• Title/Summary/Keyword: System Utilization

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The Evaluation of Drug Utilization Review on Potentially Inappropriate Medications for Elderly Patients in a Tertiary Hospital (Drug Utilization Review 시행 전후 3차 의료기관에서의 노인주의약품 외래처방 현황 분석)

  • Cho, Yeo Hyang;Kim, Kwang Joon
    • Korean Journal of Clinical Pharmacy
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    • v.29 no.1
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    • pp.25-32
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    • 2019
  • Objective: South Korea made a list of potentially inappropriate medications (PIMs) for elderly patients in 2015 and has prompted medical professionals to prescribe proper medication by using the drug utilization review (DUR) system. It has been three years since the system was introduced, but related studies have rarely been conducted. This study aimed to evaluate the effect of the DUR system on the prescription of PIMs for elderly patients. Methods: The data on the prescription of PIMs for elderly patients (${\geq}65$ years) who received medical treatment between March 1st and May 31st in 2015 (before introduction of the DUR system) and who received medical treatment between March 1st and May 31st in 2018 (after introduction of the DUR system) were retrospectively collected from electronic medical records. Results: The prescriptions of PIMs decreased from 3,716 (7.7%) to 3,857 (6.9%) (p < 0.001). The prescription of escitalopram and paroxetine, among selective serotonin reuptake inhibitors, increased significantly, and that of short-acting benzodiazepines also increased significantly from 454 (0.93%) to 624 (1.2%). Conclusion: Prescription of PIMs for elderly patients significantly decreased (p < 0.001) after the DUR system was introduced. Further expanded studies of PIMs need to be conducted for the safety of elderly patients.

Feasibility study of LFG-MGT power generation system with $CO_2$ fixation development (농작물의 $CO_2$ 고정화 연계 LFG-MGT 시스템의 타당성 연구)

  • Park, Jung-Keuk;Hur, Kwang-Beom;Rhim, Sang-Gyu
    • 한국신재생에너지학회:학술대회논문집
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    • 2009.06a
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    • pp.821-824
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    • 2009
  • LFG-MGT CHP system development project with $CO_2$ enrichment in greenhouses was introduced. LFG is produced from the anaerobic digestion of landfilled waste and it has been utilized for power/heat generation since it contains around 50% of $CH_4$. Utilization of LFG from small scale landfill is also needed as well as large scale landfill. However, due to economy of scale, it is very difficult to develop business model. In this context, combining CHP system with greenhouses is considered as feasible option for LFG utilization. LFG-MGT CHP system with $CO_2$ fixation in greenhouses has been derived as an active greenhouse gas reduction strategy, The focus of the system is beyond carbon neutral LFG utilization to neutral carbon absorption. The system is feasible in terms of direct and indirect $CO_2$ emission reduction with more economical way.

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An Effective Environmental Assessment for the Simple Statement of the Sea Area Utilization Consultation System (간이해역이용협의 유형분석 및 효율적 환경평가방안)

  • Lee, Dae-In;Eom, Ki-Hyuk;Kim, Gui-Young
    • Journal of Environmental Impact Assessment
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    • v.22 no.3
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    • pp.255-264
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    • 2013
  • This paper diagnosed the assessment problems and development types of the simple statement of the Sea Area Utilization Consultation System. and suggested the key assessment items for system improvement. The major types of Public Water occupation and use, and distribution characteristic of regional and coastal were analyzed by evaluate 529 review items during 2010-2012. The artificial structure installation including harbor and fishing port facilities in the South and West coast, and seawater supply and drainage for land-based aquaculture and power plant were dominated. The checklists considering each types of occupation and use in Public Water were suggested. In addition, policy proposals for system improvement were suggested.

Effect of Long-term Care Utilization on Health Care Utilization of the Medicaid Elderly (국민기초생활보장수급자의 장기요양 서비스 이용 여부가 의료 이용에 미치는 영향)

  • Jung, Woon-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.11
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    • pp.6746-6755
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    • 2014
  • This study examined the effect of long-term care utilization on the health care utilization of Medicaid elderly. The subjects were 5,834 long-term care insurance with the level 1 Medicaid elders, who received either service or non-service. This study examined the impact of long-term care service on the probability of health care utilization and the costs of health care utilization. The total medical cost and inpatient day between 2009-2007 were significant factors affecting long-term care utilization (${\beta}=.29$, p< .001, ${\beta}=.33$, p< .001 ) and this variable explained 22.6% of the total medical cost and 22.4% of the inpatient day. The results showed that non-service in long-term care was associated with an increase in health care utilization. The current long-term care insurance system should place higher priority and more resource allocation on long-term care utilization to increase the efficiency of the insurance system.

Evaluation of Rainwater Utilization for Miscellaneous Water Demands in Different Types of Buildings Using Geographic Information System

  • Kim, Jinyoung;An, Kyoungjin;Furumai, Hiroaki
    • Environmental Engineering Research
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    • v.18 no.2
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    • pp.85-90
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    • 2013
  • This study is an attempt to quantify rainwater utilization and miscellaneous water demand in Tokyo's 23 special wards, the core of the urban area in Tokyo, Japan, in order to elucidate the potential of further rainwater utilization. The rainwater utilization for miscellaneous appropriate water demands, including toilet flushing, air conditioning, and garden irrigation, were calculated for six different types of building: residential house, office, department store, supermarket, restaurant, and accommodation. Miscellaneous water demands in these different types of building were expressed in terms of equivalent rainfall of 767, 1,133, 3,318, 1,887, 16,574, and 2,227 (mm/yr), respectively, compared with 1,528 mm of Tokyo's average annual precipitation. Building types, numbers and its height were considered in this study area using geographic information system data to quantify miscellaneous water demands and the amount of rainwater utilization in each ward. Area precipitation-demand ratio was used to measure rainwater utilization potential for miscellaneous water demands. Office and commercial areas, such as Chiyoda ward, showed rainwater utilization potentials of <0.3, which was relatively low compared to those wards where many residential houses are located. This is attributed to the relatively high miscellaneous water demand. In light of rainwater utilization based on building level, the introduction of rainwater storage mechanisms with a storage depth of 50 mm for six different types of buildings was considered, and calculated as rainfall of 573, 679, 819, 766, 930, and 787 (mm), respectively. Total rainwater utilization using such storage facilities in each building from 23 wards resulted in the retention of 102,760,000 $m^3$ of water for use in miscellaneous applications annually, and this volume corresponded to 26.3% of annual miscellaneous water demand.

A Study on the Effect of System Characteristics of Online Lectures on Lecture Satisfaction in the COVID-19 Crisis: Focused on the Moderating Effect of ICT Utilization Ability (코로나19 사태에 온라인 강의의 시스템 특성이 강의만족도에 미치는 영향연구: ICT 활용능력의 조절효과를 중심으로)

  • Mo, Ya-Ting;Xu, Yu-Jia;Lee, Yoon-koo
    • Journal of Digital Convergence
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    • v.19 no.9
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    • pp.43-57
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    • 2021
  • The purpose of this study is to find the relationship between Online Lecture System, Motivation for Use, ICT Utilization Ability, and Lectures Satisfaction as online lectures continue. For that, conducted survey of students at Woosong University, secured 330 valid samples, and conducted with analysis of actual proof with using SPSS 25.0. The results of the study confirmed that the system's Convenience, Simplicity, Security and Motivation for Use have significantly affected to Lecture Satisfaction, and also confirmed that ICT Utilization Ability, the variable of Moderating Effect, also has meaningful correlation between System Characteristics(Simplicity and Security) and Lecture Satisfaction. Therefore, the need for development and operation of additional education programs to improve ICT Utilization Ability as well as development of new online system are presented in order to enhance online Lecture Satisfaction of students. Lastly, various sample surveys and researches are seems to be needed in the future in order to increase the Lecture Satisfaction.

Effect of the ERP Quality on the Performance and Causal-Effect Analysis between Outcome Variables in the Contract Foodservice Management Company (위탁급식 전문업체 전사적자원관리(ERP) 품질이 업무 성과에 미치는 영향과 업무 성과 변수 간 인과관계 분석)

  • Kim Hyun-Ah;Yang Il-Sun;Kim Jang-Mi
    • Journal of Nutrition and Health
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    • v.38 no.2
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    • pp.180-189
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    • 2005
  • The purposes of this study were 1) to analyze the effect of the ERP quality (system quality, information quality, service quality) on the performance (end user satisfaction, user's performance, system utilization) of business, 2) to conduct the causal-effect analysis between outcome variables (user's satisfaction, user's performance, system utilization) of ERP in the contract foodservice management company. The questionnaires were distributed to 260 end users (dietitians, foodservice management managers) in charge of managing the institutional foodservice such as the office (government agencies, factories), schools (universities, middle and high school) and hospitals which were managed by contract foodservice management company 'C' in Seoul and Kyunggi. The surveys were performed from July 26, 2004 to July 30. 2004. Two hundred and fifty (250) questionnaires were responded (response rate: 96.2%). The statistical analysis was conducted using SPSS Win (11.5). And the descriptive analysis, factor analysis, reliability test, pearson correlation, simple and multiple regression analysis were performed. The results showed that among the 3 factors (system quality, information quality, service quality), the system quality and information quality were proved to have an effect on the user's satisfaction and user's performance significantly (p < .05). The influence of ERP quality (system quality, information quality, service quality) on system utilization were testified to be statistically significant (p < .05). The user's performance were affected significantly by system utilization (p < 0.001) and end user's satisfaction (p < 0.001). As a conclusion, to improve user satisfaction, which is the ultimate performance variable of an ERP system, high quality of an ERP system is the pre-requisite. And the user satisfaction and performance of business would be higher with the better quality ERP system. When constructing ERP system for the contract foodservice management company, we should improve system utilization and user satisfaction altogether so that user's performance could be ultimately enhanced and we should make efforts to enhance the quality level of ERP. (Korean J Nutrition 38(2): 180~189, 2005)

An Evaluation of a Patient Referral System using Intervention Analysis (시계열 개입 분석을 이용한 환자의뢰제도의 개입효과 평가)

  • Cho, Woo-Hyun;Lee, Hae-Jong;Sohn, Myong-Sei;Nam, Chung-Mo;Yu, Seung-Hum
    • Journal of Preventive Medicine and Public Health
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    • v.22 no.2 s.26
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    • pp.236-241
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    • 1989
  • The purpose of this study was to introduce the methodology of intervention analysis with time series data and to investigate the influence of the patient referral system on medical care utilization in Kangwha county. The data were obtained at the Kangwha Medical Inurance Society and we analysed the material based on the outpatient care fee. The results were as fellows: 1. The average outpatient care utilization in the hospital decreased by 41.7% due to the patient referral system. 2. The utilization of the health instituation increased by 278.8 persons per month due to the patient referral system. 3. The patient referral system did not influence the total outpatient are utilization. The methodology of intervention analysis, which detected the effect of intervention, will be helpful to the study of public health area.

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The Factors Affecting Patient-Flow (환자흐름에의 영향요인)

  • 박재용
    • Health Policy and Management
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    • v.3 no.2
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    • pp.27-80
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    • 1993
  • It is widely known that patients' utilization pattern for medical care facilities and the patientflow are influenced by multi-factors, such as demographic characteristics, structural characteristics of society, socio-psychological characteristics(value, attitude, norms, culture, health behavior, etc.), economic characteristics(income, medical price, relative price, physician induced demand, etc.), geographical accessibility, systematic characteristics(health care delivery system, payment methods for physician fees, form of health care security, etc.), and characteristics of medical facilities(reliability, quality of medical care, convenience, kindness, tec.). This study was conducted to research the mechanism of patient-flow according to changes of health care system(implementation of national health insurance, health care referral system and regionalization of health care utilization, etc.) and characteristics of medical facilities(ownership of hospital, characteristics of medical services, non-medical characteristics, etc.). In this study, the fact could be ascertained that the patient-flow had been influenced by changes of health care system and characteristics of medical facilities.

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