• Title/Summary/Keyword: Service Review

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Patient characteristics associated with length of stay in emergency departments (응급실 재원시간과 관련된 환자의 특성)

  • Chung, Seol-Hee;Hwang, Jee-In
    • Health Policy and Management
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    • v.19 no.3
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    • pp.27-44
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    • 2009
  • The length of stay in emergency departments has been used as a quality indicator to reflect the overall efficiency of emergency care. Identifying characteristics associated with length of stay is critical to monitor overcrowding and improve efficient throughput function of emergency departments. This study examined the level of waiting time for initial assessment by physician and length of stay in emergency departments. Furthermore, we investigated the characteristics of patients' attendance associated with length of stay. An observational study was performed for a sample of 1,526 patients visiting ten nation-wide emergency departments. A structured form was designed to collect information about patients' demographics, route of admission, time and mode of arrival, triage level, cause of attendance, initial assessment time by physician, departure time, and disposition. Multiple regression analysis was performed to determine factors associated with length of stay. The average length of stay was 209.4 minutes (95% confidence interval [CI]=197.1-221.7), with a mean waiting time for initial assessment of 5.9 minutes (95% CI=5.1-6.7). After controlling for emergency department characteristics, increasing age, longer waiting times, attendance due to diseases, higher acuity, multiple diagnoses($\geq$2) and requiring admission or transfer to other health care facilities were positively associated with length of stay in emergency departments. The findings suggest that both patients' characteristics and the flow between emergency departments and parent hospitals should be taken into account in predicting length of stay in emergency departments.

An Empirical Study on the Correlation among Innovative Strategies, Motivation, Level of Implementing Innovative Activities and Business Performance in Taiwan's High-tech Manufacturers

  • Chung, Yi-Chan;Hsu, Yao-Wen;Chiu, Chung-Ching;Chen, Ching-Piao;Tsai, Chih-Hung
    • International Journal of Quality Innovation
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    • v.9 no.3
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    • pp.93-112
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    • 2008
  • This study explores the influence of Taiwan's high-tech manufacturers' innovative strategy and innovation motivation concerning the implementation of innovative activities, as well as the influence of innovative activities implementation on business performance. The two intermediate variables, industry group and enterprise scale are also considered. Through a review of the relevant literature, a theoretical model of the influence relationship is developed, while an empirical analysis is simultaneously conducted on Taiwan's high-tech manufacturers. The research result shows that the internal driving force of innovative activities has a significant impact on the level of implementing technological innovative activities and cultural innovative activities. The external driving force of innovative activities has a significant impact on the level of implementing market innovative activities and management innovative activities. Companies adopting self-developed technology and purchased as well as self-developed technology strategies, perform better than those adopting purchased new technology or those with neither purchased nor self-developed technology strategies, at implementing technological innovative activities and cultural innovative activities. The level of implementing innovative activities has a significant influence on business performance (cost reduction and product/service differentiation). For the intermediate variables of "industry group" and "enterprise scale", it is proven in this study that they have no significant influence on the level of innovative activity implementation or business performance.

On the Application of AHP to the evaluation criteria of business travellers for choosing airline (AHP기법을 이용한 상용여객의 항공사 선택의 평가기준에 관한 연구)

  • Yoo, Yong-Jae;Hur, Hee-Young
    • Korean Business Review
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    • v.12
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    • pp.239-254
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    • 1999
  • There has been a lot of researches on the major motivation of consumer's choice for airlines. Due to the competition in airline industries, most of airlines offer a various level of benefits to customers such as a frequent traveller bonus, a schedule, services in flight including a meal and an entertainment program, a discounted fare and an intangible part of personal service. However, it is very difficult to measure the performance of the customers' benefit and to identify the weight of each factor being considered on the airline choice. In this paper, we focus on the airline choice process for the business travellers. The AHP is applied to evaluate the factors reflecting the business travellers' choice for airlines. This study will be useful to build a marketing plan for the business traveller's market.

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Analysis of Drug Utilization for Patients with Ankylosing Spondylitis (강직성 척추염 환자에 대한 약물사용 현황 분석)

  • Kang, Han-Bin;Je, Nam Kyung
    • Korean Journal of Clinical Pharmacy
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    • v.25 no.4
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    • pp.246-253
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    • 2015
  • Background & Object: Ankylosing spondylitis (AS) is a chronic inflammatory disease that causes ankylosis and deformation of axial joints. Since current medicine cannot cure the disease yet, alleviating pain and preventing deformation with medications are the main therapy for patients with AS. The key medications for these purposes include nonsteroidal anti-inflammatory drugs (NSAIDs), and tumor necrosis $factor-{\alpha}$ ($TNF-{\alpha}$) inhibitors. This study aims to analyze prescribing patterns of AS patients in South Korea. Method: National Patients Sample data compiled by the Health Insurance Review and Assessment Service from 2013 was analyzed. Patients with AS were identified with Korean Standard Classification of Diseases code-6, which was M45. The rates of prescription, discontinuation, and switching ingredients were calculated for each medication during 2013. Results: Total number of patients was 655, and most of them were male (n = 514, 78.5%). Of all age groups, the proportion of 30-40 year old patients was the greatest (35.1%). The most utilized drug class was NSAIDs (82.4%). Less than half of patients were prescribed $TNF-{\alpha}$ inhibitors (n = 212, 32.4%). Meloxicam, aceclofenac, and celecoxib were the most frequently prescribed NSAIDs. In case of $TNF-{\alpha}$ inhibitors, adalimumab, etanercept and infliximab were the top three most prescribed drugs. Although not recommended by the current practice guideline, significant proportions of patients were identified using disease modifying anti-rheumatic drugs (DMARDs). Conclusion: Considering the current practice guideline and previous studies about the efficacy, the use of DMARDs should be reduced and medical insurance term in South Korea should be re-examined.

A Multi-level Analysis of Injection Requests and Associated Patient Characteristics in the Korean Acute-care Outpatient Setting (국내 병의원 이용 환자들의 주사제 요청과 관련된 특성에 대한 다수준 분석)

  • Kim, Dong-Sook;Hwang, Jeong-Hae;Hwang, Jee-In
    • Korean Journal of Clinical Pharmacy
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    • v.22 no.1
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    • pp.13-20
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    • 2012
  • 서론: 주사제 사용을 줄이기 위한 정책의 일환으로 건강보험심사평가원은 의료기관별 주사제 처방률을 통보하고 있으나, 여전히 주사제 처방은 높은 실정이다. 따라서 본 연구에서는 주사제에 대한 환자의 인식수준을 살펴보고, 환자의 주사제 요청에 영향을 미치는 요인을 파악하고자 하였다. 연구방법: 본 연구는 최근 6개월 이내에 병의원을 방문한 전국의 20세 이상의 남녀를 대상으로 전화조사한 단면설계 연구다. 환자의 일반적 특성과 주사제에 대한 태도, 인식을 조사하였고, 환자가 주사제를 요청하는데 영향을 미치는 특성을 규명하기 위해 일반적 특성(성, 연령, 결혼여부, 보험형태, 지역규모, 질환, 교육, 소득 등), 주사제에 대한 인식, 태도를 독립변수로 하고, 주사제 처방 요청여부를 종속변수로 하며, 16개 행정지역을 무작위 효과로 층화한 다수 준 분석을 실시하였다.결과: 연구대상에 포함된 응답자는 997명이었고(응답률 82.2%), 응답자 중 24%가 병의원 방문 당시 주사제를 요구했다고 응답했고, 58%가 한번 이상 주사제를 맞은 경험이 있다고 보고했다. 92%가 주사제에 대해 잘못된 인식을 갖고 있었고, 15%는 의사가 부적절하게 주사제를 처방한다고 응답했다. 다수준 로지스틱 회귀분석 결과, 남성의 경우(Odds ratio(OR) 0.71, 95% confidence interval(CI) 0.52-0.99), 고졸이상자(OR 0.63, 95% CI 0.41-0.96), 기혼자(OR 1.72, 95% CI 1.01-2.92)가 주사제를 더 요구하는 것으로 나타났고, 대도시에 비해 농촌지역 환자가(OR 2.12, 95% CI 1.24-3.63), 호흡기계 질환으로 방문한 경우(OR 1.48, 95% CI 1.03-2.12), 주사제를 처방하면 경구제에 비해 신뢰감이 생긴다는 응답자의 경우(OR 1.91, 95% CI 1.33-2.73) 주사제를 더 요구하는 것으로 나타났다. 결론: 본 연구결과 여성, 기혼자, 농촌 거주자, 호흡기계 질환으로 방문한 환자의 경우와 주사를 맞으면 신뢰감이 생긴다는 잘못된 태도를 가진 환자가 주사제를 요구하는 것으로 나타났고, 이러한 환자특성을 고려하여 주사제 사용을 감소시키기 위한 정책을 실시하는 것이 필요하겠다.

Effects of Pelvic Compression Belt on The Thickness of Transversus Abdominis During Active Straight Leg Raising in Healthy Subjects (골반압박벨트가 정상인의 능동 하지직거상 시 복횡근 굵기에 미치는 영향)

  • Kim, Soo-Hyun;Pak, Mi-Hee;Sim, Jin-A;Lee, Kyung-A;Kim, Suhn-Yeop
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.17 no.1
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    • pp.15-23
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    • 2011
  • Background: The objective of this study was to determine the effectiveness of the pelvic compression belt (PCB) on the thickness of the transversus abdominis (TrA) during active straight leg raising (ASLR). Methods: Thirty healthy subjects (10 men and 20 women) volunteered to participate in this study. The thickness of TrA was measured using a real-time ultrasonic diagnostic imaging system. Subjects were instructed to rest in a resting (hook-lying) position and to perform ASLR with and without the PCB. The PCB was positioned below the anterior superior iliac spine with stabilizing pressure from elastic bands. Results: In the resting position and during ASLR, the thickness of the TrA significantly differed between subjects with and without PCB (p<.05). In addition, there was a significant interaction between the measurement position and the presence or absence of PCB (p<.05). Conclusions: These findings suggest that the PCB may affect deep core muscles such as TrA during various activities. Further studies are required to generalize the results of the present study.

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A Study on the Success Factors of the Foodservice Franchise Business (외식 사업 프랜차이즈 사업의 성공 요인에 관한 연구)

  • Kim, Keun-Jong
    • Culinary science and hospitality research
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    • v.15 no.2
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    • pp.219-230
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    • 2009
  • The purpose of this research was to investigate the success factors of the foodservice franchise business. This study examined relevant literatures, set up some hypotheses to solve main questionable consideration and made a corresponding empirical analysis. For the empirical analysis, a questionnaire survey was applied to ttotal 120 franchisers who have operated franchise business around Seoul. The result from the multiple regression model shows that the success of the franchise business is influenced by the operating system, the brand system, the educational system, and the franchisees' activities. As mentioned in the literature review and empirical analysis, it is found that the above mentioned four systems are equally affected by franchisers' success factors. The limits of this study include the fact that it has selected and researched around Seoul and four factors. Future research should be done from the perspective of such factors as culture, economy, region, menu, service and so on.

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Implementation Planning for Information Technology-Based Future Mail Acceptance System (정보기술 기반의 미래형 우편접수창구 구축계획 수립)

  • Jeong, Keun-Chae
    • Information Systems Review
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    • v.7 no.2
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    • pp.141-162
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    • 2005
  • In this paper, we set up an implementation plan for the Mail Acceptance System (MAS) to be operated more effectively and intelligently. First of all, an as-is analysis for the current MAS is performed for analyzing issues and problems and obtaining user requirements. After the as-is analysis, we perform benchmarking studies on the various postal service providers of the advanced countries. Based on the results from the as-is analysis and benchmarking study, we design a conceptual model for the future MAS. The proposed conceptual model can be classified into three parts: automatic MAS, business MAS, and integrated MAS. Information and automation technologies are applied to design the proposed model for eliminating inefficiencies and inaccuracies in MAS. We identify implementation tasks for realizing the proposed MAS model, evaluate the importance and precedence relationship of the identified tasks for deciding implementation priorities, and finally set up the implementation plan for the future MAS. We can expect that the more efficient and effective MAS can be constructed in the future by performing the proposed implementation plan.

A Case of JTEL's ERP Implementation through ASP (ASP 방식을 통한 제이텔의 ERP도입사례)

  • Hahm, Yong-Seok;Nam, Ki-Chan
    • Information Systems Review
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    • v.4 no.1
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    • pp.19-31
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    • 2002
  • The JTEL's success case of implementing ERP through ASP is studied in this paper. This paper especially presents the detail processes of implementing ERP through ASP and the advantages of that. Critical success factors in this case study are that pre-prepared ERP template and repetitive prototyping methodology was successfully utilized and that end users involved positively and accepted the standard best-practice processes of the ERP template in this project. These factors reduced ERP training periods and also the whole implementation periods, which made the project time quite short and TCO less. Considering these success factors, ASP method provides the advantages of global e-business IT environment, continuous new IT technologies and flexible response to the business changes to the small and medium firms. Finally, the paper suggests the new direction and possibility for small and medium firms focusing on the core competency and utilizing new system infrastructure through ASP method compared with in-house implementation.

A Literature Review on the History of the Jeon (Korean Pancake) in the Modern Cookbooks (근대 이후 조리서에 나타난 전(煎)의 변화 분석 및 문헌고찰)

  • Cho, Joo-Hyung;Chang, Young-Eun;Kim, Jin-Sook
    • Journal of the Korean Society of Food Culture
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    • v.27 no.6
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    • pp.607-626
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    • 2012
  • This study examined the historical changes in Jeon. The Korean dictionary was analyzed to analyze the modern definition of Jeon. To investigate the change in the type and cooking methods of Jeon, 36 cookbooks from the late 1800s to 1999 were analyzed. The cooking method for Jeon, such as the ingredient, quantity and how to cooking were presented systematically since 1935. The main ingredients of jeon in modern cookbooks are seafood 36.0%, vegetables 30.2% and meat 20.3%. Jeon made with seafood or vegetables, chopped meat put in each main ingredient or meatballs with minced meat, etc. meat was used to make Jeon in a variety of ways. The cooking method for Jeon in a frying pan is the most basic method. After trimmed materials, adding flour, eggs and oil are the most common way. Making dough with grain flour or ground potatoes, green beans, legumes, etc., and mixing the ingredients in a pan-frying methods appeared to be under the influence of other countries recipes. Modern food culture, introducing new ingredients and cookware, has changed. As a result, jeon cooking methods and the application of the material have varied. The type of jeon and cooking methods are expected to increase further and become more diverse.