• Title/Summary/Keyword: Service Review

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The clinical utilization of radiation therapy in Korea between 2009 and 2013

  • Kang, Jin-Kyu;Kim, Mi-Sook;Jang, Won-Il;Seo, Young Seok;Kim, Hee Jin;Cho, Chul Koo;Yoo, Hyung Jun;Paik, Eun Kyung;Cha, Yu Jin;Song, Hyun Jin
    • Radiation Oncology Journal
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    • v.34 no.2
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    • pp.88-95
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    • 2016
  • Purpose: The purpose of this study was to estimate the clinical utilization of radiation therapy (RT) in Korea between 2009 and 2013. Materials and Methods: We analyzed open claims data from the Health Insurance Review and Assessment Service. The subjects were patients who had diagnostic codes C00-C97 or D00-D48 according to the 10th revision of the International Classification of Diseases, with procedure codes indicating RT treatment. Results: The total number of patients who received RT in 2009, 2010, 2011, 2012, and 2013 were 45,571, 49,593, 54,671, 59,172, and 61,485, respectively. Among them, the total numbers of male and female patients were 20,780/24,791 in 2009, 22,711/26,882 in 2010, 24,872/29,799 in 2011, 27,101/32,071 in 2012, and 27,941/33,544 in 2013. The five cancers that were most frequently treated with RT between 2009 and 2012 were breast, lung, colorectal, liver, and uterine cervical cancers. However, the fifth most common cancer treated with RT that replaced uterine cervical cancer in 2013 was prostate cancer. The three leading types of cancer among the male patients were lung, colorectal, and liver cancers, whereas in female patients, they were breast, uterine cervical, and lung cancers. The type of cancer most commonly treated by RT was cancer of the central nervous system in patients aged 20 years or less, breast cancer in patients aged 30-50 years, and lung cancer in patients aged 60 years or more. Conclusion: Data from this study provided the clinical utilization of RT in Korea between 2009 and 2013.

Impacts of DRG Payment System on Behavior of Medical Insurance Claimants (DRG 지불제도 도입에 따른 의료보험청구 행태 변화)

  • Kang, Gil-Won;Park, Hyoung-Keun;Kim, Chang-Yup;Kim, Yong-Ik;Ha, Beom-Man
    • Journal of Preventive Medicine and Public Health
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    • v.33 no.4
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    • pp.393-401
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    • 2000
  • Objectives : To evaluate the impacts of the DRG payment system on the behavior of medical insurance claimants. Specifically, we evaluated the case-mix index, the numbers of diagnosis and procedure codes utilized, and the corresponding rate of diagnosis codes before, during and after implementation of the DRG payment system. Methods : In order to evaluate the case-mix index, the number of diagnosis and procedure codes utilized, we used medical insurance claim data from all medical facilities that participated in the DRG-based Prospective Payment Demonstration Program. This medical insurance claim data consisted of both pre-demonstration program data (fee-for-service, from November, 1998 to January, 1999) and post-demonstration program data (DRG-based Prospective Payment, from February, 1999 to April, 1999). And in order to evaluate the corresponding rate of diagnosis codes utilized, we reviewed 820 medical records from 20 medical institutes that were selected by random sampling methods. Results : The case-mix index rate decreased after the DRG-based Prospective Payment Demonstration Program was introduced. The average numbers of different claim diagnosis codes used decreased (new DRGs from 2.22 to 1.24, and previous DRGs from 1.69 to 1.21), as did the average number of claim procedure codes used (new DRGs from 3.02 to 2.16, and previous DRGs from 2.97 to 2.43). With respect to the time of participation in the program, the change in number of claim procedure codes was significant, but the change in number of claim diagnosis codes was not. The corresponding rate of claim diagnosis codes increased (from 57.5% to 82.6%), as did the exclusion rate of claim diagnosis codes (from 16.5% to 25.1%). Conclusions : After the implementation of the DRG payment system, the corresponding rate of insurance claim codes and the corresponding exclusion rate of claim diagnosis codes both increased, because the inducement system for entering the codes for claim review was changed.

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Relationships Among Participation Motives in Virtual Community, Sense of Community, Loyalty and Purchase Intention (가상공동체 참여동기와 공동체의식, 충성도 및 구매의도간의 관계에 관한 연구)

  • Moon, Jun-Yean;Choi, Ji-Hoon
    • Information Systems Review
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    • v.5 no.2
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    • pp.71-90
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    • 2003
  • Virtual communities have been suggested to play important roles such as attracting customers, building customer loyalty, and leading to commercial transactions. Little research in marketing has focused on virtual communities in spite of its importance indicated by many practitioners and conceptual studies. More specifically, little research has empirically examined factors of customer participation and its consequences. This research investigate if customers' participation motives in virtual communities affect their sense of community and if sense of community affects customers' loyalty towards and purchase intentions from the website offering the community service. One hundred ninety six questionnaires were collected from individuals who have participated in and have been involved in online activities in various virtual communities. Major results of this research can be summarized as follows. First, participation motives employed significantly affected customers' sense of community and more specifically, perceived ease of use and perceived playfulness had a large influence on the customers' sense of community. Second, customers' sense of community positively affected their loyalty toward the community and more specifically, membership and emotional connection had a large influence on loyalty. Third, customers' sense of community did not affect directly their purchase intentions. Fourth, customers' loyalty toward virtual communities had a significant, positive, although marginal, influence on their purchase intentions.

A Comprehensive Model of Purchasing Intention of Customers in Agricultural Products Online Shopping Malls (농산물 온라인 쇼핑몰에서의 고객의 구매의도에 관한 포괄적 모형)

  • Lim, Dongsup;Yoon, Cheolho
    • Information Systems Review
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    • v.17 no.3
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    • pp.159-181
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    • 2015
  • This study proposes a comprehensive model of purchasing intention of customers in agricultural products online shopping malls. In this study, we derived the factors through the literature reviews and logical reasoning and classified the factors as a business point of view, an information systems point of view and an agricultural characteristics point of view, and developed the integrated research model which is the factors affect purchase intentions by mediating trust and the perceived usefulness. A total of 329 samples of a valid survey data from the members of small agricultural online shopping malls were collected and the research model was empirically analyzed by a confirmatory factor analysis and path analyses using structural equation modeling with the data. The results show that the product quality and the service quality of the business point of view have effects on the trust, however the price adequacy and entertainment have no effect on the trust and the perceived usefulness respectively, also the advertising exposure has no effect on the trust but it has an effect on the purchase intention directly. The information quality and the ease of use of the information systems point of view have an effect on the trust and perceived usefulness. At last, the seasonal product of the agricultural characteristics point of view has effects on perceived usefulness but the regional brand has no effect on the trust. The results of this study provide strategic implications for successful development and operation of agricultural products online shopping malls.

A Case Study of the Mobile Giving Platforms Based on Construal Level Theory: Focused on Bigwalk and Tree Planet (해석수준 이론에 기반한 모바일 기부 플랫폼 사례연구: 빅워크와 트리플래닛을 대상으로)

  • Kim, Minji;Min, Byounga;Shin, Hyeonsik;Hwang, Seongwook;Lee, Inseong;Kim, Jinwoo
    • Information Systems Review
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    • v.17 no.3
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    • pp.135-157
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    • 2015
  • Mobile giving platform is a new type of giving platform which offers donation service through mobile application. Mobile giving platform has developed differently from offline giving platform in the way that induces continuous donation. The purpose of this study is to investigate why mobile giving platform has adopted different strategy, and how it leads to continuous contribution. We conducted a case study with two successful mobile giving platforms; Bigwalk and Tree Planet. The analysis of the strategy is based on the construal level theory which explains the relationship between psychological distance and construal level. The result shows that the users' psychological distance toward giving platform has decreased with the environmental change, offline to mobile. Consequently the mobile giving platform offers services which form low level of construal for encouraging continuous participation. This finding suggests the importance of offering suitable construal level in services, and design guideline for mobile giving platforms.

Development of a Hospital Foodservice Facility Plan and Model based on General Sanitation Standards and RACCP Guidelines (병원급식에 일반위생관리기준과 HACCP 제도 적용을 위한 시설모델 개발)

  • 이정숙;곽동경;강영재
    • Korean journal of food and cookery science
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    • v.19 no.4
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    • pp.477-492
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    • 2003
  • The purposes of the study were to establish HACCP-based standards and guidelines for conducting a plan review to build, or renovate, hospital food service establishments, and ensure the safety of foodservice and reduce the risk of food borne illness. The scope of the study included suggestion for the planning of hospital foodservice facilities: layout, design, equipment and modeling. The results of this study can be summarized as follows: 1) The development of a foodservice facility plan based on the results of a survey, literature reviews and the results of interviews with foodservice managers from 9 general hospitals. This was composed of operational policies in foodservices, layout characteristics, space allocation, selection, design, specification standards for equipment and the construction principles of foodservice facilities. 2) Two foodservice facility models were developed, one for general hospitals with 900 beds (2,000 patients and 2,500 employee meals per day) and the other for general hospitals with 300 beds (600 patients and 650 employees meals per day). 3) The suggested kitchen space requirements for the foodservice facility models were 341.2 ㎡ (W 17,100mm x L 23,700mm) and 998.8㎡ (W 35,600mm x L 32,800mm) for the 300 and 900 beds hospitals, respectively, with both designs being rectangular. The space requirements for the equipment, in relation to the total operational area, in terms of ratios were 1:3.5 and 1:3.8 for the 300 and 900 beds hospitals, respectively. The recommended space allowances per bed for the developed foodservice facility models were 1.15 ㎡ and 1.11 ㎡ for the 300 and 900 beds hospitals, respectively, which were increased by more than 30% compared to those suggested in the precedent study, and considered appropriate for the implementation of the HACCP system. 4) The hospital foodservice facilities plans and models were developed based on the general sanitation standards, guidelines and the HACCP system, and included foodservice facility layout, product flow, physical separation between contaminated and sanitary areas, foodservice facility specifications with a 1/300 scale for a 300 bed, and a 1/400 scale for a 900 beds blueprint. 5) The main features of the developed foodservice facility plans and models were; physical separation between contaminated and sanitary areas to prevent cross contamination, product flow in one direction from the arrival of the raw material to the finished product, and separation of different work areas and the process of receiving & preparation of products, refrigeration & storage, cooking, assembly, cleaning & disinfection, employee areas and janitorial facilities. The proposed models from this study were presented as examples for those wanting to build, or renovate, their facility for the production of foods.

A Quality Assessment of Meta-Analyses Research in Social Work (국내 사회복지 관련 메타분석 연구의 질 평가)

  • Cho, Mi-Kyoung;Kim, Hee-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.10
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    • pp.158-167
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    • 2016
  • This study was conducted to evaluate the quality of meta-analysis of social work in South Korea using the Assessment of Multiple Systematic Review (AMSTAR). Electronic databases including the Korean Studies Information Service System (KISS), DBpia, and RISS4U were searched for 'meta-analysis', 'social work', and 'social welfare' from 2000 to December 2015, and 42 meta-analysis studies were included. Data were analyzed using descriptive statistics, t-tests, and ANOVA. The mean score for AMSTAR evaluation was $4.766{\pm}1.66$, while 19 studies (45.2%) were classified at the low-quality level, and 22 (52.4%) were at the moderate-quality level. The scores of quality assessment were analyzed by publication year, participants, number of studies included, number of DB, reporting study quality, extraction diagram and topics. The findings indicated that the following changes should be implemented to improve the quality and reliability of meta-analysis results in social work research: 1) common reporting guidelines should be provided for the social work field, 2) quality analyses of each study should be conducted to achieve a high level of evidence of effectiveness of social work interventions, 3) the characteristics of the included studies should be provided, and 4) a consensus and procedure based on at least two independent data extractors should be reported.

A State-of-the-Practice Review on the Management of the Domestic Geotechnical and Geological Information Data (국내 지질 및 지반조사 자료 관리 현황에 대한 실용적 고찰)

  • Jang, Yonggu;Jeon, Heungsoo;Chae, Deokho;Cho, Wanjei
    • Journal of the Korean GEO-environmental Society
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    • v.14 no.4
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    • pp.39-46
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    • 2013
  • Recently, there have been various researches on the cost reduction and savings during the construction activities with the development of automation and computerized information system. Considering the cost savings during the construction, the development of the geological and geotechnical information system with high practical use becomes very important since the geologic and geotechnical data are required for the design of the various structures. Currently, the geological and geotechnical data are collected and distributed as a geological/geotechnical map or engineering geology map and map with other specific purpose through geoinfo system at Korea Institute of Geoscience and Mineral Resources, Korea Mineral Resources GIS at Korea Mineral Resources Corporation, Geotechnical Information Portal System at Korea Institute of Construction Technology, Geotechnical Information System at the City of Seoul and the Ocean Data Integration Material System at Korea Hydrographic and Oceanographic Administration. Furthermore, the information on the groundwater is monitored and collected via Integrated Ground Water Information Service at Korea Water Resources Corporation and Rural Groundwater net at Korea Rural Community Corporation. Therefore, in this study, the contents of the geological and geotechnical data collected from the above mentioned government organization are compared and the DB and distribution system with higher utilization are suggested based on the comparisons with those from other countries such as United States of America, Japan and Germany.

Eco-Industrial Park (EIP) Development and Key Technologies for Clean Production (청정 생산을 위한 생태산업단지 구축과 주요기술)

  • Yoo, ChangKyoo;Heo, Soon-Ki;Yoo, Dong Joon;Lee, SeungJun;Shin, Ji Na;Park, Yong Joon;Yoon, Hack Mo;Chun, Hee Dong;Moon, Jeong Ki;Lee, In-Beum
    • Korean Chemical Engineering Research
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    • v.43 no.5
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    • pp.549-559
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    • 2005
  • Sustainable industrial development which can minimize an ecological effect by the mankind exertion is recently interested due to an environmental contamination and a resource exhaustion problem. An eco-industrial park (EIP) is a community of manufacturing and service businesses seeking enhanced environmental and economic performance through collaboration in managing environmental and resource issues, including energy, water, and materials. EIP developments which improve a production plant within an eco-friendly greenfield and design a new industrial ecosystem are accomplished recently, which can efficiently re-use the waste and resources from each company within EIP. In this review, the outside and domestic case studies of EIP and cornerstone technologies to develop the EIP, such as energy integration, waste reuse, mass flow analysis, water pinch, and life cycle assessment, are summarized.

The Funeral Rites for Queen Wongyeong during Early Joseon and the Characteristics Thereof (조선 초기 원경왕후 상장례(喪葬禮) 의식과 그 특징)

  • Yang, Jung-hyun
    • Journal of Korean Historical Folklife
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    • no.45
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    • pp.7-50
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    • 2014
  • This study focuses on the funeral rites for Queen Wongyeong during the early Joseon period as part of a review of the changes in the state funeral system and ceremonial procedures. Conducted by the king in his role as chief mourner, the state funeral for King Taejong's wife Queen Wongyeong that emerged during the 2nd year of King Sejong marked the first example recorded in the sillok (Annals of the Joseon Dynasty) of the three year-mourning rite being applied. In terms of the clothing for the state funeral, the significance of Jolgok (a rite conducted on the 100th day following the day of death) was emphasized, while the existing yeokwolje (period of wearing mourning clothes, one month was equated with one day) was abandoned. The existing temporary office system for state funerals was reorganized into a three-office system consisting of the Binjeon dogam (Office for Chapel of Rest), Gukjang dogam (Office for Funeral Rites), and Salleung dogam (Office for the Establishment of Royal Tombs). Buddhism-related rites greatly decreased and were increasingly regulated. The ceremonial procedures were also modified in accordance with the rites directly conducted by the king during the three-year mourning period. The basic pattern of the ceremonial procedure consisted of kneeling / wailing - salute - kneeling/ wailing, and, based on the wuje (rites to console the deceased), was divided into 'make offerings to the deceased' (奠, jeon) and 'hold a memorial service for the deceased' (祭, je). This reflected the differing perceptions of jeon (奠) and je (祭) following the establishment of auspicious rites (gillye) during the reign of King Taejong. In short, the state funeral for Queen Wongyeong provides materials with which to analyze the establishment of the funeral rites and ceremonial procedures designed based on the actual three-year mourning period observed by the king, study the ritual ceremonies conducted during the ancient period, as well as foster an understanding of ancient systems.