• Title/Summary/Keyword: record management policy

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Impact of Health Insurance Type on the Quality of Hemodialysis Services: A Multilevel Analysis (의료보장 형태가 혈액투석 서비스 제공에 미치는 영향에 대한 다수준 분석)

  • Jung, Jin-Hee;Kwon, Soon-Man;Kim, Kyoung-Hoon;Lee, Seon-Kyoung;Kim, Dong-Sook
    • Journal of Preventive Medicine and Public Health
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    • v.43 no.3
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    • pp.245-256
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    • 2010
  • Objectives: This study aims to compare quality indicators for the hemodialysis services between patients with health insurance and those with medical aid. Methods: This study used data from sampled hospitals that provided a hemodialysis service. A total of 2287 patients were selected, and the information for hemodialysis service has been granted from medical record reviews. A multi-level regression analysis was used to examine the differences in process and outcome indicators for hemodialysis between patients with health insurance and those with medical aid. Process indicators were defined as: frequency of hemodialysis, hemodialysis time, erythropoietin (EPO) use, measurement of hemodialysis dose at least once a month, measurement of phosphate at least once every three months, and measurement of albumin at least once every three months. Outcome indicators were defined as: hemodialysis adequacy, anemia management, blood pressure management, and calcium, phosphate and nutrition management. The total scores for outcome indicators ranged from 0 (worst) to 4 (best). Results: There was a significant difference in the measurement of hemodialysis dose at least once a month between patients with health insurance and those with medical aid (OR 0.66, 95% CI = 0.43 - 0.99). However, frequency of hemodialysis, hemodialysis time, EPO use, measurement of phosphate at least once every three months, measurement of albumin at least once every three months, hemodialysis adequacy management, Hb${\geq}$11 g/dL, blood pressure within the range of 100-140 /60-90 mmHg, calcium x phosphate${\leq}$55 $g^2/dL^2$ and albumin${\geq}$4 g/dL were not significantly different between the groups. Conclusions: There were no significant differences in outcome indicators for hemodialysis between the groups. Further studies are warranted into the mechanism that results in no differences in the outcome indicators for hemodialysis.

Improving the Decision-Making Process in the Higher Learning Institutions via Electronic Records Management System Adoption

  • Mukred, Muaadh;Yusof, Zawiyah M.;Mokhtar, Umi Asma';Sadiq, Ali Safaa;Hawash, Burkan;Ahmed, Waleed Abdulkafi
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.15 no.1
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    • pp.90-113
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    • 2021
  • Electronic Records Management System (ERMS) is a computer program or set of applications that is utilized for keeping up to date records along with their storage. ERMS has been extensively utilized for enhancing the performance of academic institutions. The system assists in the planning and decision-making processes, which in turn enhances the competencies. However, although ERMS is significant in supporting the process of decision-making, the majority of organizations have failed to take an initiative to implement it, taking into account that are some implementing it without an appropriate framework, and thus resulted in the practice which does not meet the accepted standard. Therefore, this study identifies the factors influencing the adoption of ERMS among employees of HLI in Yemen and the role of such adoption in the decision-making process, using the Unified Theory of Acceptance and Use of Technology (UTAUT) along with Technology, Organization and Environment (TOE) as the underpinning theories. The study conducts a cross-sectional survey with a questionnaire as the technique for data collection, distributed to 364 participants in various Yemeni public Higher Learning Institutions (HLI). Using AMOS as a statistical method, the findings revealed there are significant and positive relationships between technology factors (effort expectancy, performance expectancy, IT infrastructure and security), organizational factors (top management support, financial support, training, and policy),environmental factors (competitiveness pressure, facilitating conditions and trust) and behavioral intention to adopt ERMS, which in return has a significant relationship with the process of decision-making in HLI. The study also presents a variety of theoretical and empirical contributions that enrich the body of knowledge in the field of technology adoption and the electronic record's domain.

The Relationships among Smart phone Use Motivations, Addiction, and Self-control in Nursing students (일 대학 간호학과 학생의 스마트폰 이용 동기, 중독과 자기 통제력의 관계)

  • Cho, Meekyung
    • Journal of Digital Convergence
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    • v.12 no.5
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    • pp.311-323
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    • 2014
  • The purpose of this study was to identify the relationships among smart phone use motivations, addiction, and self-control in nursing students. Data were collected from June 10-18, 2013. Smart phone use motivations and addiction showed significant differences according to sex, record. Smart phone high-risk users got high-score in use motivations especially entertainment/leisure, service, and functionality, and low-score in self-control. The factors affecting smart phone addiction were record, tolerance, abstinence, difficulty of daily living, and aim for virtual world which accounted for 88.2%. Also factors affecting addiction were entertainment/leisure, flaunt/trend which accounted for 12.9%. In conclusion, smart phone use motivations was correlated positively with addiction, while addiction was correlated negatively with self-control. Therefore more positive and desirable ways of smart phone use, and plans for improvement of self-control should be studied.

Performance Analysis of Men's K-1 1000 Meter Sprint at the 99th National Sports Festival (99회 전국체전 남자 일반부 K-1 1000m 경기력 분석)

  • Sohn, Jee-Hoon
    • Journal of Digital Convergence
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    • v.17 no.8
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    • pp.465-470
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    • 2019
  • This study was conducted to analyze the lap time of the K-1 1000m final race of men's general division and to develop strategies to adjust the pace for the intervals to improve the performance. We measured the lap time of the final race of the 99 th National Sports Festival by 250m intervals and compared them with the data of the World Championship finals held in 2018. The final average record of domestic top-ranked players was 248.651 seconds, and the top international's 210.826 seconds. There was a time gap of 38 seconds in the record. In lap-time, it was 8, 11, 6, and 13 seconds behind every 250m. World Championship players used the Fast-Maintain-Maintain-Spurt strategy while domestic players used the pacing strategy of Fast-Slow-Fast-Slow. In order to improve the performance of domestic players, it is necessary to adjust overall pace control strategies to maintain the pace after the quick start and to spurt at the last lap.

A Study on Factors of Management of Diabetes Mellitus using Data Mining (데이터 마이닝을 이용한 당뇨환자의 관리요인에 관한 연구)

  • Kim, Yoo-Mi;Chang, Dong-Min;Kim, Sung-Soo;Park, Il-Su;Kang, Sung-Hong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.5
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    • pp.1100-1108
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    • 2009
  • The Objectives: The purpose of this study is to identify the factors related to management of DM in Korea. Methods: The subjects selected by using data of National Health and Nutrition Survey(NHANS) in 2005 were 415 adults, aged 20 and older, and diagnosed with DM. This study used data mining algorithms. This study validated the predictive power of data mining algorithms by comparing the performance of logistic regression, decision tree, and Neural Network on the basic of validation, it was found that the model performance of decision tree was the best among the above three techniques. Result: First, awareness of DM was positively associated with age, residential area, and job. The most important factor of DM awareness is age. Awareness rate of DM with 52 age over is 76.1%. Among the ${\geq}52$ age group, an important factor is family history. Among patients who are 52 years or over with family history of DM, an important factor is job. The awareness rate of patients who are 52 age over, family, history of DM, and professionals is 95.0%. Second, treatment of DM was also positively associated with awareness, region, and job. The most important factor of DM treatment is DM awareness. Treatment rate of patients who are aware of DM is 84.8%. Among patients who have awareness of DM, an important factor is region. The awareness rate of patients who are aware of DM in rural area is 10.4%. Conclusion: Finally, the result of analysis suggest that DM management programs should consider group characteristic of DM patients.

A Study on Policy-making, Leadership and Improvement of Professionalism for Audiovisual Archives Management in Korea (국내 시청각 기록관리 정책 리더십 및 전문성 제고 방안 연구)

  • Choi, Hyo jin
    • 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.

Study on Big Data Utilization Plans of Medical Institutions (의료기관의 빅데이터 활용방안에 대한 연구)

  • Kim, Sung-Soo
    • Journal of Digital Convergence
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    • v.12 no.2
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    • pp.397-407
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    • 2014
  • Due to rapid development of medical information, a huge amount of information is being accumulated. Desires to conduct clinical researches by using this information are increasing, and medical institutions are encountering problems of aging society and drastic increase of medical expenses. Utilization of Big Data as an alternative is now being emphasized. The purpose of this study is to examine informatization of medical institutions and suggest political implications for Big Data utilization plans. Data was collected through literature searches and interviews with medical information professionals of medical institutions, from September to November, 2013, for four months. As a result of the study, it could be found that the hospital information system is improving from patient management and administration to researches and information strategies. Thus, national supports for medical expense reduction as well as fostering professional manpower should be provided, considering establishment of the system for utilization of Big Data and efficient application of unstructured data.

Evaluation on the implementation of the immunization registry program at the Public Health Centers (보건소 예방접종 전산프로그램의 운영 현황 분석)

  • 이건세;이석구;이무식;신의철;김영택;이연경
    • Health Policy and Management
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    • v.13 no.2
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    • pp.67-84
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    • 2003
  • Immunization has been one of the most effective measures preventing from infectious diseases. However, children routine vaccination rate of Korea was 68.2% and it was not higher than expected. Korean government revised the School Health Law for every primary school children to submit the vaccination certificate record from 2005. It is quite important national Infectious disease prevention policy to keep the immunizations rate high and monitor the immunizations rate continuously. To do this, National Institute of Health introduced the National Immunization Registry(NIR) Program at 2000. Objective : The aims of this study was to evaluate the Immunization Registry program which has been implementing since 2000 at the Public Health Centers(PHC). Methods : The mail survey was done from November 2001 to January 2002. 169 (69%) Public Health Centers among 244 PHC were responded. Results : The respondents of PHC sud the Immunization Registry(IR) program had reduced the workload (18.5%). 69.2% said they inputted the immunization data into the IR program after the shots were given. 86.5% said they hadn´t checked or retrieved the children lists who had missed the scheduled immunization. Only 17.2% said the speed of internet for the R program was good. It showed that 20% of respondents hadn´t written down documents, records on immunization any more. Even there were a lot of negative results, the respondents of PHC thought that the IR program was effective. They especially agreed that the IR program could make the job accurate (81.5%), convenient (71.3%), and reduced the chances of making mistakes (71.3%), increase the service quality (78.5%). And they were well adapting the job process of the IR (79.63%). Bivariate analysis showed that the software program was the important determinants of IR success. The only Bit Computer software program has been evaluated to be less satisfactory than the Integrated (Posdata operating system + Bit software) program. Other variables, such as age, duration of present job, and location of PHC (metropolitan, small city, rural area) were not significantly related. Conclusion : It seemed that the success of NIR might depend on the software program. Because Integrated program, which has been developed from 1994, include not only the general operating and management program for PHC but also IR program. It was natural to prefer Integrated program to Bit software program. So we can suggest that it is essential for the NIR to be successful that not only the immunization software program but also hardware equipments and public health information system should be further improved.

Archives acquisition activities and rule of the colonial chosun government general (조선총독부의 기록수집 활동과 식민통치)

  • Lee, Seung Il
    • The Korean Journal of Archival Studies
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    • no.15
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    • pp.3-37
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    • 2007
  • Until now, archives of colonial era preserved in each public institution including National Archives & Records Service can be called as the results of colonial chosun government general's records management activities. However, it is a fact that only the fragment of the archives from colonial era remained in public institutions without maintaining integrity of record. Therefore, it is virtually impossible to restore operations process of the era only with current records. It is somewhat because some records were institutionally abrogated by valuation selecting standard of colonial chosun government general, but it is more likely the result of systematic destruction of documents and records upon liberation. On the other hand, although records that were being preserved by colonial chosun government general's acquisition policy escaped the systematic abrogation, the scope and target of the historical records were changed according to acquisition policy. Historical records managed by each inquiry agency of colonial chosun government general were collected to be used for fundamental information of colonial rule or compilation of Chosun history. However, archives collected by colonial chosun government general could not escape partiality as a goal for colonial rule had priority over the standpoint for recording Korean society. Although records management system of colonial chosun government general was introduced from Japanese government's system, it clearly shows colonial characteristics in the process of collecting Chosun's historical records and its use.

Inter-hospital Comparison of Cesarean Section Rates after Risk Adjustment (위험도 보정을 통한 병원간 제왕절개 분만율의 비교)

  • Lee, Sang-Il;Ha, Beom-Man;Lee, Moo-Song;Kang, Wee-Chang;Koo, Hee-Jo;Kim, Chang-Yup;Khang, Young-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.34 no.4
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    • pp.337-346
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    • 2001
  • Objective : To determine the clinical risk factors associated with the mode of delivery decision and to compare cesarean section rates after adjusting for risk factors identified among Korean hospitals. Methods Data were collected from 9 general hospitals in two provincial regions by medical record abstraction during February 2000. A total of 3,467 cases were enrolled and analyzed by stepwise logistic regression. Performance of the risk-adjustment model (discrimination and calibration) was evaluated by the C statistic and the Hosmer-Lemeshow test. Crude rates, predicted rates with 95% confidence intervals, and adjusted rates of cesarean section were calculated and compared among the hospitals. Results : The average crude cesarean section rate was 53.2%, ranging from 39.4% to 65.7%. Several risk factors such as maternal age, previous history of cesarean section, placenta previa, placental abruption, malpresentation, amniotic fluid abnormality, gestational anemia, infant body weight, pregnancy-induced hypertension, and chorioamnionitis were found to have statistically significant effects on the mode of delivery. It was confirmed that information about most of these risk factors was able to be collected through the national health insurance claims database in Korea. Performance of the risk-adjustment model was good (c statistic=0.815, Hosmer-Lemeshow test=0.0621). Risk factor adjustment did lead to some change in the rank of hospital cesarean section rates. The crude rates of three hospitals were beyond 95% confidence intervals of the predicted rates. Conclusions : Considering that cesarean section rates in Korean hospitals are too high, it is apparent that some policy interventions need to be introduced. The concept and methodology of risk adjustment should be used in the process of health policy development to lower the cesarean section rate in Korea.

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