• Title/Summary/Keyword: rehabilitation project

Search Result 177, Processing Time 0.027 seconds

Comparison of medical use and medical expenses between participants and non-participants in the home-based care pilot project for rehabilitation patients (재활환자 재택의료 시범사업 참여자와 미참여자의 의료이용 및 진료비 비교)

  • Ji Man Kim;Sang Gyu Lee;Young Geon Ji
    • Korea Journal of Hospital Management
    • /
    • v.29 no.3
    • /
    • pp.1-10
    • /
    • 2024
  • Purposes: When rehabilitation services are provided remotely using information and communication technologies to patients living at home, there is an advantage in providing rehabilitation services to individuals in their everyday social and physical environment, which can improve functional outcomes and satisfaction. The purpose of this study was to analyze the effectiveness of the pilot project by analyzing the outpatient and inpatient medical use and expenses of patients who participated in the rehabilitation patient home-based care pilot project. Methodology: To analyze the effectiveness of the home-based care pilot project for rehabilitation patients, health insurance claims data from the Health Insurance Review and Assessment Service was used. The subjects of analysis were patients who had undergone major lower extremity joint replacement surgery, including hip, knee, and ankle joint replacement surgery, and patients who had lower extremity fracture surgery, which were the targets of the rehabilitation patient home-based care pilot project. To compare medical use and expenses between patients participating in the rehabilitation patient home-based care pilot project and those not participating, chi-square test, t-test, and multiple regression analysis were performed. Findings: As a result of analyzing the number of medical use cases and expenses of patients who participated and those who did not participate in the rehabilitation patient home-based care pilot project, the average outpatient medical use and outpatient medical expenses per person for participating patients were lower than those for patients who did not participate. The average hospitalization cost per person and the average length of stay per person were also lower than those of patients who did not participate. Practical Implications: Home-based care for rehabilitation patients continues to provide medical services at home, not at medical institutions, and can be expected to reduce readmissions and complications by resolving patients' emergency situations at home or on their own, thereby reducing medical use.

  • PDF

A Study on Feasibility Analysis of Sewer Rehabilitation (하수관거 정비사업의 타당성 분석에 관한 연구)

  • Han, Ihnsup;Chang, Daehwan;Woo, Byungha;Lim, Chulhwan
    • Journal of Korean Society of Water and Wastewater
    • /
    • v.23 no.1
    • /
    • pp.89-96
    • /
    • 2009
  • Feasibility which is complimented before Social Overhead Capital Project and National Policy Project is analyzed by economic and political benefits. The projects will be performed if the benefits are bigger than the project cost. In this study, feasibility was examined at various viewpoints on sewer rehabilitation projects implemented with private capitals. To achieve the feasibility analysis, the B/C (Benefit/Cost Ratio), IRR (Internal Rate of Return) and the returns ratio of the Build Transfer Lease project implemented in 2007 at W city were estimated. At the same time, the correlation with B/C and benefit sensitivity of concessionary rate fluctuation were analyzed to evaluate the efficiency and feasibility of the seven sewer rehabilitation projects promoted by a local autonomous entity.

Is the Legal Basis for Physical Therapist's Home-Based Rehabilitation Appropriately Prepared?

  • Kim, Won-Su;Shin, Jun-Bum;Yun, Hye-Lyeong
    • The Journal of Korean Physical Therapy
    • /
    • v.32 no.4
    • /
    • pp.258-265
    • /
    • 2020
  • Purpose: This study examined the legal basis related to a physical therapist's home-based rehabilitation. Methods: The policy data were referenced to the comprehensive plan for national health promotion and the guidebook Community Health Promotion Project issued by the Korea Health Promotion Institute and other institutes. The legal data were referenced to the Bill information system on the National Assembly website. Results: The physical therapist's home-based rehabilitation did not have a legal basis in the community-based rehabilitation project (CBR) of the HP 2020 project. On the other hand, according to the Home health care part of the community health promotion project that began in 2013, physical therapists were allowed to play a role from 2020 under Article 16-2 (Public Officials in Exclusive Charge of Visiting Health Management) of the REGIONAL PUBLIC HEALTH ACT. Conclusion: Policies and laws are being developed in the field of healthcare, but the necessary policies and laws in the field of rehabilitation are still insufficient. A bill to rehabilitate in a variety of fields and spaces by modifying the scope of work of physical therapists will be needed.

Development of Lifetime Assessment and Rehabilitation Cost Calculation Methods for Overseas ROMM Project

  • Hyun, Jung-Seob;Kim, Doo-Young;Hwang, Kwang-Won;Park, Min-Gyu
    • KEPCO Journal on Electric Power and Energy
    • /
    • v.3 no.2
    • /
    • pp.119-125
    • /
    • 2017
  • Regarding the implementation of ROMM project (Rehabilitation, Operation, Maintenance & Management), which is one of overseas development projects, it is very important to diagnose the exact current status of aged thermal power plant. However, when people visit the power plant for the purpose of prediagnosis to implement the ROMM project, most target power plants for diagnosis, in general, are under operation. This can be a big interference factor to diagnose the exact current status of power plants. Therefore, in order to solve such interference factor, based on the 30 years of know-how in the field, the present study has developed a regression curve for a simple life time assessment and the calculation of rehabilitation cost that may be used as a reference relatively for the quantitative diagnosis on the status of a relevant power plant even during the operation of the power plant.

Development of Evaluation Methodology on the Performance of BTL Sewer Rehabilitation Projects (하수관거정비 BTL사업의 효과분석 및 방안 수립 연구)

  • Song, Ho-Myeon;Cho, Jeong-Il;Ahn, Choong-Hee
    • Journal of Korean Society of Water and Wastewater
    • /
    • v.24 no.6
    • /
    • pp.743-751
    • /
    • 2010
  • It requires an interim performance assessment for BTL business of the sewerage rehabilitation which continues from 2005 till now. Means, It is necessary to make an interim performance assessment and an analysis of an business effect of the sewerage rehabilitation BTL projects which still continues, and we presented an improvement method of the new sewerage rehabilitation project in future. This paper has conducted an analysis of the business effect for 3 local government BTL projects which are completed and under operation as of now in Jincheon-Gun, Cheongju-Si and Gangjin-Gun. As a method of business effect analysis, we conducted a business effect of the 3 places using the index set which we previously set for the business effect analysis. The index set in this research was sectionalized to an improvement effect of operating wastewater treatment plant, an benefit effect of the direct cost, an benefit effect of the indirect cost and an environment friendly effect. We, in this paper, conducted an business effect analysis for 3 sewerage rehabilitation BTL projects which are completed or under operation recently as a demonstration, however we judge that an business effect analysis shall be conducted in a stage that a significant time for operation has passed since the completion of the construction in order to induce an actual business effect of the sewerage rehabilitation BTL project.

A Study on the Performance and the Prospect of School Library Rehabilitation Project (학교도서관 활성화 사업의 성과와 전망에 관한 연구)

  • Noh, Young-Hee
    • Journal of the Korean BIBLIA Society for library and Information Science
    • /
    • v.18 no.1
    • /
    • pp.117-146
    • /
    • 2007
  • This study analyzes the performance of school library rehabilitation project for the past four years. The project was launched in 2002 as a 5-year project from 2003 to 2007. Based on the analysis, the author suggests some considerations for the second phase of the project. First, librarians are the focal point to manage the library newly built and remodeled at a massive budget of 300 billion Korean won. Second, when developing curriculum employing school libraries, the curriculum should be differentiated by grade. class, textbook and even chapter. Third. the project should demonstrate the positive influence of school libraries on students' academic achievement so that the parents and community leaders voluntarily promote school libraries. Forth, the project should examine diverse users to successfully meet their demand. Fifth, the project should incorporate capacity building in librarian training course. It is also crucial that librarians themselves make visible effort to achieve an expert status before students and fellow teachers.

Effect of East-West pain treatment for Central Poststroke Pain on alleviation of pain and Rehabilitation (뇌졸중 후 중추성 통증 환자에 대한 동서협진이 진통과 재활에 미치는 영향)

  • Lee, Hyun-jong;Kim, Su-young;Lee, Sang-hoon;Seo, Dong-min;Lee, Doo-ik;Kim, Keun-sik;Lee, Jae-dong;Lee, Yun-ho;Yang, Hyung-in;Park, Jae-kyung;Choi, Do-young
    • Journal of Acupuncture Research
    • /
    • v.20 no.2
    • /
    • pp.42-49
    • /
    • 2003
  • Purpose : In order to study the effectiveness of East-West pain treatment on central poststroke pain(CPSP), we evaluated its effect on alleviation of pain and rehabilitation of CPSP patients who were treated with eletroacupuncture and west pain treatment for four weeks. Methods : Twenty four patients diagnosed by their pain characteristics of central pain form stroke were treated with sympathetic nerve block, gabapentin, amitriptyline, and electroacupuncture for four weeks. Pain intensity through the visual analogue scale(VAS), and improvements of mobility and rehabilitation through the modified Barthel index(MBI) and Rankin scale(RS), respectively, before and after pain treatment were also assessed. Results : VAS pain scores were significantly improved from $7.7{\pm}1.7$ to $4.4{\pm}2.0$ with pain treatment(p<0.05). In accordance with improvement of ain scores, RS and MBI scores ere also improved from $2.88{\pm}0.95$ to $2.13{\pm}1.01$ and from $83.0{\pm}16.9$ to $94.7{\pm}9.5$(p<0.05), respectively, with pain treatment(p<0.05). Conclusions : It was suggested that the active pain treatment was contributed to the rehabilitation of CPSP patients, resulting in improvement of quality of life of CPSP patients. Futhermore, East pain treatment in combination with West pain treatment may be useful modality to alleviate CPSP.

  • PDF

Improvement of Activities of Daily Living Training to Promote Social Participation at a Pilot Project of Rehabilitation Medical Institutions (재활의료기관 시범사업에서의 사회복귀 촉진을 위한 일상생활훈련 개선방안)

  • Song, Young-Jin;Woo, Hee-Soon
    • Therapeutic Science for Rehabilitation
    • /
    • v.7 no.3
    • /
    • pp.35-45
    • /
    • 2018
  • Objective : Questionnaires completed by occupational therapists and patients in institutions conducting a "Pilot Project of Rehabilitation Medical Institutions" were used to determine whether occupational therapy was able to establish appropriate patient support systems for return to home and community. Methods : The questionnaire was completed by 293 occupational therapists from 13 institutions conducting pilot projects and 296 patients from 8 institutions who were able to respond. Results : Although the Pilot Project of Rehabilitation Medical Institutions is being implemented to enable early return of patients to activities of daily living, the most important therapeutic goal is not efficiently applied. In addition, since the health insurance systems utilized in medical institutions are applied as in the pilot project, there is no basis for evaluation and mediation of practical daily activities and vocational rehabilitation for actual return to the community. Conclusion : Through a detailed review of the pilot project, it will be necessary to improve the quality of life through the early return of patients to social activity, and to make practical improvements to reduce unnecessary societal expenditures.

Cost and Schedule Analysis of Highway Projects based on Project Types

  • Shrestha, Bandana;Shrestha, Pramen P.
    • International conference on construction engineering and project management
    • /
    • 2022.06a
    • /
    • pp.50-56
    • /
    • 2022
  • Change Orders generally impact cost and schedule performance of highway projects. However, highway projects that do not have any change orders also face cost growth and schedule delays. This study seeks to determine the cost and schedule performance of Texas DOT projects by collecting project data for 120 highway projects completed between 2016 to 2020. For the study, we selected project data that has zero or negative change orders which were then grouped and analyzed based on their Project Types i.e., maintenance works; structural works; restoration and rehabilitation works; and safety works. The study found that performance of Maintenance and Safety type projects had less cost and schedule growth among the data analyzed. Statistical tests also found that even though the projects have no change orders, Rehabilitation and Restoration type projects experienced significant schedule growth compared to others. However, the data did not show any significant cost and schedule growth for the projects when statistical tests were performed on overall data. The study concluded that highway projects are experiencing schedule growth even though the projects had no change orders. Results from the study can help planners, engineers, and administrators to gain better insight on how different types of highway projects are performing in terms of cost and schedule and eventually derive appropriate solutions to minimize cost and schedule growth in such projects.

  • PDF

Analysis on Effectiveness of Sewer Rehabilitation Project and Study on Improvement of Fixed Flow Meters (하수관거정비사업의 사업효과 분석 및 유량계 설치 개선방안에 관한 연구)

  • An, Dae Hoon;Kim, Jong Oh
    • Journal of Wetlands Research
    • /
    • v.15 no.4
    • /
    • pp.461-469
    • /
    • 2013
  • Even though a sewer rehabilitation BTL project has been executed throughout the nation with the input of a significant amount of budget, the overall review on effectiveness of the project is insufficient. And disputes over effectiveness of the project and of the employment of I/I indexes for evaluation of the project are continued due to reliable issues of flux data which has been measured after completion of certain projects and excessive amounts of I/I. Thus, this study has reviewed effectiveness of the project, current status and problems of the installation of fixed flow meters as well as countermeasures based on 15 projects subject to the operation performance evaluation after the completion of the project. The review on operation of the project has revealed that sewer rehabilitation BTL projects are significantly effective and highly effective on reducing a rate of infiltration water. The review on the employment of proper countermeasures for main issues revealed during the investigation on the installation and operation of fixed flow meters has shown that such countermeasures could result in securing more reliable flux data.