• Title/Summary/Keyword: provider profiling

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Does Omission of Pharmacy Cost Affect Cost-Efficiency Rankings in Medical Clinics? (약제비 제외가 의원의 진료비 효율성 순위에 영향을 미치는가?)

  • Kang, Hee-Chung;Hong, Jae-Seok
    • Health Policy and Management
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    • v.20 no.4
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    • pp.45-57
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    • 2010
  • Background : If different cost efficiency indexes were informed to the same clinic depending on the inclusion or exclusion of pharmacy cost, it may impair the reliability of provider-profiling system. This study aimed to investigate whether the omission of pharmacy cost affects cost-efficiency rankings in medical clinics. Methods : Data for ambulatory care cost at 23,112 medical clinics were collected from the claims database, which was constructed after review by the Health Insurance Review and Assessment Service (HIRA) of Korea in April 2007. We calculated two types of cost efficiency indexes by inclusion or exclusion of pharmacy cost for a medical clinic. The agreement between the decile rankings of the two indexes was also assessed using the weighted kappa statistic of Landis and Koch. Results : When the cost efficiency index for total cost including pharmacy cost was compared with the index for total cost excluding it, the agreement between the two indexes was only 55%. The agreements between the two indexes were relatively low within specialties which have larger pharmacy volume of total cost and lower correlation between total cost with or without pharmacy cost included than the average level of all the specialties. Conclusion : These results suggest that the omission of pharmacy cost may result in contradictory outcomes that may be confusing to a medical institution and may impair the reliability of provider-profiling systems. It is very important to standardize profiling criteria for the reliability of provider profiling system.

Target Market Determination for Information Distribution and Student Recruitment Using an Extended RFM Model with Spatial Analysis

  • ERNAWATI, ERNAWATI;BAHARIN, Safiza Suhana Kamal;KASMIN, Fauziah
    • Journal of Distribution Science
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    • v.20 no.6
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    • pp.1-10
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    • 2022
  • Purpose: This research proposes a new modified Recency-Frequency-Monetary (RFM) model by extending the model with spatial analysis for supporting decision-makers in discovering the promotional target market. Research design, data and methodology: This quantitative research utilizes data-mining techniques and the RFM model to cluster a university's provider schools. The RFM model was modified by adapting its variables to the university's marketing context and adding a district's potential (D) variable based on heatmap analysis using Geographic Information System (GIS) and K-means clustering. The K-prototype algorithm and the Elbow method were applied to find provider school clusters using the proposed RFM-D model. After profiling the clusters, the target segment was assigned. The model was validated using empirical data from an Indonesian university, and its performance was compared to the Customer Lifetime Value (CLV)-based RFM utilizing accuracy, precision, recall, and F1-score metrics. Results: This research identified five clusters. The target segment was chosen from the highest-value and high-value clusters that comprised 17.80% of provider schools but can contribute 75.77% of students. Conclusions: The proposed model recommended more targeted schools in higher-potential districts and predicted the target segment with 0.99 accuracies, outperforming the CLV-based model. The empirical findings help university management determine the promotion location and allocate resources for promotional information distribution and student recruitment.

Blocking and investigation of child pornography using child pornography profiling system of National Police Agency (경찰청 아동음란물프로파일링 시스템을 이용한 아동음란물 차단 및 수사 방안)

  • Lee, Sang Duk
    • Journal of Digital Forensics
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    • v.12 no.3
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    • pp.97-108
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    • 2018
  • Computer technology and Internet advances enable easy massive file transfer by messenger, email, and web hard service users this means that a child pornography file owner who is illegally possessing itself can quickly transfer that to other users However there are currently no specific ways to prevent or block the distribution of child pornography between messenger, email, and web hard service users. in this paper, we propose a method to prevent the distribution of child pornography using the MD5, SHA-1 hash value stored in the 'police Child pornography Profiling system' and to identify the child pornography suspects using the subscriber information. the user extracts the hash value of the file before distributing the file, compared it with police system, and if it has the same value, blocks the transmission of the file and sends warning to the owner. the service provider sends the subscriber information to investigation agency child pornography owners can conduct a quick and accurate investigation.

Design and Implementation of Personal Preference Module on Web Service (웹 서비스에서 개인 성향 모듈의 설계 및 구현)

  • Gu, Tae-Wan;Hong, Seong-Jun;Lee, Kwang-Mo
    • Journal of Internet Computing and Services
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    • v.10 no.4
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    • pp.161-176
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    • 2009
  • As the Internet has been growing, WWW(World Wide Web) based services were popularized and users using the service were increased excessively. To support these environments, a processing of many transactions became an essential consideration. There are many researches regarding the user profiling on web services to support those transactions effectively. Most of them are just for grasping the comsumer's preferences. However, a trend of recent web service is not limited what they are doing between consumers and providers; a consumer can become a provider and also a provider can become a consumer virtual open environments such as open market on the internet. For this reason, it is necessary to inspect a preference of consumers as well as providers one. In this paper, we proposed personal preference tree(PPT) reflecting the preferences for providers and implemented the module applying to the web service, and evaluated the applicability the personal preference module through a simulation.

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Semantic User Profiles Manager based on OSGi (OSGi기반 시맨틱 사용자 프로파일 관리자)

  • Song, Chang-Woo;Kim, Jong-Hun;Chung, Kyung-Yong;Rim, Kee-Wook;Lee, Jung-Hyun
    • The Journal of the Korea Contents Association
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    • v.8 no.8
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    • pp.9-18
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    • 2008
  • Research is being made for users' convenient access to services such as personalized data and contents services. The use of information and the fusion of services in various devices and terminals suggest the necessity to know what personalization mechanism is used to provide high quality contents at a time and place desired by users. Existing mechanisms are not easy to be handled by other service providers because each service provider has different preference and personal information, and are very inconvenient because service users have to set up and manage by themselves. Thus, the present paper proposes a Semantic User Profiles Manager based on OSGi, middleware for the provision and extension of semantic services, in order to manage users' profiles dynamically regardless of service provider. In addition, this paper defines a personalized semantic profile that enables user profiling, ontological domain modeling and semantic reasoning. In order to test the validity of this paper, we implemented semantic profiles into a bundle running based on OSGi. When users enter the range of the service area and use various devices, the semantic service matches in correspondence with semantic user profiles. The proposed system can easily extend the matching of services to user profiles and matching between user profiles or between services.