• Health Policy and Management
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• v.25 no.3
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• pp.221-228
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• 2015

Background: This study explored the relationship between hospital resources and services uses in outpatient/inpatient-based hospital service area (HSA) in Korea. Methods: Study hospitals included all acute care hospitals except tertiary hospitals. Inpatient and outpatient hospital claims from the Korean National Health Insurance (NHI) program in 2010 were used to identify the service uses. Hospital resources and the degree of insurance premium in study areas were identified with the NHI corporation data. Study variables were computed by summing the service uses or hospital resources of study hospitals in each HSA. Service uses were represented by the total medical charges and number of visits/inpatient days. Hospital resources were measured by number of beds, number of doctors, and number of computed tomography (CT). The economic status of NHI enrollees in each HSA was controlled by the average monthly premium of NHI program per household in each HSA. The degree of using local hospitals was controlled with the localization index. Results: Analysis results showed that hospital resources such as beds, CT were statistically related to the service uses. And also localization index was found to have positive significant relationships with service uses. Conclusion: Hospital resources such as beds, CT had not only positive impacts on inpatient service uses, but also influences on the outpatient setting. Health policy makers will require monitoring and assessing the hospital resources in Korea.

• Health Policy and Management
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• v.26 no.4
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• pp.343-351
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• 2016

Background: This study aims to analyze the effects of insurance types on the medical service uses for heart failure inpatients using propensity score matching (PSM). Methods: 2014 National inpatient sample based on health insurance claims data was used in the analysis. PSM was applied to control factors influencing the service uses except insurance types. Negative binomial regression was used after PSM to analyze factors that had influences on the service uses among inpatients. Subjects were divided by health insurance type, national health insurance (NHI) and medical aid (MA). Total charges and length of stay were used to represent the medical service uses. Covariance variables in PSM consist of sociodemographic characteristics (gender, age, Elixhauser comorbidity index) and hospital characteristics (hospital types, number of beds, location, number of doctors per 50 beds). These variables were also used as independent variables in negative binomial regression. Results: After the PSM, length of stay showed statistically significant difference on medical uses between insurance types. Negative binomial regression provided that insurance types, Elixhauser comorbidity index, and number of doctors per 50 beds were significant on the length of stay. Conclusion: This study provided that the service uses, especially length of stay, were differed by insurance types. Health policy makers will be required to prepare interventions to narrow the gap of the service uses between NHI and MA.

• Health Policy and Management
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• v.31 no.3
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• pp.301-311
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• 2021

Background: This study purposed to analyze the relationship between the local extinction index and medical service uses of chronic diseases. The local extinction index is an indicator of the demographic structure and population aging of the region. Methods: The 2014-2018 statistics of National Health Insurance Corporation and Korean Statistical Information Service data were used for the analysis. First, descriptive statistics were used to analyze the general status of research variables. Second, a panel analysis was performed to analyze the relationship between the local extinction index and medical service uses of chronic diseases (hypertension, diabetes mellitus, periodontal disease, arthritis, mental health, epidemic disease, liver disease). Medical service uses were measured by the number of visits/inpatient days and medical charges of seven chronic diseases. Results: Panel analysis results showed that higher local extinction risks (meaning lower local extinction index) had a positive relationship with the number of visits/inpatient days and medical charges of chronic diseases. But the relationships were varied when the seven chronic diseases were analyzed separately. Conclusion: This study showed a significant relationship between the local demographic structure and medical service uses of chronic disease. Analyzing the local demographic structure will be an essential prerequisite step for implementing appropriate regional health care policies.

• Health Policy and Management
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• v.31 no.3
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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.

• Proceedings of the KSR Conference
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• 2007.11a
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• pp.1574-1585
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• 2007

In the more and more continues traffic difficulty which comes to be serious it is for solve, in order to like this used plan for new town light train automatic fare collection system, the city development which is balance and the passenger whom it uses, in consequence of the fact that recently believer instruction, the automatic fare collection system the reverse which is convenient is used in the scripture season which is embossed with means it introduces it operates and a manpower with the scientific service control which leads the electric computer anger of passenger service improvement and accounting and statistical business it reduces, the use is convenient and the possibility facility of operating efficiently in rational plan in order to be, description below for the service automation equipment where the efficiency improves it is. Service automation equipment uses a scripture season to be the first boundary gate of the passenger, there must be a place where it uses a service automation facility and in order to be convenient, it considers the moving area and a wait of the reverse station passenger moving area and the space where, must secure the automatic fare collection system which it follows in automation of facility and the service operation of the reverse station which is ticket sale, the collection of tickets back the passenger is convenient and in order it will be able to use, must do and must consider, must arrange the efficient characteristic of the maintenance civil official services.

• Journal of KIISE:Computing Practices and Letters
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• v.13 no.5
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• pp.282-292
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• 2007

In this paper, we propose the active model based on the distributed object group framework which provides adaptive information sharing service to support it to various Healthcare home service. And we applied it to Healthcare home service. This proposed model provides information that collected from physical environment of the home network and sensors for healthcare service according to situation of the user. We uses information of the healthcare information database which was constructed previously, and we uses TMO scheme for to solve each other different periodic qualify. We uses information of the healthcare information database which was constructed previously, and we uses TMO scheme for to solve each other different periodic quality. Specialty, We wrote about interaction of various Healthcare Home services for adaptive information services, and wrote about u-healthcare framework based on DOGF. Finally, we apply active model to healthcare monitoring service, and we showed its result and performance evaluation.

• Journal of Korean Elementary Science Education
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• v.23 no.1
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• pp.44-49
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• 2004

This study was based upon the survey on the name of 13 basic experimental instruments used in elementary science class: Schale, evaporating dish, mortar & pestle, beaker, erlenmeyer flask, spuit(medicine dropper), graduated cylinder, balance, spatula, dropping bottle, gas collecting bottle, funnel, alcohol burner, and their uses. To implement this study, an open-ended, written questionnaire was administered to the subjects of in-service elementary school teachers, future elementary teachers who have attended at the Gyeongin national university of education, and elementary students in Korea. The findings of this study were as follows: The rates of in-service and pre-service elementary school teachers that knew correct name of experimental instruments were not high, the elementary school student's rates were especially very low. In this study, we found several reasons which they wrote inaccurately: the name to be represented at the textbook that they had studied, the confusion of the name about a fortis pronunciation, the recognition as the vocabulary like flask and cylinder to be meaningless, the habit to say in an everyday life, wrong expression in the internet and general book. All respondents had a wide range of perceptions of uses for the experimental instruments. Their understanding of uses for evaporating dish, erlenmeyer flask, balance, gas collecting bottle were very poor. And then most of them understood that graduated cylinder, beaker, and erlenmeyer flask were tools to measure the volume of solution or liquid, so they did not exactly distinguish the difference of their uses.

• Journal of Advanced Marine Engineering and Technology
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• v.27 no.1
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• pp.65-75
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• 2003

The internet telephony service is one of the successful internet application services. VoIP is the key technology for the service to come true. VoIP uses H.323 or SIP as the standard protocol for the distributed multimedia services over the internet environment, in which QoS is not guaranteed. VoIP carries the packetized voice by using the RTP/UDP/IP protocol stack. The UDP-based internet services cause the data transmission problem to the users behind the internet firewall. So does the internet telephony service. The users are not able to listen the voices of the counter-parts on the public internet or PSTN. It makes the problem more difficult that the internet telephony service addressed in this paper uses only one UDP port number to send the voice data of all sessions from gateway to terminal node. In this paper, two schemes including the usage of dummy UDP datagrams, and the protocol conversion are suggested. The implementation of one of the schemes, the protocol conversion, and the performance evaluation are described in detail.

• 제어로봇시스템학회:학술대회논문집
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• 2000.10a
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• pp.133-133
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• 2000

This paper implements Message Service of TCN or IEC 61375-1. TCN is divided into two services, Variable and Message Service. Variable Service uses the broadcasting method with Source Address, but Message Service uses peer-to-peer method with Destination Address and has OSI 7 Layer. In TCN, interface between Transport and Network Layer has not been defined and Meaning of Packet Pool has not been defined exactly. Therefore, this paper proposes the Implementation method for both the interface between Transport and Network Layer and the packet pool for Message Service of TCN.

• Proceedings of the Korean Information Science Society Conference
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• 2002.10e
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• pp.124-126
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• 2002

Voice over Internet Protocol(VoIP) is expected to be a major application on the Internet in the future This paper propose an approach to VoIP that uses Differentiated Service and Multi-protocol Label Switching(MPLS) to provide quantitative QoS guarantees over an IP network. An algorithm that determines QoS-constrained routes is proposed and a framework that uses such an algorithm for traffic engineering is outlined. the key component of this framework is a Centralize Resource Manager(CRM) responsible for monitoring and managing resources within the network and making all decisions to route／reroute traffic according to QoS requirement