• Title/Summary/Keyword: review

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The Effect of Korean Prospective Drug Utilization Review Program on the Prescription Rate of Drug-Drug Interactions (의약품 처방·조제지원서비스(Drug Utilization Review)사업이 병용금기 처방률에 미치는 영향)

  • Kim, Dong-Sook;Park, Juhee;Jeon, Ha-Rim;Park, Chanmi;Kang, Hyeun Ah
    • Health Policy and Management
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    • v.24 no.2
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    • pp.120-127
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    • 2014
  • Background: Since December 2010, online computerized prospective drug utilization review (pDUR) has been implemented in Korea. pDUR involves the review of each prescription before the medication is dispensed to the individual patient. The pDUR is performed electronically by Health Insurance Review & Assessment Service (HIRA), which is a Korean governmental agency, and then HIRA provides medical institutions and pharmacies with information that can be helpful to them in preventing potential drug problems such as drug/drug interactions or ingredient duplication. The aim of this study was to assess the impact of the Korean pDUR implementation on the proportion of drug-drug interactions (DDIs) using claims data from HIRA. Methods: A before-after comparison of the prevalence of DDIs between prescription was conducted, using HIRA administrative claims data of medical institution from January 2010 to December 2011. The analysis unit was the prescription issued and pairs before and after. The main outcome measures were the proportion of DDIs within- (control group) or between- physician encounters. To examine the difference, a paired t-test was applied. Results: We found that DDIs proportion between prescription decreased significantly (t=3.04, p=0.0026) after the implementation of pDUR, whereas there is no significant reduction within prescription (t=1.15, p=0.2518). With respect to the prevalence of DDIs between drug groups, the most dramatic reduction was occurred between 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors and anti-fungal agents. Conclusion: It seems effective that giving a direct feedback to prescribers by a prospective DUR. Further research is needed to assess the impact of DUR to final outcomes such as hospitalization.

Imbalance in Cardiovascular Surgery Medical Service Use Between Regions

  • Kim, Myunghwa;Yoon, Seok-Jun;Choi, Ji Suk;Kim, Myo Jeong;Sim, Sung Bo;Lee, Kun Sei;Chee, Hyun Keun;Park, Nam Hee;Park, Choon Seon
    • Journal of Chest Surgery
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    • v.49 no.sup1
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    • pp.14-19
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    • 2016
  • Background: This study uses the relevance index to understand the condition of regional medical service use for cardiovascular surgery and to identify the medical service use imbalance between regions. Methods: This study calculated the relevance index of 16 metropolitan cities and provinces using resident registration address data from the Ministry of Government Administration and Home Affairs and the 2010-2014 health insurance, medical care assistance, and medical benefits claims data from the Health Insurance Review and Assessment Service. We identified developments over the 5-year time period and analyzed the level of regional imbalance regarding cardiovascular surgery through the relative comparison of relevance indexes between cardiovascular and other types of surgery. Results: The relevance index was high in large cities such as Seoul, Daegu, and Gwangju, but low in regions that were geographically far from the capital area, such as the Gangwon and Jeju areas. Relevance indexes also fell as the years passed. Cardiovascular surgery has a relatively low relevance index compared to key types of surgery of other fields, such as neurosurgery and colorectal surgery. Conclusion: This study identified medical service use imbalance between regions for cardiovascular surgery. Results of this study demonstrate the need for political intervention to enhance the accessibility of necessary special treatment, such as cardiovascular surgery.

COVID-19 International Collaborative Research by the Health Insurance Review and Assessment Service Using Its Nationwide Real-world Data: Database, Outcomes, and Implications

  • Rho, Yeunsook;Cho, Do Yeon;Son, Yejin;Lee, Yu Jin;Kim, Ji Woo;Lee, Hye Jin;You, Seng Chan;Park, Rae Woong;Lee, Jin Yong
    • Journal of Preventive Medicine and Public Health
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    • v.54 no.1
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    • pp.8-16
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    • 2021
  • This article aims to introduce the inception and operation of the COVID-19 International Collaborative Research Project, the world's first coronavirus disease 2019 (COVID-19) open data project for research, along with its dataset and research method, and to discuss relevant considerations for collaborative research using nationwide real-world data (RWD). COVID-19 has spread across the world since early 2020, becoming a serious global health threat to life, safety, and social and economic activities. However, insufficient RWD from patients was available to help clinicians efficiently diagnose and treat patients with COVID-19, or to provide necessary information to the government for policy-making. Countries that saw a rapid surge of infections had to focus on leveraging medical professionals to treat patients, and the circumstances made it even more difficult to promptly use COVID-19 RWD. Against this backdrop, the Health Insurance Review and Assessment Service (HIRA) of Korea decided to open its COVID-19 RWD collected through Korea's universal health insurance program, under the title of the COVID-19 International Collaborative Research Project. The dataset, consisting of 476 508 claim statements from 234 427 patients (7590 confirmed cases) and 18 691 318 claim statements of the same patients for the previous 3 years, was established and hosted on HIRA's in-house server. Researchers who applied to participate in the project uploaded analysis code on the platform prepared by HIRA, and HIRA conducted the analysis and provided outcome values. As of November 2020, analyses have been completed for 129 research projects, which have been published or are in the process of being published in prestigious journals.

Recent Trends in OECD Guidelines for Multinational Enterprises and their Implications: Focusing on Korea NCP's Countermeasures Strategy for Peer Review (OECD 다국적기업 가이드라인의 국제적 동향과 시사점: 한국 NCP의 동료평가(Peer Review) 대응방안을 중심으로)

  • Ahn, Keon-Hyung
    • Korea Trade Review
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    • v.42 no.4
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    • pp.159-184
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    • 2017
  • OECD MNE Guidelines ('OECD Guidelines') was set forth in 1976 as a form of annex to the OECD Declaration on International Investment and Multinational Enterprises. The objective of the OECD Guidelines is to fulfill the implementation and adoption of the Responsible Business Conduct ('RBC') among the adhering states. To further the effectiveness of the OECD Guidelines, OECD, specifically the Investment Committee of OECD, has utilized National Contact Point ('NCP') structure. According to the Procedural Guidance annexed to the OECD Guidelines, peer learning is prescribed as an important tool for promoting and facilitating the implementation procedures of the OECD Guidelines. This paper, inter alia, is mainly focusing on the peer review mechanism applicable to NCPs because negative assessments by peers are likely to harm Korea's state image and entail international criticisms even though such reviews are conducted voluntarily. In addition, the Working Party on Responsible Business Conduct ('WPRBC') decided to have a peer review of Korean NCP in 2019. This paper first outlines the meaning and current applications of the peer review mechanism, and then analyzes specific peer review cases conducted in Denmark and Belgium in 2015, and in 2016, respectively. Lastly, based on the issues handled in the peer review reports on the above states, this paper makes a few recommendations for Korean government to prepare the peer review scheduled in 2019.

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Importance of Peer Review in Toxicological Pathology and Its Practical Approach (독성병리 Peer Review의 중요성과 실제적 접근방법)

  • 손우찬;김배환;장동덕;한범석;양기화;이영순
    • Toxicological Research
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    • v.20 no.1
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    • pp.1-11
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    • 2004
  • Evaluation of toxicological pathology is to some extend subjective judgments by pathologist and the accuracy of pathologist's works is based on the individual training and experiences. It has been required to establish a peer review system for toxicologic pathology and these review system has been employed by various practice of toxicological pathology. It would be pointed out that the possible causes of drifts in pathology are due to 1) lack of knowledge or experience of individual pathologists, 2) poorly maintained consistence of grading among animals in study, 3) different interpretation of findings between pathologists, or 4) pathology data processing. Example cases of diagnostic errors and current practice of peer review including tissue selection criteria, documentation and problem resolution for short-term and carcinogenicity studies were introduced. For sound regulatory system and high integrity of practice in toxicological pathology, current approaches of peer review system were reviewed.

WebReview : Web-Based Paper Review Support System (WebReview : 웹 기반 논문심사 지원 시스템)

  • Suh, Yong-Moo;Jeon, Geon-Ho
    • Asia pacific journal of information systems
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    • v.8 no.2
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    • pp.19-35
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    • 1998
  • There has been a complaint that current editorial and refereeing system of the traditional journal systems has something to be desired due to long time lag between submission and publication, improper(unfair in some sense, because no communication is allowed between reviewers and authors) review of submitted papers sometimes, and so on. This paper introduces a Web-Based Paper Review Support System, called WebReview, The system helps to reduce the time lag and allows reviewers and authors to communicate anonymously to clarify the research results, if there is any ambiguity. WebReview is implemented in Java, using Oracle as an underlying DBMS, to capture interactions between users and the system.

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Audit Review and Earnings Response Coefficient (감사보고서 감리와 이익반응계수)

  • Shin, Yong-Jae;Ko, Byung-Seok
    • Journal of Industrial Convergence
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    • v.3 no.2
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    • pp.29-50
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    • 2005
  • Audit review is the system to review the audit procedures performed and the audit opinion expressed by the independent auditors. The public audit review performed by Financial Supervisory Service (FSS) is regarded as one of the most important means to maintain the reliability of accounting information in Korea. We examinate the effect of audit review on earnings quality by using ERC (earnings response coefficient). We find that ERC of the sample group which issued the audit error reports after they were reviewed by SSB is more effective and higher than one of the non-reviewed group, matching group. We infer that the audit review system has the effectiveness in Korea.

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Development of Energy-FMEA for Energy Review of ISO 50001 Energy Management System

  • Song, Kyung-Il;Jang, Joong-Soon
    • Journal of Applied Reliability
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    • v.14 no.2
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    • pp.137-146
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    • 2014
  • This paper is to develop Energy-FMEA for Energy Review of ISO 50001 Energy Management System. Energy Review is the core requirement of ISO 50001. This study develop Energy-FMEA and suggest Energy Review Inventory and Assessment Criteria for performing Energy-FMEA. Also, it shows case study to verify whether to proper.

Improvement of access re-review in archives : The Seoul Metropolitan Office of Cases (기록관에서의 공개재분류 제도 개선 방안 서울특별시교육청 사례 중심)

  • Lim, Heeyeon
    • The Korean Journal of Archival Studies
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    • no.49
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    • pp.277-297
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    • 2016
  • Access re-review is a process to reclassify the non-disclosure documents to open accessible documents, and it has to be performed in every five years. However, current procedures of the access re-review in many archives have not been properly working, due to the shortage of the available archivists for providing enough access re-review. Although many difficult situation for the re-review such as enormous amount of re-review documents and lack of archivists, access re-review was included in the administrative evaluation list, of which it makes the re-review for just evaluating process. In this study, the access re-review of Seoul Metropolitan Office of Education, which have performed by external service companies as well as the other institutions' progresses were summarized for improving access re-review process. Although Seoul Metropolitan Office of Education processed 610,000 re-review with 100,000,000 won budget for 4 years, the project has been failed to get more budget support because of the claim for the budget efficiency. The other institutions also could not focus on the actual access re-review. Considering all the points, current access re-review process is clearly required to be improved.