• 한국병원경영학회지
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• 제25권3호
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• pp.78-86
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• 2020

Purposes: This study purposed to identify factors influencing the composite quality score from the quality assessment program for long-term care hospitals Methodology: The study variables was obtained from HIRA(Health Insurance Review and Assessment Service): the composite quality scores and hospital variables such as number of doctors, nurses, beds, medical technicians, medical equipments, administrative region, ownerships from 3rd (2010) to 7th (2018) quality assessment program. National Statistical Portal(www.kosis.go.kr) provided the number of senior citizens aged over 65 in city·county·district area. SAS 9.4 was used for the data processing and used to analyze the data. Findings: The results showed that composite quality score increased past 9 years. Hospital variables such as number of doctor, nurse, medical technicians, bed and public hospitals had significant positive relationship with the composite quality score. Administrative region(district) showed higher scores compare to that of city. Compare to the score of quality assessment year(2010), as the assessment year move to 2012, 2013, 2015, 2018, results showed higher significant positive coefficients. Practical Implication: Continuously improve the performance of long-term care hospitals, current quality assessment program are needed to update their system such as adopting indicators measuring the service process, or compensating the cost for quality assessment program. It will enable to provide more reasonable and accurate performance assessment scores.

• 지역사회간호학회지
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• 제26권3호
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• pp.292-302
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• 2015

Purpose: The purpose of this study was to examine the association between health behaviors and health-related quality of life (HRQOL) among vulnerable children in a community. Methods: Using data from 'The Obesity Prevention Framework for Vulnerable Children', a secondary analysis was conducted for 165 children (ages 8~12 years) and their parents who were recruited from 16 K-gu Community Child Centers in Seoul. Six types of health behaviors related to eating and activity were assessed. Each behavior was categorized into the non-recommended vs. recommended levels. The scores of the recommended levels of the six health behaviors were summed up for the composite score of health behaviors. HRQOL was measured by KIDSCREEN-52. Results: The groups with a non-recommended level of fast food intake and sedentary behavior had a significantly lower total score of KIDSCREEN-52 than those with a recommended level. Moreover, the lower composite score of health behaviors was significantly associated with the lower total score of KIDSCREEN-52. Conclusion: Among the vulnerable children, the six recommended health behaviors and their composite score were in significant positive associations with the HRQOL levels. Therefore, nursing strategies for enhancing the recommended levels of health behaviors are needed for vulnerable children.

• 한국안전학회지
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• 제12권1호
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• pp.113-121
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• 1997

Human reliability attempts to make precise quantitative analyses and predictions of the performance of human-machine(or product) systems. In order to yield more precise human error analysis, precise human error probabilities(HEPs) must be used in the analysis. However, because human behavior is influenced by factors that are called performance shaping factors(PSFs), the effects of PSFs must be considered to obtain precise HEPs, These are called basic HEPs or situation-specific HEPs. This paper presents a theoretical method for obtaining basic HEPs (i.e. , considering PSFs) in quantitative human error analysis. In this method, the weight which characterizes the degree of importance of several PSFs is obtained by the analytic hierarchy process. The quality scores of PSFs in the task situation are obtained by percentile concept. These scores are used in conjunction with the relative Importance weights of PSFs to compute the composite quality percentile score of PSFs in the task situation. Then, a new mapping method of the composite quality percentile score of PSFs into a situation-specific basic HEP is proposed with a numerical example.

• 한국보건간호학회지
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• 제28권3호
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• pp.565-573
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• 2014

Purpose: Health Insurance Review & Assessment Service (HIRA) launched an Acute Myocardial Infarction(AMI) assessment for the Payment For Performance(Quality Incentives) Pilot Project from July 2007. Assessment measures of AMI were composed of five process measures and one outcome measure, and each measure was incorporated into one composite quality score to Pay for Performance. Method: For calculation of composite quality score, we considered weighting for the measures using the Delphi method. The questionnaire was composed of three measure groups, 'Reperfusion rate'(Fibrolytic therapy received within 60 minutes of hospital arrival, Primary Percutaneous Coronary Intervention within 120 minutes of hospital arrival), 'Medication prescription rate'(Aspirin at arrival, Aspirin prescribed at discharge, Beta-blocker prescribed at discharge) and 'Survival Index'(30-day mortality rate). Result: A panel composed of 18 and completed a questionnaire by allocation of 10 scores to the three above mentioned measure groups. The Delphi was carried out until three rounds of surveys. In conclusion, each measure group was weighted differently and the 10 scores were allocated as 4.5 to 'Reperfusion rate', 2.5 to 'Medication prescription rate', and 3.0 to 'Survival Index'. Conclusion: The results of this study proposed the calculation method for weighting of Acute Myocardial Infarction quality indicators.

• Tuberculosis and Respiratory Diseases
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• 제81권3호
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• pp.175-186
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• 2018

Pneumonia is an important cause of morbidity and mortality. Since 2014, the Health Insurance Review and Assessment Service (HIRA) has assessed the overall quality of care among hospitalized adult patients with community-acquired pneumonia (CAP) provided by all medical institutions in Korea. A committee of the Korea Academy of Tuberculosis and Respiratory Diseases developed the hospital inpatient quality measures set for CAP consisting of eight core measures and five monitoring measures. The composite measure score was calculated. The medical records of hospitalized adult patients ages 18 years or more with CAP from October to December 2014 were evaluated. The data of 523 hospitals (42 tertiary hospitals [8.0%], 256 general hospitals [49%], and 225 hospitals [43.0%]) and 15,432 cases (tertiary hospitals, 1,673 cases [10.8%]; general hospitals, 8,803 cases [57.1%]; hospitals, 4,956 cases [32.1%]) were analyzed. We found large variations among institutions in terms of performance of care measures for CAP. For the composite measure score, the mean value was 66.7 (tertiary hospitals, 98.5; general hospitals, 79.2; hospitals, 43.8). Despite significant differences in measure scores between tertiary, general hospitals and hospitals, no significant differences were found in mortality between hospitals. Further studies are needed to determine the care measures appropriate for CAP.

• Applied Biological Chemistry
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• 제21권3호
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• pp.193-196
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• 1978

소맥품질(小麥品質)의 구성요소인 제분율(製粉率). 소백분(小麥粉)의 회분과 단백질 함량 및 침전가(沈澱價)를 종합적(綜合的)으로 나타낼 수 있는 품질평점지수(指數)를 설정하였던바 그 결과를 요약(要約)하면 다음과 같다. 1. 제분평점지수(製粉評點指數)(MSI)=$2.3X_m-72.4X_a$ 단백질평점지수(蛋白質評點指數)(PSI) =$5.2X_p+0.9X_s$ 종합품질평점지수(綜合品質評點指數)(QSI)=$0.63X_{msi}+0.37X_{psi}$로 표시되었다. 2. 제분(製粉)평점지수가 100이상이면 제분성(製粉性)이 양호(良好)하다 할 수 있고 단백질(蛋白質)평점지수가 100이상이면 제(製)빵적성이 양호한 것이고 100이하인 것은 과자류(菓子類)의 Pastry제품 생산에 적합하며 종합품질(綜合品質) 평점지수의 경우는 이들이 100이상의 경우 제분성과 제빵적성을 겸비한 것으로 해석되었다. 3. 제분(製粉)평점지수, 단백질(蛋白質)평점지수 및 종합품질평점지수와 각각의 유관(有關) 품질인자(品質因子)와는 높은 상관(相關)을 나타내었다.

• Applied Biological Chemistry
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• 제35권4호
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• pp.281-285
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• 1992

시판 쇠고기 맛 복합조미료를 PE/Al/PE/PET의 적층포장재로 포장저장중 온도인자에 의한 $Q_{10}$값은 2.54였으며 이로부터 $35^{\circ}C$, $25^{\circ}C$ 및 $15^{\circ}C$에서의 shelf-life는 각각 29주, 73주 및 185주로 예측되었다. 색상중 L값은 $50^{\circ}C$ 저장중 다소 감소하였으나 a 및 b값은 큰 변화가 없었으며 색상과 기호도와의 상관계수는 대체로 낮게 나타났다. 갈변도와 카르보닐값은 저장중온도가 높을수록 증가하는 경향이었으며 기호도와의 상관계수는 비교적 높게 나타났다. 수분, 염도 및 총당은 저장 전기간중 KS-규격기준에 적합하였다.

• 보건행정학회지
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• 제23권2호
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• pp.176-187
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• 2013

Background: In 2006 Emergency Medical Services Index (EMSI), which summarizes the performance of regional emergency medical services system, was developed. This study assesses the performance of the EMSI to help determine whether EMSI can be used as evaluation tool. Methods: To build a composite score of the EMSI from predefined 24 indicators, 3 normalized values were calculated for each indicator, the normalized values of each indicator were weighted using 4 weighting methods, and the weighted values were aggregated into the final composite score using 2 aggregation schemes. The performance of EMSI was evaluated using 3 criteria: discrimination, construct validity, and sensitivity. Discrimination was the proportion of regions that did not include the overall median rank in the 5th to 95th percentiles rank interval, which was calculated from Monte Carlo simulation. Construct validity was a correlation among the alternative EMSIs. Sensitivity of EMSIs was evaluated by total shift of quartile membership and changes of 5th to 95th percentile intervals. Results: The total discrimination performance of the EMSI was 50.0%. Correlation coefficients between EMSIs using standardized values and those using rescaled values ranged from 0.621 to 0.997. Variation of the quartile membership of regions ranged from 0.0% to 75.0%. The total change in the 5th to 95th percentile intervals ranged from -19 to +17 places. Conclusion: The results suggested that the EMSI could be used as a tool for evaluating quality of regional EMS system and for identifying the areas for quality improvement.

• 한국지역사회생활과학회지
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• 제17권2호
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• pp.61-68
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• 2006

This Study was conducted to investigate the processing quality of high-amylose content rice(goami) flour for noodle. The potassium and magnesium contents of rice flour were negatively associated with gross score of noodle making mixed with wheat flour. The high-amylose content of rice flour was closed associated with gel consistency negatively and with hardness of rice noodle positively, Setback viscosity of rice flour measured in a rapid visco-analyser(RVA) was significantly affected by amylose content as well as gel consistency. Also the amylose content decreased, the amylogram pasting temperature and the breakdown ratio increased. The low-amylose content rice(Chucheong) flour showed higher values in solubility. Cooking quality and texture were measured, and sensory evaluation was performed with the noodles prepared. Texture measurement showed that the noodles of composite flour containing 40% goami rice flour were superior to those wheat flour alone. Water binding capacity of the composite flour containing 40% goami rice flour was lower than that of 40% chucheong rice flour. In sensory evaluation, chewiness, overall acceptability of noodle with 40% goami ricer was evaluated as the best.

• 한국식품과학회지
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• 제13권1호
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• pp.6-14
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• 1981

쌀가루와 밀가루의 복합분으로 제면을 시도하였고, 쌀가루에 결착성을 주기위한 방법으로 팽화미가루를 조제하여, 쌀가루, 밀가루와 함께 복합분의 시료로 삼았다. 원료분 및 복합분들에 관한 amylogram 특성치를 측정하였으며, 복합분으로 제조한 면제품을 조리시험하여 밀가루면과 비교하였고 또한 관능검사를 실시하여 아래와 같은 결과를 얻었다. 1. 원료분의 amylogram 특성치는 그 최고점도에 있어서 쌀가루가 가장 높았고, 복합분에 있어서는 의 경우가 밀가루의 점도특성에 접근하였다. 2. <쌀가루+팽화미가루$30{\sim}40$> 복합분에 XG $1.5{\sim}2%$와 밀가루 $40{\sim}50%$를 혼합하였을때 제면적성과 조리시험 결과가 향상되어 밀가루면과 차이가 없었다. 3. 관능검사 결과 <쌀가루+팽화미가루+밀가루> 복합분에 XG을 첨가한 것이 약간 더 효과적이었으며 팽화미가루 함량이 30%인 복합분으로 만든 면제품은 기호성에 있어서 밀가루면과 유의차가 없었고, 냄새와 맛에서는 오히려 밀가루면 보다 우수하였다.