• Title/Summary/Keyword: policy windows

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Copayment Policy Effects on Healthcare Spending and Utilization by Korean Lung Cancer Patients at End of Life: A Retrospective Cohort Design 2003-2012

  • Kim, Sun Jung;Han, Kyu-Tae;Park, Eun-Cheol;Park, Sohee;Kim, Tae Hyun
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.13
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    • pp.5265-5270
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    • 2014
  • Background: In Korea, the National Health Insurance program has initiated various copayment policies over a decade in order to alleviate patient financial burden. This study investigated healthcare spending and utilization in the last 12 months of life among patients who died with lung cancer by various copayment policy windows. Materials and Methods: We performed a retrospective cohort study using nationwide lung cancer health insurance claims data from 2002 to 2012. We used descriptive and multivariate methods to compare spending measured by total costs, payer costs, copayments, and utilization (measured by length of stay or outpatient days). Using 1,4417,380 individual health insurance claims (inpatients: 673,122, outpatients: 744,258), we obtained aggregated healthcare spending and utilization of 155,273 individual patient (131,494 inpatient and 103,855 outpatient) records. Results: National spending and utilization is growing, with a significant portion of inpatient healthcare spending and utilization occurring during the end-of-life period. Specifically, inpatients were more likely to have more spending and utilization as they got close to death. As coverage expanded, copayments decreased, but overall costs increased due to increased utilization. The trends were the same in both inpatient and outpatient services. Multivariate analysis confirmed the associations. Conclusions: We found evidence of the higher end of life healthcare spending and utilizations in lung cancer patients occurring as coverage expanded. The practice pattern within a hospital might be influenced by coverage policies. Health policy makers should consider initiating various health policies since these influence the long-term outcomes of service performance and overall healthcare spending and utilization.

A Study on the Dental Prosthesis status and needs of Elderly in Korea (From the 2010 Korean National Examination Health and Nutrition survey) (한국노인의 치과보철물 상태 및 필요도에 관한 연구 - 5기 1차년도(2010년) 국민건강영양조사를 이용하여 -)

  • Jung, Hyo-Kyung;Lee, Jong-Do
    • Journal of Technologic Dentistry
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    • v.34 no.3
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    • pp.315-324
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    • 2012
  • Purpose: The purpose of this study was to survey dental prosthesis and dental prosthesis needs of elderly for improving oral health status. Methods: The data collected from 'The fifth Korean national health and nutrition examination survey 2010' was analyzed in this study. Statistical analysis was done using the Statistical Package for Social Sciences version 19.0 for Windows. We determined frequencies and percentage, calculating means, and standard deviations, and determined statistical significance using cross-tabulation analysis, logistic regression analysis. Results: General characteristics showed differences in mandible fixed crown bridge needs associated with periodontal disease. General characteristics showed differences in maxillar partial and full denture with gender, age, education, perceived oral health. General characteristics showed differences in mandible partial and full denture with age, residence, education, perceived oral health. Conclusion: In order to improve oral health of the elderly, Dental prosthesis support policy and oral health policy are necessary.

Policy Compliance and Smoking related Behavior Change in a Smoke-free Apartment (금연 공동주택 주민들의 정책 순응도와 흡연 관련 행태 변화)

  • Cho, Hoosun;Kim, Eunsu;Nam, Hae-Sung
    • Journal of agricultural medicine and community health
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    • v.45 no.4
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    • pp.221-234
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    • 2020
  • Objectives: The purpose of this study is to identify the policy compliance according to the socio-demographic characteristics, stress, satisfaction of relationship, Health Belief Model and characteristics of smoking behaviors and knowledge related smoking of the residents living in the Smoke-free apartment and to investigate the change of the smoking related behavior before and after the implementation of the policy. Methods: The subjects of the survey were 293 residents aged 19 or older who reside in apartments six months after the designation of Smoke-free apartment located in Daejeon. All collected data were analyzed using T-test, ANOVA and Hierarchical multiple regression of SPSS for windows(ver 24.0) program. Results: The policy compliance was higher in women and those who lived for less than two years, and non-smokers were significantly higher. The policy compliance of the whole subjects was related to satisfaction with the surrounding relationship, perceived disability about smoking cessation, frequency of smoking and the amount of smoking. The policy compliance of the whole subjects was related to the satisfaction of the surrounding relationship, the perceived disability about smoking cessation, and the amount of smoking. In addition, after the implementation of the gold research station designation policy, it had a positive impact on smoker's smoking behavior and resulted in reducing the frequency of secondhand smoke among residents. Conclusions: In order to increase the compliance of the non-smoking policy It is necessary to continuously expand the indoor smoking cessation zone policy, develop policies and supplement the health belief model components.

Kernel-based actor-critic approach with applications

  • Chu, Baek-Suk;Jung, Keun-Woo;Park, Joo-Young
    • International Journal of Fuzzy Logic and Intelligent Systems
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    • v.11 no.4
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    • pp.267-274
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    • 2011
  • Recently, actor-critic methods have drawn significant interests in the area of reinforcement learning, and several algorithms have been studied along the line of the actor-critic strategy. In this paper, we consider a new type of actor-critic algorithms employing the kernel methods, which have recently shown to be very effective tools in the various fields of machine learning, and have performed investigations on combining the actor-critic strategy together with kernel methods. More specifically, this paper studies actor-critic algorithms utilizing the kernel-based least-squares estimation and policy gradient, and in its critic's part, the study uses a sliding-window-based kernel least-squares method, which leads to a fast and efficient value-function-estimation in a nonparametric setting. The applicability of the considered algorithms is illustrated via a robot locomotion problem and a tunnel ventilation control problem.

Design of Policy control system for Security enhancement of the Windows Systems (윈도우즈 시스템의 보안 강화를 위한 정책 제어 시스템 설계)

  • Park, Jung-Jin;Park, Jin-Sub;Lee, Seung-Hyeok;Baek, Seung-Duk
    • Proceedings of the Korean Information Science Society Conference
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    • 2007.10d
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    • pp.155-159
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    • 2007
  • 인터넷 및 네트워크의 사용이 일반화됨으로써 컴퓨터 시스템을 사용하지 않는 분야 및 사용자가 없을 정도이다. 컴퓨터 시스템을 사용함에 있어 순기능이 있는 반면 이에 대한 역기능 또한 급속하게 증가하고 있다. 역기능 중 가장 심각한 문제를 발생시킬 수 있는 부분이 웜 및 바이러스, 또한 악의적인 목적이 해킹 등이 있다. 이러한 문제를 해결하기 위해 각종 보안시스템 및 소프트웨어를 도입하여 사용하고 있지만 이에 앞서 일반적으로 사용하는 윈도우즈 시스템 자체에 포함되어 있는 각종 보안 설정을 통하여 근본적인 원인을 해결할 수 있다면 악의적인 목적에 의한 피해는 미연에 방지할 수 있을 것이다. 본 논문에서는 이러한 윈도우즈 시스템 자체에 있는 보안설정 기능을 자동으로 설정 및 제어할 수 있는 시스템을 제안하고자 한다.

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The Construction of the Database System In the Field of Medical Instrument (의료기기 분야 정보화관리시스템 구축)

  • Lee, Seung-Cheol;Kim, Ji-Woon;Kim, Se-Hun;Kim, Yoon-Su;Park, Sang-Hui
    • Proceedings of the KIEE Conference
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    • 1998.07g
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    • pp.2451-2453
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    • 1998
  • With the recent trend to get more into the information age we suppose that the need of information for medical industry policy establishment and new product development of medical instrument will increase rapidly. The object of this research & development is the construction of a database system with information resources in the field of medical instrument for an efficient application of domestic and abroad information in the field of medical instrument and building the foundation for the construction of an unified information management system. In this research we finished the analysis of the collected material of informations for medical instrument industry, design of the database system with object-oriented modelling is done. and we developed pre-product level information management system running on WINDOWS.

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Factors Infulencing the Dependonce of the Elderly Living in Community (지역사회 거주 노인의 의존성에 영향을 미치는 요인)

  • Park, Kyong-Ok
    • Research in Community and Public Health Nursing
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    • v.17 no.3
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    • pp.346-353
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    • 2006
  • Purpose: The Purpose of this study was to analyze factors influencing the dependence of the elderly. Method: This research was designed as a descriptive study. The subjects were 103 elders living in Seoul. Data were collected from December 2004 through January 2005. The instrument used in this study was the elderly dependence scale developed by the Park (2004). Collected data were analyzed using SPSS 11.0 for Windows. Descriptive statistics, independent t-test, ANOVA and multiple regression were done. Results: In the results of regression, residence, education, vision and age were extracted as factors influencing the dependence of the elderly. The regression model explained 33% of the variance. Conclusion: Considering the results above, we need studies on the dependence of the elderly using more independent variables, on the changing pattern of dependence and influencing factors by longitudinal design, and on the elderly with functional limitations or cognitive impairment.

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A Comparative Study on the Physical Fitness and Obesity of Students with Intellectual Disability and Non-disabled Students for the Integrated Middle School Sports (중학교 통합체육을 위한 지적장애학생과 비장애학생의 건강체력 및 비만 비교 연구)

  • Bae, Kwang-Youl
    • Journal of Digital Convergence
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    • v.18 no.3
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    • pp.93-98
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    • 2020
  • The subjects of this study were 10th grade students and 10 non-disabled students. For statistical programs, data were processed using SPSS Windows 25.0, and the statistical method used in the study was to calculate the mean and standard deviation of physical fitness factors and body mass index to determine the health and obesity of students with intellectual disabilities and non-disabled students. In addition, this study was conducted using the independent sample t-test to identify the differences in health fitness and obesity between intellectually and non-disabled students. The statistical significance level of the study was set at p <.05, and the results of the study showed that there were statistically significant differences in cardiopulmonary endurance, flexibility, muscle strength, muscle endurance, and responsiveness between middle and high school students with intellectual disabilities and non-disabled students. In the case of obesity, intellectually and non-disabled students were significantly different.

A Study of Factors Influencing on Single Female Nurses' Hope: Focusing on Interpersonal Relations and Professional Self-concept (미혼여성 간호사의 희망감에 영향을 미치는 요인 : 대인관계와 전문직 자아개념을 중심으로)

  • Sung, Kyung-Mi;Lee, Seung-Min
    • Journal of Digital Convergence
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    • v.17 no.11
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    • pp.259-268
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    • 2019
  • This study was done to examine interpersonal relations, professional self-concept and hope in single female nurses. A survey using a structured questionnaire was conducted with 219 nurses who work in one of six general hospitals in the large cities. The data were collected from August 17, 2012 to September 14, 2012. Collected data were analyzed using t-test, One way ANOVA, Pearson's Correlation Coefficient, Hierarchical Regression Analysis with using SPSS Windows 25.0. There was a significant difference in interpersonal relations, professional self-concept and hope according to participants' characteristics. Participants' interpersonal relations, professional self-concept and hope were all found to have statistically significant correlations (r=.26-.45, p<.001). Participants' general characteristics, interpersonal relations, and professional self-concept explained 26.4% of variance in hope levels. Findings from this study should be useful in the development of programs to promote participants' hope with interpersonal relations and professional self-concept.

A study on the cyber security assessment modeling of critical infrastructure (핵심기반시설 사이버 보안 평가 모델링 기법 연구)

  • Euom, Ieck-Chae
    • Journal of Digital Convergence
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    • v.17 no.8
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    • pp.105-113
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    • 2019
  • The purpose of this study is to analyze cyber security risk modeling of critical infrastructure, draw out limitations and improvement measures. This paper analyzed cyber security risk modeling of national critical infrastructure like as electricity sector, nuclear power plant, SCADA. This paper analyzed the 26 precedent research cases of risk modeling in electricity sector, nuclear power plant, SCADA. The latest Critical Infrastructure is digitalized and has a windows operating system. Critical Infrastructure should be operated at all times, it is not possible to patch a vulnerability even though find vulnerability. This paper suggest the advanced cyber security modeling characteristic during the life cycle of the critical infrastructure and can be prevented.