• Journal of Preventive Medicine and Public Health
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• 제27권4호
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• pp.793-805
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• 1994

Investigating the existence of volume-outcome relationships for specific disease groups relates directly to the policy issue of whether, and how, specific inpatient services should be regionalized. This study examined whether medical costs and lengths of stay as outcomes were affected by changes in volume within hospitals. Based on the claims data obtained from National Federation of Medical Associations, each six disease categories from medical and surgical conditions were selected and 29,720 cases from 1,266 hospitals were analyzed. Main findings of the research can be summarized as follows: 1. Analyzing volume and cost per case relationship, tonsillectomy class 1, hernia procedure class 0, appendectomy and cesarean section class 0,1 in surgical conditions showed negative relationship significantly. In cases of medical conditions, costs per case in respiratory neoplasm class 2, COPD class 1, 2, digestive malignancy were also related to volume negtively. 2. Comparing volume with length of stay per case, lens procedure class 0, hernia procedure class 0, appendectomy class 0,1, cesarean section class 1 in surgical conditions showed negative relationships significantly. In medical conditions, volume of respiratory neoplasm class 2, COPD class 1,2, digestive malignancy class 0 were associated with negatively. 3. Within same disease categories, changes in cost and length of stay per case to volume were more remarkable in severe cases. These results suggested a significant inverse relationship between disease cases and cost, length of stay per case as outcome variables.

• 한국경영과학회:학술대회논문집
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• 한국경영과학회 1993년도 추계학술대회발표논문집; 서강대학교, 서울; 25 Sep. 1993
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• pp.134-152
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• 1993

Many business forecasting problems are characterized by infrequent occurences, a large number of variables, presence of error, and great complexity. Because no forecasting models and tools are effective in handing these problems, managers often use the outcomes of past analogous cases to predict the outcome of the current one. They (1) observe significant attributes in describing a case, (2) identify the past cases similar in these attributes to the current case, and (3) predict the outcome of the current case based on those of the analogous cases identified through some mental simulation and adjustment. This process of forecasting can be termed forecasting-by-analogy. In spite of fairly frequent use of this forecasting process in practice, however, if has not been recognized as a primary forecasting tool, nor applied on a regular basis. In this paper, by automatizing this process using computer models, we develop a case-based forecasting system(CBFS), which identifies relevant cases and applies their outcomes to generate a forecast. We demonstrate the effectiveness of the CBFS in terms of its accuracy in predicting the outcome of the current problem based on the similar cases identified. We compare the forecasting accuracy of the CBFS with that of regression models developed by stepwise procedure under varied simulated problem conditions. The CBFS outperforms regression models in most comparisons. The CBFS could be used as an effective forecasting tool.

• 한국경영과학회지
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• 제19권2호
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• pp.199-215
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• 1994

Many business forecasting problems are characterized by infrequent occurrences, a large number of variables, presence of error, and great complexity. Because no forecasting models and tools are effective in handing these problems, managers often use the outcomes of past analogous cases to predict the outcome of the current one. They (1) observe significant attributes in describing a case, (2) identify the past cases similar in these attributes to the current case, and (3) predict the outcome of the current case based on those of the analogous cases identified through some mental simulation and adjustment. This process of forecasting can be termed forecasting-by-analogy. In spite of fairly frequent use of this forecasting process in practice, however, it has not been recognized as a primary forecasting tool, nor applied on a regular basis. In this paper, by automatizing this process using computer models, we develop a case-based forecasting system (CBFS), which identifies relevant cases and applies their coutcomes to generate a forecast. We demonstrate the effectiveness of the CBFS in terms of its accuracy in predicting the outcome of the current problem based on the similar cases identified. We compare the forecasting accuracy of the CBFS with that of regression models developed by stepwise procedure under varied simulated problem conditions. The CBFS outperforms regression models in most comparisons. The CBFS could be used as an effective forecasting tool.

• 지역사회간호학회지
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• 제13권3호
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• pp.523-531
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• 2002

Purpose: The purpose of this study was to assess the importance and sensitivity to nursing interventions of six sensitive nursing outcomes selected from the Nursing Outcomes Classification. The outcomes in this study were Self-Care: Activities of Daily Living, Self-Care: Instrumental Activities of Daily Living, Treatment Behavior: Illness or Injury, Knowledge: Health Promotion, Caregiver Performance: Direct Care, and Caregiver Physical Health. Method: Data were collected from 97 visiting nurses working in public health centers located in a province and a capital city. The Fehring method was used to estimate outcomes and indicators for content validity. Simultaneous multiple regression and stepwise regression were used to evaluate relationships between each outcome and its indicators. Results: Results confirmed the importance and nursing sensitivity of the outcomes and their indicators. Multiple regression revealed key indicators of each outcome. Self-Care: Instrumental Activity of Daily Living needed to be revised. Neither all of the indicators nor the indicators showing the highest importance and contribution ratio were selected as independent variables for the stepwise regression model. The R2 of the regression models ranged from 29 to 56% in importance by selected indicators and from 56 to 83% in contribution. Conclusion: Further research is needed for the revision of outcomes and their indicators.

• 대한간호학회지
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• 제50권1호
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• pp.1-13
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• 2020

Purpose: The purpose of this study was to construct and test a structural equation model on nursing work outcomes based on Youssef and Luthans' positive psychological capital and integrated conceptual framework of work performance. Methods: This study used a structured questionnaire administered to 340 nurses. Data were analyzed using structural equation modeling. Results: Positive psychological capital showed indirect and direct effects on job satisfaction, retention intention, organizational citizenship behavior, and nursing performance. While, the nursing work environment had direct and indirect effects on job satisfaction and nursing performance, it only had indirect effects on intention to work and organizational citizenship behavior. Additionally, a mediating effect on retention intention and organizational citizenship behavior was found between job satisfaction and nursing performance variables. Conclusion: The nursing organization needs to build a supportive work environment and reinforce positive psychological capital to improve nursing performance. Additionally, it needs to actively manage the necessary parameters involved in the stages of job satisfaction, retention intention, nursing performance, and organizational citizenship behavior of nurses. The findings propose the continuous management of nursing personnel based on nurses' attitude outcome, behavioral intention, behavioral outcome, and stage of role performance.

• Journal of Korean Dental Science
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• 제17권1호
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• pp.45-52
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• 2024

Purpose: To investigate the 5-year outcome of dental implants placed in a grafted maxillary sinus using recombinant human bone morphogenetic protein-2 (rhBMP-2). Materials and Methods: We retrospectively analyzed 27 implants after maxillary sinus floor augmentation (MSFA) using rhBMP-2 in 16 patients between January 2016 and March 2017. The study evaluated two outcome variables: (1) 5-year cumulative survival and success rate of the implant after functional loading and (2) marginal bone loss (MBL) for implant failure. Results: The average residual bone height was 4.78±1.53 mm. The healing period before loading was 8.35±2.34 months. The crown-to-implant ratio was 1.31±0.26. The 5-year cumulative survival and success rate after functional loading were 100% and 96.3%, respectively. The 5-year average MLB was 0.89±0.82 mm. Conclusion: Placing dental implants with MSFA using rhBMP-2 is a reliable procedure with favorable long-term survival and success rates.

• Journal of Preventive Medicine and Public Health
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• 제57권1호
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• pp.1-7
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• 2024

Objectives: Adjusting for potential confounders is crucial for producing valuable evidence in outcome studies. Although numerous studies have been published using the Korea National Health Insurance Claim Database, no study has critically reviewed the methods used to adjust for confounders. This study aimed to review these studies and suggest methods and applications to adjust for confounders. Methods: We conducted a literature search of electronic databases, including PubMed and Embase, from January 1, 2021 to December 31, 2022. In total, 278 studies were retrieved. Eligibility criteria were published in English and outcome studies. A literature search and article screening were independently performed by 2 authors and finally, 173 of 278 studies were included. Results: Thirty-nine studies used matching at the study design stage, and 171 adjusted for confounders using regression analysis or propensity scores at the analysis stage. Of these, 125 conducted regression analyses based on the study questions. Propensity score matching was the most common method involving propensity scores. A total of 171 studies included age and/or sex as confounders. Comorbidities and healthcare utilization, including medications and procedures, were used as confounders in 146 and 82 studies, respectively. Conclusions: This is the first review to address the methods and applications used to adjust for confounders in recently published studies. Our results indicate that all studies adjusted for confounders with appropriate study designs and statistical methodologies; however, a thorough understanding and careful application of confounding variables are required to avoid erroneous results.

• 간호행정학회지
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• 제8권4호
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• pp.605-614
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• 2002

Purpose : The purposes of this study is twofold: (a) to investigate the effect of job stress and organizational climate on the organizational effectiveness of hospital nurses, and (2) to examine the moderating effect of organizational climate on job stress. Method : Three organizational effectiveness variables(e .g., job satisfaction, organizational committment and group productivity) as outcomes variables were examined. The sample consisted of 602 nurses from 5 general hospitals affiliated university. Data were collected with self-administrated questionnaires and analyzed using hierarchical regression. Results : It was found that: (a) seven job stress variables(e. g., workload, role conflict, schedule, lack of knowledge, conflict with superior, conflict with other personnel and conflict with patients) have negative effect on job satisfaction and organizational committment; (b) organizational climate have positive main effects on job satisfaction and organizational committment; (c) the negative effects of job stress variables on job satisfaction and organizational committment are not moderated by organizational climate. Conclusion : Organizational climate mediates the effects of job stress on group productivity, but the size of the mediating effects was small. Various outcome variables need to be discussed further research.

• 대한간호학회지
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• 제33권2호
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• pp.265-274
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• 2003

Purpose: The purpose of this study is to investigate the role of social support in the experience of job stress among hospital nurses. Method: This study was carefully designed to overcome methodological shortcomings found in past research, and examined two organizational effectiveness variables(job satisfaction and organizational commitment) as outcome variables. The sample used in this study consisted of 602 nurses from 5 general hospitals. Data were collected with self-administered questionnaires and analyzed using hierarchical regression and LISREL technique. Result: It was found that: (a) three job stress variables(workload, role conflict and conflict with other medical staff) have negative effects on job satisfaction and organizational commitment; (b) social support have positive main effects on the two output variables; (c) the negative effects of job stress variables on job satisfaction and organizational commitment are not buffered by social support, and (d) social support mediates the effects of job stress on job satisfaction and organizational commitment, and the size of the mediating effects is small. Conclusion: Further research needs to be done to further refine this study.

• 성인간호학회지
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• 제22권3호
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• pp.260-270
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• 2010

Purpose: The main question is systematic review of the published in Korea and foreign countries on warming therapy for surgical patients. Methods: The researchers searched at Medline, CINAHL, KERIS, Adult Nursing Association, Korean Society of Nursing Science, Korean Academy of fundamentals of Nursing, and National Assembly Library web site for the published on warming therapy for surgical patients from 1980 to 2008. Words for search were operation/surgery, warming, operation/surgery and warming. Studies were included randomized controlled trial, and there were no restrictions regarding operative phase and outcome measures. Results: 36 published researches that met the criteria were mostly published in foreign countries between 2000 and 2008 and focused on surgery with general anesthesia. Sample size ranged from 21 to 60 subjects, age range between 21 and 60 years of age. Thirty different warming therapies were reported, fifty-two different dependent variables. Outcome indicators included active external warming, intra-operative, and body temperature. 'Positive effects' and 'no effects' equaled. The most frequently reported 'positive effects' were body temperature, shivering, and acid-base balance. No effects were more likely to be heart rate, blood pressure, and hemodynamics. Conclusion: Many types of warming therapy, are reported in the literature with little information about the efficacy of each, many different dependant variables were studied. There were no consistent reports as to length of time used for warming procedures. Overall, the effects of warming therapy are inconsistent. And additional research must be down before any particular method of warming can be used with confidence as to its effectiveness. Attention must be made as to the research design, better measurement of the dependent variables. This review may serve as a base.