• 제목/요약/키워드: managing-by-results

검색결과 1,358건 처리시간 0.034초

An Overview of the Risk Sharing Management in Korean National Health Insurance, Focused on the Effect of the Patient Access and Insurance Finance (우리나라 건강보험의 위험분담제도가 재정 및 환자접근성에 미친 영향)

  • Lee, Jong Hyuk;Bang, Joon Seok
    • Korean Journal of Clinical Pharmacy
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    • 제28권2호
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    • pp.124-130
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    • 2018
  • Objective: This study examined the Risk Sharing Agreement (RSA) on pharmaceutical pricing system in Korean national health insurance. Through RSA, the insurer was able to maintain the principles in the price listing process while managing the budget effectively and improving patient access to new drugs. Despite these positive effects, there are still issues raised by some stakeholders, such as lack of transparency in the listing process and doubts about its effectiveness. Therefore, we investigated the impacts of RSA on national health insurance financing and patient access to analyze the effects of RSA. Methods: The impact of RSA was investigated by analyzing the health insurance claims data for 2014~2016. The degree of improvement in patient access was determined by the decreased amount of patients' payment. Results: Results showed that the financial impact of RSA was not significant and patients' access to the new drug greatly improved. Conclusion: These results show that RSA is a good system for improving patient access to new drugs without additional expense on insurance.

A Survey on Functional Status among Low-Income Older Adults Living at Home (일개지역 저소득층 노인의 신체적 기능상태에 관한 연구)

  • 전경자;조윤미
    • Journal of Korean Academy of Nursing
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    • 제31권5호
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    • pp.749-758
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    • 2001
  • The purpose of the study was to analyze the functional status of low income elderly living at home according to their socio-economic factors, sensory function, health status, medical service utilization, commodity and types of chronic disease. Method: Functional status was defined by the level of mobility, ADL and IADL categorized as independently functional, mildly impaired, moderately disabled, and severely disabled. The data was collected by home-visit interviews with 567 community dwelling adults who were 65 years of age or more with low a income status subsidized by government in ChonAn. Results: 9.9% of community dwelling older adults were severely disabled, and 44.4% were moderately disabled in their functional status. There were significant differences in the functional status by age, education, religion, and types of family structure. The older adults with hearing impairment or dental problems had a significantly higher rate of severe disability. Self-rated health status and medical service utilization were also significant factors to the differences in functional status. The functional status of older adults was also significantly related to the presence of chronic health problems such as chronic back pain, stroke, and Alzheimer-dementia. Conclusion: The results confirmed that community dwelling older adults with low income status were more functionally disabled in comparison to general older adults at national level, while the relating factors to their functional status seemed similar to other studies on older adults. Further studies were suggested to look into functional status longitudinally and focus on the changes of functional status by managing modifiable influencing factors.

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Development of an Integrated Retrieval System on Distributed KRISTAL-2002 Systems with Metadata Information (메타데이터 정보를 이용한 분산 KRISTAL-2002 시스템의 통합 검색 시스템 개발)

  • Choe Gui-ja;Kim Jae-Gon;Seo Jung-Hyun;Cho Han-Hyung;Lee Min-Ho;Jung Chang-Hu;Park Dong-In;Nam Young-Kwang
    • The KIPS Transactions:PartD
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    • 제12D권1호
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    • pp.135-150
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    • 2005
  • In this paper, we propose an integrated information retrieval system for distributed multiple KRISTAL-2002 systems by using the metadata information. This system integrates current systems for different areas or systems for the same area with the different schemas so that the users can get the answers by once from the whole systems. The proposed system composes of the Source Server Manager(SSM) supporting the mapping between the integrated metadata database and source server, the Integrated Metadata Manager(ISM) for registering and managing the metadata and schema mapping, the Distributed Query Processor (DQP) for processing the user query into the source server query, the Distributed Data Set Integrated Manager(DDSIM) for transforming the total retrieval results by merging to the HTML format, and the integrated retrieval engine for managing the query results. It is assumed that the integrated metadata follows ISO/IEC 11179 metadata registration procedure with the metadata registry system which is a subsystem of the proposed system. There are two kinds of queries for users; the basic query and the detailed query. The users may select the databases or organizations for results by their own choices before giving the queries. The proposed system has been developed over KRISTAL-2002 systems with $Visual C^{++}\;and\;C^{++}-CGI$ and tested and verified with the six database systems.

Analysis of a Principal's Cognition on his Job Performance in Meister High Schools (마이스터고등학교 교장의 직무수행에 대한 교장의 인식분석)

  • Hyun, Su;Kim, Jinsoo
    • 대한공업교육학회지
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    • 제38권2호
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    • pp.27-47
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    • 2013
  • This study aims to suggest a way to improve the professional abilities of the principals of meister high schools by analysing their perception of the standards of performance of their duties. To carry out this study, we have developed the standards of performance of the duties of the principals of meister high schools through the systematic research on the realm of the duties of the principals of meister high schools, and analysed the principals' perception of their duties using the developed standards of performance of their duties. The results of this study are as followed. First, In the stage of planning the school management, the school management plan, the ways to get budget, the plan for evaluation and feedback of the accomplishment of the performance of school management plan should be included. Second, The area of the school management is subdivided into securing school budget, reviewing and arranging the budgets demanded by teachers, executing school budgets, obtaining school equipments and facilities, maintaining school equipments and facilities, managing school feeding, organizing and operating school steering committee, reflecting the opinions of school steering committee. Third, The school curriculum should be developed by a job analysis and the teaching should reflect the analysis. Fourth, The area of the career path and the management of the career for young meisters includes the analysis of the demand of students, parents, and companies, the development of meister growth route and program for managing their career, and the analysis of meister growth route and reflection of the results of the analysis. Fifth, The field of guiding students includes supporting the students counseling service, and managing a variety of school events. 6th, In the realm of cooperation with communities are included designing programs for collaborating and training students with companies, building cooperation with companies, and obtaining supports from communities and related organizations. 7th, In the area of supporting teachers to improve their professional competence, it figured out that supporting teachers' voluntary learning and studying should take a top priority. In conclusion, it is necessary for meister high school principals to have capability to deal with meister growth route and career management, supporting collaboration with other organizations, building and managing laboratories, encouraging teachers' professional improvement, and operating school curriculum and teaching activities.

Assessment of Bearing Damage by Ultrasonic Measurement (초음파 측정에 의한 베어링손상 평가)

  • LEE SANG-GUK;LEE In-CHEOL
    • Proceedings of the Korea Committee for Ocean Resources and Engineering Conference
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    • 한국해양공학회 2004년도 학술대회지
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    • pp.395-400
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    • 2004
  • For the purpose of monitoring by ultrasonic test of the ball bearing conditions in rotating machinery, a system for their diagnosis was developed. ultrasonic technique is used to detect abnormal conditions in the bearing system. And various data such as frequency spectrum, energy and amplitude of ultrasonic signals, and ultrasonic parameters were acquired during experiments with the simulated ball bearing system. Based on the above results and practical application for power plant, algorithms and judgement criteria for diagnosis system was established. Bearing diagnosis system is composed of four parts as follows : sensing part for ultrasonic sensor and preamplifier, signal processing part for measuring frequency spectrum, energy and amplitude, interface part for connecting ultrasonic signal to PC using A/D converter, graphic display and software part for display of bearing condition and for managing of diagnosis program.

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A Study of Implementation of Defense Configuration Management System based on PLM (PLM 기반의 국방 형상관리 정보체계 구축 사례연구)

  • Lim, Chae-O
    • Korean Journal of Computational Design and Engineering
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    • 제13권4호
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    • pp.305-313
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    • 2008
  • A configuration management system was implemented by applying PLM to the defense field. The PLM system has recently been incorporated in a wide range of industries, and it has allowed for improvements in work productivity and expansion of related services by comprehensively managing and securing connection regarding configuration information in the defense field. Implementations include acquisition of configuration related information and reinforcement of BOM-oriented configuration management function, securing compatibility among 3D drawings of different agencies, improvement of drawing and document management functions, comprehensive systematic configuration management focused on product structure, strengthened configuration control functions, a management system according to the work flow and life cycle functions, an integrated configuration management system of 3D model CAD resources and an enhanced management system. This paper covers a case study reviewing the implementation of a PLM-based configuration management information system and its results, so that the information can be made available to other agencies and companies seeking to apply PLM in their organizations.

Development of Educational Program for Production Managers Based on a Symbiotic Competition with ABC-G Network

  • Ishihara, Masahiko;Nakano, Makoto;Ishii, Kazuyoshi
    • Industrial Engineering and Management Systems
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    • 제13권3호
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    • pp.258-266
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    • 2014
  • This paper proposes a management system for the educational program of production managers on the basis of value co-creation by the learner and the instructor. The program combines an intelligent knowledge-based approach with the kaizen activity program. The program helps individuals acquire knowledge and skills to ensure the total rather than the partial optimization of processes and operations facilitating continuous improvement in the workplace. To achieve these goals, the program uses models of a learning process and a swing of enlightenment. In addition, the program is supported by a framework of academic, business people, consultants, and government officers. The program was developed using an instructional design approach. This paper discusses the process of developing and managing the educational program between 2006 and 2012 as well as the results obtained.

The Consumer Rationality Assumption in Incentive Based Demand Response Program via Reduction Bidding

  • Babar, Muhammad;Imthias Ahamed, T.P.;Alammar, Essam A.
    • Journal of Electrical Engineering and Technology
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    • 제10권1호
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    • pp.64-74
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    • 2015
  • Because of the burgeoning demand of the energy, the countries are finding sustainable solutions for these emerging challenges. Demand Side Management is playing a significant role in managing the demand with an aim to support the electrical grid during the peak hours. However, advancement in controls and communication technologies, the aggregators are appearing as a third party entity in implementing demand response program. In this paper, a detailed mathematical framework is discussed in which the aggregator acts as an energy service provider between the utility and the consumers, and facilitate the consumers to actively participate in demand side management by introducing the new concept of demand reduction bidding (DRB) under constrained direct load control. Paper also presented an algorithm for the proposed framework and demonstrated the efficacy of the algorithm by considering few case studies and concluded with simulation results and discussions.

Dynamic Voltage Scaling Using Average Execution Time in Real Time Systems (실시간 시스템에서 태스크별 평균 실행 시간을 활용한 동적 전압 조절 방법)

  • 방철원;김용석
    • Proceedings of the IEEK Conference
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    • 대한전자공학회 2003년도 하계종합학술대회 논문집 Ⅲ
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    • pp.1379-1382
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    • 2003
  • Recently, mobile embedded systems used widly in various applications. Managing power consumption is becoming a matter of primary concern because those systems use limited power supply. As an approach reduce power consumption, voltage can be scaled down. according to the execution time and deadline. By reducing the supplying voltage to 1/N power consumption can be reduced to 1/N. DPM-S is a well known method for dynamic voltage scaling. In this paper, we enhanced DPM-S by using average execution time aggressively. The frequency of processor is calculated based in average execution time instead of worst case execution time. Simulation results show that our method achieve up to 5% energy savings than DPM-S.

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A Study on Failure Mode and Effect Analysis (FMEA) for Preoperative Risk Prevention (오류유형 영향분석(FMEA)을 적용한 수술준비 위험예방활동의 효과)

  • Kim, Chang Hee;Lee, Mi Hyang
    • Journal of Korean Academy of Nursing Administration
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    • 제22권5호
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    • pp.415-423
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    • 2016
  • Purpose: The purpose of this research was to provide patients with safe preoperative preparatory procedures by removing any risk factors from the preparatory procedures by using failure mode and effects analysis, which is a prospective risk-managing tool. Methods: This was a research design in which before and after conditions of a single group were studied, Failure mode and effects analysis were applied for the preparatory procedures done before operations. Results: The preparation omission rate before the operation decreased from 2.70% to 0.04%, and operation cancellation rate decreased from 0.48% to 0.08%. Conclusion: Failure mode and effects analysis which remove any risk factors for patients in advance of the operation is effective in preventing any negligent accidents.