• Title/Summary/Keyword: quality indicator

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A Study on the Development of Evaluation Indicator for Architectural Design Quality Inhancement -Based on the Public Building- (건축 디자인품질향상을 위한 평가지표 개발에 관한 연구 -공공건축물을 대상으로-)

  • Lee, Ji-Eun;Ryu, Soo-Hoon;Koh, In-Lyong
    • Journal of The Korean Digital Architecture Interior Association
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    • v.11 no.1
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    • pp.15-22
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    • 2011
  • The purpose of this study is to develop design quality indicator for improvement of public architecture in Korea. The spatial scope of the study which sees limited at 'domestic public buildings'. The study contents scope is to develop design quality indicator to use design phase and evaluation of 'public buildings'. For this design quality indicator, we have analysed various domestic and international institutions associated with architecture design. And, design indicator for the possibility of application in public buildings were extracted. Through this work design quality indicator specific and objective was drawn. The results of this study 8 category were drawn 'Public', 'Harmony', 'Impact', 'Access', 'Landscape', 'Use', 'Sustainable', 'Technology'. Also, 29 Design quality Indicator were suggested. Finally, this study was developed by utilizing Design Quality Indicator can be utilized in the design phase, the evaluation process should be developed.

Is the Risk-Standardized Readmission Rate Appropriate for a Generic Quality Indicator of Hospital Care? (일반 질 지표로서의 위험도 표준화 재입원율의 적절성)

  • Choi, Eun Young;Ock, Minsu;Lee, Sang-il
    • Health Policy and Management
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    • v.26 no.2
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    • pp.148-152
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    • 2016
  • The hospital readmission rate has been widely used as an indicator of the quality of hospital care in many countries. However, the transferrability of this indicator that has been developed in a different health care system can be questioned. We reviewed what should be considered when using the risk-standardized readmission rate (RSRR) as a generic quality indicator in the Korean setting. We addressed the relationship between RSRR and the quality of hospital care, methodological aspects of RSRR, and use of RSRR for external purposes. These issues can influence the validity of the readmission rate as a generic quality indicator. Therefore RSRR should be used with care and further studies are needed to enhance the validity of the readmission rate indicator.

How Can We Use Hospital-Standardized Mortality Ratio as a Quality Indicator of Hospital Care in Korea? (일반 질 지표로서의 병원 표준화 사망비에 대한 고찰)

  • Kim, Seon-Ha;Choi, Eun Young;Lee, Hyeon-Jeong;Ock, Minsu;Jo, Min-Woo;Lee, Sang-il
    • Health Policy and Management
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    • v.27 no.2
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    • pp.114-120
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    • 2017
  • The hospital standardized mortality ratio (HSMR) is a widely used generic measure for assessing quality of hospital care in many countries. However, the validity of HSMR as a quality indicator is still controversial. We critically reviewed characteristics of HSMR and suggested how to use HSMR as a quality indicator in the Korean setting. The association between HSMR and other quality measures of hospital care is inconclusive. In addition current HSMR model has shortcomings in risk adjustment because of the lack of clinical data, accuracy of disease coding, coding variation among hospitals, end-of-life care issues, and so on. Therefore, HSMR should be used as an indicator for improvement, not for judgement such as public reporting and pay-for-performance. More efforts will be needed to tackle practical and methodological weaknesses of HSMR in the Korean setting.

Readmission Rate: Experience in USA, Canada and UK (미국, 캐나다, 영국의 재입원율 활용 현황)

  • Lee, Sang-Ah;Ju, Yeong-Jun;Shin, Jae-Yong;Park, Eun-Cheol;Lee, Hoo-Yeon
    • Quality Improvement in Health Care
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    • v.22 no.1
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    • pp.29-37
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    • 2016
  • Readmission which reflects capacity to manage patients and general level of medical services has been known for one of the causes of medical expenditure due to inefficient service. Compared to disease-specific readmission, hospital wide readmission (HWR) is relatively easy to understand, and has merit to get over limitation of collateral medical services assessment; therefore, a growing interest in development and usage of readmission indicator as quality of care indicator focusing on all-disease is detected. In this study, we investigate current state of risk standardized readmission rate indicator used in the United States, the United Kingdom, and Canada, and examine the considerations when using readmission rate as quality indicator in Korea. Differences in risk-adjustment methods were showed among countries. The United States do not control race not to hide socio-demographic factors on readmission. Canada shows differentiation compared to other countries about reflecting community factors. All three-countries utilize readmission rate as monitoring quality of care rather than incentives or penalty due to the fact that readmission rate could not represent the whole quality of hospital and has a limitation at controlling socio-economic factors. Therefore, for usage readmission rate as quality indicator in Korea, preparing readmission classification standard for Korean medical environment and additional methods for acquiring information by using discharge summary is need. Moreover, continued discussion with clinical specialists is needed for obtain clinical reliability and validity.

Developing a Composite Quality Indicator to Assess The Quality of Care for US Medicare End-stage Renal Disease Patients (미국 Medicare 투석환자 치료의 질 지표 개발 : 4가지 주요 치료영역을 바탕으로)

  • Kang, Hye-Young
    • Quality Improvement in Health Care
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    • v.7 no.2
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    • pp.204-216
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    • 2000
  • Background : There has been a concern that the quality of care provided to end-stage renal disease (ESRD) patients in the United States may not be as good as recommended. This paper illustrates a composite measure to assess, the quality of care received by ESRD patients undergoing in-center hemodialysis by incorporating outcomes for 4 major treatment areas. The 4 treatment areas are: dialysis treatments, anemia control, nutritional management, and blood pressure control. Methods : The major data source for the study was the United States Renal Data System (USRDS) Dialysis Morbidity and Mortality Study Wave 1 (DMMS-1) d Sixteen categories of a composite quality indicator were constructed by combining 4 dichotomous variables (16=2*2*2*2). representing the optimal vs. less than optimal level of outcome for each of the 4 treatment outcome measure respectively. Optimal outcome level for each treatment area was defined based on the recommendation from the National Kidney Foundation: (a) delivered dialysis doses (Kt/V) ${\geq}$ 1.2; (b) hematocrit level ${\geq}$ 30%; (c) serum albumin concentration ${\geq}$ 3.8g/dl ; and (d) blood pressure of <140 / <90mmHg. The 16 quality indicator were ranked according to their relative quality weights, which were estimated from its association with the relative risk of survival, adjusting for patient's baseline severity and dialysis facility characteristics. Results : Out of the entire sample of 2,179 patients, only 229 (10%) meet th recommended outcome levels for all 4 treatment areas. Overall, the study patients were distributed evenly over the 16 quality indicators, indicating a great variation in the quality of ESRD care. It appears that the rank of the 16 quality-indicators is driven by serum albumin concentration, suggesting that serum albumin concentration may be the most powerful predictor of ESRD patient survival among the 4 outcome measures. Conclusion : The developed quality indicator has the advantage of describin a range of care for dialysis patients and thus providing a more complete picture of care as compared to previous studies that have focused on only single or few components of the ESRD care.

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A study on the Quality of life in urban families (도시 가정의 생활의 질에 관한 연구)

  • 문숙재
    • Journal of the Korean Home Economics Association
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    • v.23 no.3
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    • pp.149-167
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    • 1985
  • This paper aims at measuring the quality of life in the context of social well being. To meet this purpose, several objective and subjective indicators of the quality of life were selected them the recent theoretical studies in thisfield. Then, a zuestionnaire survey was made on random sampled urban failies to find out the relationship among the two sets of indicators and the quality of family life. The data obtained from the survey were analyzed using Pearson's correlation analysis, multiple regression methods and One-way ANOVA. RESULTS : 1. The quality of life of the high-income earners is higher than that of the low-income earners. 2. The quality of life tends to be high in the family with spouse'high educational background. 3. The degree of coctribution of the objective and subjective indicator to the quality of life was very high. 4. The objective indicator and the subjective indicator concerning the quality of life was closely related.

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A Study on the Developement of Evaluation Indicator for Brand Self-diagnosis of Agricultural Management Organizations (농업경영체의 브랜드 자가진단을 위한 평가지표 개발)

  • Choi, Don-Woo;An, Wook-Hyun;Lin, Qing-Long
    • Journal of Agricultural Extension & Community Development
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    • v.22 no.4
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    • pp.385-393
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    • 2015
  • This study is to develop evaluation indicator for brand self-diagnosis of agricultural management organizations and analyze importance weight to be used in the field. Self-diagnosis evaluation indicator of brand equity of agricultural management organizations were selected by brainstorming of brand specialists. As a result, six evaluation indicator of communication, organization, responsiveness, clarity, customer relations and quality control were selected. Importance weight of self-diagnosis evaluation indicator of brand equity of agricultural management organizations was analyzed by AHP(Analytic Hierarchy Process) and Fuzzy AHP. The results of Fuzzy AHP were as follows. Communication for 13.9%, organization for 6.5%, responsiveness for 9.9%, clarity for 7.7%, customer relations for 26.5%, and quality control for 35.5% respectively. In order to enhance brand equity of agricultural management organizations, first, cultivation guidelines should be set up to produce equal quality products among members. Second, quality levels need to be subdivided, brands and packages should be different by level. Third, persistent efforts to find new clients and distributors. Fourth, various efforts to maintain the existing excellent clients and distributors.

Establishment of Best Management Indicator for Sustainable Agricultural Water Quality using Delphi Survey Method

  • Kim, Min-Kyeong;Jung, Goo-Bok;Hong, Seong-Chang;Kim, Myung-Hyun;Choi, Soon-Kun;Kwon, Soon-Ik;So, Kyu-Ho
    • Korean Journal of Soil Science and Fertilizer
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    • v.48 no.5
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    • pp.379-383
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    • 2015
  • Indicators of environmental conditions describe the state of the environment and the quantity and quality of natural resources. This study deduced the evaluation items to assess each sub-indicator for agricultural water quality and conducted the surveying using the Delphi method based on agricultural water quality experts. Considering its importance, environmental, state, and management indicators showed that state indicator such as COD concentration for surface water and $NO_3-N$ concentration for groundwater was ranked as first and followed by amount of fertilizer. Its indicators were correlated with state and environmental indicators in surface water and groundwater. The best management indicators were calculated to assess the agricultural surface water and ground water quality. The indicator could be used in established policies for management and conservation of water resources.

Development of Charge Indicator Inspection System for Plug-in Hybrid Electric Vehicle (PHEV용 Charge Indicator 시험기 개발)

  • Kim, Jin Young;Kang, Joonhee
    • Journal of Sensor Science and Technology
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    • v.25 no.2
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    • pp.155-159
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    • 2016
  • In this work, we have developed a test system to examine whether the charge indicator of the plug-in hybrid electric vehicle (PHEV) works properly or not. In PHEV, the driver should charge the necessary electricity by plugging in manually and be able to know the charging status through the charge indicator conveniently located for the charging individual. Our system used the CAN bus to transmit the same commands from ECU to the indicator to test the proper operation of the indicator lights. It measured the electric current values during operation and analyzed to determine the quality of the indicators. The inspection items included the proper packaging, the electrical shorts, the LED lighting during charging, the LED lighting for charging failure, and the LED lighting when errors occur. We developed the system for the operators in the factory allowing them to approve the test results at the site. We developed the hardware, the control software, and the software to store the test results and the history of the products in the database. Serial numbers were given to the good quality products and the bar code labels were printed to trace the products afterwards. Through this work, we developed a system to inspect the electric parts in real time upon fabrication. We are planning to further improve our system to inspect the brightness of the indicator by adding the vision inspection in future.

Monitoring of Indicator Microorganism Concentrations of River Sediment and Surface Water in the Geum River Basin (금강 수계 내 하천퇴적물 및 지표수의 지표미생물 농도분포)

  • Kim, Geonha
    • Journal of Korean Society on Water Environment
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    • v.26 no.1
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    • pp.125-132
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    • 2010
  • Characterization of sediment quality is important for the proper management of surface water quality, yet sediment has not been monitored sufficiently. In this study, fecal indicator microorganism concentrations of sediments in the Geum River Basin were monitored. Sampling was carried out at one paddy field, one lakeshore and five monitoring stations in the lower reach of the Geum River Basin. Surface waters and sediments were sampled four times during rainy season. Total coliform concentrations of sediments were 12 times higher in average to those of surface waters while E. coli concentrations of sediments were six times higher. No correlation found between indicator microorganism concentration between surface waters and sediments.