• 보건행정학회지
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• 제27권3호
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• pp.247-255
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• 2017

Background: South Korea has experienced problems with excessive pharmaceutical expenditures. In 2010, the South Korean government introduced an outpatient prescription incentive program to effectively manage pharmaceutical expenditures. Therefore, we examined the relationship between the outpatient prescription incentive program and pharmaceutical expenditures. Methods: We used data from the Korean National Health Insurance claims database, which included medical claims filed for 22,732 clinics from 2011-2014 to evaluate associated pharmaceutical expenditures. We performed multiple regression analysis and Poisson regression analysis using generalized estimating equation models to examine the associations between outpatient prescription incentives and the outcome variables. Results: The data used in this study consisted of 123,392 cases from 22,372 clinics (average 5.4 periods follow-up). Clinics that had received outpatient prescription incentives in the last period had better cost saving and Outpatient Prescribing Costliness Index (OPCI) (received: proportion of cost saving, ${\beta}=6.8179$; p-value < 0.0001; OPCI, ${\beta}=-0.0227$; p-value < 0.0001; reference = non-received). Moreover, these clinics had higher risk in the provision of outpatient prescription incentive (relative risk, 2.772; 95% confidence interval, 2.720 to 2.824). The associations were higher in clinics that had separate prescribing and dispensing programs, or had professional staff. Conclusion: The introduction of an outpatient prescription incentive program for clinics effectively managed problems with rapid increases of pharmaceutical expenditures in South Korea. However, the pharmaceutical expenditures still increased in spite of the positive impact of the outpatient prescription incentive program. Therefore, healthcare professionals and health policy makers should develop more effective alternatives (i.e., for clinics without separate prescribing and dispensing programs) based on our results.

• 근관절건강학회지
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• 제27권3호
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• pp.238-246
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• 2020

Purpose: This study aimed to investigate the effect of home visiting care service and to evaluate the effect from the cost-benefit among older people. Methods: The target participants were enrolled in 2007 and they were classified into 1 year, 2 years, 3 years, and 4 years according to their service provision period. We analyzed health insurance claims data and entitlement data from the National Health Insurance Service databases between 2006 and 2010. This study examined the participants' social-economic and health status factors related to total medical expense. Cost-benefit analysis was done using the net benefit and benefit/cost ratio. Results: Based on the use of home visiting service, the effect was reduced by 223,914 won. The cost for 952,109 people aged 65 or older was 39,891,462,882 won and the benefit was 213,190,534,626 won. The net benefit was 173,299,071,744 won and the benefit/cost ratio was 5.34 times, which was very economical. Conclusion: Home visiting health care should continue to expand as a means of economically effective health care for people aged 65 and older and to ensure health equity for vulnerable groups.

• 가정과삶의질연구
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• 제18권1호
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• pp.243-256
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• 2000

This study analyses various articles on famology presented in home journals 1980. The articles show rapid growth in quantity and variety of subjects and also show high quality of research analysis methods. However only 13.5% of the articles contribute to social problems. This study claims that various arguments and analyses should be made concerning the prospect of Korean families and the family functions. Educational programs must be made for healthy families and solving family problems and of counseling and therapy. And scholars should take a role in central or local government committees to shape policies for family welfare. They should also go into the local societies for practicing their studies.

• 대한화학회지
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• 제64권1호
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• pp.38-48
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• 2020

이 연구는 논의기반 탐구 과학수업의 학급 논의 활동에서 나타나는 중학생들의 인식론적 사고의 특징을 알아보고자 5개 주제에 대한 논의기반 탐구 과학수업의 수업 동영상 및 활동지를 수집하여 분석하였다. 연구 결과, 학생들이 학급 논의 과정에서 지식의 원천으로 사용한 증거의 출처로는 실험 자료를 활용한 유형이 가장 많이 나타났으며, 활동 방식에 따라서 개인적인 경험에 기반을 둔 유형과 과학 원리를 증거로 활용하는 유형이 추가로 나타났다. 또한 학급 논의에서 주제에 따른 지식 정당화의 수준 차이는 비슷하게 나타났으나, 주장 정당화의 하위 평가 요소 중 주장 타당성, 증거 타당성 및 논의과정 요소 사용의 수준은 높았지만 반박 타당성의 수준은 낮게 나타났다. 마지막으로 학급 논의 전후의 주장 변화를 분석한 결과, 주장변경 유형은 잘못된 주장의 정정 유형, 불명확한 내용의 명료화 유형, 개념의 확장 유형으로 분류할 수 있었으며, 이 중 잘못된 주장을 정정하는 유형이 가장 높은 비율로 나타났고, 개념의 확장 유형, 불명확한 내용의 명료화 유형의 순서가 차례대로 나타났다.

• 한국중재학회지:중재연구
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• 제17권2호
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• pp.3-21
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• 2007

Arbitration is a private and contractual means of dispute resolution. As a creature of contract, any particular arbitration owes its existence-and attendant limitations-to an arbitral agreement. This means that, in practice, the parties select their own judges, forum, and rules. By agreeing to arbitration, parties hope to achieve several goals. And arbitration has proven to be quicker, cheaper, and more predictable than litigation as a means of resolving many types of claims. As a primary method of conflict resolution, it is now worthwhile to consider carefully any procedural mechanism designed to promote the central aims of this alternative to litigation. It is helpful to frame any particular analysis according to (1) the type of decision for which preclusive effect is sought (arbitral award or court judgment) and (2) the type of subsequent proceeding in which preclusion is sought (an arbitration or a litigation). Res judicata may well bar litigation of that claim between the parties, but non-parties (affiliates or individuals) will not benefit from this bar unless the arbitral tribunal makes findings sufficient to satisfy the elements of collateral estoppel. The final permutation to be considered involves an arbitral award's preclusive effect on a subsequent arbitration. Whether a prior court decision should preclude issues or claims in a subsequent arbitration presents the easiest case for analysis. It is the easiest primarily because there is generally little room to debate whether adequate procedures were followed in a litigation. That is, one can safely assume that the rules of evidence and the rules of civil procedure were followed and that formal records sufficiently memorialize both the proceeding itself and the ultimate decision. Procedural regularity is mentioned not necessarily because it is an analytic tool, but because so many jurists and scholars see it as an impediment to the application of preclusionary doctrines.

• Journal of Gastric Cancer
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• 제15권2호
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• pp.87-104
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• 2015

Purpose: To assess real-world treatment patterns, health care utilization, costs, and survival among Medicare enrollees with locally advanced/unresectable or metastatic gastric cancer receiving standard first-line chemotherapy. Materials and Methods: This was a retrospective analysis of the Surveillance, Epidemiology, and End Results-Medicare linked database (2000~2009). The inclusion criteria were as follows: (1) first diagnosed with locally advanced/unresectable or metastatic gastric cancer between July 1, 2000 and December 31, 2007 (first diagnosis defined the index date); (2) ${\geq}65$ years of age at index; (3) continuously enrolled in Medicare Part A and B from 6 months before index through the end of follow-up, defined by death or the database end date (December 31, 2009), whichever occurred first; and (4) received first-line treatment with fluoropyrimidine and/or a platinum chemotherapy agent. Results: In total, 2,583 patients met the inclusion criteria. The mean age at index was $74.8{\pm}6.0years$. Over 90% of patients died during follow-up, with a median survival of 361 days for the overall post-index period and 167 days for the period after the completion of first-line chemotherapy. The mean total gastric cancer-related cost per patient over the entire post-index follow-up period was United States dollar (USD) $70,808{\pm}56,620$. Following the completion of first-line chemotherapy, patients receiving further cancer-directed treatment had USD 25,216 additional disease-related costs versus patients receiving supportive care only (P<0.001). Conclusions: The economic burden of advanced gastric cancer is substantial. Extrapolating based on published incidence estimates and staging distributions, the estimated total disease-related lifetime cost to Medicare for the roughly 22,200 patients expected to be diagnosed with this disease in 2014 approaches USD 300 millions.

• 치위생과학회지
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• 제23권3호
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• pp.225-235
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• 2023

Background: This study aimed to analyze the effects of periodontal treatment and individual- and tooth-related factors on tooth extraction in people with disabilities. Methods: The Korea National Health Insurance claims data of individuals with disabilities aged 40~64 years with chronic periodontitis in 2008 were obtained. Of these, data on the disabled who underwent scaling/root plaining, subgingival curettage/periodontal surgery, or non-periodontal treatments, and data on their teeth were selected. The extraction of 716,688 teeth from 39,097 patients was tracked until 2018, and the patient- and tooth-level factors related to tooth loss were identified using a mixed-effect logistic regression analysis. Results: Data from approximately 17% of the teeth were extracted during a follow-up period of approximately 11 years. Among the tooth-level variables, scaling/root planing treatment at baseline and periodontal treatment during the follow-up period were associated with a lower risk of tooth loss (odds ratio=0.692 and 0.769, respectively, p<0.001). Non-vital teeth increased the risk of tooth loss by 3.159 times (p<0.001). Among the patient-level variables, females were less likely to have lost their teeth than males, and those with orthopedic impairment or brain lesions/mental disabilities, a higher age group, lower income level, or residents in medium/small cities or rural areas were more likely to have lost their teeth (p<0.001). Conclusion: Through approximately 11 years of follow-up, scaling or root planing, experience with periodontal treatment at least once, female sex, older age, lower income, smaller residential areas, type of disability, and pulp vitality were found to be associated with tooth loss in individuals with disabilities aged 40~64 years with chronic periodontitis. To prevent tooth loss in individuals with disabilities, it is necessary to establish a dental treatment plan that considers the timing of periodontal treatment and the characteristics of the patient and teeth.

• 한국건설관리학회:학술대회논문집
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• 한국건설관리학회 2003년도 학술대회지
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• pp.438-441
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• 2003

건설 산업 대부분의 프로젝트에서 공기지연의 발생은 매우 일반적이나 CPM, Bar Chart와 같은 지연분석 기법들로서는 분석하기 매우 어렵다. CPM과 Bar chart를 이용하는 분석기법들은 동시발생과 생산성 손실 지연을 분석하기에 불충분하기 때문이다. 생산성 손실 지연은 동시발생 지연 분석 및 지연 일수 산정에서 중단으로 인한 지연과 다르게 분석되어야 한다. 본 논문에서는 동시발생 공기지연 분석을 포함하여 생산성을 고려한 공기지연 분석방법에 대하여 논하였다.

• Journal of Contemporary Eastern Asia
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• 제12권1호
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• pp.21-34
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• 2013

How do mixed legislative systems shape voter behavior and public perceptions? Through an analysis of the electoral systems in Japan, South Korea, and Taiwan, this paper evaluates the extent to which the public in these three countries understand their mixed systems and whether claims of voter ignorance translate into irrational voting behavior based on the institutional effects of mixed systems. Through a multi-method approach including data from outside of East Asia, this analysis seeks to determine whether these three cases exhibit patterns consistent with other mixed systems. Empirical analysis affirms levels of strategic voting consistent with comprehension of electoral rules. Furthermore, this analysis suggests a disconnect between practical knowledge and electoral expectations.

• STI Policy Review
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• 제3권2호
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• pp.1-46
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• 2012

The paper assesses the innovative performance and challenges that a small innovative country like Sweden faces in an era of intense global competition. We contrast innovative performance with similar countries in Europe as well as discus the reliability and validity of indicators used to shape policy development. The conclusion from the analysis shows that available input-output indicators must be used with some caution. Even if the supply and quality of indicators has increased for policy analysis, they still lack precision and validity to make broad claims about the innovative performance of companies and nations. It is argued that understanding knowledge flows (rather than simple input-output metrics) are a key to understand innovation processes for small countries at the innovation frontier; subsequently, small countries will have to abandon failed policy orthodoxies in order to cope with future policy challenges.