• Title/Summary/Keyword: preventive system

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Changes in Hospital Service Pattern Before and After the Deligated Review System (진료비 자체심사 실시전후의 진료양상변화)

  • Oh, Dae-Kyu
    • Journal of Preventive Medicine and Public Health
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    • v.16 no.1
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    • pp.121-127
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    • 1983
  • To identify the changes in professional services pattern after introducing the deligated system of claims review started in 1982, a university hospital under this system was examined. For comparison, claims of the hospital to Federation of Korean Medical Insurance Societies, where this system is not accepted, were reviewed. A total of 600 cases each were studied operated at the Departments of General Surgery & Orthopedic Surgery in 1981 and 1983. The results are summarized as follow: 1. Percentages of hospital charges for basic care was decreased by 10.2% and that for medical service increased by 8.4% in 1983. 2. After the introduction of the deligated review system, percentages of cutting off the claims was decreased by 12.4% for basic care and increased by 3.8% for medical services. 3. Percentage of testing liver function, and the frequency of administering high cost intravenous fluid injection, applicating Robinul as anesthetic premedication were decreased respectively after introducting the deligated services system.

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Optimum Maintenance Strategy of Bridges Based on System Reliability (시스템 신뢰성에 기초한 교량의 최적 유지관리 계획)

  • Yang, Seung Ie
    • Journal of Korean Society of Steel Construction
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    • v.14 no.5 s.60
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    • pp.627-639
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    • 2002
  • Bridge construction is almost complete in many countries. Thus, the government and highway agencies change their focus from constructing to maintaining. Effectively maintaining bridges require predicting their lifespan using a system reliability viewpoint. Likewise, maintenance models based on the system reliability concept should be developed. Thus, this study developed maintenance models for preventive maintenance and essential maintenance using system reliability and lifetime distributions. The optimal maintenance strategy for an existing bridge was obtained using the developed maintenance models.

The ($\textsc{k}, t_p$) Replacement Policy for the System subject to Two Types of Failure

  • Lee, Seong-Yoon
    • Journal of the military operations research society of Korea
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    • v.25 no.2
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    • pp.144-157
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    • 1999
  • In this paper, we consider a new preventive replacement policy for the system which deteriorates while it is in operation with an increasing failure rate. The system is subject to two types of failure. A type 1 failure is repairable while a type 2 failure is not repairable. In the new policy, a system is replaced at the age of $t_p$ or at the instant the$\textsc{k}^{th}$ type 1 failure occurs, whichever comes first. However, if a type 2 failure occurs before a preventive replacement is performed, a failure replacement should be made. We assume that a type 1 failure can be rectified with a minimal repair. We also assume that a replacement takes a non-negligible amount of time while a minimal repair takes a negligible amount of time. Under a cost structure which includes a preventive replacement cost, a failure replacement cost and a minimal repair cost, we develop a model to find the optimal ($\textsc{k},t_p$) policy which minimizes the expected cost per unit time in the long run while satisfying a system availability constraint.

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Development of the Preventive Maintenance System for an Urban Transit (도시철도 차량을 위한 예방보전시스템 개발)

  • Ha, Seong-Hoon;Chang, Suk-Hwa;Yoo, Woo-Sik
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.30 no.1
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    • pp.1-7
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    • 2007
  • This paper addresses a the maintenance system based on the concept of RAMS (Reliability, Availability, Maintenance, Safety) for the effective maintenance of the urban transit. A systematic approach for developing a cost-effective maintenance strategy based on the component reliability of the system in question is performed according to the following steps : definition of function, functional failures of the systems, construction of RBD (Reliability Block Diagram), and the calculation of reliability indices. The developed preventive maintenance system generates maintenance plan and repair request based on the analysed RAMS data of components and maintenance experience.

Evaluation of the Completeness of Case Reporting during the 1998 Cheju-do Mumps Epidemic, Using Capture-recapture Methods (Capture-recapture 방법을 이용한 1998년 제주도 볼거리 유행시 보고 자료의 완전성 평가)

  • Kim, Myoung-Hee;Park, Jin-Kyoung;Ki, Mo-Ran;Hur, Young-Joo;Kim, Joung-Soon;Choi, Bo-Youl
    • Journal of Preventive Medicine and Public Health
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    • v.33 no.3
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    • pp.313-322
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    • 2000
  • Objectives : To estimate mumps incidence during the study period and to evaluate the completeness of case reporting. Methods : Capture-recapture methods, originally developed for counting wildlife animals, were used. The data sources were 1) the National Notifiable Communicable Disease Reporting System (NNCDRS; 848 cases), 2) the School Health Reporting System, temporarily administered by the Division of Education (SHRS; 1,026 cases), and 3) a survey of students (785 cases). We estimated the number of unobserved mumps cases by matching the three data sources and fitting loglinear models to the data. We then determined the estimated total number of mumps cases by adding this to the number of observed cases. Completeness was defined as the proportion of observed cases from each source to the total of estimated cases. Results : The total number of observed cases was 1,844 and the total number of estimated cases was 1,935 (95%, CI: $1,878\sim2,070$). The overall completeness was 43.8% of the NNCDRS, 53.0% of the SHRS, and 40.6% of the survey. However, completeness varied by area and age. Conclusion : Although the completeness of NNCDRS data appeared higher than in the past, it is difficult to generalize this result In Korea, it is possible to estimate the size of health hazards relatively cheaply and quickly, by applying capture-recapture methods to various data using a multiple data collection system.

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