• Title/Summary/Keyword: bed policy

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A QoS policy experimentation and evaluation on Optical subscriber network Test bed for deploying TPS(Triple Play Service) (TPS를 고려한 광가입자망에서의 QoS 고찰)

  • Lee, Dong-Yeal;Seung, Min-Mo;Kim, Hee-Dong
    • 한국정보통신설비학회:학술대회논문집
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    • 2009.08a
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    • pp.63-67
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    • 2009
  • In this paper we propose a QoS policy, which is based on both DSCP and SPQ, appropriate to TPS users on optical subscriber network. Then we experiment and evaluate QoS policy through the test bed which emulates real optical subscriber network. In order to perform effective and real experiment on test bed we make test traffic equivalent to 400 TPS users and give it to test bed. The experimental result shows that no packet loss in real time service traffic such as voice, IPTV occurs during more than 4 hours. We think that our proposed QoS policy is a proper method which guarantees the service quality of real time services on optical subscriber network.

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Analysis of Demand-Supply Status for Improving the Effectiveness of Plans for Supply and Demand of Reginal Patient Beds (지역병상수급계획 실효성 제고를 위한 수요공급 현황 분석)

  • Jeong Min Yang;Jae Hyun Kim
    • Health Policy and Management
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    • v.33 no.4
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    • pp.411-420
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    • 2023
  • Background: The purpose of this study was to analyze the demand and supply status of patient beds by type of medical institution, categorized into 70 clinical privilege, in order to understand the regional bed supply situation. Methods: Utilizing the 70 clinical privilege defined by the Ministry of Health and Welfare, we calculated bed demand and supply quantities from 2019 to 2021 using data from Statistics Korea and the Health Insurance Statistical Yearbook. The bed demand calculation formula was based on the detailed guidelines for the medical sector by the Korea Development Institute and the 3rd edition of bed supply basic policies announced by the Ministry of Health and Welfare. Additionally, to mitigate distorted bed supply situations caused by factors such as regional levels and patient outflows, we classified bed supply types using the population decrease index indicator published by the Ministry of Public Administration and Security. Results: Among the 70 clinical privilege, it was analyzed that a relatively balanced bed supply situation exists overall, irrespective of the type of healthcare institution. However, in medical institutions at or above the level of hospitals, regions with bed supply ratios exceeding 20% compared to demand, particularly in institutions at or above the level of general hospitals, showed a relatively high rate of demand diversion. Conclusion: We have identified the bed supply types in the 70 clinical privilege in South Korea. Based on the results of this study, we emphasize the need for bed supply policies that consider regional characteristics. It is expected that this research can serve as fundamental data for future efforts aimed at managing or rectifying bed supply imbalances on a regional basis.

Relationship Between Supply Factors of Medical Care and Use of Bed (의료의 공급량과 병상이용량과의 관계에 관한 국제비교연구)

  • 정형선
    • Health Policy and Management
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    • v.5 no.2
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    • pp.18-34
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    • 1995
  • To clarify the relationship between the medical supply(medical persons and goods) and the use of bed, the author has made comparison among OECD 24 countries. Per Capita Bed-days can be divided into Average Length of Stay and Admission Rate, and these three variables were regressed upon both In-patient Care Beds of all medical institutions including acute somatic, psychiatric, special, nursing homes and other long-term care and Share of Total Health Employment in Total Employment. The result of regression analysis shows a statistically significant positive relationship between In-patient Care Beds and Average Length of Stay, and negative relationship between Share of Total Health Employment and Admission Rate. In addition to Ordinary Least Square(OLS) estimation, amended Bounded Influence Estimation(BIE) was also made to adjust the influence of outliers. Japan shows a very large number of In-patient Care Beds and a very low Share of Total Health Employment, and this medical situation is judged to have close relation to her long Average Length of Stay and low Admission Rate.

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Nurse Staffing Level Relating Factors of the General Nursing Units, ICU, ER and OR in Acute General Hospitals (종합병원의 일반병동, 중환자실, 응급실, 수술장간호사 확보수준 관련 요인)

  • Kim, Yun-Mi
    • Journal of Korean Academy of Nursing Administration
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    • v.14 no.4
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    • pp.404-412
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    • 2008
  • Purpose: To analyse hospital nurse staffing level of the general nursing unit, ICU, ER and OR in general hospitals. Method: The study sample was 105 acute general hospitals which had reported the bed size and number of nurses by the nursing units. Number of bed per nurse was analysed by the hospital characteristics and the staffing levels of the doctors and the nursing assistant personnels using t-test or ANOVA and Pearson's correlation. Results: Number of bed per nurse was 3.86 in general nursing units and 0.95 in ICU. Tertiary hospitals employed more nurses in general nursing units and ICU than general hospitals. Hospitals located in Seoul and public hospitals employed more ICU nurses. OR nurse staffing level was higher in academic hospitals. Hospital size was positively correlated with nurse staffing level of the general nursing unit, ICU, ER and OR respectively. Total nurse staffing level of the hospital was positively correlated with doctor and nursing assistant personnels staffing levels. Conclusion : Differentiated nursing fee schedule was needed to implement in ER or OR. Regulation policy should be needed for the hospitals which violated hospital nurse staffing level of the law.

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The Patient Days and Medical Care Benefits of Finger-Amputated Patients due to Industrial Accident by Hospital and Patient Characteristics (병원 및 환자특성에 따른 수지절단 산업재해환자의 요양기간과 진료비)

  • Kam, Sin
    • Health Policy and Management
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    • v.7 no.2
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    • pp.1-18
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    • 1997
  • This study was conducted to analyze patient days and medical care benefits of finger-amputated patients due to industrial accident. The 161 personal data on medical care for finger-amputated patients due to industrial accident(88 in 1994, 73 in 1995) of Regional Labor Office and hospital characteristics were analyzed. The major results of this study were as follows : According to stepwise multiple regression analysis of patient days, number of amputated finger, location of hospital, bed capacity of hospital, presence of plastic surgery in hospital, number of orthopedic specialist per 100 beds, sick leave benefits per day were the major significant variables in order. In stepwise multiple regression analysis with medical care benefits as a dependent variable, presence of plastic surgery in hospital, number of orthopedic specialist per 100 beds, number of amputated finger, sick leave benefits per day, age, bed capacity of hospital were the major significant variables in order. The minimum optimal size with the lowest medical care benefits was a hospital with 300 beds. This shows that the economy of scale is also applicable for hospital industry. In summary, presence of plastic surgery in hospital, number of orthopedic specialist per 100 beds, number of amputated finger, sick leave benefits per day, bed capacity of hospital were the major significant variables in both patient days and medical care benefits.

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A Study on Regulation for Domestic Airspace Operation of Foreign Registered FTB Aircraft (해외도입 FTB 항공기의 국내 운용을 위한 제도 고찰)

  • Hong, Seung-Beom;Hong, Gyoyoung;Park, Jehong;Eom, Jeonghwan;Chong, Pilhan
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.28 no.1
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    • pp.115-121
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    • 2020
  • Recently avionics equipment and its integration are most important part for implementing high performance aircraft system. This trends are emphasized in the military or special purpose aircraft development program. Flight Test Bed Aircraft (hereafter FTB A/C) - by modified commercial aircraft - was key solution to verify function and performance of avionics system for complex aircraft development program for a while, but there are no experience to use it in domestic airspace of ROK. This paper would like to address what act and regulation is necessary to perform flight operation of FTB A/C with keeping a airworthiness and airspace control policy. and then willing to propose what do we do for improving aviation industry.

Meiobenthic Community Structures on the Sediment of Seagrass Bed and Mangrove Forest in Chunk Lagoon, Micronesia (마이크로네시아 연방 축 라군의 해초지와 맹그로브 군락 퇴적물에 서식하는 중형저서동물 군집 특성)

  • Min, Won-Gi;Kim, Dong-Sung;Kwon, Moon-Sang
    • Ocean and Polar Research
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    • v.28 no.1
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    • pp.13-23
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    • 2006
  • This study was conducted to investigate the community structure and distributional pattern of meiobenthos on the sediment of the mangrove forest and seagrass bed in the Chuuk lagoon. The samples were collected by an acryl corer at 14 stations. Nematodes were the most abundant meiobenthos, followed by ciliophorans and polychaetes; these taxa comprised more than 70% of the total abundance at all stations. The meiofuuna sampled in seagrass bed were more diverse than those of mangrove substrates. Total densities were higher in mangrove stations than other sites, averaging 1,671 to $2,967inds/10cm^2$. Densities in seagrass area ranged between 605 and $1,053inds/10cm^2$. Biomasses, however, were higher in seagrass bed $(975-2,167{\mu}g\;free\;dry\;weight/10cm^2)$ than in mangrove area $(1,064-1,180{\mu}g\;free\;dry\;weight/10cm^2)$. Ordination chart by MDS of major meiofaunal density in each station showed difference between mangrove area and seagrass area in terms of habitat of meiobenthos.

Factors Influencing to Select Types of U.S. Hospital Network (미국 병원의 네트워크 유형 선택에 영향을 미치는 요인분석)

  • 김양균
    • Health Policy and Management
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    • v.14 no.2
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    • pp.1-16
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    • 2004
  • The study purpose was to find which factors affect selection of hospital network types. This study used the 1998 American Hospital Association Annual Survey Database from Health Forum. Among these U.S. hospitals, the researcher selected hospitals located in Metropolitan Statistical Areas. Therefore the final observation cases for analysis are 1,971 Metropolitan Statistical Area hospitals in the United States. To identify significant variables influencing hospital network types, the study used proportional odds logistics regression model on population size, Health Maintenance Organization penetration rate, and market competition rate of area including a hospital, types of hospital ownership, hospital bed size, proportion of Medicare patients and Medicaid patients in total hospital patients, and occupancy rate. Contrary to conventional wisdom, selection of hospital network types was influenced by population size of area which a hospital located, types of ownership, hospital bed size, and proportion of medicare patients rather than Health Maintenance Organization penetration. Population size 1,000,000-2,499,999 had the highest probability of selecting type IV (clinical-vertical integration) from an independent hospital, and a religious group owned hospitals and for-profit owned hospitals had the highest probability of selecting Type IV (clinical-vertical integration) from an independent hospital. A bed size had positive relation on selecting Type IV (clinical-vertical integration) from an independent hospital. Unlikely general belief that the selecting types of hospital network was determined by the change of health insurance policy such as Health Maintenance Organizations and Preferred Provider Organizations, the types of hospital network were influenced by community characteristics such as population size, and hospital characteristics.

Evaluation of Biomass of Biofilm and Biodegradation of Dissolved Organic Matter according to Changes of Operation Times and Bed Depths in BAC Process (BAC 공정에서 운전기간 및 여층깊이 변화에 따른 생물막 생체량 및 용존유기물질 생분해 특성 평가)

  • Son, Hyeng-Sik;Jung, Chul-Woo;Choi, Young-Ik;Lee, Gun;Son, Hee-Jong
    • Journal of Environmental Science International
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    • v.23 no.6
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    • pp.1101-1109
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    • 2014
  • In this study we followed biofilm formation and development in a granular activated carbon (GAC) filter on pilot-scale during the 12 months of operation. GAC particles and water samples were sampled from four different depths (-5, -25, -50 and -90 cm from surface of GAC bed) and attached biomass were measured with adenosine tri-phosphate (ATP) analysis and heterotrophic plate count (HPC) method. The attached biomass accumulated rapidly on the GAC particles of top layer throughout all levels in the filter during the 160 days (BV 23,000) of operation and maintained a steady-state afterward. During steady-state, biomass (ATP and HPC) concentrations of top layer in the BAC filer were $2.1{\mu}g{\cdot}ATP/g{\cdot}GAC$ and $3.3{\times}10^8cells/g{\cdot}GAC$, and 85%, 83% and 99% of the influent total biodegradable dissolved organic carbon ($BDOC_{total}$), $BDOC_{slow}$ and $BDOC_{rapid}$ were removed, respectively. During steady-state process, biomass (ATP and HPC) concentrations of middle layer (-50 cm) and bottom layer (-90 cm) in the BAC filter were increased consistently. Biofilm development (growth rate) proceed highest rate in the top layer of filter (${\mu}_{ATP}=0.73day^{-1}$; ${\mu}_{HPC}=1,74day^{-1}$) and 78%~87% slower in the bottom layer (${\mu}_{ATP}=0.14day^{-1}$; ${\mu}_{HPC}=0.34day^{-1}$). This study shows that the combination of different analytical methods allows detailed quantification of the microbiological activity in drinking water biofilter.