• 제목/요약/키워드: Utilization

검색결과 17,485건 처리시간 0.058초

의료보험 통계자료를 이용한 최근 우리나라 질병구조 변화관찰 - 의료보험관리공단 자료를 중심으로 - (The study for recent changes of disease-mix in health insurance data)

  • 유승흠;정상혁
    • Journal of Preventive Medicine and Public Health
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    • 제23권3호
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    • pp.345-357
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    • 1990
  • Accumulated data on medical care utilization among the insured in Korea Medical Insurance Corporation can explain the health status of the population. The purpose of this study was to analyze a change of the disease-mix and utilization pattern by controlling the size of the population enrollment. Major findings of the study are as follows : 1. The changes of inpatient disease-mix a. Utilization rate was 139.2% in 1988 against 1980. b. Disease groups higher than the average utilization rate included neoplasms, endocrine, nutritional and metabolic diseases and immunity disorders, mental disorders etc. Meanwhile, disease groups seen less often were infections and parasistic diseases, diseases of blood and bloodforming, diseases of the digestive system etc. c. Utilization rate was up 106.3% in 1988 compared to 1985, and diseases above that average level were ill-defined intestinal infections, chronic liver disease and cirrhosis, diabetes mellitus, essential hypertension, etc. d. The disease-mix by institution in 1988 compared to 1985 shows that chronic disorders rank high in general hospitals whereas opthalmologic, obstetric, and orthopedic diseases rank high in private clinics. 2. The changes of outpatient disease-mix a. Utilization rate was up 175.2% in 1988 compared to 1980. b. Disease groups higher than the average utilization rate included neoplasms, endocrine, nutritional and metabolic diseases and immunity disorders, mental disorders etc. And disease groups seen less often were infections and parasistic diseases, diseases of the respiratory system, diseases of the genitourinary system. etc. c. Utilization rate was up 104.0% in 1988 compared to 1985, and diseases above that average level were gastric ulcer, diseases of hard tissues of teeth, etc. And diseases seen below that average level were acute nasopharyngitis(common cold). acute upper respiratory infections of multiple or unspecified sites, etc. It was concluded that medical care utilization level was increased, and that, from 1980 to 1988, disease-mix shifted to the chronic disorders. Chronic disorders accounted for more medical care utilization in general hospitals.

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지역의료보험의 적용이 일부농촌지역 주민의 보건기관 이용에 미친 영향 (The effects of insurance coverage on the medical care utilization in public health institutions in a rural area)

  • 최재준
    • Journal of Preventive Medicine and Public Health
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    • 제24권3호
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    • pp.265-278
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    • 1991
  • This study was to examine the effects of insurance coverage on the utilization of public health institutions and to identify the factors associated with the utilization. The data were obtained from household interview surveys conducted twice in Hwachun Gun, Kangwon Do. The time period covered in the first survey was December $17{\sim}31$, 1987, before the implementation of regional medical insurance for the self-employed, and that of the second survey was January 28 $\sim$ Febuary 11, 1990, after its implementation. Major findings emerged from the analysis can be summarized as follows (1) Medical care utilization of rural people markedly increased after they were covered by medical insurance. The insurance coverage increased the utilization of public health institutions as well, and this increase was mainly attributable to the utilization by chronically ill patients. (2) Between 1987 and 1990, the proportion of the utilization of public health institutions over whole medical care utilization decreased. But the proportion increased for chronically ill patients covered by regional medical insurance during the same time span. (3) The results of logistic regression suggested that the rural self-employed utilized public health institutions at an increased rate after they were covered by medical insurance. It was also indicated that the increase resulted from the utilization by chronically ill patients. (4) The relative importance of public health institutions for rural medical care decreased after the implementation of regional medical insurance. But considering that the utilization of public health institutions by chronically ill patients increased after insurance coverage, attention should be directed to improving the capability of public health institutions to control chronic degenerative diseases.

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연구장비 공동활용 정책의 집행 효율화 방안: 정책집행의 상향적 접근 중심으로 (Effective Implementation Strategies for Co-Utilization Policy of Research Equipments: From the Perspective of Bottom-up Apprach in Policy Implemention)

  • 이찬구
    • 기술혁신학회지
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    • 제19권2호
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    • pp.358-394
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    • 2016
  • 이 연구는 연구장비 공동활용 정책의 꾸준한 시행에도 불구하고 저조한 공동활용의 원인이 정책집행이 현장관료 또는 정책대상자의 입장에서가 아니라 정책결정자의 시각에서 이루어져 왔다는 문제의식에서 시작하고 있다. 따라서 이 연구는 정책집행의 상향적 접근법에서 기초연구사업을 수행하는 현장 연구자들과 장비 관리자들을 대상으로 연구장비 공동활용의 현황을 분석하였다. 분석결과는 공동활용에 대한 연구 책임자들의 중요성 인식이 여전히 낮은 편이며, 실제의 공동활용 과정에서는 필요한 집행자원이 부족하며, 공동활용의 지속성을 확보하기 위한 일상적인 관리단계에서의 유인책도 충분하지 못한 것으로 나타나고 있다. 이에 따라 기초연구사업에서의 연구장비 공동활용을 증진하기 위한 정책대안을 관리단계별로 정책집행의 상향적 관점에서 유인도구와 정보도구 중심의 정책수단 도구들을 개발 논의하고자 노력하였다.

다중이용업소의 소방안전기준에 관한 연구 (A Study on the Fire Protection Safety of the Public-utilization Shops)

  • 김엽래
    • 한국재난정보학회 논문집
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    • 제5권2호
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    • pp.10-21
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    • 2009
  • This study contains the fire protection safety of the public-utilization shops. The toll of fires in the public-utilization shops is so heavy in spite the less occurency. The shops are mostly compartmented into small rooms by partition wall which hinders the evacuation of the people on fire. This study provides additional requirements on the fire safety of the public-utilization shops needed for human life and property.

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Advances in Enhancing Nutrient Utilization for Ruminants by Nutritional Manipulation to Reduce Environmental Contamination - Review -

  • Lu, De-xun
    • Asian-Australasian Journal of Animal Sciences
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    • 제14권3호
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    • pp.395-401
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    • 2001
  • A review of present understanding of the dietary nutrient utilization in ruminant animals is presented. For increasing the utilization of dietary nutrients and reducing environmental contamination, highlighting the development and use of nutritional manipulation technique is suggested.

컨테이너 터미널의 적정 안벽능력 분석에 적용되는 계수들에 대한 분석 (An analysis about the coefficient used to estimate the quay capacity at the container terminal)

  • 김창곤
    • 한국항만학회지
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    • 제14권3호
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    • pp.259-267
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    • 2000
  • This study aims to analyse the coefficient used to estimate the quay capacity per year at the container terminal. The capacity of the container terminal is composed of the capacity at the quay side and the other working conditions at the back of the quay side. But when we refer the capacity of the container terminal, generally we used capacity as that of the container terminal. To estimate the quay capacity independently of the working conditions at the back of quay side, we calculate the quay capacity as th product of working hours per year, productivity of container crane and relate other coefficients, such that berth utilization, crane utilization and efficiency. So that coefficients are properly defined to reflect the other working conditions. If we calculate the quay capacity by the product of working hours modified by the berth utilization and crane productivity modified by the crane utilization and efficiency, the meaning of that coefficients must be strictly defined. So there could be no confusion to apply that coefficients to calculate the quay capacity. In this study, we exclusively define the meaning of the berth utilization, crane utilization and efficiency according to the internal-meaning of thats in the function to calculate the quay capacity. And compare each coefficients by decomposing the working hours at the terminal.

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