• 한국임상약학회지
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• 제29권1호
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• pp.9-17
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• 2019

Objective: The objective of the present study was to evaluate the effects of implementing a systematic Drug Utilization Review (DUR) system on contraindicated drug use and pharmaceutical expenditures in Korea. Methods: A literature search was conducted using search engines such as PubMed, EMBASE, NDSL, and RISS for relevant systematic studies. The database search was performed and updated in April 2018. Two independent reviewers evaluated the abstracts to find potentially eligible articles. Results: In total, 1433 potentially eligible studies were selected, and 11 articles were eventually shortlisted for inclusion in the present review system. The outcome showed that contraindicated drug use decreased after implementation of the DUR system in Korea. The analysis also showed that the DUR system contributed to a reduction in pharmaceutical expenditures. Conclusions: Our study showed that implementing the DUR system reduced both contraindicated drug use and pharmaceutical expenditures in Korea.

• 디지털융복합연구
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• 제13권9호
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• pp.323-332
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• 2015

본 연구는 고혈압 환자의 일차의료 지속성 수준을 파악하고, 일차 의료 지속성 수준이 환자의 입원 및 응급실이용에 미치는 영향을 실증하는 융복합적 결과연구(outcome research)이다. 후향적 코호트(retrospective cohort study)연구로써 건강보험 청구자료를 사용하여 고혈압을 주상병으로 진단받은 315,791명을 3년 동안 추척 관찰하였다. 지속성지표는 MFPC, MMCI, COC를 적용하였고 결과변수는 입원 및 응급실 방문을 고려하였다. 일차의료의 지속성 수준과 입원 및 응급실이용의 위험도를 분석한 결과, 지속성 낮은 군이 지속성 높은 군 보다 입원 할 위험도가 1.655배(95% CI: 1.547-1.771), 응급실이용은 1.669배(95% CI: 1.465-1.903) 높았다. 따라서 우리나라 고혈압 환자의 진료지속성을 높이는 정책은 급증하는 만성질환 의료비를 줄일 수 있을 것이다.

• 정보화정책
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• 제29권2호
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• pp.91-105
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• 2022

본 연구는 디지털정보화의 접근, 역량, 활용 수준이 일상생활만족도에 미치는 영향력을 살펴보고, 이 변인들 간의 관계에 있어 디지털기기 이용성과의 매개효과를 검토하였다. 이를 위하여 한국지능정보사회진흥원의 '2020 디지털정보격차 실태조사' 자료를 활용하여 실증적 분석을 실시하였다. 연구 결과, 전반적으로 디지털정보화는 일상생활만족도에 긍정적 영향을 미치는 것으로 나타났다. 디지털기기 이용성과의 매개효과 역시 유의한 것으로 나타났다. 하지만 디지털정보화가 일상생활만족도에 미치는 영향력과 디지털기기 이용성과의 매개효과의 유의성은 디지털정보화의 하위 차원에 따라 다르게 나타났다. 이상의 연구 결과는 디지털정보화 정책의 필요성과 당위성을 뒷받침하고 디지털정보화 정책 수립 및 추진 시 도움이 되는 유용한 정보를 제공한다. 덧붙여 이 연구는 디지털정보화와 디지털기기 이용성과의 관계를 살펴봄으로써 3차 정보격차의 선행요인에 대한 이해를 돕는다.

• 대한한의학회지
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• 제45권1호
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• pp.17-43
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• 2024

Objectives: Underpinned by the context of a Korean traditional medicine cohort study on healthy aging, this research primarily aims to guide the selection of Clinical Outcome Assessments (COAs) for elderly healthy aging patient registry research, offering insights into the selection process; and secondly, to streamline the resource-intensive process of obtaining permissions for validated COAs, benefiting future traditional Korean medicine clinical researchers. Methods : In this study, we identified outcomes through a review of previous studies, followed by a process involving expert consultations to select the final outcomes. Subsequently, for the selected outcomes that were Clinical Outcome Assessments (COAs) developed tools, we searched in commercial databases to confirm the availability of Korean versions and the necessity of obtaining permissions. Finally, we obtained permissions for their utilization and, when needed, acquired the original instrument questionnaire through payment. Results: Through a literature review of existing observational studies, a total of 57 outcomes were selected, with 19 of them identified as COA instruments. Upon verifying usage permissions for these 19 instruments, it was found that 17 required author-specific permissions, and among these, 2 needed a purchase as they were commercially available. Conclusion: This study provides a detailed overview of outcome selection and permission acquisition for elderly patient registry research. It underscores the importance of Clinical Outcome Assessment (COA) tools and the rigorous approval process, aiming to enhance research reliability. Continuous verification of COA information is essential, and future research should explore Core Outcome Set (COS) development through consensus-building approaches like Delphi studies.

• Environmental Analysis Health and Toxicology
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• 제30권
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• pp.12.1-12.7
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• 2015

Objectives In South Korea, health insurance data are used as material for the health insurance of national whole subject. In general, health insurance data could be useful for estimating prevalence or incidence rate that is representative of the actual value in a population. The purpose of this study was to apply the concept of episode of care (EoC) in the utilization of health insurance data in the field of environmental epidemiology and to propose an improved methodology through an uncertainty assessment of disease course and outcome. Methods In this study, we introduced the concept of EoC as a methodology to utilize health insurance data in the field of environmental epidemiology. The characterization analysis of the course and outcome of applying the EoC concept to health insurance data was performed through an uncertainty assessment. Results The EoC concept in this study was applied to heat stroke (International Classification of Disease, 10th revision, code T67). In the comparison of results between before and after applying the EoC concept, we observed a reduction in the deviation of daily claims after applying the EoC concept. After that, we categorized context, model, and input uncertainty and characterized these uncertainties in three dimensions by using uncertainty typology. Conclusions This study is the first to show the process of constructing episode data for environmental epidemiological studies by using health insurance data. Our results will help in obtaining representative results for the processing of health insurance data in environmental epidemiological research. Furthermore, these results could be used in the processing of health insurance data in the future.

• 산업경영시스템학회지
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• 제36권3호
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• pp.109-117
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• 2013

This study designed a "Diagnostic Model for Management Innovation of Medium Enterprises" based on the theoretical background of success factor and management diagnosis model for management innovation of medium enterprises and suggested a measure for utilization of strategic subject and diagnostic model that enterprises can apply. Utilization of medium enterprises management innovation diagnostic model designed through this study would be of help for making a diagnosis of the capability maturity level of enterprises' current management system and improving it by establishing a challenging capability objective and building a circulation system capable of innovating enterprises. It is expected for enterprises to overcome growing pains and establish a management system capable of achieving outcome (productivity) by repeating measurement and innovation through management diagnosis. In addition, this study provides a method to produce a strategic subject, select priority of implementation and prepare an implementation road map by classifying and filtering management issues produced as a result of management diagnosis in a systematic way. If variables necessary for production of an objective weighted value of scoring and discover of elements for category of diagnostic model and elementary items as well as design of a self-diagnosis questionnaire, measurement of management outcome suggested in this study can be able to be verified and supplemented through case study in the future, it is expected to make the degree of completion as a diagnostic model elevated that may help for growth and development through innovation of medium enterprises.

• 보건행정학회지
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• 제33권4호
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• pp.440-449
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• 2023

Background: This study aimed to analyze the prehospital process and reperfusion therapy process of acute ischemic stroke in Busan metropolitan area and examine the impact of living arrangement on the early management and functional outcomes of acute ischemic stroke (AIS). Methods: The patients who diagnosed with AIS and received reperfusion therapy at the Busan Regional Cardiovascular Center between September 2020 and May 2023 were selected. We investigated the patients' hospital arrival time (onset to door time) and utilization of 119 emergency ambulance services. Additionally, various time matrices related to reperfusion therapy after hospital were examined, along with the functional outcome at the 90-day after treatment. Results: Among the 753 AIS patients who underwent reperfusion therapy, 166 individuals (22.1%) were living alone. AIS patients living alone experienced significant delays in symptom detection (p<0.05) and hospital arrival compared to AIS patients with cohabitants (370.1 minutes vs. 210.2 minutes, p<0.001). There were no significant differences between the two groups in terms of 119 ambulance utilization and time metrics related with the reperfusion therapy. Independent predictors of prognosis in AIS patients were found to be age above 70, National Institutes of Health Stroke Scale score at admission, tissue plasminogen activator, living alone (odds ratio [OR], 1.785; 95% confidence interval [CI], 1.155-2.760) and interhospital transfer (OR, 1.898; 95% CI, 1.152-3.127). Delay in identification of AIS was shown significant correlation (OR, 2.440; 95% CI, 1.070-5.561) at living alone patients. Conclusion: This study revealed that AIS patients living alone in the Busan metropolitan region, requiring endovascular treatment, face challenges in the pre-hospital phase, which significantly impact their prognosis.

• 보건행정학회지
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• 제24권2호
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• pp.120-127
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• 2014

Background: Since December 2010, online computerized prospective drug utilization review (pDUR) has been implemented in Korea. pDUR involves the review of each prescription before the medication is dispensed to the individual patient. The pDUR is performed electronically by Health Insurance Review & Assessment Service (HIRA), which is a Korean governmental agency, and then HIRA provides medical institutions and pharmacies with information that can be helpful to them in preventing potential drug problems such as drug/drug interactions or ingredient duplication. The aim of this study was to assess the impact of the Korean pDUR implementation on the proportion of drug-drug interactions (DDIs) using claims data from HIRA. Methods: A before-after comparison of the prevalence of DDIs between prescription was conducted, using HIRA administrative claims data of medical institution from January 2010 to December 2011. The analysis unit was the prescription issued and pairs before and after. The main outcome measures were the proportion of DDIs within- (control group) or between- physician encounters. To examine the difference, a paired t-test was applied. Results: We found that DDIs proportion between prescription decreased significantly (t=3.04, p=0.0026) after the implementation of pDUR, whereas there is no significant reduction within prescription (t=1.15, p=0.2518). With respect to the prevalence of DDIs between drug groups, the most dramatic reduction was occurred between 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors and anti-fungal agents. Conclusion: It seems effective that giving a direct feedback to prescribers by a prospective DUR. Further research is needed to assess the impact of DUR to final outcomes such as hospitalization.

• 실천공학교육논문지
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• 제15권1호
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• pp.31-38
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• 2023

본 논문에서는 비전공자들을 위한 기초 머신러닝 모델 학습 및 활용교육 커리큘럼을 제안하고, Orange 머신러닝 모델 학습 및 분석 도구를 활용한 교육 방법을 제안하였다. Orange는 오픈 소스기반 머신러닝 및 데이터 시각화 도구로서, 복잡한 프로그래밍 없이 시각적인 위젯을 사용하여, 데이터를 학습시켜 머신러닝 모델을 만들 수 있다. Orange는 비전공자 학부생부터 전문가 그룹까지 다양하게 사용되는 플랫폼이다. 본 논문에서는 한 학기 분량의 기초 머신러닝 모델 학습 및 활용교육 커리큘럼과 주별 실습 내용을 제시하였다. 그리고, 머신러닝 모델 학습 및 활용에 대한 교육 내용 실체를 실증하기 위해, Orange 도구를 활용하여, 분류 데이터(Categorical Data) 표본과 수치 데이터(Numerical Data) 표본으로부터 머신러닝 모델을 학습시키고, 모델을 활용하여 모집단의 결과를 예측하는 활용 사례들을 제안하였다. 마지막으로 본 커리큘럼에 대한 교육 만족도를 비전공자 대상으로 조사 및 분석하였다.

• 벤처창업연구
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• 제12권3호
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• pp.37-51
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• 2017

본 연구는 기업가정신, 정보기술 수용성, 미디어 활용역량이 직장인의 업무몰입에 미치는 영향에 관해 학습 지향성을 조절 효과로 반영하여 탐구하였다. 이는 스마트 정보화 시대에 개인과 조직에서의 핵심 역량 즉, 기업가정신, 정보기술 수용성, 미디어 활용역량이 업무몰입에 유의한 영향을 미치는지와 독립변수로 제시된 기업가정신, 정보기술 수용성, 미디어 활용역량과 종속변수인 업무몰입 간에 학습 지향성의 조절 효과를 분석하여, 업무몰입에 영향을 미치는 변수들을 규명하는 데 그 목적이 있다. 본 연구를 위해서 직장인을 대상으로 한 설문조사를 진행하였고, 최종적으로 340개의 유효한 설문지를 수집하였다. 수집된 자료는 인구통계학적 특성을 통제변인으로 하는 다중회귀분석을 진행하였고 학습지향성 조절효과는 조절회귀 분석을 실시하였다. 분석결과 기업가정신 중 성취 욕구와 진취성이 높을수록 업무몰입이 높아지는 것으로 나타났고 정보기술 수용성의 지각된 유용성과 미디어 활용역량의 커뮤니케이션 활용역량이 업무몰입에 정(+)의 영향을 미치는 것으로 나타났다. 학습 지향성의 조절 효과 분석 결과 기업가정신, 미디어 활용역량과 업무몰입 간에 학습 지향성의 조절 효과가 나타났다. 이러한 연구를 통해, 디지털 환경이 고도화된 스마트 정보사회에서 직장인의 업무몰입을 향상시키기 위해서는 진취성과 성취욕구, 정보기술에 대한 지각된 유용성, 온라인 커뮤니케이션 활용역량의 축적과 함께 학습지향성과의 시너지 효과를 적극적으로 모색해야 한다는 결론을 도출하였다.