• 제목/요약/키워드: covered services

검색결과 199건 처리시간 0.024초

응급구조사 업무범위 확대를 위한 입법 타당성 연구 : 중요도와 필요도 및 허용도가 높은 업무를 중심으로 (Legislation feasibility studies for expanding the business scope of paramedics: Focused on high level task in importance, need and allowance)

  • 한송이;지현경;윤성우;이창희
    • 한국응급구조학회지
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    • 제19권3호
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    • pp.117-138
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    • 2015
  • Purpose: This study was performed targeted to paramedic and doctors, to examine the frequency, importance, and admissibility of the tasks of paramedics, and to establish as a basis for expanding their business scope. Methods: The subjects were 282 paramedics and 58 doctors, and the study was performed from October 20 to November 19, 2014. The statistical analysis was done by using SPSS/WIN 20.0. Results: The results showed the difference between the legal business scope of paramedics and the actually performed work. The frequently covered areas were trauma, cardiac arrest, and respiratory care; however, severity classifications were the most important. Concerning drug administration, epinephrine administration seemed to be the most necessary. Conclusions: The findings of this study can be used as basic data to broaden the capacity building and business scope of paramedics. Furthermore, to increase the resuscitation rate of emergency patients, the various tasks of paramedics must be incorporated, and these should be supported by laws and institutions.

비지상네트워크를 위한 5G 무선통신 기술 (5G Wireless Communication Technology for Non-Terrestrial Network)

  • 김지형;윤미영;유덕현;이문식
    • 전자통신동향분석
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    • 제34권6호
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    • pp.51-60
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    • 2019
  • As a way to further expand and enable the 5G ecosystem, the $3^{rd}$ Generation Partnership Project (3GPP) is considering the development of a 5G new radio (NR)-based non-terrestrial network (NTN). These NTNs are expected to provide ubiquitous 5G services to user's equipment (especially, in Internet of Things/machine-type communications (IoT/MTC) public safety, and critical communications) by extending service coverage to areas not covered by 5G terrestrial networks. To this end, this NTN is developing scenarios to provide 5G services using spaceborne vehicles, such as geosynchronous and low-Earth orbit satellites, and airborne vehicles, such as unmanned aircraft systems, including high-altitude pseudo-satellites. In addition, various technologies are being studied to satisfy new requirements not considered in 5G NR, such as long propagation delay time, large cell coverage, large Doppler effect, and base station movement. In this paper, we present the scenarios, requirements, technical issues and solutions, and standardization planning for NR-based NTN in 3GPP.

보험진료체계 개편의 효과에 대한 연구 (An Evaluative Analysis of the Referral System for Insurance Patients)

  • 한달선;김병익;이영조;배상수;권순호
    • Journal of Preventive Medicine and Public Health
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    • 제24권4호
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    • pp.485-495
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    • 1991
  • This study examined the effects of referral requirements for insurance patients which have been enforced since July 1, 1989 when medical insurance coverage was extended to the whole population except beneficiaries of medical assistance program. The requirements are mainly aimed at discouraging the use of tertiary care hospitals by imposing restrictions on the patient's choice of a medical service facility. The expectation is that such change in the pattern of medical care utilization would produce several desirable effects including increased efficiency in patient care and balanced development of various types of medical service facilities. In this study, these effects were assessed by the change in the number of out-patient visits and bed-days per illness episode and the share of each type of facility in the volume of services and the amount of expenditures after the implementation of the new referral system. The data for analysis were obtained from the claims to the insurance for government and school employees. The sample was drawn from the claims for the patients treated during the first six months of 1989, prior to the enforcement of referral requirements, and those of the patients treated during the first six months of 1990, after the enforcement. The 1989 sample included 299,824 claims (3.6% of total) and the 1990 sample included 332,131 (3.7% of total). The data were processed to make the unit of analysis an illness episode instead of an insurance claim. The facilities and types of care utilized for a given illness episode are defined to make up the pathway of medical care utilization. This pathway was conceived of as a Markov Chain process for further analysis. The conclusion emerged from the analysis is that the enforcement of referral requirements resulted in less use of tertiary care hospitals, and thereby decreased the volume of services and the amount of insurance expenses per illness episode. However, there are a few points that have to be taken into account in relation to the conclusion. The new referral system is likely to increase the use of medical services not covered by insurance, so that its impact on national health expenditures would be different from that on insurance expenditures. The extension of insurance coverage must have inereased patient load for all types of medical service organizations, and this increase may be partly responsible for producing the effects attributed to the new referral system. For example, excessive patient load for tertiary care hospitals may lead to the transfer of their patients to other types of facilities. Another point is that the data for this study correspond to very early phase of the new system. But both patients and medical care providers would adapt themselves to the new system to avoid or overcome its disadvantages for them, so as that its effects could change over time. Therefore, it is still necessary to closely monitor the impact of the referral requirements.

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비대면 진료의 이용의도에 미치는 영향에 관한 연구 (A Study of Factors Affecting Use Intention of Untact Medical Diagnosis and Consultation Services)

  • 진석
    • 한국콘텐츠학회논문지
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    • 제20권12호
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    • pp.180-197
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    • 2020
  • 본 연구는 비대면 진료 정책의 도입과 안정화를 이루어내기 위해서는 의료소비자의 이용의도와 관련 행위에 대한 이해가 선행되어야 한다는 것을 인식하고, 건강의식과 자기효능감과 같은 개인적 특성을 중심으로 비대면 진료에 대해 기대하는 인식과 유용성이 이용의도에 어떠한 영향을 미치는 지를 실증분석을 통해 확인하고자 하였다. 본 연구에서 제안된 가설들을 검증하기 위해 PLS 3.0을 사용하여 구조모형을 검증하였고 연구 결과는 다음과 같이 요약될 수 있다. 첫째, 건강의식과 자기 효능감은 비대면 진료로 인한 비용절감, 의료서비스의 질, 접근성 및 적합성에 유의한 영향을 미치는 것으로 나타났다. 둘째, 비용절감과 의료서비스의 질, 접근성 및 적합성은 비대면 진료의 인지된 유용성에 유의한 영향을 미치는 것으로 나타났다. 셋째, 비대면 진료의 유용성은 이용의도에 유의한 영향을 미치는 것으로 나타났다. 본 연구는 비대면 진료를 대상으로 개인적 특성을 기반으로 기대인식과 유용성을 통한 이용의도를 구조적·확장적으로 다루었다는 점에서 그 의의를 찾을 수 있고 비대면 진료의 필요성에 공감하고 시대적 흐름을 인정하려 하는 상황에서 본 연구에서 다루어진 기대인식들을 기반으로 관련 정책의 제도화를 진행해 나간다면 비대면 진료에 대한 인식을 발전적으로 전환시킬 수 있음을 본 연구결과는 시사하고 있다.

공공도서관 특성화 서비스의 현황 분석 및 개선방안에 관한 연구 - 부산지역을 중심으로 - (A Study on the Analysis of the Current Status and Improvement Strategies of Specialized Services in Public Libraries: Focusing on the Busan)

  • 강은영;김선애
    • 한국도서관정보학회지
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    • 제55권3호
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    • pp.87-111
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    • 2024
  • 이 논문은 부산지역 공공도서관의 특성화 서비스 현황을 분석하고, 이에 따른 문제점을 파악하여 개선방안을 제시하는 것을 목적으로 한다. 이를 위해 2022년 도서관활성화계획에 의해 특성화 서비스를 시행하고 있는 27개 공공도서관 중임시 휴관 중인 1개관을 포함한 2개 도서관을 제외한 25개 도서관 담당자를 대상으로 설문조사를 실시하였다. 설문은 특성화 서비스 현황, 특성화 서비스에 대한 인식, 특성화 서비스의 발전방안 등에 관한 내용으로 구성되었다. 조사 결과, 16개관이 특성화 장서의 비중이 전체 장서에서 차지하는 비중이 5% 미만이었고, 20개관은 전담 직원이 없었으며, 15개관은 특성화 자료 예산이 전체 자료구입비에서 5% 미만으로 나타났다. 그런데도 담당자들은 특성화 서비스의 필요성과 당위성을 충분히 인식하고 있으며, 인력과 예산 부족이라는 어려움이 있지만 지속해야 할 의미가 있다고 생각하는 것으로 나타났다. 또한 특성화 서비스의 발전을 위해 관련 교육, 전담직원 배치 등과 더불어 광역대표도서관의 역할이 중요하다는 의견을 제시하였다.

WiBro Evolution 을 위한 MIMO/Beamforming 기술 적용 방안 연구 (A Research on the Application of MIMO/Beamforming Technologies for WiBro Evolution)

  • 정재호;차용주;노재훈
    • 한국정보통신설비학회:학술대회논문집
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    • 한국정보통신설비학회 2007년도 학술대회
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    • pp.46-49
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    • 2007
  • Multiple Antenna Technologies such as Multiple-Input Multiple-Output (MIMO) and Beamforming provide the increase of channel capacity and the reliability of wireless link. To obtain these advantages, WiBro, Mobile WiMAX and $4^{th}$ Generation System are employing multiple antenna technologies. There exist, however, many technical issues in considering the application of the technologies or the providing of services using them. In this paper, various technical topics are discussed and simple solutions are proposed. Beamforming has several technical issues which include coverage imbalance, difficulties in providing Multicast-Broadcast Service (MBS). In Addition, network planning is a critical point from a cell extension and initial network entry point of view. In case of MIMO, network deployment is discussed in that cellular data network such as WiBro has many repeaters. MIMO mode selection for maximizing the cell capacity is also covered.

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ISO/TC 108/SC 6 소개 및 최근 활동 (Introduction and activities of ISO/TC 108/SC 6)

  • 김낙인
    • 한국소음진동공학회:학술대회논문집
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    • 한국소음진동공학회 2014년도 춘계학술대회 논문집
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    • pp.545-547
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    • 2014
  • The scope of ISO/TC 108/SC 6, revised in accordance with Doc. ISO/TC 108/SC 6 N 35, September 1997, is as follows: Standardization in the field of vibration and shock generating systems, for test purposes (including environment, seismic and dynamic testing, calibration and diagnostics) as well as auxiliary equipment and instrumentation normally associated with it. Vibration and shock generating systems as an object of standardization within ISO/TC 108/SC 6 are only those systems that are used during vibration/shock testing to determine properties of a specimen. Vibration and shock systems being used in such processes as transportation, milling, compacting, metal working, etc., as parts of vibration control systems or household appliances and in health services, are not covered by ISO/TC 108/SC 6.

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건강보험 40년의 주요 지표 (Main Indicators of National Health Insurance during 40 Years)

  • 이상아;박은철
    • 보건행정학회지
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    • 제27권3호
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    • pp.267-271
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    • 2017
  • This year marks the 40th anniversary of the introduction of National Health Insurance (NHI) which has contributed to improving public health and accessibility. This article aims to show the trends of main indicators during the last 40 years. NHI has achieved rapid expansion of target population (1977-1989). The percentage of population covered increased from 8.8% in 1977 to 94% in 1990. The average number of visit days per person was 0.75 in 1977 but significantly increased to 31.11 in 2015. In 2015, NHI revenues were 52.4 trillion won and expenditures were 48.2 trillion won which is 9.5 times and 9.6 times higher than in 1995. NHI achieved universal coverage in short period of time and has contributed to improving the healthcare status. However, there still remain problems including low-benefit coverage and high out of pocket money. Therefore, the effort to reform these problems is needed.

Generalized Proxy-Assisted Periodic Broadcasting (G-ProB) for Heterogeneous Clients in Video-on-Demand Service

  • Febiansyah, Hidayat;Kwon, Jin-Baek
    • Journal of Information Processing Systems
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    • 제6권4호
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    • pp.575-596
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    • 2010
  • Video-on-Demand services are increasing rapidly nowadays. The load on servers can be very high, even exceeding their capacity. For popular contents, we can use a Periodic Broadcast (PB) strategy using multicast to serve all clients. Recent development of PB uses multiple channels broadcasting for segments of movies in certain patterns, so that users only need to wait for a small segment to start the service. However, users need higher download capacity to download multiple segments at a time. In order to compensate for this, a proxy server can help to reduce download bandwidth requirements by holding some segments for a certain time. This research will focus on more recent PB schemes that couldn't be covered by previous Proxy-Assisted Periodic Broadcast strategies.

해외 사례를 통한 지상조업 품질 개선방안 연구 (Improvement of Ground Handling Service Quality through Overseas Cases)

  • 최유진;강용규;박규선
    • 한국항공운항학회지
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    • 제27권4호
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    • pp.65-72
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    • 2019
  • There is concern about the increased risk of accidents from manual investments due to ground handling service operators, aging equipment and manpower shortages. Therefore, it is necessary to improve the quality of ground treatment services and safety management at the airport. Therefore, this study analyzed the domestic and overseas ground operation status and the license handling procedure of aircraft handling business. In addition, a case study on the evaluation system of international organizations examined the applicability of the certification body to the Korean situation. It is practical in that it provides policy implications for improving the quality of groundwork not covered in previous studies. This is expected to improve the constitution, improve quality, improve airport operations, and operate safely.