• 보건행정학회지
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• 제24권2호
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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.

• Journal of Chest Surgery
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• 제49권sup1호
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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.

• Journal of Preventive Medicine and Public Health
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• 제54권1호
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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.

• 무역학회지
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• 제42권4호
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• pp.159-184
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• 2017

OECD는 투자위원회를 중심으로 각국 NCP들이 OECD 가이드라인을 효과적으로 이행하기 위한 일환으로 NCP 간 동료평가(Peer Review)를 강조하는 추세이다. 각 NCP로서는 동료평가가 자발적인 성격이라고는 하지만 부정적인 평가를 받게 되는 경우 국제적으로 많은 비난을 받을 소지가 크고 국가 이미지에도 심각한 타격을 입을 가능성이 높다. 더군다나 지난 2017년 3월, 기업책임경영에 관한 작업반(Working Party on Responsible Business Conduct) 회의에서 한국 NCP에 대하여 2019년 동료평가를 시행하기로 결정하였다. 이에 본 논문에서는 NCP 동료학습의 의의와 현황, 최근 시행되었던 덴마크와 벨기에 동료평가 사례들을 검토함으로써 우리 정부가 2019년 동료평가에 어떻게 대비해야 하는지 정책적 제언을 하고 있다.

• Toxicological Research
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• 제20권1호
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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.

• Asia pacific journal of information systems
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• 제8권2호
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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.

• 산업융합연구
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• 제3권2호
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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.

• 한국신뢰성학회지:신뢰성응용연구
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• 제14권2호
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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.

• 대한기관윤리심의기구협의회지
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• 제5권2호
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• pp.59-59
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• 2023

• 기록학연구
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• 제49호
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• pp.277-297
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• 2016

공개재분류는 기록물의 적극적인 공개를 위하여 실시하는 것으로 기록관에서는 5년 주기로 추진해야 한다. 그러나 현재 각 기관의 기록관 운영 실태를 보면, 기록관의 주요 업무를 1인의 기록물관리 전문요원이 모두 담당하고 있는 상황에서 매년 대상 기록물의 공개재분류를 실시하기에는 많은 문제점이 있다. 방대한 재분류 대상량, 부족한 전문인력, 생산부서의 중요도 인식 부족에 따른 비협조 등과 같이 현장의 어려운 상황에도 불구하고 기관의 기록관리 평가 지표에 공개재분류 항목이 포함되었고, 현장에서는 공개재분류 추진 목적과는 다르게 평가를 받기위한 공개재분류가 진행되고 있다. 본 연구에서는 각 기관의 기록관에서 공개재분류 업무를 어떻게 진행하고 있는지 설문과 전화인터뷰 조사를 통해 정리하고 또 공개재분류 진행방법을 외부에 위탁하여 용역사업으로 진행했던 서울특별시교육청의 사례를 중심으로 공개재분류 업무 진행과정과 결과에 대해 살펴보았다. 용역사업으로 진행한 서울특별시교육청의 경우 지난 4년간 약 10억에 가까운 예산이 투입되었지만 각 급 학교 생산 기록물을 제외한 약 61만 건만 재분류를 실시하였으며, 5차 사업은 투입된 예산 대비 그 실효성을 재검토해 보자는 기관 내 의견이 반영되어 용역사업이 잠정 보류된 채 자체적 추진으로 변경되었다. 타기관의 조사결과 공개재분류를 하는 이유로 일관된 답변은 기관평가를 잘 받기 위하여 대상량 중 일부만 하고 있다는 것과 현실적으로 기록관리시스템에서 공개재분류 업무처리가 어렵다는 것이었다. 또한 기관 및 기록관의 현재 상황을 고려한 공개재분류 제도의 개선이 필요하다는 것도 확인되었다. 이에 따라 기록관 단계에서 공개재분류가 법 취지에 맞게 추진되기 위한 개선방안을 알아보고, 이를 기반으로 기관 내 기록관리의 인식변화에 따른 발전을 기대한다.