cancer, inflammation, and asthma were also frequent research topics. Clinical research, safety, and standardization were also frequently mentioned. 3. Centrality analysis found that obesity was the only disease-related keyword identified, alongside TKM-related keywords. Standardization, safety, and clinical trials were identified as central keywords. Conclusions : The study found that research projects in TKM have focused on standardizing and ensuring the safety of herbal medicine, as well as on chronic and age-related diseases. Clinical studies aimed at verifying the effectiveness of herbal medicine were also frequent. These findings can guide future research and development in herbal medicine.
Journal of the Architectural Institute of Korea Planning & Design
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v.36
no.3
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pp.21-30
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2020
This study explores institutions that provide comprehensive services to senior citizens, including welfare, healthcare, and housing support. These institutions can be defined as centers that offer continual care and carry out policies related to senior citizens. In such institutions, senior citizens have access to information about aging and senior services. First, this study reviewed prior research on senior comprehensive support institutions and their accessibility, and the data led to several findings about the needs of the senior citizens and the proper locations of senior comprehensive support institutions. And this study used surveys to gather information on senior citizens' perceptions of services at such institutions. The survey results indicated that the elderly agreed with the priorities of comprehensive support institutions, and that it would be more convenient to visit such institutions if there were more than one per Dong (administrative district of Seoul). In response to these results, the ideal radius of each administrative district in the metropolitan area of Korea was investigated. Finally, the study also discussed the adequacy of this distance in comparison to that of current institutions in Japan. Combining these results, the study concludes that comprehensive support institutions for the citizens should be created and suggests appropriate distances and locations of such institutions.
Purpose: To identify the importance and performance levels of health management duties, work-related and general attributes of health managers in medical institutions and analyze their impact on the performance of managing health-care related tasks. Methods: This research identified the performance levels of 150 health managers who have been executing industrial health-related duties for more than six months as nurses in medical institutions with more than 30 hospital beds. The variables which affect their performances were then analyzed. Results: The average importance of health care duties was 8.1 out of 10 and 5.5 for performance levels. Multi-regression analysis on the variables affecting performance levels of health managers in medical institutions showed that health managers exhibit higher numbers under the following conditions: over 300 full-time employees, more than 1 year but less than 3 years of experience, positions above section chief level, affiliation to the safety and health department, and high perception of duty importance. Conclusion: Improved cognizance of health manager importance should occur initially; then, health-care center setup, assigning of exclusive occupational health managers, and organizational efforts to improve the working environment in tandem with the provision of educational training programs to improve work quality are necessary.
The objective of this research is to provide more reliable and accurate unit factor of water amount by investigating of informations related to various educational institutions such as elementary, middle, high schools and university. In order to estimate the water demand of educational institutions, first of all, the informations such as building area, site area, total school population, and water amount of various educational institutions are investigated to estimate the water unit factor. In this research, we used the total population of students and teachers to estimate the water demand of educational institutions. The results of unit factors of this research are as follows: 1) The elementary school is $0.027983m^3/person{\cdot}day$, 2) middle school: $0.024106m^3/person{\cdot}day$, 3) high school: $0.041415m^3/person{\cdot}day$, 4) specialized high school (science high school and foreign language high school): $0.156938m^3/person{\cdot}day$ and 5) university: $0.033766m^3/person{\cdot}day$. Finally, these water amounts calculated by unit factors were compared with real water amount of educational institutions.
Radiologic technologists working at the second and third medical institutions are classified as radiation-related workers and radiation workers according to their working departments, and are subject to double regulation by the Ministry of Health and Welfare and the Nuclear Safety Commission. We will try to understand the system of dualization and to understand the investigation of recognition. The dualized system of radiation-related workers and radiation workers includes the difference in name and terminology, the effective dose limit, the maintenance education and training of radiologic technologists, the period of medical examination, the radiation zone, dose of the woman whose pregnancy is confirmed in radiologic technologists, the qualification criteria of the safety officer, and the period of the regular inspection of the radiological equipment. In the questionnaire survey on the dualization system, there were various items showing significant differences between the radiation-related workers and radiation workers Overall, the radiation workers were more aware of the radiation workers' education and related terms than the radiation-related workers.
Purspose: The purpose of this study is to examine the meaning and definition of vulnerable subjects in clinical trials in light of domestic and international regulations and guidelines, to analyze the contents of standard operation procedures (SOPs) among advanced general hospitals in Korea that conduct clinical trials, and to examine deliberation procedures for operation plans. Methods: The study examined how vulnerable research subjects were defined and described in related regulations and the classification of vulnerable research subjects presented in the IRB/HRPP SOPs of 18 clinical trial institutions, including 11 AAHRPP-accreditated general hospitals in Korea, as well as the operation of the IRB deliberation. Results: Among all domestic and international regulations and guidelines, only the The Council for International Organization of Medical Sciences (CIOMS) guidelines explain why vulnerability is related to judgments on the severity of physical, psychological, and social harm, why individuals are vulnerable, and for what reasons. However, the classification of vulnerable subjects by institutions differed from the classification by the International Conference on Harmonization-Good Clinical Practice (ICH-GCP). A total of the 16 institutions classified children and minors as vulnerable research subjects. 14 institutions classified subjects who cannot consent freely were classified as vulnerable subjects. 15 institutions classified sujects who can be affected by the organizational hierarchy were classified as vulnerable subjects. Subjects in emergency situations were regarded as vulnerable research subjects in 8 of institutions, while people in wards, patients with incurable diseases, and the economically poor including the unemployed were categorized as vulnerable research subjects in 7, 4, and 4 of institutions, respectively. Additionally, some research subjects were not classified as vulnerable by ICH-GCP but were classified as vulnerable by domestic institutions 15 of the institutions classified pregnant women and fetuses as vulnerable, 11 classified the elderly as vulnerable, and 6 classified foreigners as vulnerable. Conclution: The regulations and institutional SOPs classify subjects differently, which may affect subject protection. There is a need to improve IRBs' classifications of vulnerable research subjects. It is also necessary to establish the standards according to the differences in deliberation processes. Further, it is recommended to maintain a consistent review of validity, assessment of risk/benefit, and a review using checklists and spokeperson. The review of IRB is to be carried out in a manner that respects human dignity by taking into account the physical, psychological, and social conditions of the subjects.
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