• 보건행정학회지
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• 제19권3호
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• pp.1-26
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• 2009

Objectives : To identify target areas and set priorities among those areas identified for national quality evaluation. Methods : Target areas were identified from: i) analysis of the national health insurance claims data, mortality and prevalence data ii) various group surveys, including representatives from 22 medical specialty associations, 19 physician associations, QI staffs in hospital, civil organizations, and commissioners of Health Insurance Review and Assessment Service(HIRA) ⅲ) literature reviews and RAM(RAND/UCLA appropriateness method). The priority areas for national quality evaluation represented the full spectrum of health care and the entire life span. The criteria for selecting the priority areas were impact, improvability, and measurability. The priority areas were divided into three categories : short-term, mid-term, long-term. Results: Based on the group surveys and the data analysis, 46 candidates were selected as quality evaluation priority areas. 13 areas were selected as having a short-term priority areas: tuberculosis, community acquired pneumonia, stroke, ischaemic heart disease, diabetes, hypertension, chronic lower respiratory disease(asthma, chronic obstructive pulmonary disease), intensive care unit, emergency room, nosocomial infection, use of antibiotics, multiple medication and renal failure. This results suggested that we need to enlarge the target priority areas to the chronic diseases in short-term. Conclusions: The priority areas identified from the study will assist healthcare quality associated institutions as well as HIRA in selecting quality evaluation areas. It is required to develope and implement strategies for improving the quality of care within the next 5 years.

• 농촌계획
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• 제25권2호
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• pp.23-33
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• 2019

The study aims to measure the quality of consulting services for village-building projects in rural areas. To this end, the government wanted to analyze the impact of the quality of service on residents' satisfaction and business performance in villages that are receiving consulting services. As a result of the empirical analysis of the case areas, the five-dimensional tangibles, reliability, assurance and empathy of the quality of consulting services in rural villages had a defining influence on the residents' satisfaction. And the residents' satisfaction of consulting services had a defining influence on the business performance of the village with tangibles, reliability, and assurances. The main implications presented on the basis of these results were analyzed that it was necessary to universalize the assessment of service quality, to strengthen the burden of the village on the cost of consulting services, and to induce participation through a sufficient understanding of the villagers' business.

• 정보보호학회논문지
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• 제26권4호
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• pp.973-983
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• 2016

정보시스템에 수집 이용되는 개인정보에 대한 개인정보영향평가가 법적 근거에 의해 시행된 지 2016년으로 6년차가 된다. 이에 ITSM(Information Technology Service Management)의 3대 구성요소를 기준으로 운영상의 문제점을 분석하였다. 다양한 개인정보 처리시스템에 대한 평가자로써의 역할을 수행하면서 product에 해당하는 평가 보고서의 품질 향상 방안에 대해 주된 고민을 하였고, 평가 수행 시 적용하는 보고서의 형식적 타당성을 갖추기 위한 개선안을 평가 단계별 산출물 4종을 기준으로 제시하였다. 다음으로 people에 해당하는 평가수행자에게 요구되는 능력을 GRC(Governance, Risk, Compliance)로 인식하여 개선안을 제시하였고, process인 제도 운영에 관한 개선안도 부가하였다. 2011년 개인정보보호법 제정 시 명시한, 개인정보영향평가 완료 기한인 2016년 이후에도 실효성 있는 평가제도로 정착하기 위해서는 평가자 평가기관과 주관기관이 협력하여 평가제도를 완성해가야 할 것이다.

• 대한산업공학회지
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• 제41권6호
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• pp.588-598
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• 2015

In this paper, a simulation model for assessing the impact of alternative field service engineer replenishment policies is introduced. The end-to-end supply chain simulation model is created using a discrete-event and agent-based simulation model, which enables accurate description of key individual entities in the investigated supply chain, such as field service engineers. Once the model is validated with the historical data, it is used to assess the impacts of field service engineer replenishment policies for a major printing equipment manufacturing firm.In the case study, newly proposed replenishment policies for post-sale distribution supply chain are assessed for the level of service improvement to end customers.

• 환경영향평가
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• 제3권2호
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• pp.57-67
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• 1994

The National Park should be preserved as described in the regulation. However, the development has resulted in degrading the environment in the park. Especially, the collective facility area has been developed for the commercial benefit rather than for the preservation. So, it is necessary to figure out the impact of the development plan proposed. Thus, the purpose of this study is to explore the hydrologic effects due to the collective facility area development in the National Park. The study site is the second collective facility area of Mt. Kyeryong National Park. The analysis of hydrologic effects due to the development has been carried out using the GIS in this study. The Rational Method and Soil Conservation Service(SCS) were used to estimate the runoff volume. During this procedure, GIS software, ARC/INFO was used to integrate, manipulate, and calculate the attribute value of a number of ploygons which represen each land use characteristic. A program was written to compute the attribute value of each polygon and to estimate the difference of peaktime runoff volume before and after development.

• Journal of Preventive Medicine and Public Health
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• 제52권1호
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• pp.21-29
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• 2019

Objectives: The Regional Cardiocerebrovascular Center (RCCVC) Project designated local teaching hospitals as RCCVCs, in order to improve patient outcomes of acute cardiocerebrovascular emergencies by founding a regional system that can adequately transfer and manage patients within 3 hours. We investigated the effects of RCCVC establishment on treatment volume and 30-day mortality. Methods: We constructed a panel dataset by extracting all acute myocardial infarction cases that occurred from 2007 to 2016 from the Health Insurance Review and Assessment Service claims data, a national and representative source. We then used a panel fixed-effect model to estimate the impacts of RCCVC establishment on patient outcomes. Results: We found that the number of cases of acute myocardial infarction that were treated increased chronologically, but when the time effect and other related covariates were controlled for, RCCVCs only significantly increased the number of treatment cases of female in large catchment areas. There was no statistically significant impact on 30-day mortality. Conclusions: The establishment of RCCVCs increased the number of treatment cases of female, without increasing the mortality rate. Therefore, the RCCVCs might have prevented potential untreated deaths by increasing the preparedness and capacity of hospitals to treat acute myocardial infarction patients.

• 대한통합의학회지
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• 제12권3호
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• pp.179-188
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• 2024

Purpose : The home-visiting exercise guidance service is a component of the community-based integrated care policy in District J of Busan Metropolitan City. This study aims to investigate the effects of the service provided by physical therapists on depression, pain, and balance among the elderly. Methods : Three elderly individuals were selected as study participants. Depression was assessed using the beck depression inventory (BDI) and the short geriatric depression scale-Korea (SGDS-K). Pain was evaluated using the visual analog scale (VAS). Balance was assessed using the berg balance scale (BBS), functional reach test (FRT), and timed up and go test (TUGT). The evaluation data were compared by averaging the values from the first and eighth sessions. Additionally, the overall satisfaction with the home-visiting exercise guidance service was surveyed. Results : In the depression assessment, the beck depression inventory score decreased (by 16.67±5.69 points), and the short geriatric depression scale score decreased (by 4.67±2.52 points). The visual analog scale score for pain decreased (by 2.67±0.58 points). In the balance assessment, the berg balance scale score increased (by 7.67±2.52 points), the functional reach test distance extended (by 4.67±0.58 cm), and the timed up and go test time decreased (by 5.33±0.58 s). Overall satisfaction with the home-visiting exercise guidance service was high (4.26±0.14 points). Conclusion : The home-visiting exercise guidance service received high satisfaction ratings from the participants. It was effective in reducing depression and pain while improving balance, potentially reducing fall risk factors among the elderly. These findings suggest that the home-visiting exercise guidance service, delivered by physical therapists, could significantly enhance the quality of life for elderly individuals by addressing issues related to depression, pain, and fall prevention within the community. Consequently, it is recommended that this service be continued and expanded as part of government policy.

• 보건행정학회지
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• 제31권3호
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• pp.344-354
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• 2021

Background: The purpose of this study was to analyze the effect of national health insurance coverage of Chuna therapy in April 2019 on the costs and service uses in automobile insurance. Methods: This study used the claim data from Health Insurance Review and Assessment Service. A total of 189,912 inpatients and 1,550,497 outpatients who received Chuna therapy covered by automobile insurance in oriental medical institutions were included. The analysis period was from July 2018 to December 2019, and a total of 18 months before and after April 2019, when Chuna therapy was covered by national health insurance. Interrupted time series analysis was applied to analyze the impact on the costs and service uses of Chuna therapy in automobile insurance before and after April 2019. Results: From July 2018 to December 2019, for 189,912 inpatients the cost and the number of times for Chuna therapy per capita were increased by 22.0% and decreased by 7.3% respectively right after the implementation of the policy. In the case of 1,550,497 outpatients, the cost of Chuna therapy per capita tends to be increased by 0.4% in overall study periods and increased 28.4% immediately after the implementation of the policy. Meanwhile, the number of times and visits for Chuna therapy per capita tends to be increased by 0.4% in overall study periods but decreased by 0.4% after the implementation of the policy. Conclusion: Results suggest that if the national health insurance coverage of oriental medicine services increases according to the policy stance for benefit expansion in national health insurance, the criteria for providing national health insurance benefits should be considered with the comprehensive impacts on the costs and service uses of automobile insurance.

• 한국환경복원기술학회지
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• 제24권6호
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• pp.67-87
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• 2021

Provisioning service, which is one of the ecosystem service functions, means goods and services such as food and fuel that people get from ecosystem. Provisioning functions are closely related to the primary industry, a sector of economy. Excessive demand and use of human society can cause trade-offs among regulation, cultural, and supporting services. Therefore, it is important to perform evaluation ecosystem services periodically and to monitor the time series fluctuations to identify the impact of provisioning services on other ecosystem services (trade-off) and to maintain sustainable provisioning service. When it comes to the precise assessment of provisioning service, it is necessary to get the statistical data and standardize indicators and methods. In this study, indicators and methods, which are applicable to the spatial level of national-local-protected areas, were derived through literature analysis and expert survey. The result of this study implies that provisioning services measurement by spatial level improve the efficiency of the establishment of environmental conservation plans by whose purpose.

• 환경영향평가
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• 제26권4호
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• pp.242-256
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• 2017

본 연구에서는 위험물질 누출 사고로 인한 영향을 예측하고 피해를 줄이기 위한 대응 방안으로 기상장(풍향 풍속)과 실제 도시 구조를 고려한 가상의 사고 시나리오를 구축하였다. 위험물질 확산에 대한 시나리오를 기반으로 서울시 강남 지역을 대상으로 보행자 환경에서의 위험특성을 분석하였다. 풍향과 풍속 조건에 따라 48개의 시나리오를 가정하였으며, 스칼라 물질의 확산 특성을 분석하기 위한 위험물질로써 불화수소를 가정하였다. CFD_NIMR_SNU 모델을 이용하여 모의한 기상장(풍향 풍속) 평가를 실시하여 모든 검증 지수가 유효한 범위 내에 나타남을 보였다. 보행자 고도에서 모의된 확산장 분석 결과, 도시의 인공적 구조에 의해 기상장의 조건에 따라 상세 흐름이 변화하며 위험물질이 확산되는 경향에 영향을 미치는 것을 확인하였다. 또한, 유입류의 풍속이 가장 약한 조건의 경우, 하층에서 유입방향의 역방향으로 흐름이 형성되어 보행자 고도에서의 물질 이동경로가 변화함을 보였다. 본 연구에서는 도시 지역의 난류흐름 형성에 도시의 인공적 구조가 매우 중요한 영향을 미치는 것을 보였다. 본 연구에 사용된 기술은 향후 실제 위험물질을 취급하는 도시 내 산업단지에 확산모의 실험과 보행자 환경에서의 위험성 평가에 유용할 것으로 기대된다.