• 제목/요약/키워드: eligibility criteria

검색결과 135건 처리시간 0.024초

우리나라 도시철도 건설기준의 재정립 방향 (A Suggestion on the Eligibility Criteria for the Construction of Urban Rail Transit)

  • 이창운
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2002년도 춘계학술대회 논문집
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    • pp.47.1-52
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    • 2002
  • According to the current eligibility criteria in Korea, only cities with populations of more than one million are eligible to carry out urban rail transit construction projects. This paper suggests measures for improving such systems by reviewing current eligibility criteria for the construction of urban rail transit including subway and LRT in Korea.

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RAND/UCLA Appropriateness Method를 이용한 요양시설의 포괄적 약물관리 프로그램의 대상자 기준 개발 (Development of Eligibility Criteria for Comprehensive Medication Management Programs in Long-term Care Facilities Using RAND/UCLA Appropriateness Method)

  • 장수현;강신우;아영미;이주연;김정하;장선미
    • 한국임상약학회지
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    • 제32권3호
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    • pp.260-269
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    • 2022
  • Background: Comprehensive medication management is essential to achieve safe and optimal drug use for the elderly in long-term care facilities (LTCF). This study aimed to develop eligibility criteria for "Comprehensive medication management program in LTCF" using the RAND/UCLA Appropriateness Method (RAM). Furthermore, we attempted to estimate the number of beneficiaries who met the criteria by analyzing the National Health Insurance claims data. Methods: Twelve criteria were selected initially. We composed a panel of 14 experts with expertise in long-term care. We conducted two survey rounds to reach a consensus. Rating for appropriateness and decision regarding agreement were applied per RAM. We analyzed the National Health Insurance data to estimate the number of LTCF residents who met each eligibility criterion. Results: Of the 11 items agreed upon, ten items were determined to be appropriate. In 2018, 83.6% of 165,994 residents of LTCF met one or more eligibility criteria. The largest number of subjects met the "New residents of LTCF" criterion, followed by "Take high-alert drugs" and "Chronic excessive polypharmacy." Since the items evaluated as most appropriate by the expert panel and those with a large number of subjects were similar, we confirmed the external validity of our criteria. Conclusion: It is worth noting that this is the first attempt to establish the eligibility criteria for medication management in LTCF. Further preliminary research is needed to identify the selected subjects' drug-related problems and revise the criteria according to the results.

국가지정 입원치료 격리병상 시설적격성 평가분석에 관한 연구 (A Study on the Facility Eligibility Inspection of National Inpatient Isolation Units)

  • 홍진관
    • 설비공학논문집
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    • 제27권10호
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    • pp.506-514
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    • 2015
  • During the progression of this study, we visited 17 medical institutions. These medical institutions underwent inspection for facility eligibility of national inpatient isolation units to care for patients. Seventeen consultation meetings were held to gather expert opinions, and conferences were held with the medical institutions and local levels of government. Based on these facts, we established a field application model of the criteria of safety-management and conducted a study on this method in order to create more scientific and systematic safety-management criteria including criteria regarding facilities maintenance and methods of equipment inspection. According to an analysis on the 17 medical institutions examined, facility eligibility of 17 national inpatient isolation units was found to be 78.3% on average. Through analysis of the present domestic and foreign conditions of medical institutions, we proposed improvements for when remodeling becomes necessary and established criteria for safety-management in national inpatient isolation units for the care of patients in accordance with the domestic healthcare system.

국가지정 입원치료 격리병상 시설적격성 및 환경개선효과 분석에 관한 연구 (A Study on the Facility Eligibility Inspection & Effect of Environment Improvement for National Inpatient Isolation Units)

  • 이두루나;권순정;성민기;윤형진;홍진관
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제23권4호
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    • pp.67-75
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    • 2017
  • Purpose: This study is for the facility eligibility and improvement evaluation analysis for the patient care environment of 7 facilities which has national inpatient isolation units. Methods: For the evaluation, first of all, the patient care environment of national inpatient isolation units are scrutinized by the checklist which is used on from 2014 with the 4 fields of criteria : architectural planning and layout, general requirement and condition for operating the negative pressured isolated patient room, HVAC system, and waste water discharging system. Finally, the evaluation results are compared with that of 2014. Results: The result shows that the average value of facility eligibility is 89.3 percent and which is 8.9 percent higher than the value before the MERS occurred. Implications: It is clear that facility remodeling of 7 institutions is being performed continuously, and the result of facility eligibility evaluation is reflected on design of a new 21 national inpatient isolation units those are going to be constructed from 2016. Therefore, it is expected that this study is used as a practical reference to establish the criteria of patient care environment management and safety management for both infectious disease outbreak and general service condition.

가정간호서비스 이용 노인환자의 간호요양원(nursing home) 필요 예측에 관한 연구 (The needs of nursing home services for frail elderly people receiving home care nursing services)

  • 강임옥
    • 간호행정학회지
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    • 제5권3호
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    • pp.415-424
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    • 1999
  • The purpose of this study was to estimate the population requiring nursing home services for frail elders who received home care nursing services. This study identified the need of nursing home services and the proportion of elders over 60 years of age requiring nursing home services according to the admission eligibility including items with intensity of home care nursing services and the criteria for screening of patients requiring home care nursing services. In this study, survey research design was conducted. A total of 49 home care nurses were collected. They were asked to assess the need of nursing home services based on items with intensity of home care nursing services and the criteria for screening of patients requiring home care nursing services. Using secondary data analysis from the survey on 'The Evaluation of Home Care Nursing Service Program in 1994 in Korea', the proportion of elders requiring nursing home services was estimated. The estimated numbers and proportion of frail elders requiring nursing home services were 169 (86.2%) aged persons among community dwelling elders based on admission eligibility. However, the proportion of aged persons was 68% using the only criteria for screening of patients requiring for screening home care nursing services.

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Endovascular Thrombectomy for Acute Ischemic Stroke : Current Concept in Management

  • Jin Woo Bae;Dong Keun Hyun
    • Journal of Korean Neurosurgical Society
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    • 제67권4호
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    • pp.397-410
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    • 2024
  • Endovascular thrombectomy (EVT) has been established as the standard of care in the treatment of acute ischemic stroke (AIS) based on landmark randomized controlled trials. Nevertheless, while the strict eligibility of EVT for AIS patients restrict the wide application of EVT, a considerable population still undergoes off-label EVT. Besides, it is important to acknowledge that recanalization is not achieved in approximately 20% of procedures, and more than 50% of patients who undergo EVT still do not experience a favorable outcome. This article reviews the brief history of EVT trials and recent progressions in the treatment of AIS, with focusing on the expanding eligibility criteria, new target for EVT, and the evolution of EVT techniques.

호흡이 불규칙한 환자의 치료를 위한 Beam on/off Interface를 이용한 종양 추적 치료 방법의 성능 평가 (Performance Evaluation of the Tumor Tracking Method Using Beam on/off Interface for the Treatment of Irregular Breathing)

  • 이민식
    • 한국방사선학회논문지
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    • 제12권3호
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    • pp.343-349
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    • 2018
  • 선량률을 조절하면서 종양을 추적하는 방법은 호흡이 불규칙한 환자를 치료할 때 방사선을 적응적으로 전달하는 효율적인 방법으로 알려져 있다. 이 연구에서는 빔 켜기/끄기 스위칭을 제공하는 모션 관리 인터페이스 (MMI, Varian Medical System, CA)를 이용한 불규칙 호흡에 대해 적응성 종양 추적을 시행 할 수 있는지 확인하였다. 폐암 환자로부터 획득한 55개의 호흡 정보를 사용하였다. 첫날 환자의 RPM 흔적을 사용하여 사전 프로그래밍 된 추적 MLC 패턴을 디자인하는데, 치료 기간 중 환자의 호흡 불규칙성의 변화를 따라 잡기 위해 기간을 의도적으로 20% 줄였다. 이 기술의 적정성 기준은 진폭 및 주기의 20 % 미만의 표준편차이다. 사전 프로그래밍 된 MLC 위치와 현재 호흡 위치를 고려하여 100 ms마다 빔 켜기 / 끄기를 결정하는 알고리즘이 개발되었다. 추적 오류 및 전달 효율성은 RPM 추적에서 빔 스위칭 적응형 추적을 시뮬레이션하여 계산되었다. 38 명의 환자(70%)의 호흡 양상이 적합 기준을 충족 시켰습니다. 기준을 충족하는 모든 사례의 추적 오류는 2 mm 미만 (평균 1.4 mm)이며 평균 전달 효능은 71 % 였다. 기준을 충족하지 못한, 나머지 경우의 추적오류와 전달 효율은 1.9 mm와 48% 였다. 본 연구를 통해, 환자 선택이 적격 기준을 기반으로 하는 경우 빔 스위칭을 통한 적응형 추적 치료가 가능한 것을 확인하였다.

노인인구의 간호요양원(Nursing Home) 필요예측에 관한 연구 (Estimation of nursing home needs in elderly people)

  • 강임옥
    • 간호행정학회지
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    • 제6권2호
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    • pp.195-209
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    • 2000
  • The purpose of this study is to estimate the population requiring nursing home services among elderly people in Korea. This study identifies the need of nursing home services determined by health care professionals and estimates the proportion of elderly people requiring nursing home service according to the admission criteria. Surveys were conducted on health care professionals including medical doctors, home care nurses, and nurse practitioners. They were asked to assess nursing home need based on four content areas: Physical function (Activities of Daily Living), chronic disease, Physical symptoms (incontinence), mobility, eating, and sensory function. Based on the professionally determined need criteria the proportion of elderly people requiring nursing home services was estimated using secondary data from the 1994 Survey on the Living Status of the Korean Elderly. The number of study subjects to estimate nursing home need who were 60 and older totaled 2,058. The most important factor contributing to the admission eligibility criteria was the elderly living alone. Other factors related were the elderly being unable or having difficulty carrying out activities, and having insufficient help from other our activities, and having insufficient help from other members of the household. Using only physical function, the proportion of elderly people requiring nursing home was $8{\sim}9%$. When only chronic disease was used, proportions varied widely; for the doctor's group, the proportion was over 30%. Using all areas, the proportions of elderly people requiring nursing home were between 13% and 38%. The estimate using chronic disease and physical function was similar to the on using all areas.

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국내 보완대체의학 사용 실태조사 연구의 동향 분석 (Research Trend Analysis of the Prevalence of Complementary and Alternative Medicine in Korea)

  • 김슬기;이상훈;서현주;백승민;최선미
    • 대한한의학회지
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    • 제33권1호
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    • pp.24-41
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    • 2012
  • Objectives: This study reviewed research trends concerning the prevalence of complementary and alternative medicine (CAM) use and to suggest future research directions appropriate to medical circumstances in Korea. Methods: We searched for surveys of CAM use in 8 databases including 6 Korean databases, Ovid MEDLINE, and the CINAHL electronic database. Three independent reviewers working in pairs screened titles and abstracts of articles for eligibility. Full text was retrieved in case of disagreement on the eligibility. The main analysis targets included survey researcher's affiliation, terminology used in the title, study subject, definition of CAM, classifications of CAM modalities, and the area assortment of CAM and traditional Korean medicine (TKM). Results: 92 articles were included for analysis. The major constituent of affiliation was doctors (53%). According to years, study subjects were diversified to a large range of diseases. Since 2003, terminology is absorbed to use CAM. But actually, the most commonly used definition in the research was comprehensive such as "not generally considered part of major medicine" (55.4%) and the most used classification of CAM was self-criteria (61.9%). As for area assortment of CAM and TKM, many therapies exist in a gray zone between CAM and TKM. Conclusions: Standardized definition and classification criteria about CAM fit to the Korean healthcare system have not yet developed. For traditional Korean medicine academia, more concern should be paid to establishing appropriate development of definitions and classification criteria.

지방농정 자율성 확대를 위한 농림수산 포괄보조금제 운용 방안 (Introduction of the Block Grant in Agriculture, Forestry, and Fishery Sectors)

  • 조재환;이한성
    • 농촌계획
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    • 제19권3호
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    • pp.145-155
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    • 2013
  • This study proposed the introduction of the block grant in agriculture, forestry, and fishery sectors so that the local governments get greater autonomy in agricultural policy. First of all, theoretical background on block grant was reviewed and present situation in Korea regarding block grant was examined. Four criteria were set to evaluate the eligibility for the block grant. Four criteria imply that block grant is more appropriate with small-scaled similar projects, high locality projects, easily evaluated projects, and easily formula-applied projects. Applying these criteria to the projects subsidized by the national government, appropriate projects as the block grant were selected. Finally, specific operation scheme of the block grant was proposed.