• Title/Summary/Keyword: Resource Classification system

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Development and Evaluation of Korean Ambulatory Patient Groups (한국형 외래환자분류체계의 개발과 평가)

  • Park, Ha-Young;Kang, Gil-Won;Koh, Young
    • Health Policy and Management
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    • v.16 no.1
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    • pp.17-40
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    • 2006
  • With the prospect of rapidly growing health insurance expenditures, particularly spending for ambulatory care, the introduction of a case-based payment method is discussed as an alternative to the current fee-for-service based method. A system to measure case mixes of providers is a core component of such payment systems. The objective of this study were to develop a classification system for ambulatory care, Korean Ambulatory Patient Group (KAPG) based on the U.S. APG version 2.0 and to evaluate the classification accuracy of the system. A database of 64,258,386 records was constructed from insurance claims submitted to the Health Insurance Review Agency (HIRA) during three months from August 2002. A total of 41,347,307 records with a single visit was used for the development and 7% random sample of the database was used for the evaluation. Additional groups were defined to include both physician and hospital fees in the classification, age splits were added to classify the entire population as well as the population older than 65, and the definition of medical groups used by the HIRA was adopted. The variance reduction in charges achieved by KAPGs was computed to evaluate the accuracy of classification. A total of 474 KAPGs was defined compare to 290 groups in the U.S. APG. The variance reduction for charges of all visits ranged from 20% to 37% depending on the type of provider, and ranged from 22% to 42% for non-outliers, that were better than those achieved by the system currently used by the .HIRA for its internal review purpose. Although further study is required to improve the classification for complicated care in larger hospitals, the results indicated that KAPGs could be used for better management of costs for ambulatory care.

Evaluation of the Homogeneity of Korean Diagnosis Related Groups (한국형진단명기준환자군 분류체계의 동질성 평가)

  • Kim, Hyung Seon;Lee, Sun Hee;Nam, Chung Mo
    • Health Policy and Management
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    • v.23 no.1
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    • pp.44-51
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    • 2013
  • Background: This study designed to evaluate the homogeneity of Korean diagnosis related group (KDRG) version 3.4 classification system. Methods: The total 5,921,873 claims data submitted to the Health Insurance Review and Assessment Service during 2010 were used. Both coefficient of variation (CV) and reduction in variance of cost were measured for evaluation. This analysis was divided into before and after trimming outliers at the level of adjacent DRG (ADRG), aged ADRG (AADRG) split by age, and DRG split by complication and comorbidity. Results: At the each three level of ADRG, AADRG, and DRG, there were 38.9%, 38.7%, and 30.0% of which had a CV > 100% in the untrimmed data and there were 1.4%, 1.4%, and 1.9% in the trimmed one. Before trimming outliers, ADRGs explained 52.5% of the variability in resource use, AADRGs did 53.1% and DRGs did 57.1%. The additional explanatory power by age and comorbidity and complication (CC) split were 0.6%p and 4.6%p for each, which were statistically significant. After trimming outliers, ADRGs explained 75.2% of the variability in resource use, AADRGs did 75.6%, and DRGs did 77.1%. The additional explanatory power were 0.4%p and 2.0%p for each, which were statistically significant too. Conclusion: The results demonstrated that KDRG showed high homogeneity within groups and performance after trimming outliers. But there were DRGs CV > 100% after age or CC split and the most contributing factor to high performance of KDRG was the ADRG rather than age or CC split. Therefore, it is recommended that the efforts for improving clinical homogeneity of KDRG such as review of the hierarchical structure of classification systems and classification variables.

Information retrieval system for efficiency of getting information about construction (건설자재 정보 제공의 효율성을 위한 정보검색체계 연구)

  • Oh, Yong-Seok;Song, Jeong-Hwa;Oh, Kun-Soo
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2008.04a
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    • pp.231-234
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    • 2008
  • Each corporation isn't consistent because of offering specific information for publicity. It spends considerable labor force and time surfing of the material information and choosing need material. That's the reason it's different with material information and choice system between production and marketing corporation. Among lots of material information, some of them are used by offering material information simplify. So it is demanded necessity of reasonable material choice system. That system helps it choose a material more easily. So we studied about the information retrieval system of reasonable material choice through the study about assortment system of material information and material choice method. It's the basic study for the suggestion of reasonable material choice system. According to this study, if that system is suggested and realized, we can overcome from the system of typical and repeatable at every course of architecture during several times. It will be helpful to increase about the productivity of architecture as the minimization of time, labor, resource and cost for the material choice.

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Definition of Traditional Knowledge and Development of a Tool for the Classification of Korean Traditional Knowledge Resources (전통지식의 개념과 한국전통지식자원 분류도구 개발)

  • Ahn, Yoon-Soo;Kim, Mi-Hee;Ahn, Ok-Sun
    • The Korean Journal of Community Living Science
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    • v.17 no.4
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    • pp.15-27
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    • 2006
  • Most countries recognize traditional knowledge as an economical resource in recent years, and so are actively participating in WIPO discussions for making sure of their intellectual property rights. In this study, the definition of traditional knowledge was discussed for making clear its categories and relative subjects. A tool for Korean Traditional Knowledge Resource Classification(KTKRC) was developed for putting the data of the resources in order, and was indispensable for searching for and examining cultural artifacts within the system of international intellectual property rights. KTKRC covers comprehensively our various traditional knowledge resources and has a similar structure to IPC for international searching, examining, and information exchange. KTKRC consists of a section of traditional knowledge(A), and three subsections: production technology(A0), living technology(A2) and creative technology(A4). The subsections include 8 classes, 28 subclasses, 105 groups, and a great number of subgroups.

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StrokePortal: a Complete Stroke Information Resource Based on Oriental and Western Medicine

  • Kim, Jin-Ho;Kim, Young-Uk;Bang, Ok-Sun;Cha, Min-Ho;Park, Young-Kyu;Lee, Sun-Young;Kim, Young-Joo
    • Interdisciplinary Bio Central
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    • v.2 no.3
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    • pp.7.1-7.3
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    • 2010
  • Stroke, also called an attack on the brain, is a complex disease that results from the interaction of many genetic and environmental factors. StrokePortal is a comprehensive resource for information on stroke that integrates and provides essential findings regarding stroke pathology, diagnostics, and treatments, based on Oriental and Western medicine. The stroke information was collected from various sources, such as journal articles, books, websites, and news stories, and it was refined, classified, and stored into a relational database system by automatic classification and manual curation. To provide the stored information effectively to users, a specialized retrieval system, based on web interfaces, was implemented. StrokePortal provides cutting-edge information to experts; interested people, including patients and their families; and investigators to broaden their knowledge of effective treatments for patients and offer many preventive measures. It provides a specialized feature with which users can upload their information and opinions to StrokePortal, which will enrich and mature the content even further. StrokePortal is freely accessible at http://genomics.kribb.re.kr/StrokePortal/.

Revision and Evaluation of Korean Outpatient Groups-Korean Medicine (한의 외래환자분류체계 개선 및 평가)

  • Ryu, Jiseon;Lim, Byungmook;Lee, Byungwook;Kim, Changhoon;Han, Chang-Ho
    • The Journal of Korean Medicine
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    • v.35 no.3
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    • pp.93-102
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    • 2014
  • Objectives: This study aimed at revising the Korean Out-patient Groups for Korean Medicine (KOPG-OM, version 1.0) based on clinical similarity and resource use, by using the accumulated claims data, and evaluating the validity of the revised classification system. Methods: A clinical specialist panel involving 19 specialists from 8 Korean medicine (KM) specialty areas reviewed the classification tree, diagnosis groups and procedure groups in terms of clinical similarity. Several models of outpatient grouping were formulated, with the validity of each tested based on the $R^2$ coefficient of determination for the treatment costs of all visits. To add age splits, the variances of treatment costs by age groups were also analyzed. These statistical analyses were performed using KM claims data of National Health Insurance from 2010 to 2012. Results: The classification tree designed via panel discussions was used to allocate outpatient cases to 26 diagnosis groups, with cases involving procedures such as acupuncture, moxibustion and cupping, then allocated to 9 procedure groups in each diagnosis group. The cases without procedures were categorized into the visit index - medication group. This process resulted in 298 outpatient groups. The $R^2$ values for treatment costs of all visits ranged from 0.38 to 0.69 depending on the providers' types. Conclusions: The revised model of KOPG-KM has a higher validity for outpatient classification than the current system and can provide better management of the costs of outpatient care in KM.

Development of Signature Generation and Update System for Application-level Traffic Classification (응용 레벨 트래픽 분류를 위한 시그니쳐 생성 및 갱신 시스템 개발)

  • Park, Jun-Sang;Park, Jin-Wan;Yoon, Sung-Ho;Lee, Hyun-Shin;Kim, Myung-Sup
    • The KIPS Transactions:PartC
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    • v.17C no.1
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    • pp.99-108
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    • 2010
  • The traffic classification is a preliminary but essentialstep for stable network service provision and efficient network resource management. While various classification methods have been introduced in literature, the payload signature-based classification is accepted to give the highest performance in terms of accuracy, completeness, and practicality. However, the collection and maintenance of up-to-date signatures is very difficult and time consuming process to cope with the dynamics of Internet traffic over time. In this paper, We propose an automatic payload signature generation mechanism which reduces the time for signature generation and increases the granularity of signatures. Furthermore, We describe a signature update system to keep the latest signatures over time. By experiments with our campus network traffic we proved the feasibility of our mechanism.

A Study on Classification & Description of Art Archives : Focused on "The Art Archives, Seoul Museum of Art" (예술기록에 관한 분류·기술 사례 연구 서울시립 미술아카이브를 중심으로)

  • Kim, Ji Ah
    • The Korean Journal of Archival Studies
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    • no.74
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    • pp.79-117
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    • 2022
  • In recent years, the term "art archives" has become increasingly popular, with the growing use of archives in exhibitions and program planning within domestic cultural and arts institutions. The need for art archives has been raised for reasons such as establishing the identity of art and culture and providing basic resources for academic research; however, they are now being recognized as a direct resource and service for users. Accordingly, research has also been conducted on the values, policies, and management practices of art archives in the archiving field. Nevertheless, there is a lack of research on management methodologies that can be applied to institutions that manage art archives. In particular, for the efficient use of art archives, classification, organization, and systematic management of descriptive areas must be preceded. But, There are different methods of managing art archives depending on the type of collection, the management institution, and the characteristics of the collection resources, which, in turn, makes it difficult to apply a consistent methodology for classification and description. Based on actual cases from The Art Archives, Seoul Museum of Art, this study examined the types and categories of arts, and presented the establishment of a classification system and archival description rules.

A Study of Morphometric Characteristics and Mountain Classification in Korean Mountainses (우리나라 산지의 형태적 특성과 산지분류에 관한 연구)

  • Tak, Han Myeong;Park, Sun-Yurp
    • Journal of The Geomorphological Association of Korea
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    • v.24 no.1
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    • pp.63-76
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    • 2017
  • This research was classified mountain areas with high ecological, environmental and resource value among the macro scaled terrain that can be checked at the space scale of less than 1:1,000,000 and analyzed the topographical characteristics. It has been confirmed that the mountains of the Korean peninsula belong to the groups IV, V, VI(classification by Kapos et al.(2000)) as a result of applying the quantitative standards for designation of mountain areas to the global mountain system. The area of mountains calculated using high resolution DEM is equivalent to 48% of the area of the Korean peninsula, and the result is quite different from the general idea of which 70% is the mountain area of the Korean peninsula. The mountain areas show the distribution of geomorphons, that is different from the plains and the hills and also, it shows the differences between the mountains of the groups IV~ VI classified according to the altitude. As a result of analyzing the relations among type pattern, slope, and relief, specific geomorphons are concentrated at $10^{\circ}$ and $20^{\circ}$ and it shows the possibility to classify the mountainous areas into two groups based on the result that the distribution of landform patterns are bimodal in the relation to the amount of relief.

Estimation of nursing costs for hospitalized patients using the resource-based relative value scale (상대가치(Resource-Based Relative Value)를 이용한 간호행위별 간호원가 산정)

  • Park, Jung-Ho;Song, Mi-Sook;Sung, Young-Hee;Cho, Jung-Sook;Sim, Won-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.5 no.2
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    • pp.253-280
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    • 1999
  • A cost analysis for hospitalized patients was performed based on the RBRVS in order to determine an appropriate nursing fee schedule. The study was conducted through three phases as follows: 1) Nursing activities provided for the inpatients currently in Korea were identified and classified using a taxonomy which was developed by our research team through the Delphi process. 2) The resource-based relative points for every nursing activity according to nursing time, mental effort and judgement, technical skill, physical effort and stress were determined through a survey of 300 clinical RNs working at 5 tertiary hospitals from May 25 to July 25. 1998. 3) The nursing cost of every nursing activity for hospitalized patients was estimated based on the RBRVS. As a result, 136 nursing activities were identified and classified by nursing processes and nursing domains. However, our classification system of nursing activities should continue to be refined, and all nursing practices should be standardized. The nursing activities were given resource-based relative points ranging from 100 to 400 points, then each nursing activity was assigned a value for the RBRVS, which was determined by the exponential function of 2resource-based relative point/100. Thus, a value of 2 was calculated for 100 points, 4 for 200 points, 8 for 300 points, and 16 for 400 points. Meanwhile, the unit cost of nursing was calculated as 170 Won. The nursing cost of 136 nursing activities was estimated using the RBRVS as shown in

    . A proper nursing fee schedule for a new reimbursement system based upon the results of the above study should be prepared in the near future.

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