• Title/Summary/Keyword: VISITING RATE

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Evaluation of Efficiency of Community Visiting Health Service Units - A Demonstration of Using Data Envelopment Analysis (DEA) - (방문건강관리사업 효율성 평가를 위한 방법론적 접근 - 자료포락분석법(Data Envelopment Analysis)의 적용 -)

  • Lim, Ji-Young;Kim, Mi-Ja;Park, Chang-Gi;Kim, Jung-Yun
    • Journal of Korean Academy of Nursing Administration
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    • v.17 no.1
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    • pp.54-65
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    • 2011
  • Purpose: The aim of this study was to evaluate the efficiency of community visiting health service units using DEA and to compare the results with those of traditional evaluation methods. Methods: Data were collected using 2008 annual reports of 10 districts in one city. Input variables were number of staff and operational budget per year and output variables were number of managed household per nurse, rate of controlled hypertension, and diabetes mellitus. EMS Window version 3.1 was used to measure efficiency score and bootstrapping Chi-square test was applied to identify differences between efficient and non-efficient unit by organizational factors. Results: The average efficiency score of 10 community visiting health services was about 66%. Only two of the units operated program efficiently. The career of the staff was one among other factors associated with efficiency. The evaluation results from the traditional method and DEA were totally different. Conclusion: These results indicate that, evaluation methods have very important and significant effects on the evaluation results of community visiting health service units. The DEA method is recommend as an alterative method for evaluating community visiting health service.

Analysis on the Restoration of Visiting Roads of Stream of Chilsun in Jirisan National Park (지리산국립공원내 칠선계곡 탐방로의 회복에 관한 분석)

  • Park, Jae-Hyeon
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.13 no.2
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    • pp.105-113
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    • 2010
  • To investigate the restoration procedure on soil physical properties at the surface of visiting road affected by rest-year system. This study was carried out at visiting roads of stream of Chilsun in Jirisan. Mean soil strength in 20cm of soil depth was lower in the Rest-Year System areas (1.5-1.9 times in Site 2, 1.1-7.5 times in Site 3) than in the control (Site 1). Soil strength was recovered by the Rest-Year System in the national park. Mesopore rate (pF 2.7) in 0-15 cm of soil depth was higher in the Rest-Year System areas (1.2 times) than in the control. This indicates that mesopore rate is rapidly restoring in the Rest-Year System areas. Pore space rate in 0-7.5 cm of soil depth was higher in the Rest-Year System areas (23.2% in Site 2, 23.6% in Site 3) than in the control (22.4% in Site 1). Pore space rate in 7.5-15 cm of soil depth was also higher in the Rest-Year System areas (22.9% in Site 2 and Site 3) than in the control (18.9% in Site 1). Soil pore space was remediable by the Rest-Year System. Bulk density in 0-7.5 cm of soil depth was lower in the Rest-Year System areas (1.674g/$cm^3$ in Site 2, 1.668g/$cm^3$ in Site 3) than in the control (1.723g/$cm^3$ in Site 1). Bulk density in 7.5-15 cm of soil depth was lower in the Rest-Year System areas (1.785g/$cm^3$ in Site 2 and 1.721g/$cm^3$ in Site 3) than in the control (1.721g/$cm^3$ in Site 1). Soil bulk density was decreased in the Rest-Year System areas of the national park. Amount of soil erosion was lower in the Rest-Year System areas ($0.017m^3$/km/yr in site 2, $0.023m^3$/km/yr in site 3) than in the control ($0.054m^3$/km/yr in site 1).

Analysis of Heart Rate Variability in Cold Hypersensitivity Females Visiting Gangnam Kyung-Hee Korean Hospital (강남경희한방병원에 내원한 냉증을 호소하는 여성의 Heart Rate Variability 특성 연구)

  • Lee, Mi-Joo;Kim, Eun-Kyung;Lee, Jin-Moo;Cho, Jung-Hoon;Jang, Jun-Bock;Lee, Kyung-Sub;Lee, Chang-Hoon
    • The Journal of Korean Obstetrics and Gynecology
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    • v.24 no.3
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    • pp.109-115
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    • 2011
  • Objectives: To characterize autonomic dysfunction in patients with Cold hypersensitivity, their heart rate variability(HRV) were measured and analyzed with cold hypersensitivity patients, compared with those of normal population. Methods: We studied 56 patients visiting Gangnam Kyung-hee korean hospital from 1st January 2010 to 31th December 2010. Heart rate variability were obtained from 28 female patients who suffer from cold hypersensitivity and 28 healthy female controls in resting state. We studied the difference of Heart rate variability between two groups by Independent T-test using SPSS for windows(version 17.0). Results: Standard deviation of NN interval(SDNN), total power(TP), Very low frequency(VLF) in patients with cold hypersensitivity were significantly different with those of controls. While no significant differences were observed in square root of mean squared differences of successive NN intervals (RMSSD), low frequency (LF) and high frequency(HF). Conclusions: The decreased values of heart rate variability(HRV) study means that they may have some kinds of imbalance in autonomic nervous system in cold hypersensitivity patients. heart rate variabiliry(HRV) study might be a tool of diagnosis and predictors in cold hypersensitivity patients.

Clinical Analysis of Patients Who Visited the Emergency Room of an Oriental Medical Center (한의과대학 부속 한방병원 한방응급실 내원환자에 대한 임상적 분석)

  • Ryu, Jae-Hwan;Kim, Young-Chul;Lee, Beom-Jun;So, Hyung-Jin
    • The Journal of Korean Medicine
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    • v.28 no.3 s.71
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    • pp.197-206
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    • 2007
  • Objectives : By recording basic data of patients visiting the emergency room of the oriental medicine center, we can understand their characteristics and gain better insight about them. Methods : We performed a retrospective study of 2,674 patients who visited the emergency room of Kyunghee Oriental Medical Center, from June 1, 2006 to May 31, 2007. Results : 1. Of 2,674 total patients, the male to female ratio was 0.94:1 and the 6th decade of life was the peak age group. 2. The majority of patients visited our emergency room between 06:00 and 24:00(midnight). 3. Most patients visited on a Saturday or Sunday. 4. By monthly distribution, the patients increased slightly during June, July, August and October. 5. The majority of patients visited the emergency room within 24 hours of onset. 6. The patients were categorized as follows: neurological diseases 71.15%, musculoskeletal diseases 16.02%, internal medical disease 9.04%, psychiatric and related disease 3.79%. 7. The average transit time was about 1 hour 30 minutes. 8. Admission rate was 48% and the rate of admission to the intensive care unit (ICU) was 5% of total visiting patients. Conclusion : Assuming that this research will continue adding patient's data continuously, this work will help us to understand the features of patients who visiting the emergency room of the oriental medical center.

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Visitor Behavior and Satisfaction in Suburban Recreational Forests - Focused on the suburbs of Seoul - (도시근교형 자연휴양림 이용 행태와 만족도 분석 - 서울 근교를 중심으로 -)

  • 서주환;최현상;전형석
    • Journal of the Korean Institute of Landscape Architecture
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    • v.30 no.6
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    • pp.57-65
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    • 2003
  • This study researches attributes , behaviors , satisfaction factors and degrees of curiosity of visitors to recreational forests in the suburbs of a large city. It aims to present suggestions for urban forest development and management policy by offering basic data which help to plan, design and manage recreational forests to increase the quality of these environments. The results are as follows First, in attribute, the visiting rate of males is higher than that of females, and the main users are in their thirties and forties. Sixty percent of visitors graduated from university and their rate of employment is evenly distributed. 95 percent of visitors are residents of the metropolitan area. In terms of behavior, major visitors are family units visiting during summer seasons and for overnight stays. 75% are re-visitors. 85% of visitors came to escape the city with families and friends, keep in good health and experience nature. Second, to extract the factors affecting visitor satisfaction in recreational forests, the natural environment, facilities, and management/use systems were identified as independent variables, while subordinate satisfactions were dependent variables. so regression analysis was used. Thus, the variables affecting the natural environment are quality of water, stream use, biodiversity, fresh air and landscape factors. The variables affecting facilities are puking, convenience, play facilities, sanitary arrangement and camping. Most important among the variables affecting management/use systems are educational facilities and access condition. On the basis of generalizing the study in the existing individual site, we must verify the visiting characteristics in recreational forests in the suburbs of a large city. Since development of recreational forests is understood as a sequence considering a site and a given condition, and since management and improvement must unfold according to these characteristics, a strategy is needed to reveal visitors' opinions about the site. Depending on the facilities and service, satisfaction of recreational forests is generally influenced by social and economic qualities. Also, this study can look into the effect according to use pattern motive and season. As suburban recreational forests have many overnight-users and younger men, programs suitable for these groups are needed. On the basis of variables affecting satisfaction according to natural environment, facilities, and use system, policies which can manage the natural environment and introduce educational programs are needed.

Survey of Motives for Visiting Oriental Medical Hospital and Satisfaction with Oriental Medical Care for Cancer Patients: Report of 22 Cases (환자 22예에 대한 한방병원 내원동기 및 한방치료 만족도 조사)

  • Park, Jong-Min;You, So-Jung;Choi, Sung-Youl;Moon, Goo;Lyu, Yeoung-Su
    • Journal of Oriental Neuropsychiatry
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    • v.26 no.1
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    • pp.23-38
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    • 2015
  • Objectives: This study aimed to understand the motives for visiting oriental medical hospital and the satisfaction degree of cancer patients, in order to increase the satisfaction rate of oriental medicine among cancer patients. Methods: The data were collected from inpatients who responded to a self-report questionnaire. Independent t-test, analysis of variance (ANOVA), and correlation analysis were used for data analysis. Results: The most prominent motive for visiting oriental medical hospital was recurrence prevention and energy recovery. In oriental medical care, positive responses appeared in the order of 'Acupuncture', 'Pharmacopuncture', 'Enzyme therapy', 'Foot bath therapy', and 'Moxibustion'. According to the research on medical satisfaction degree, the overall satisfaction degree was 4.56. On each field, satisfaction degree related to the doctor service was 4.64, and satisfaction degree of using the procedure was 4.47. Conclusions: Cancer patients mostly visited oriental medical hospital for recurrence prevention and regaining energy, and the service distribution of oriental medical hospital was almost equal without being concentrated on the specified social classes.

The Effect of Case Management Program for Hypertensive Patient (보건소 등록 고혈압 환자에게 실시한 사례관리 프로그램의 효과)

  • Chung, Jung-Soon;Lee, Sun-Ock
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.2
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    • pp.321-331
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    • 2014
  • Purpose: The purpose of this study was to investigate the effects of case management service for hypertensive elderly patients through the customized visiting home health care program. Method: Non-equivalent control group pretest-posttest design was employed. Data were collected from April 2007 to January 2009. Among a total of fifty subjects, 25 subjects were belonged to the case management group and the others were belonged to the general management group. Results: 1) In experimental group, significant increasing rate of number of people within normal blood pressure by time, but no significant increasing rate of number of people within normal blood neutral fat, total cholesterol, HDL, & LDL. 2) In experimental group, the score of knowledge about disease and healthy life practice were increased on 8 week period but decreased on follow up period. Number of people within normal blood HDL and mean score of healthy life practice were significantly higher than control group on follow up period. Conclusion: Case management service was effective on controlling blood pressure but partly effective on blood lipid, knowledge about disease, and healthy life practice in hypertensive patients. Further study is needed to conduct a periodic re-evaluation of the effect of case management and to verify an optimal interval to provide the case management service.

Selected Problems in the Korean Family Planning Program (우리나라 가족계획사업(家族計劃事業)에 있어서의 문제점(問題點)에 대(對)한 고찰(考察))

  • Oh, Chan-Young
    • Journal of Preventive Medicine and Public Health
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    • v.7 no.2
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    • pp.343-347
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    • 1974
  • An examination of avalable data relevant to several problems in the Korean family planning program led us to the following conclusions: 1. The high incidence of discontinuance in the use of IUD appears to be one of the foremost problems which effectiveness of the family planning program in Korea. Thus, the development of technologies and program strategies to decrease the discontinuance rate is badly needed to increase effectiveness and efficiency of the program. 2. The monthly supply of oral pill was found inadequate in terms of timing at the end and beginning of the year. 3. The frequency of home visiting showed discrepancy between service statistics and survey result. Evidences indicate that the latter figure is more correct. Program strategies should be developed to make home visiting activities more effective. 4. It was observed that the unit cost of the family planning program was increased fairly rapidly. It calls for the necessity of increasing cost efficiency of the program.

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A Study on the Maximum Rate of Daily Users and the Turnover Rate of Parks in Korea (한국공원의 최대일율 및 회전율에 관한 연구)

  • 임승빈;조형준;김대현
    • Journal of the Korean Institute of Landscape Architecture
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    • v.18 no.4
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    • pp.29-44
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    • 1991
  • The purpose of this study is to investigate the maximum rate of daily users and the turnover rate of parks in Korea. Median calculation, percentile analysis, and regression analysis methods were adopted for the investigation of the maximum rate of daily users. The maximum level, adaptable level and current dispersion of each index were analyzed. The results are summarized as follows. 1) It is location, kinds of facility, and purpose of visiting that mainly affect the concentration pattern of the number of park users. 2) Parks are devided into such three types as common urban park, royal tomb park, and large amusement park. 3) Spring is the peak season in all parks. 4) The maximum daily rates of the three types of parks are 0.92%, 1.86%, 1.18% respectively and the turnover rates are 18%, 54%, 63% respectively. 5) The results of this study show the necessity of the revision of the existing maximum daily rate and turnover rate.

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Factor Analysis of Intoxicated Patients Disposition in Pediatric Emergency Department (소아응급의료센터에 내원한 중독 환자의 입원 결정과 관련 있는 요인 분석)

  • Lee, Hyun Jung;Cho, Youngsoon;Jang, Hye Young;Lim, Hoon;Hwang, Bo Young
    • Journal of The Korean Society of Clinical Toxicology
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    • v.16 no.1
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    • pp.15-24
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    • 2018
  • Purpose: This study was conducted to analyze the factors associated with intoxicated patient's disposition in the pediatric emergency department. Methods: We retrospectively evaluated pediatric intoxicated patients visiting the pediatric emergency department of a hospital between January 1, 2011 and December 31, 2013. Specifically, we analyzed the association between hospitalization recommended rate and the following variables: patient age group, symptoms, intentional poisoning, decontamination and toxic level of substance. Results: We collected data from 345 patients. A high incidence was noted in the 1-4 years of age group and 10-15 years of age group. Unintentional poisoning occurred in 306 patients (88.7%). A total of 115 patients (33.3%) had symptoms when visiting. Forty three patients (12.5%) ingested cleaning substances, which was the most common agent. Potentially-toxic level was the most common level of the substance. The hospitalization recommended rate associated with visits in 2011 was 2.5 times greater than in 2012 and 2013, decontamination was 2.0 times greater than no decontamination, and poisoning with potentially-toxic substances was 2.6 times greater than poisoning with other toxic substances. Additionally, the hospitalization recommended rate associated with symptomatic patients was 2.4 times greater than that of asymptomatic patients and intentional poisoning was 2.4 times greater than unintentional poisoning. Conclusion: Patients with decontamination, ingestion of potentially-toxic substances, symptoms and intentional poisoning had increased hospitalization rates. In addition, the hospitalization rate for patients who visited in 2011 was greater than that of patients who visited in 2012 or 2013.