• 제목/요약/키워드: outcomes and lessons

검색결과 50건 처리시간 0.031초

미국 만성질환자가관리프로그램(CDSMP)의 성공 사례와 국내 적용가능성 (The Applicability of the United States' Chronic Disease Self-Management Program (CDSMP) to Korean Adults)

  • 안상남;김건엽;;나윤주;김기수
    • 보건교육건강증진학회지
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    • 제31권4호
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    • pp.63-72
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    • 2014
  • Objectives: The current study reviews the implementation and evaluation of the Chronic Disease Self-Management Program (CDSMP) in the United States (U.S.) to illustrate the program's potential contribution to improving health among Korean adults with chronic conditions while saving healthcare costs. Methods: This study examines existing literature on the history, theoretical background, essential elements, and delivery outcomes of CDSMP with special focus on the successes and challenges to be faced in the implementation of CDSMP to Koreans with chronic conditions. Results: CDSMP is designed to empower people with chronic conditions to develop skills necessary for medical, social role, and emotional management of chronic conditions. Recent studies show the utility of CDSMP in achieving the Triple Aim health reform goals (i.e., better care, better health, better value). Lessons learned from the U.S. experience emphasize the importance of establishing evidence-based studies, collaborating with community partners, and diversifying funding sources to make CDSMP more sustainable. Conclusion: The current study demonstrates the replicability of CDSMP and potential for expansion in Korea. More concerted efforts among academia, government, and communities are needed to deliver CDSMP to Korean adults and identify its effectiveness within the Korean context in terms of meeting the Triple Aim goals of better care, better health, and better value.

Quantifying the seismic resilience of two tall buildings designed using Chinese and US Codes

  • Tian, Yuan;Lu, Xiao;Lu, Xinzheng;Li, Mengke;Guan, Hong
    • Earthquakes and Structures
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    • 제11권6호
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    • pp.925-942
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    • 2016
  • With ongoing development of earthquake engineering research and the lessons learnt from a series of strong earthquakes, the seismic design concept of "resilience" has received much attention. Resilience describes the capability of a structure or a city to recover rapidly after earthquakes or other disasters. As one of the main features of urban constructions, tall buildings have greater impact on the sustainability and resilience of major cities. Therefore, it is important and timely to quantify their seismic resilience. In this work, a quantitative comparison of the seismic resilience of two tall buildings designed according to the Chinese and US seismic design codes was conducted. The prototype building, originally designed according to the US code as part of the Tall Building Initiative (TBI) Project, was redesigned in this work according to the Chinese codes under the same design conditions. Two refined nonlinear finite element (FE) models were established for both cases and their seismic responses were evaluated at different earthquake intensities, including the service level earthquake (SLE), the design-based earthquake (DBE) and the maximum considered earthquake (MCE). In addition, the collapse fragility functions of these two building models were established through incremental dynamic analysis (IDA). Based on the numerical results, the seismic resilience of both models was quantified and compared using the new-generation seismic performance assessment method proposed by FEMA P-58. The outcomes of this study indicate that the seismic resilience of the building according to the Chinese design is slightly better than that according to the US design. The conclusions drawn from this research are expected to guide further in-depth studies on improving the seismic resilience of tall buildings.

약물부작용 감시를 위한 공통데이터모델 기반 임상데이터웨어하우스 구축 (Development and Lessons Learned of Clinical Data Warehouse based on Common Data Model for Drug Surveillance)

  • 노미정
    • 한국병원경영학회지
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    • 제28권3호
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    • pp.1-14
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    • 2023
  • Purposes: It is very important to establish a clinical data warehouse based on a common data model to offset the different data characteristics of each medical institution and for drug surveillance. This study attempted to establish a clinical data warehouse for Dankook university hospital for drug surveillance, and to derive the main items necessary for development. Methodology/Approach: This study extracted the electronic medical record data of Dankook university hospital tracked for 9 years from 2013 (2013.01.01. to 2021.12.31) to build a clinical data warehouse. The extracted data was converted into the Observational Medical Outcomes Partnership Common Data Model (Version 5.4). Data term mapping was performed using the electronic medical record data of Dankook university hospital and the standard term mapping guide. To verify the clinical data warehouse, the use of angiotensin receptor blockers and the incidence of liver toxicity were analyzed, and the results were compared with the analysis of hospital raw data. Findings: This study used a total of 670,933 data from electronic medical records for the Dankook university clinical data warehouse. Excluding the number of overlapping cases among the total number of cases, the target data was mapped into standard terms. Diagnosis (100% of total cases), drug (92.1%), and measurement (94.5%) were standardized. For treatment and surgery, the insurance EDI (electronic data interchange) code was used as it is. Extraction, conversion and loading were completed. R language-based conversion and loading software for the process was developed, and clinical data warehouse construction was completed through data verification. Practical Implications: In this study, a clinical data warehouse for Dankook university hospitals based on a common data model supporting drug surveillance research was established and verified. The results of this study provide guidelines for institutions that want to build a clinical data warehouse in the future by deriving key points necessary for building a clinical data warehouse.

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컴퓨터 네트워크 교과목 수업과 CCNA 인증을 위한 교수학습 개발에 관한 사례 연구 (A Case Study on the Development of Learning-Instruction for Computer Network Courses and CCNA Certification)

  • 김노환
    • 한국컴퓨터정보학회논문지
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    • 제18권11호
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    • pp.229-240
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    • 2013
  • 본 논문은 국내 대학 컴퓨터관련 학과의 학생들이 갖추어야할 지식 중 컴퓨터 네트워크 분야의 기본 교과목인 컴퓨터 네트워크의 내실 있는 수업을 위하여, 관련 인증의 검정요강, 국내 대학에서 강의중인 교재와 강의계획서의 내용들을 분석한 후 컴퓨터 네트워크 교과목수업이 효과적으로 이루어질 수 있도록 수업내용을 체계화하였다. 또한 컴퓨터 네트워크 분야는 이론도 중요하지만 실습이 더욱 중요한 만큼 컴퓨터 네트워크 관련 국내외 인증의 실기시험용 시뮬레이터들도 분석하여 실습이 병행될 수 있도록 적용한 새로운 교수학습 개발에 관한 사례를 제안하였다. 본 논문에서 제안하는 컴퓨터 네트워크 교과목의 교수학습 사례연구는 강의와 실습의 두 가지 트랙을 기반으로 주차별로 핵심영역, 핵심요소, 교육목표, 강의 및 실습의 주제 및 도구 등을 포함하고 있으므로, 교수자에게는 좋은 교수방안이 될 것이며 학생에게는 네트워크 분야의 입문자격증인 CCNA 인증을 용이하게 할 수 있는 동기부여로 우수한 학습 결과의 성취를 기대할 수 있다.

Integrating ICT in the Sudanese Kindergartens by Means of Developing a Computerized Application for The Pre-School Education, In Order to Improve Cognitive Development:

  • MOHAMMED, AMGAD ATTA ABDELMAGEED;DRAR, SUHANDA SAFALDEEN MOHAMMED;HILAL, ANWER MUSTAFA;CHRISTENSEN, LARS RUNE
    • International Journal of Computer Science & Network Security
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    • 제21권12spc호
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    • pp.597-603
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    • 2021
  • The current Sudanese preschool system depends on limited methods of education, children's education needs to be equipped to keep pace with technological development, also, the large gap that exists between the families and the Kindergartens, where many parents have no idea on how their child progresses in the KG context. The aim of this research is to integrate ICT in the preschool education to enhance and improve the preschool education, by building an Integrated Educational Application (Computerized Application for Preschool Education CAPE) which will help to improve the learning outcomes. The researchers used the Experimental Research Methodology, the characteristic of CAPE application is; suitable for children's age, the application style is more attractive to the children and contains a different way to help children get learning. Alawaeel and the Smart Child Kindergartens in Republic of Sudan were selected as a sample of the study, with sample size specifically, 50 children's. Also, the Central Bank of Sudan Kindergarten was selected as one of the institutional Kindergartens for easy communication with parents of children with a sample size 21 children. The study found that; using CAPE application in KG enables children to increase general learning effects and developing child's cognitive skills. Also, the children who were allowed to use CAPE by their parents are performed better in the overall evaluation of KG lessons. Also, using the CAPE in the Pre-School education helps the parents following their children's progress better and more reliable. The researcher recommends that to apply the computerized application and includes the second level. Also, converting the computerized program into an application to be used by children by their self, without the intervention of parents.

포스트 코로나 시대 보건의료기술 접근성 제고를 위한 탐색 연구: 세계백신연합(Gavi) 글로벌펀드(Global Fund), 국제의약품구매기구(Unitaid) 및 Access to COVID-19 Tools Accelerator 사업 사례 (Promoting Access to Health Technologies in the Post-pandemic Era: Gavi, Global Fund, Unitaid, and Access to COVID-19 Tools Accelerator (ACT-A) Programs)

  • 송수연;허종호
    • 적정기술학회지
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    • 제7권2호
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    • pp.216-224
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    • 2021
  • 코로나19 확산은 전 세계 인구, 보건체계, 경제, 사회문화에 전례 없는 영향을 미치고 있으며, 국제사회는 코로나19를 극복하고자 보건의료기술 개발 및 접근성 제고를 위해 연대하고 있다. 본 고는 보건의료기술 접근성을 저해하는 장애물에 대한 이론적 틀을 기반으로 감염병 다자기구 및 코로나19 보건의료기술 접근성 제고를 위한 ACT-A 사업을 검토한다. 연구 결과, 첫째, 국제사회는 필요한 기술의 부재를 극복하기 위해 선시장공약, 백신채권, Covax Facility 등을 시행하고 있으며, 둘째, 존재하는 기술이 접근가능하지 않는 장애물을 극복하기 위해 공동조달메커니즘, 의약품특허풀 등을 시행하고 있으며, 셋째, 기술이 수용되지 않는 장애물을 극복하기 위해 인력역량 강화 등을 포함하는 보건체계 강화를 지원하고 있음을 발견하였다. 이를 바탕으로 실무적·학술적 향후 과제로써 기추진중인 한국 공적개발원조 사업과 감염병 다자기구 및 ACT-A 사업과의 연계 가능성을 검토하여 더욱 활발하게 협력할 필요가 있다.

환자중심의료를 위한 병동디자인이 환자가족 및 의료진에 미치는 효과에 대한 연구 - 미국의 환자중심의료를 위한 중환자병동 사례를 중심으로 (A Study on the Effect of Unit Design for Patient-Centered Care on Family Members and Caregivers - A Case Study of the Intensive Care Unit (ICU) for Patient-Centered Care in the United States)

  • 최영선
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제21권3호
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    • pp.37-45
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    • 2015
  • Purpose: The main objective of this paper is, to evaluate the unit design for patient-centered care and to draw lessons-learned for further improvement. Methods: This study conducted a case study of the intensive care unit, designed to fulfill patient-centered care in the US. It evaluated the effectiveness of the unit by incorporating several study methods such as plan analyses, direct observations through nursing tracking and behavior mapping, and focus group interviews. Results: The major design decision made in this patient-centered unit was the use of patient rooms with designated family areas and distributed nursing stations. Both design features appeared to be a success on a variety of research metrics and outcomes. The study identified that the patient rooms ultimately help family members to spent more time with their loved ones, which leads to increased satisfaction of family members and nurses also report that they generally enjoy the distributed nurses' stations, which provide a comfortable environment to complete their regular lines of work such as charting, monitoring patients, and collaborating with their colleagues. Implications: Certain design features in intensive care units such as patient rooms with designated family areas and distributed nursing stations could appropriately support hospitals to fulfill patient-centered care.

보건복지부 웹사이트의 항행성 개선에 관한 실행 연구법 적용: 시선 분석을 중심으로 (Applying Action Research on Improving Navigability for the Website of Korean Ministry of Health and Welfare: Gaze Analysis)

  • 김태경;문정훈;이동원;여의주
    • 경영정보학연구
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    • 제17권2호
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    • pp.157-177
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    • 2015
  • 웹사이트의 사용성은 정보시스템 설계와 전자상거래 영역의 연구자 및 실무자들의 지속적인 관심의 대상이다. 높은 사용성을 가진 웹사이트는 사용자의 생산적 활동을 자극하고 사이트 내의 콘텐츠 소비량을 증가시키는 등 바람직한 결과를 낳을 수 있다. 항행성은 사용성을 평가하는 가장 중요한 지표 중 하나로 항행성의 개선은 사용성의 증가와 직결된다. 본 연구는 시선 분석을 바탕으로 대한민국 정부의 보건복지부 웹사이트의 항행성 개선을 통해 사용성을 증진시키기 위한 노력을 담고 있다. 실행 연구 방법론을 적용한 다년간의 연구 결과 홈페이지의 항행성을 개선시키고자 디자인을 바꾸었고 그 결과를 시선 분석법을 적용하여 추적하고 평가했다. 본 연구는 시선 분석 방법과 실행 연구법을 접목함으로써 전자정부의 서비스 개선을 항행성 측면에서 진단하여 사용성 개선 연구에 관한 이론적 시사점 및 실무적 교훈을 획득하였다.

Burden Assessment of Thyroid cancer in Iran from 1990 to 2010: Lessons Obtained from Global Burden of Disease Report 2010

  • Modirian, Mitra;Cheraghi, Zahra;Rahimzadeh, Shadi;Moghaddam, Sahar Saeedi;Jarrahi, Alireza Mosavi
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권17호
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    • pp.7743-7748
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    • 2015
  • Background: Thyroid tumors are generally regarded as rare malignancies. Nowadays, however, their global incidence is growing continuously partially due to western life style and utilization of more sensitive methods of early detection. It is approximately three times more prevalent in females than in males. Most cases of thyroid cancer are asymptomatic nodules or just have local cervical symptoms or adenopathy in early stages. Materials and Methods: The Global Burden of Diseases report 2010 study (released 3/2013) profited from 100 collaborators worldwide and used a vast network of data on health outcomes, vital registries, and population surveys. It shared many of the Global Burden of Diseases 1990 principal databases such as all available data on injuries, diseases, risk factors, as well as comparable metrics, and used different scientific approved methods to estimate important health status data like: death rate, life expectancy, healthy adjusted life expectancy, disability-adjusted life years (DALY), years of living lost due to premature death and years of life with disabilities. Results: DALY as thyroid cancer burden per 100,000 Iranian populations had increased by about 14% during 1990 to 2010 in all ages; from 6.1 (95% UI 4.2-9.74) years in 1990 to 6.95 (95% UI 5.06-9.18) years in 2010 in both sex. The 2010 peak age-group was estimated at 45-49 years in males and 40-45 years in females.

프로세스 마이닝을 활용한 국내 중소기업 ERP 프로세스 분석에 관한 연구: 국내 화장품 제조기업의 사례를 중심으로 (Exploring the Analysis of Domestic ERP Process using Process Mining: A Case Study in a Korean Cosmetics Manufacturing Company)

  • 정진우;이영신;이보경;김정연;강영식
    • 경영정보학연구
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    • 제20권1호
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    • pp.81-98
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    • 2018
  • ERP는 전사 비즈니스 프로세스의 자동화와 통합을 지원하고, 업무 수행에 관한 방대한 데이터를 기록하고 있다. 최근에 학계와 재계는 ERP 비즈니스 프로세스의 성과 개선과 컴플라이언스 강화를 지원할 수 있는 프로세스 마이닝에 많은 관심을 기울이고 있다. 그러나 이러한 관심은 SAP ERP와 같은 외산 ERP를 채택한 대기업의 비즈니스 프로세스 분석과 개선에 한정되어 있다. 사실, 외산 ERP에 비해 국산 ERP는 이벤트 데이터를 기록하고 관리하는 역량이 부족하다. 그러므로 국산 ERP에 프로세스 마이닝을 적용하는 것은 큰 도전과제이다. 이러한 도전과제를 극복하기 위해 본 연구는 프로세스 마이닝을 활용하여 국산 ERP의 프로세스를 분석하고자 한다. 이와 함께, 본 연구는 국내 화장품 제조기업의 사례에서 배운 교훈을 토론할 것이다. 본 연구의 결과는 국산 ERP를 채택한 국내 중소기업의 경쟁력 강화에 도움을 줄 것으로 기대되며 중소기업 ERP 구축에 투입된 한국 정부의 막대한 투자가 성과를 내는 것에 기여할 수 있을 것이다.