• Korea Journal of Hospital Management
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• v.7 no.1
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• pp.105-120
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• 2002

In the United States, the prospective payment system(PPS), under which diagnosis related groups (DRGs) are used to reimburse hospitals for the care of Medicare patients since 1983, Study results showed that the PPS is having a major impact on the quantity of services especially of hospital length of stay. The PPS has increased the likelihood that a patient will be discharged home in an unstable condition and the use of nursing homes or long term care facilities increased. Still, it is insufficient to conclude that the PPS has decreased the Medicare total expenditure, but relatively sufficient to conclude that the quality of care hasn't changed. The maintenance of the quality resulted from the systemic "check-and-balance" composed of three factors; (1) The doctors are reimbursed based on the fee-for-service system, (2) hospitals contact with doctors under the attending system, and (3) there are some public hospitals. In Korea, the reimbursement for hospitals and doctors are not divided, the hospitals have doctors as employees, and 90% of hospitals are private. These differences may weaken the "check-and-balance" existing in the U.S. system. And there are few long term care facilities and the diagnostic coding system using in pilot test are not suitable for Korean situation. In conclusion, for successful implementation of the DRG payment system in Korea, the government should establish the "check-and-balance" system in the health sector to make sure the quality of care before the implementation.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.6
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• pp.3007-3013
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• 2016

Background: Gastrointestinal cancers are common malignancies associated with high mortality rates. Healthcare systems are always faced with high costs of treatment of gastrointestinal cancers including stomach cancer. Identification and prioritization of these costs can help determine economic burden and then improve of health planning by policy-makers. This study was performed in 2015 in Kerman City aimed at estimating the direct hospital costs for patients with gastric cancer. Materials and Methods: In this cross-sectional study, the medical records of 160 patients with stomach cancer admitted from 2011 to 2014 to Shafa Hospital were examined, the current stage of the disease and the patients' health status were identified, and the direct costs related to the type of treatment in the public and private sectors were calculated. SPSS-19 was used for statistical analysis of the data. Results: Of the patients studied, 103 (65%) were men and 57 (35%) were women. The mean age of patients was 65 years. Distribution into four stages of the disease was 5%, 20%, 30%, and 45%, respectively. Direct costs in four stages of the disease were calculated as 2191.07, 2642.93, 2877, and 2674.07 USD (63,045,879, 76,047,934, 82,783,019, and 76,943,800 IRR), respectively. The highest percentage of costs was related to surgery in Stage I and to medication in Stages II, III, and IV. According to the results of direct costs of treatment for stomach cancer in Kerman, the mean total cost of treating a patient in the public sector was estimated at 74,705,158 IRR, of which averages of 60,141,384 IRR and 14,563,774 IRR were the shares of insurance and patients, respectively. Conclusions: The high prevalence and diagnosis of disease in old age and at advanced stages of disease impose great costs on the patients and the health system. Early diagnosis through screening and selecting an appropriate treatment method might largely ameliorate the economic burden of the disease.

• The Journal of Fisheries Business Administration
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• v.52 no.1
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• pp.65-82
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• 2021

This study utilizes the IPA (Importance-Performance Analysis) method to assess the importance, possibility, and urgency of using blockchain technology for fisheries sectors and the related policies. Based on a field survey targeting experts and stakeholders in the fisheries and blockchain technology sectors, the following major results and corresponding implications are drawn. First of all, the respondents of our survey have an outlook that the introduction and utilization of blockchain will be required in four major parts. These parts include i) the seafood' information system managed by the government or public institutions, ii) traceability and certification process for domestic and foreign seafoods, iii) meeting the need of seafood safety from consumers, and iv) taking prompt actions to seafood safety related accidents. Next, the seafood information system managed by the government or public institutions has been limited in maintaining information consistency and continuity once the fisheries ministries and departments are integrated, closed or partially transferred. Thus, it is assessed that the technology will be able to improve consistency and continuity of the seafood information in case of applying blockchain to the seafood information management system. This result that blockchain is necessary for the seafood information system have a significant implication in Korea's seafood management which has been independently controlled until now. Lastly, the application of blockchain to seafood traceability and certification systems has the most well-known cases through international and domestic pilot projects, and the results of our survey reflect this reality. Our results contribute to showing an additonal characteristics of blockchain in the fisheries sector, resulting in the possiblity that blockchain can be used for taking swift steps in the event of seafood safety accidents and meeting the need of seafood consumers for safety.

• The Korean Journal of Archival Studies
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• no.8
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• pp.96-136
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• 2003

To understand modern society, I think we should know both public records and corporate records. However, the business archives are in private sector for their great importance of current value. The corporates expect cost-benefit effect, management of the business archives are relatively inferior. In this article, I would study the archival management in the POSCO, a similar public corporation, through the archival theory and the research papers for the business archives management in the United States. I examined the POSCO's records category and management department to prescribe in the POSCO's related rules. And I map out organizational status of the POSCO Museum in the POSCO I examined activities of the POSCO's archives acquisition method about the records which left out the records management rules, unavoidably scattered and lost, or the records related the POSCO are created outer the corporation. I made up arrangement scheme of the archives with it and gave the code to mix the character and the figure. In accordance with the arrangement scheme of archives, I extracted the description elements of organizational structure and function and of real records. The former is guide level and the latter is in detail. The POSCO Museum used the business archives to publish the corporate history and to exhibit, but in another corporation, usage of the business archives was various, it is contacted current activities of the corporation. Through the case study, the archivist in the corporate archives developed the contemporary values to use the archives of the corporation. And I presented the potential of the POSCO's Museum to become corporate archives in the POSCO.

• Journal of People, Plants, and Environment
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• v.22 no.6
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• pp.563-573
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• 2019

The North Korean government conducted its first nuclear test in 2006 and more recently the sixth nuclear test on September 3, 2017. In order to identify how North Korea's nuclear tests have affected the environment, a scientific approach is required. Although North Korea's nuclear tests and their environmental destruction are not a severe threat to the environment of the Korean Peninsula at this time, identifying environmental damage and taking countermeasures in advance are essential to minimize their potential threats to the environments. The purpose of this study is to study the environmental impact of North Korea's nuclear tests using Google Earth image analysis. As a method of the study, we compare Google Earth images taken before and after each nuclear test was conducted in North Korea. To overcome limitations of the suggested comparison method, we cross-checked our results with those of previous scientific research. After the 1st-3rd nuclear tests, green spaces were found to be considerably reduced. In particular, when comparing the Google Earth images before and after the second nuclear test, some ground subsidences were observed. Such subsidences can cause tunnels on the mountainsides and cracks in rocks around the mountains, leading to the release of radioactive materials and contaminating groundwater. Besides, after the 4th-6th nuclear tests, decay and deforestation were observed not in the nuclear test sites, but in their surrounding areas. Especially after the 5th and 6th nuclear tests, the topography and the forests of the surrounding areas were severely damaged. In relation to North Korea's nuclear tests and their impact on the natural environment, we need to prepare various policy measures to reduce North Korea's environmental pollution and natural environment destruction. Those policy measures include the establishment of various cooperative governance between the Korean government, the private sector, the academia, NGOs, and international organizations.

• The Korean Journal of Archival Studies
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• no.72
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• pp.91-163
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• 2022

The focus of this paper lies on the fact that the 'management' and 'utilization' of audiovisual archives are still not specialized in both the public and the private sectors. The use of online video platforms including 'YouTube' has became common. Accordingly the production and collection of high-definition and high-capacity audiovisual archives has been rapidly increasing. However, it also emphasizes that there are no references or principles in the current Public Records Act and its enforcement rules, public standards, and guidelines. This paper ultimately examines the provisions that are related to audiovisual archives of the current Public Records Act, which needed to be revised and enacted due to the lack of an audiovisual archives management manual of national institutions, public broadcasters, and organizations can refer to. In addition, this study tries to find out what kind of systems and guidelines are used in audiovisual archives management. This paper examines the current state of standardization of audiovisual records of the National Archives. It also analyses the systems and the guidelines methodically for efficient audiovisual record management in the public records management sector. It suggests the new direction of relevant public standards and guidelines through this research. Futhermore, it measures to activate the audiovisual management policy-making functions of the National Archives. The necessity of establishing a Public Audiovisual Archives as an organization was also reviewed in this paper. The Public Audiovisual Archives will collect Public Audio and Videos systematically and comprehensively through the legal deposit system. And it will be operated by the management and the utilization system so that it can be used for public as a collective memory. Finally, it will takes a charge of a professional role in audiovisual record management field, such as technology standardization to safeguard and protect the copyrights through this process.

• Journal of Agricultural Extension & Community Development
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• v.2 no.2
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• pp.175-189
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• 1995

Poitical demand for decentralization trends in Korea has led the government to plan to localize its agricultural extension system by changing the status of 6,696 extension personnel stationed at the provincial and county level from central government status to local government status as of January 1997. However, serious drawbacks of lowered morale of extension personnel and the financial burden of local governments has not yet been debated extensively for effective personnel management. Some of the findings that emerged from both the analytical and empirical research show the dangers of decentralization such as an increase in disparities, jeopardizing stability, and undermining efficiency. These problems should be considered along with the culture, tradition, and Koreans' attitude towards central and local government. The dangers of decentralization of agricultural extension services in Korea may cause serious problems in allocative efficiency because of a mismatch between available resources and promised expenditures, and in production efficiency because of unproven cost-effective provisions of local governments. It is accepted that the central government can invest more in technology, research, development, promotion and innovation in the agricultural sector. However, changing the status of extension personnel from central government to local government status may lead the best people to leave, lower morale, shake the sense of public service, break networks, and sacrifice investment in research, development and extension. In deciding the future directions for personnel management of agricultural extension services in Korea, maintaining or reinforcing the existing national status of extension personnel should be considered along with a reflection of the basic characteristics of agricultural extension services, linkages of research and extension, the financial burden of local government, specialization of extension personnel, unnecessary duplication of investment among local governments, possible national supports to agricultural research and development, and extension under the WTO systems.

• Journal of Preventive Medicine and Public Health
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• v.53 no.5
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• pp.307-310
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• 2020

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has placed unprecedented pressure on healthcare systems, even in advanced economies. While the number of cases of SARS-CoV-2 in Africa compared to other continents has so far been low, there are concerns about under-reporting, inadequate diagnostic tools, and insufficient treatment facilities. Moreover, proactiveness on the part of African governments has been under scrutiny. For instance, issues have emerged regarding the responsiveness of African countries in closing international borders to limit trans-continental transmission of the virus. Overdependence on imported products and outsourced services could have contributed to African governments' hesitation to shut down international air and seaports. In this era of emerging and re-emerging pathogens, we recommend that African nations should consider self-sufficiency in the health sector as an urgent priority, as this will not be the last outbreak to occur. In addition to the Regional Disease Surveillance Systems Enhancement fund (US$600 million) provided by the World Bank for strengthening health systems and disease surveillance, each country should further establish an epidemic emergency fund for epidemic preparedness and response. We also recommend that epidemic surveillance units should create a secure database of previous and ongoing pandemics in terms of aetiology, spread, and treatment, as well as financial management records. Strategic collection and analysis of data should also be a central focus of these units to facilitate studies of disease trends and to estimate the scale of requirements in preparation and response to any future pandemic or epidemic.

• Journal of the Korean housing association
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• v.23 no.4
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• pp.19-31
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• 2012

The main objectives of this research are to compile all the researches published in the registered academic journals to study the trends of researches and analyze the relationships between research contents and the social factors so that the accomplishments of community related researches and future tasks can be identified. For this purpose, 97 papers published between 1973 and July 2011 were chronologically organized and analyzed in terms of research methods, main contents, and their relationship with social factors. The key findings are as follows; 1) Researches on multi-family-housing community started in 1973 mainly focusing on the social factors of neighbors in a complex; since 2000, however, the researches on physical factors were increased the most followed by psychological and social factors accordingly. 2) The research findings were not fully developed to give a guidance for appropriate space programs or an analysis of residents' preference on facilities. The cause of this shortfall is due to the fact that there was a lack of studies on residents' usage of community facilities based on quantified database. 3) More comprehensive researches should be conducted in the future for vitalizations of community through facility supply system and design guidelines, development and operation of community programs and measures to enhance community awareness targeted on public housing and more diverse types of housing being apart from typical multi-family-houisng provide by private sector.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.9
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• pp.3967-3974
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• 2011

In this study, the college's curriculum and industry satisfaction with graduates were investigated. As a result, the college education of the consumer's feedback to an education as the basis for the survey was conducted. To this end, a survey of industry conducted and analyzed a result. Questions of the survey are as follows: Foundation for industrial research, the recruitment of new employees, research on skills, basic research on curriculum, and skills related to satisfaction surveys were conducted. According to survey results the average period of employment in manufacturing. Research and development, and public officials, and management in the area has served more than three years. Distribution and service the tourism sector, mainly two years. The major practical difficulty in working theory of scarcity and insufficient foreign language skills, and inter personal relationship. Working in a variety of school curriculum and an emphasis on training relevant and practical by developing a training curriculum and the majors, colleges will improve for the satisfaction.