• Title/Summary/Keyword: pre-review system

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A study on changes in physician behavior after enforcing pre-review system (사전심사제도 도입에 다른 의사의 진료행태 변화)

  • Kim Sera;Kim Jin Hee
    • Health Policy and Management
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    • v.14 no.4
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    • pp.88-113
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    • 2004
  • Starting from April, 2003, new pre-review system has been introduced and implemented to reduce unnecessary conflict with medical care organizations caused by current retrospective claim review system and to enhance efficiency of review system. The main purpose of pre-review system is to educate doctors to contrive adequacy of medical services. This research mainly focuses on effectiveness of pre-review system's influence on physicians' behavior changes. The analysis-participants were drawn from 1,449 clinics which implemented pre-review system, since April of 2003. The research results are as followings. First, the amount per claim has reduced by $\\3,154$, days of visit per claim by 0.1 day, and amount per visit by $\\412$, which were statistically significant. Second, anesthesiologists have decreased in three indicators the most, and the internists had least of changes. Third, the amount per claim and days of visit per claims has dropped significantly on physicians with less periods of practice and physicians with more ages. Fourth, the clinics without the expensive medical equipments, the city clinics showed significant decrease on days of visit per claim. Fifth, in intervention methods, the one-to-one education showed more significant decrease on amount per visit rather than information feedback by paper. In conclusion, the pre-review system have an impact on self-imposed physician behavioral change. The outcome of this research may be utilized for future extension implementation of pre-review system. Furthermore, it is showed that ability of transitions in medical services review system according to the future transition of payment system and context of health service policy.

A Study on the enhancement of Effectiveness of the Pre Disaster Impact Assessment Review Deliberation System (사전재해영향성검토협의제도의 효율성 제고를 위한 연구)

  • Park, In-Chan;Cho, Won-Cheol;Seo, Jung-Pyo;Hong, Cheol
    • 한국방재학회:학술대회논문집
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    • 2008.02a
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    • pp.135-138
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    • 2008
  • As the procedure of the close examination of disaster impact at the initial stage of the beginning of development plans, the newly extablished Pre Disaster Impact Assessment Review Deliberation (PDIARD) system which have been introduced through the revision of the Natural Disaster Countermeasure Act-revised at August, 2005 is enforced for the purpose of the disaster prevention which caused during a development projects. From that time down to this day, the PDIARD system have been reviewed about 6,000 cases totally. However, the current the PDIARD system at the uppermost limit in the aspect of every Acts and operational problems is in need of sustaining supplementation at the present situation. To cope with this operational remedy related to the PDIARD system, this study deals in 3 major concerns. First, it is required to fix a criterion in detail because of a wide range of the subject plans of deliberation. Second, there is some ambiguity according to the area or length of the subjected administrative and development plans. So it should be excepted of the targeted plans which has few probability in disaster potential or vulnerability. Finally, the subjected plans need to be added as to the continuous urbanization and industrialization and the enactment or revision of the Acts related. This study focuses on the investigation and analysis to find out the improvement way about the main problem pending of the PDIARD system, consequently suggests a effective remedy and new categories, including future directions and detailed plans for operation.

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New Obligations of Health Insurance Review and Assessment Service: Taking Full-fledged Action Against the COVID-19 Pandemic

  • Yoo, Seung Mi;Chung, Seol Hee;Jang, Won Mo;Kim, Kyoung Chang;Lee, Jin Yong;Kim, Sun Min
    • Journal of Preventive Medicine and Public Health
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    • v.54 no.1
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    • pp.17-21
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    • 2021
  • In 2020, the coronavirus disease 2019 (COVID-19) pandemic has caused unprecedented disruptions to global health systems. The Korea has taken full-fledged actions against this novel infectious disease, swiftly implementing a testing-tracing-treatment strategy. New obligations have therefore been given to the Health Insurance Review and Assessment Service (HIRA) to devote the utmost effort towards tackling this global health crisis. Thanks to the universal national health insurance and state-of-the-art information communications technology (ICT) of the Korea, HIRA has conducted far-reaching countermeasures to detect and treat cases early, prevent the spread of COVID-19, respond quickly to surging demand for the healthcare services, and translate evidence into policy. Three main factors have enabled HIRA to undertake pandemic control preemptively and systematically: nationwide data aggregated from all healthcare providers and patients, pre-existing ICT network systems, and real-time data exchanges. HIRA has maximized the use of data and pre-existing network systems to conduct rapid and responsive measures in a centralized way, both of which have been the most critical tactics and strategies used by the Korean healthcare system. In the face of new obligations, our promise is to strive for a more responsive and resilient health system during this prolonged crisis.

A Study on the Preliminary Classification System for the Development of the Application Model of Closed School Facilities - Focused on the Comparison of Public Design Indicators with Pre-research - (폐교시설의 활용모형 개발을 위한 예비 분류체계 도출 연구 - 선행연구와 공공 디자인지표의 비교를 중심으로 -)

  • Kim, Jae-young;Lee, Jong-kuk
    • Youth Facilities and Environment
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    • v.17 no.1
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    • pp.131-141
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    • 2019
  • The purpose of this study is to derive and type utilization indexes by comparing public design indicators with preceding studies related to closed school facilities, and to derive preliminary classification systems through a correlation review between indicators. Pre-research was conducted in the scope of academic papers, academic journals, research reports, and special act for promoting the utilization of closed school assets. Public design indicators were set in the scope of domestic design guidelines, the Seoul city public design assessment system, the 'Good Building' designation system, and the UK Design Quality Index (DQI). and the design review of the British architects. First of all, the research method looked at laws, procedures and utilization of closed schools, and reviewed the preceding study and domestic and international public design indicators sequentially. Next, the association was reviewed through a comparison between the preceding study and the public design indicators, and a preliminary classification system for the use of closed schools was derived from this.

A study on the Development of BIM-based Quality Pre-checking System in Architecture Design Phase

  • Shin, Jihye;Choi, Jungsik;Kim, Inhan
    • International conference on construction engineering and project management
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    • 2015.10a
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    • pp.284-288
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    • 2015
  • Recently, the mandate on utilizing BIM implemented by public institutions of many countries has great impact on the significantly increasing practices of BIM. The improvement of work efficiency and productivity, which is occurred by BIM adoption, depends on the consistency and accuracy of data. To maximize the benefit of BIM, the interests in BIM data quality have been enlarging all over the world. The BIM data quality pre-check, which is conducted by designer in the design phase, offers opportunities for quality improvement by continuously assessing BIM data. However, BIM quality pre-check is being conducted under arbitrary interpretation of users because of the absence of specific review factors and assessment methods for checking BIM quality. The purpose of this study is to establish an automated BIM quality pre-checking system to improve BIM design quality effectively and efficiently. It could be expected to meet the owner's requirements and to minimize the cost and time occurred additionally from revising and reproducing data by constructing consistency and accuracy of it.

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A Study on the Abilities and Characteristics of the Systems Thinking for Pre-service Elementary Teachers (예비초등교사들의 시스템사고 능력 및 특성에 대한 연구)

  • Moon, Byoung-Chan;Kim, Hai-Gyoung
    • Korean System Dynamics Review
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    • v.8 no.2
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    • pp.235-252
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    • 2007
  • This study focused on the analysis of the abilities and characteristics of the systems thinking for pre-service elementary teachers. Systems thinking is defined as the ability to see the world as a complex system in which one understands that everything is connected to everything else. For this study, 345 subjects carrying of the 2nd grade were selected and participated in making out the protocol developed by Sweeney and Sterman(2000) for the estimating ability of the systems thinking. As a result, the proportion of the correct answers based on the total points of view was 63%. However, the proportion of correct answer was considerably different according to the gender. The women group showed 53%, while the men group was 76%. Especially, there was a great difference in the rates of correct answer depending on their academic tracks of the humanities or natural science courses in the high school. The average rates of the correct answers for the natural science and the human science were 84 and 46%, respectively. Consequently, the ability of the systems thinking for pre-service elementary teachers is highly related with their gender and learning experience in the high school. The results of this study may contribute the practical use of the systems thinking in the area of the science education.

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A Study on Performance Level of Pre-service Physics Teachers in Constructing Questions for classroom assessment - Focused on Analysis of Multiple Choice Question about Physics Conceptest for Formative Assessment (예비 물리 교사들의 학생평가 문항 제작 수행 수준 조사 - 형성 평가를 위한 선다형 물리 개념 검사 문항 분석 중심으로)

  • Choi, Hyun Sook;Kim, Jung Bog
    • Journal of Science Education
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    • v.37 no.3
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    • pp.458-475
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    • 2013
  • According to instruction of standard-based assessment system, teachers with higher level of competence in student assessment are required. The purpose of this study is to offer the basic data to enhance pre-service physics teachers' competency in student assessment. 17 pre-service physics teachers, who are sophomore in department of physics education, participated in the study for a whole semester. To do this, we gave the assignment of multiple choice question construction in physics conceptest for formative assessment to pre-service teachers and observed review questions constructed by them. We also analyzed multiple choice questions of 17 pre-service teachers. They had 5 classes for the review process of the question and improved their questions through it. 16 of 17 pre-service teachers completed test design. Our results show that pre-service teachers had a little low competence in test design for classroom assessment. In addition to, constructing and revising questions, almost of them didn't have various perspectives and didn't consider to get information about the pre-conceptions of students. These findings indicate that they have difficulties with constructing multiple choice question and more specific plan needs to enhance the overall student-assessment competency levels of pre-service teachers for successful settlement of the standard-based assessment system.

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Developing a Web-based System for Computing Pre-Harvest Residue Limits (PHRLs)

  • Chang, Han Sub;Bae, Hey Ree;Son, Young Bae;Song, In Ho;Lee, Cheol Ho;Choi, Nam Geun;Cho, Kyoung Kyu;Lee, Young Gu
    • Agribusiness and Information Management
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    • v.3 no.1
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    • pp.11-22
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    • 2011
  • This study describes the development of a web-based system that collects all data generated in the research conducted to set pre-harvest residue limits (PHRLs) for agricultural product safety control. These data, including concentrations of pesticide residues, limit of detection, limit of quantitation, recoveries, weather charts, and growth rates, are incorporated into a database, a regression analysis of the data is performed using statistical techniques, and the PHRL for an agricultural product is automatically computed. The development and establishment of this system increased the efficiency and improved the reliability of the research in this area by standardizing the data and maintaining its accuracy without temporal or spatial limitations. The system permits automatic computation of the PHRL and a quick review of the goodness of fit of the regression model. By building and analyzing a database, it also allows data accumulated over the last 10 years to be utilized.

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Development of Pre-Specification for BIM-based Automated Building Code Checking (BIM 기반 건축법규 자동검토를 위한 사전정의서 개발)

  • Kim, Inhan;Jang, Jaemoon;Choi, Jungsik
    • Korean Journal of Computational Design and Engineering
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    • v.21 no.1
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    • pp.31-41
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    • 2016
  • Building Information Modeling (BIM) has been adopted in variety domain of construction industry. In this circumstances, interest of BIM model quality has been increased. In many countries, automated building code checking system by Industry Foundation Classes (IFC) has been developed and studied to use web based building permission systems. IFC is international standard of BIM format. However, the data structure of IFC does not include all of objects and properties about national building codes. In this paper, we developed the information specification between IFC data structure and national building code to increase interoperability. First, we drew the criteria from literature review to analyze the building code. And then, we analyzed building code and sorted objects and properties for automated building code checking. After that we made mapping table between the sorted data and IFC specification. Using the mapping table, we developed pre-specification about building codes information that does not exist in IFC specification. And the defined information can be used to develop the BIM modeling guide and national building permission system. The pre-specification support increasing the interoperability between user and automated building code checking system. Increasing thee interoperability makes improvement accuracy and reliability about result of automated building code checking.

Effects of Acupuncture on Parasympathetic Nervous System: A Review of the Literature (침치료가 부교감신경계에 미치는 영향에 대한 문헌 고찰)

  • Lee, Dong-Hua;Lim, Jin-Woong;Nam, Sang-Su;Kim, Yong-Suk;Lee, Sang-Hoon
    • Journal of Acupuncture Research
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    • v.28 no.1
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    • pp.109-115
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    • 2011
  • Objectives : This review is to summarize and assess the effects of acupuncture on parasympathetic nervous system(PNS). Methods and Materials : We searched two electronic databases (CNKI, PubMed) for the articles published until Oct. 2010. The randomized clinical trials (RCTs) and uncontrolled clinical trials (UCTs) were considered to be reviewed. We selected four RCTs, seven UCTs and one article which conducted both RCT and UCT, and reviewed them. The quality of RCTs was also assessed with Cochrane criteria. Results : There were four RCTs which reported acupuncture enhanced PNS, and one RCT reported acupuncture reduced PNS. Four UCTs reported acupuncture enhanced PNS, three UCTs reported acupuncture reduced PNS and one UCT reported there was no remarkable change of PNS after acupuncture. Conclusions : Although the majority of reviewed articles showed acupuncture enhance PNS, it is hard to conclude clearly how acupuncture affects PNS due to insufficient quality of trials. Therefore, more trials with strict condition need to be conducted to obviously identify the effects of acupuncture on PNS.