• The Korean Society of Law and Medicine
• /
• v.9 no.2
• /
• pp.139-179
• /
• 2008

This study was carried out to investigate the present conditions and discuss the issues of the Subrogation payment system in emergency medicine. Hitherto preceding study is focusing on controversial of management or efficient control of Subrogation payment system in emergency medicine. The object of this study is legalistic study of the Subrogation payment system in emergency medicine. The Current legalistic issues of subrogation payment system in emergency medicine are the following aspects; Firstly, there are a claimant conformity to the standard limit. Secondly, the review system is not propriety of the promptitude. Thirdly, there is a lack of propriety claim for compensation of a support responsible person. Fourthly, there are objectivity and fairness of administrative appeal system Fifthly, the point where one starts counting of extinctive prescription. Sixthly, the administrative punishment is an illogical system. Lastly, equity and fairness of the Review Agency, as an insurance company and an review Agency are sameness In conclusion, we ought to improvement an unnecessary obstructions of promptitude in the Subrogation payment system in emergency medicine, and ensure a right of emergency medicine without delay.

• Health Policy and Management
• /
• v.16 no.2
• /
• pp.49-76
• /
• 2006

The aim of this study was to explore the effects of a computerized review program which was introduced in August 1, 2003, using claims data for acute respiratory infection related diseases. National Health Insurance (NHI) claims data on respiratory infection related diseases before and after the introduction, with six month intervals respectively, were used for the analysis. Clinic was the unit of observation, and clinics with only one physician whose specialty was internal medicine, pediatrics, otorhinolaryngology and family medicine and clinics with a general practitioner were selected. The final sample had 7,637 clinics in total. Indices used to measure practice pattern was prescription rates of antibiotics, prescription rates of injection drug per visit, treatment costs per claim, and total costs per claim. Changes in the number of claims for major disease categories and upcoding index for disease categories were used to measure claiming behavior. Data were analysed using descriptive analysis, t-test for indices changes before and after the introduction, analysis of variance (ANOVA) for practice pattern change for major disease categories, and multiple regression analysis to identify whether new system influenced on provider' practice patterns or not. Prescription of antibiotics, prescription rates of injection drug, treatment costs per claim, and total costs per claim decreased significantly. Results from multiple regression analysis showed that a computerized review system had effects on all the indices measuring behavior. Introduction of the new system had the spillover effects on the provider's behavior in the related disease categories in addition to the effects in the target diseases, but the magnitude of the effects were bigger among the target diseases. Rates of claims for computerized review over total claims for respiratory diseases significantly decreased after the introduction of a computerized review system and rates of claims for non target diseases increased, which was also statistically significant. Distribution of the number of claims by disease categories after the introduction of a computerized review system changed so as to increase the costs per claims. Analysis of upcoding index showed index for 'other acute lower respiratory infection (J20-22)', which was included in the review target, decreased and 'otitis media (H65, H66)', which was not included in the review target, increase. Factors affecting provider's practice patterns should be taken into consideration when policies on claims review method and behavior changes. It is critical to include strategies to decrease the variations among providers.

• International Commerce and Information Review
• /
• v.11 no.2
• /
• pp.203-230
• /
• 2009

Can we use the open innovation paradigm in Korean economy? Can Korea move from imitative national innovation system to Creative national innovation system without open innovation paradigm? We are looking for preliminary answers about these questions. In this paper, first of all, we review the theoretical factors of open innovation originated from professor Chesbrough, try to find out the limit of the theory, and propose the possibility of extending of open innovation from company to industrial sector, region and cluster, and national innovation system. We also review the user innovation models from Von Hippel and open business models. Second, we review the Korea open innovation cases according to the categories like as company, sector, cluster and regional innovation system, and national innovation system. Third, we prepose the theoretical and realistic implications, and next research agenda about Korea open innovation.

• Journal of Environmental Impact Assessment
• /
• v.16 no.5
• /
• pp.319-325
• /
• 2007

Recently, since the risk on natural disasters is increasing due to abnormal weather such as the global warming, a need for a system on prior review on the influence of disasters has emerged in order to establish a solution by analyzing elements of disaster in advance. However, since the inherently destroying business namely the quarrying business is excluded from the range of subject business of Prior Review System on the influence of disasters, a correction for this is required. In order to actually explore how much risk it contains, actual outflow of soil and flood in the quarrying block where quarrying is being currently carried out was examined and the required undercurrent facility capacity which is also used as a grit chamber was investigated. In addition, by comparing the soil outflow of industrial complexes and golf courses which are current subject businesses of Prior Review on the Influence of Disasters and that of rock mountains relative risk level was examined. After investigation, it was found that the risk on occurrence of disasters was increased due to increase in outflow of soil and flood because of the change of land condition during and after development thus an adequate solution to decrease is required. In addition, after comparison with other business groups it was found that a significantly higher amount of soil is outflown in case of rock mountains thus it was analyzed that a solution to decrease is required. Therefore, a correction is immediately required in order to include quarrying business in the subject business of Prior Review System on the Influence of Disasters.

• Health Policy and Management
• /
• v.25 no.3
• /
• pp.207-220
• /
• 2015

Background: The purpose of this exploratory study is to explain where, when and how the introduction of user fee system works in low and middle income countries using context, mechanism, and outcome configuration. Methods: Considering advanced research in realist review approach, we made a review process including those following 4 steps. They are identifying the review question, initial theory and mechanism, searching and selecting primary studies, and extracting, analyzing, and synthesizing relevant data. Results: User fee had a detrimental effect on medical utilization in low and middle income countries. Also previous and current interventions and community participation were critical context in user fee system. Those contexts were associated with intervention initiation and recognition and coping strategies. Such contexts and mechanisms were critical explanatory factors in medical utilization. Conclusion: User fee is a series of interventions that are fragile and dynamic. So the introduction of user fee system needs a comprehensive understanding of previous and new intervention, policy infrastructure, and other factors that can influence on medical utilization.

• International Journal of Safety
• /
• v.9 no.2
• /
• pp.22-28
• /
• 2010

This paper describes a web-based design review system as a knowledge management system relating reliability and safety system design. Since people's consciousness for safety and security become sensitive and increases the need of establishing a proactive prevention method for internal failures and relating risks in products. It also means that prevailing tacit knowledge in retired workers, in order to transform them to be easily used to support new system development, become more important. When considering safety and reliability design, at least two data sheet are necessary; Failure Modes and Effects Analyses (FMEA) and Risk Assessment (RA). These two data are practically made separately. However, it includes the concerns that a risk by failures during long-term use may not be noticed. To overcome this insufficiency, a support tool for integrating reliability evaluation and risk assessment data simultaneously is expected to be revealed. The authors have then developed a web-based design review system for reliability and safety system design. The system include various profitable functions; making FMEA and RA sheet, retrieving past data sheet for engineering change management and new product development and web-based discussion to increase the efficiency of discussion. The system is applied to one practical development works in order to demonstrate its effectiveness that is to be made clear by interviewing user's qualitative comment.

• 아동간호학회:학술대회논문집
• /
• 2005.12a
• /
• pp.84-90
• /
• 2005

KISTI(Korea Institute of Science and Technology) has developed ${\ulcorner}KISTI-ACOMS (KIST-Article Contribution Management System){\lrcorner}$ as a part of the national project for the informatization of academic societies, and distributed the system to academic societies for free since 2001. KISTI-ACOMS is a web-based system that automates the full process of academic paper review and journal publication and circulation for academic societies. KISTI have analyzed academic societies' demands for a paper review system for last three years and, after a thorough redesign and implementation, released KISTI-ACOMS 2.0 in september 2005. recently, there are many societies requesting the online paper review system for the informatization of their societies. korean academy of child health Nursing has decided to introduce KISTI-ACOMS 2.0 to meet current trends and KISTI customized KISTI-ACOMS 2.0 to reflect configuration and paper review process of Korean Academy of Child Health Nursing. This Paper investigates the functions of KISTI-ACOMS customized for the korea academy of child health nursing and describes necessary features for the future online paper review system.

• The Journal of the Korea Contents Association
• /
• v.13 no.5
• /
• pp.9-18
• /
• 2013

This research attempts to investigate the way of establishing a systematic and consistent review results by utilizing DB system of broadcasting content, which has been operated by Korea Communications Standards Commission. The current problems of DB system was analyzed and compared with review system of other contents regulating organizations to seek better alternatives. The results show that related information are recorded in review DB of other organizations in detail, so that committee members can utilize DB system in making consistent and objective judgment. In addition, other contents regulating organizations open the review results to the public and enhance the accessibility, so that people can make use of the DB. It is necessary to improve review DB in a systematic and efficient way for broadcasters and contents productions to accept and consent the review results.

• Journal of the Society of Disaster Information
• /
• v.9 no.1
• /
• pp.50-55
• /
• 2013

Self-Prevention Plan Review Report and Review Standards Process Safety Management(PSM), Safety Management System(SMS), including the contents of the safety management system audit standards, notices and guidelines on the screening form and were analyzed. Were expected through the interview and screening personnel in the screening process to identify problems prior research so that it can be reflected in the. Also divided into methods such as document review and on-site implementation status of the review written Emergency Preparedness Plan depending on the item proposed. Toxic Chemicals Control Act(TCCA) Self-Prevention Plan Review Regulations. However, the substantial approval process, and do not enable the system performance lacked Self-Prevention Plan Review. Review half configuration to enhance the professionalism and efficiency of the work of this research was performed.

• The Korean Journal of Cytopathology
• /
• v.9 no.2
• /
• pp.139-146
• /
• 1998

The AutoPap 300 QC System is an automated device for the analysis and classification of conventional cervical cytology slides for quality control purpose. These studies evaluated the sensitivity of the AutoPap 300 QC System, and estimated morphologic features other than epithelial abnormality to identify a high quality control(QC) score with the AutoPap 300 QC System. The sensitivity of the AutoPap 300 QC System at 10% review rate for 210 cases of cervicovaginal cytology with low grade squamous intraepithelial lesion(LSIL) and higher grade lesion was assessed, and compared with a 10% random rescreening. The morphologic features, such as presence of endocervical component, dirty background, atrophy, abnormal ceil size, and celluiarity of single atypical cells were estimated in 45 cases of no review and 30 cases of QC review cases. The AutoPap 300 QC System identified 119(56.7%) out of 210 cases with LSIL and higher grade lesion at 10% review rate. It was more sensitive to squamous cell lesions$(50{\sim}62%)$ than to glandular lesions(10%). The dirty background and the scanty cellularity of single atypical cells were significantly related to low QC score. Conclusively, AutoPap 300 QC System is superior to human random rescreen for the identification of false negative smears. The upgrading of this device is required to enhance the defection of glandular lesion and certain Inadequate conditions of the slides.