• 제목/요약/키워드: Service Impact Assessment

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Korean National Health Insurance Value Incentive Program: Achievements and Future Directions

  • Kim, Sun-Min;Jang, Won-Mo;Ahn, Hyun-Ah;Jeong, Hyang;Ahn, Hye-Sook
    • Journal of Preventive Medicine and Public Health
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    • 제45권3호
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    • pp.148-155
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    • 2012
  • Since the reformation of the National Health Insurance Act in 2000, the Health Insurance Review and Assessment Service (HIRA) in the Republic of Korea has performed quality assessments for healthcare providers. The HIRA Value Incentive Program (VIP), established in July 2007, provides incentives for excellent-quality institutions and disincentives for poorquality ones. The program is implemented based on data collected between July 2007 and December 2009. The goal of the VIP is to improve the overall quality of care and decrease the quality gaps among healthcare institutions. Thus far, the VIP has targeted acute myocardial infarction (AMI) and Caesarian section (C-section) care. The incentives and disincentives awarded to the hospitals by their composite quality scores of the AMI and C-section scores. The results of the VIP showed continuous and marked improvement in the composite quality scores of the AMI and C-section measures between 2007 and 2010. With the demonstrated success of the VIP project, the Ministry of Health and Welfare expanded the program in 2011 to include general hospitals. The HIRA VIP was deemed applicable to the Korean healthcare system, but before it can be expanded further, the program must overcome several major concerns, as follows: inclusion of resource use measures, rigorous evaluation of impact, application of the VIP to the changing payment system, and expansion of the VIP to primary care clinics.

Key Factors Affecting Intention to Order Online Food Delivery (OFD)

  • SAN, Sing Su;DASTANE, Omkar
    • 산경연구논집
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    • 제12권2호
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    • pp.19-27
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    • 2021
  • Purpose: This study investigated the impact of key factors such as service quality, perceived benefit and brand familiarity on a consumer's intention to order online food delivery (OFD). In addition, mediating effect of electronic word of mouth (e-WOM) between relationships among selected key variables and OFD purchase intention is also assessed. Research design, data and methodology: This explanatory, quantitative study employed convenience sampling and collected data through online structured questionnaire from 304 respondents who are users of OFD apps based in greater Klang valley region of Malaysia. The data was then subjected to normality and reliability assessment followed by confirmatory factor analysis, validity assessment and structural equation modelling using IBM SPSS AMOS 24.0. Results: Findings revealed that service quality, perceived benefits and brand familiarity affects purchase intention positively and significantly. Perceived benefits demonstrated highest impact on purchase intention followed by brand familiarity and service quality. Findings also suggest that e-WOM fully mediates relationship between brand familiarity and purchase intention, however, the same was not observed for remaining two variables. Conclusions: The study has enriched OFD literature by investigating impact of selected key factors on purchase intention in the context of OFD. Implications, limitations and future research avenues are then discussed.

환경영향평가 정보지원시스템의 지형공간정보 서비스의 활용성 개선 (The Improvement for Geo-spatial Information Utilization of Environment Impact Assessment Supporting System)

  • 장훈;전형진
    • 대한공간정보학회지
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    • 제21권1호
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    • pp.45-52
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    • 2013
  • 환경영향평가 정보지원시스템은 환경영향평가 관련 정보의 다양화, 최신화 및 질적 향상, 그리고 평가서 및 협의 의견 등의 자료를 데이터베이스화를 통하여 평가서 작성의 기간단축 및 사회적 비용절감과 안정적인 서비스를 제공하여 사용자의 편이를 제공하여 환경평가제도 운영의 효율성을 극대화하기 위하여 추진되고 있다. 이 연구에서는 본 시스템의 지리정보서비스를 소개하고 사용자들의 편의성 향상과 서비스 지원범위 확대 등을 위하여 시스템 사용자의 설문조사를 통한 지리정보서비스의 활용성 개선방안을 제시하고자 수행하였다. 지리정보의 자료 업데이트 관련한 개선방안으로 환경공간정보의 자료수집, 구축, 그리고 활용을 위한 일원화된 인벤토리 구축을 위하여 데이터하우스의 단계별 유통 및 연계방안을 수립하여 제시하였다.

궤도차량 탑재장비의 진동 내구성 평가를 위한 시험수준 결정방법 연구 (Determining Vibration Qualification Level for the Equipment Loaded Inside a Tracked Vehicle)

  • 최창하
    • 환경영향평가
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    • 제4권2호
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    • pp.123-130
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    • 1995
  • The equipment composed of many complicated electronic stuffs undergoes diverse stresses caused by mechanical vibrations during its service. Thus, to ensure its proper operation in the field a simulated vibration test has to be carried out in the laboratory with the Vibration Qualification Level, the test specification, which can include the real environment. In this paper we intent to deal with method and procedure for determining the Vibration Qualification Level so as to estimate the vibration-endurance for the equipment precisely.

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A Study on Establishing an Ecosystem Service Evaluation System in Response to Climate Change Focusing on Garden Value Evaluation Indicators

  • Yejin Park;Yunmi Park;ChangKeun Park
    • Asian Journal of Innovation and Policy
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    • 제12권3호
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    • pp.277-303
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    • 2023
  • The importance of ecosystem service such as green spaces has risen due to restrictions on outdoor activities amid the climate crisis and COVID-19. While gardens significantly impact economic development, quality of life, and social well-being, comprehensive studies on their multidimensional values are lacking. This research categorizes garden values into social, cultural, environmental, and health dimensions and proposes an integrated assessment framework that introduces detailed elements and evaluation methods. An empirical assessment of carbon storage index in two Korean gardens, Semiwon and Juknokwon, reveals Semiwon's higher carbon storage per unit area. The proposed framework, emphasizing a quantitative approach, enables cross-national and regional comparisons, contributing to a broader understanding and evaluation of garden values beyond specific facilities.

자연공원지역 사찰쓰레기의 특성평가 (Assessment of the Characteristics of Temple Wastes in Natural Parks)

  • 이병인
    • 환경영향평가
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    • 제17권5호
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    • pp.263-270
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    • 2008
  • The purpose of this study was to investigate the characteristics of the temple wastes and suggest the waste management guidelines for temples in natural parks. Study results revealed four important findings. First, it was found that the average quantity of the total temple wastes was 85,786g/day which was composed of general wastes(44,617g/day), food wastes(20,292g/day), recycling wastes(20.825g/day), and buddhist service wastes(60g/day). The average generation per capita of the temple wastes was 1,511g/capita day and the average bulk density was 0.102kg/l. Second, the food scrap was of small quantity(72.5g/day) because the traditional buddhist eating method, "Baru meal(鉢盂供養)" prohibits food abuse. This amount is very little compared to that produced in the general household in Korea. Third, the average quantity of the buddhist service wastes was 300-1,650g/one time. This wastes occupied 0.07% of the total temple wastes. Fourth, the average waste generated by visitors was 182.8g/person, which occupied 87.1% of the total temple wastes and costed 52,100,000 Wons to treat.

환경공간정보를 이용한 수도권의 수자원 공급과 기후완화 기능을 위한 도시림의 생태계서비스 평가 (Ecosystem Service Assessment of Urban Forest for Water Supply and Climate Mitigation of Seoul Metropolitan Area)

  • 이수정;유소민;함보영;임철희;송철호;김문일;김세진;이우균
    • 대한원격탐사학회지
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    • 제33권6_2호
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    • pp.1119-1137
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    • 2017
  • 본 연구는 서울과 경기도 지역 도시숲의 수자원 공급 생태계서비스와 기후완화 생태계서비스를 평가하였다. 생태계서비스를 자연기능기반 서비스, 산림의 자연기능과 인구분포를 고려한 생태계서비스, 산림의 자연기능과 수혜자 분포를 고려한 생태계서비스의 세 가지 서비스로 구분하여 평가하고, 이후 기후변화가 생태계서비스에 미치는 영향을 평가하였다. 평가 결과, 토지피복과 토양 등 자연조건을 반영한 도시림의 수자원 공급서비스의 경우, 경기도가 서울보다 높은 서비스를 제공하는 것으로 나타났으며, 지역별 인구분포를 추가적으로 반영한 서비스 평가에서는 인구가 많은 곳에서 서비스가 높게 나타나는 양상을 보였다. 그러나 도시림의 수자원 수혜자 분포를 추가로 반영한 수자원 공급 생태계서비스 평가 결과는 인구분포를 반영한 서비스 평가 결과와 공간적으로 다르게 나타났다. 같은 수원함양 기능을 가진 지역이라도 인구분포나 물 사용 수혜자의 분포가 많은 지역일수록 높은 서비스 결과가 나타났다. 또한 기후변화가 수자원 공급 생태계에 서비스에 미치는 영향을 평가한 결과, 기후변화에 따른 수자원 공급 서비스는 평균적으로 26%정도 줄어들어 전반적인 수자원 공급 생태계서비스가 낮아지는 경향을 보였다. 기후완화부문의 경우, 산림으로부터 가까운 거리에 있을수록 높은 온도저감 효과가 나타나 산림주변지역에서 높은 기후완화서비스가 나타났으며, 기후 완화 서비스의 수혜자 인구를 고려한 생태계서비스 평가에서는 수혜인구의 밀도가 높은 서울 도심지역에서 높은 서비스가 나타났다. 기후변화에 따른 산림 생장량 변화를 반영하여 산림의 기후완화 생태계서비스의 변화를 평가한 결과, 평균적으로 약 33%의 서비스 감소가 나타났다. 본 연구의 결과는 도시림을 관리하기 위해서 산림청에서 제시하고 있는 공급기능기반의 6가지(자연환경보전, 산지재해방지, 목재생산, 산림휴양, 생활환경보전, 수원함양) 기능구분 외에 서비스를 수혜하는 수요자 기반의 기능 및 서비스가 평가의 필요성을 제시한다. 이는 기존의 산림의 공급기능기반의 평가에서 간과할 수 있는, 자연기능은 낮지만 수혜를 받는 시민들이 많아 높은 서비스 가치를 갖는 산림을 재평가하고 올바른 관리 계획을 수립하는데 기여할 수 있을 것으로 판단된다.

환경영향평가시 도로교통소음예측에 관한 개선방안 연구 (A Study on the Improvement of the Road Traffic Noise Prediction for Environmental Impact Assessment)

  • 이내현;박영민;선우영
    • 환경영향평가
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    • 제10권4호
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    • pp.297-304
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    • 2001
  • Recently the road traffic noise has appeared as a significant environmental issue because of dramatic increase of vehicles and expansion of newly constructed road. Therefore, this study proposes the method that improves prediction factors and models through analysis of the existing road traffic noise prediction model. Prediction factors can be improved by establishing guideline for diffraction attenuation and applying daily traffic discharge, peak traffic discharge, and average traveling speed through an analysis of level service. Prediction must be made by periods of one or five years during 20 years. Prediction models also can be improved to include better prediction model through setting the database, establishing functional relation between physical properties and noise levels by acoustic analysis, and developing models for road traffic noise prediction in residential areas.

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선별급여 도입이 위암수술의 건강보험 진료비 및 진료행태에 미치는 영향 (Impact of Selective Health Benefit on Medical Expenditure and Provider Behavior: Case of Gastric Cancer Surgery)

  • 조수진;고정애;최연미
    • 보건행정학회지
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    • 제26권1호
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    • pp.63-70
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    • 2016
  • Background: Selective health benefit was introduced for decreasing economic burden of patients. Medical devices with economic uncertainty have been covered as selective health benefit by National Health Insurance since December 2013. We aimed to analyze impact of selective health benefit to medical expenditure and provider behavior focused on electrosurgery (ultrasonic shears, electrothermal bipolar vessel sealers) for gastric cancer patients covered since December 2014. Methods: We used the National Health Insurance claims data of 2,698 patients underwent gastric cancer surgery between August 2014 and March 2015. Medical cost and patient sharing per inpatient day were analyzed to verify that covering electrosurgery increased medical expenditure and changed provider behavior from open surgery to endoscopic or laparoscopic surgery. Additionally, we analyzed the claim rate of medical device or goods relating gastric endoscopic and laparoscopic surgery. Results: Medical cost and patient sharing per inpatient day were increased after covering electosurgery as selective health benefit (39,724/1,421 won). However, there were no medical expenditure increases after adjusting claim of electosurgery and patient sharing was decreased 1,057 won especially. The coverage of selective health benefit did not increase the claim rate of medical device or goods related endoscopic or laparoscopic surgery, either. Conclusion: Covering electosurgery decreased patient economic burden and did not change of provider behavior. Expanding selective health benefit is needed to decrease economic burden of severe patients. Further study should evaluate the long term effect with accumulated data.

Research on the evaluation model for the impact of AI services

  • Soonduck Yoo
    • International Journal of Internet, Broadcasting and Communication
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    • 제15권3호
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    • pp.191-202
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    • 2023
  • This study aims to propose a framework for evaluating the impact of artificial intelligence (AI) services, based on the concept of AI service impact. It also suggests a model for evaluating this impact and identifies relevant factors and measurement approaches for each item of the model. The study classifies the impact of AI services into five categories: ethics, safety and reliability, compliance, user rights, and environmental friendliness. It discusses these five categories from a broad perspective and provides 21 detailed factors for evaluating each category. In terms of ethics, the study introduces three additional factors-accessibility, openness, and fairness-to the ten items initially developed by KISDI. In the safety and reliability category, the study excludes factors such as dependability, policy, compliance, and awareness improvement as they can be better addressed from a technical perspective. The compliance category includes factors such as human rights protection, privacy protection, non-infringement, publicness, accountability, safety, transparency, policy compliance, and explainability.For the user rights category, the study excludes factors such as publicness, data management, policy compliance, awareness improvement, recoverability, openness, and accuracy. The environmental friendliness category encompasses diversity, publicness, dependability, transparency, awareness improvement, recoverability, and openness.This study lays the foundation for further related research and contributes to the establishment of relevant policies by establishing a model for evaluating the impact of AI services. Future research is required to assess the validity of the developed indicators and provide specific evaluation items for practical use, based on expert evaluations.