• 제목/요약/키워드: service policy

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장애인 건강관리를 위한 지역사회 재활보건의료서비스 전달체계 구축 방안 (A Policy Alternatives on Developing Health Care Delivery System for Disable Person in the Community)

  • 유호신;이주열
    • 한국보건간호학회지
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    • 제17권1호
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    • pp.5-16
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    • 2003
  • This policy alternatives for establishment of rehabilitation health care delivery system for the disabled in the community were developed based on the data of current health status and situations of health care management for disabled persons in Korea. This research was conducted with secondary data analysis for identifying health status and current situations of managing health of disabled persons, and discussed current issues for establishing rehabilitation health care delivery systems in the community. Observing the health status and current situations of managing health of disabled persons, scope and target population of disabled person extended. so prevalence rates increased. and the severity of disability intensified and specified. The summary of issues of health management for disabled persons included; 1) absence of comprehensive and systematic policy in rehabilitation health care systems. 2) absence of consumer based rehabilitation health care facilities and delivery systems that are considered as the characteristics of disabled persons 3) fixed form of projects based on the provider and lack of variety in the programs. Hereafter. to overcome these problems. policy alternatives should 1) establish a comprehensive rehabilitation health care policy for disabled persons. 2) establish comprehensive and specific community based rehabilitation health care delivery systems that can promote preventing disability. providing medical care for disabled persons, establishing rehabilitation management for disabled persons and health care when returning to society. 3) provide training and secure manpower for rehabilitation, but the training case managers who will take the roles as an expert rehabilitation nurse mediators for multidisciplinary team work are needed immediately. and 4) include efficient connection and provision of independent services for welfare rehabilitation service and health care. Conclusively. a community based rehabilitation health care delivery system should be comprehensive policy vision of the government on rehabilitation health care delivery System rehabilitation service has to be constructed systematically under suitable facilities con consumer characteristics and rehabilitation health care policy. By doing this, consumer comprehensive community rehabilitation health care delivery system could be constructed disabled person.

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건강보험 및 보건의료에 대한 복지인식에 영향을 주는 요인: 2013년 한국복지패널 자료를 이용하여 (Factors of Welfare Recognition toward Health Insurance and Health Care: Using 2013 Korea Welfare Panel Study)

  • 박영희
    • 보건의료산업학회지
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    • 제9권3호
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    • pp.115-126
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    • 2015
  • Objectives : This research was performed to investigate the characteristics and determination factors of health care policy satisfaction and welfare recognition for health insurance & health care financing. Methods : The utilized data were 4,174 cases who responded to a welfare recognition survey in the 8th wave of the Korea Welfare Panel Study (2013). The statistical methodology used in this study is the multiple regression model. Results : The significant affecting factors of health care policy satisfaction were age, education, household income, welfare attitudes, and health status. Medical utilization & private medical insurance were not related to health care policy satisfaction. The affecting factors of health insurance reinforcement were age, health status, welfare attitudes. The affecting factors of health care financing expansion were age, economic activity type, medical utilization, welfare attitudes. The affecting factors of welfare attitudes were age, economic activity type, household income, health insurance, and health status. Conclusions : Health care policy satisfaction, health insurance reinforcement, and health care financing expansion were all affected by age and welfare attitude; but this was not the case for private health insurance. This study recommended that the Korean government provide active planning for reinforcement of health insurance and publicity of the health care system in order to accord with the prospects of people.

D-정책과 집단도착을 갖는 이산시간 MAP/G/1 대기행렬시스템의 일량 분석 (Workload Analysis of Discrete-Time BMAP/G/1 queue under D-policy)

  • 이세원
    • 한국산업정보학회논문지
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    • 제21권6호
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    • pp.1-12
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    • 2016
  • 본 논문에서는 D-정책을 갖는 이산시간 BMAP/G/1 대기행렬시스템의 일량을 분석한다. 유휴한 서버는 시스템에 도착한 고객집단의 서비스시간의 총합이 이미 정해진 일량 임계값 D를 초과하면 시스템에 서비스할 고객이 없을 때까지 서비스를 제공한다. 시스템의 안정상태 일량변환벡터를 유도하고 성능척도로서 평균일량을 구하였다. 시뮬레이션을 통해 이론값들의 타당성을 검증하고 간단한 수치예제를 보였다.

D-정책을 갖는 이산시간 BMAP/G/1 대기행렬의 대기시간 분석 (Waiting Time Analysis of Discrete-Time BMAP/G/1 Queue Under D-policy)

  • 이세원
    • 한국산업정보학회논문지
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    • 제23권1호
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    • pp.53-63
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    • 2018
  • 본 논문에서는 D-정책을 갖는 이산시간 BMAP/G/1 대기행렬시스템의 대기시간을 분석한다. 고객(또는 패킷)들은 마코비안 도착과정을 따라 집단으로 시스템에 도착하며, 유휴한 서버는 시스템에 도착한 고객집단의 서비스시간의 총합이 이미 정해놓은 임계값 D를 초과하면 시스템에 더 이상 서비스할 고객이 없을 때까지 서비스를 제공한다. 시스템의 안정상태 대기시간 분포를 변환 형태로 구하고 성능척도로서 평균값을 유도하였다. 시뮬레이션을 통하여 이론값들의 타당성을 검증하고 간단한 수치예제를 보였다.

의료급여 수급권자 확대정책이 예방가능한 입원율에 미친 영향 (The Impact of Medicaid Expansion to include population with low income on the preventable hospitalizations)

  • 신현철;김세라
    • 보건행정학회지
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    • 제20권1호
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    • pp.87-102
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    • 2010
  • The objective of this study were to examine the impact of medicaid coverage expansion policy aimed at improving access to primary care. The case-control study was conducted to compare preventable hospitalization(PH) rate in new medicaid recipients versus national health insurance(NHI) enrollees form 1996 to 2001. Rates of preventable hospitalization associated with ambulatory care sensitive conditions(ACSC) were calculated and standardized by age and sex. Multinomial logit regression model was used to control the confounding factors such as age, gender and charlson comorbidity index Annual PH rates in the new medicaid increased 1.64 times after medicaid expansion, with controling confounding factors. Meanwhile, annual PH rate in the NHI increased 1.68 times during the same period, with adjusting confounding factors. Current findings suggest that the new medicaid PH rate was less likely to rise than NHI PH rate after implementing medicaid expansion. This study is expected to provide policy-relevant evidence of medicaid expansion to include population with low income.

NGN 에서 COPS 를 이용한 정책(Policy) 기반 QoS 제어 메커니즘 (A Mechanism for Policy-based QoS Control on COPS Interface in NGN)

  • 송성한;김양중;이동규;정일영
    • 한국정보처리학회:학술대회논문집
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    • 한국정보처리학회 2007년도 춘계학술발표대회
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    • pp.1342-1345
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    • 2007
  • 현재 NGN 망에서 강조되는 QoS 보장 기술은 인터넷에서 QoS(Quality of Service) 제공을 위해 해당 응용 서비스 마다 자원을 예약하거나 할당하는 기능을 수행하며, 이 때, 효율적인 종단간의 QoS 보장을 위해서는 전체적으로 자원관리를 할 필요가 생긴다. 정책(Policy) 기반 QoS 기술 관리는 이 경우에 수행이 된다. NGN 망에서의 정책 기반 QoS 기술을 위해서는 정책 기반 QoS 관리 기술 구조 및 프로토콜에 대한 총괄적인 이해가 우선되어야 한다. 즉, 정책 결정 및 정책 실행과 관련한 정책 기반 QoS 관리 기술 구조와 프로토콜 관련한 COPS(Common Open Policy Service)와 LDAP(Light Weight Directory Access Protocol)을 중심으로 이해가 되어야 하고, 이를 토대로 해서 정책 기반 QoS 관리 기술 서비스가 제공 될 수 있다.

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TCP/IP Layer별 공격패턴 분석에 기반한 CFC를 이용한 DDoS 방어 알고리즘 연구 (A Study on the DDoS Defense Algorithm using CFC based on Attack Pattern Analysis of TCP/IP Layers)

  • 서우석;박대우;전문석
    • 디지털산업정보학회논문지
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    • 제6권4호
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    • pp.117-130
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    • 2010
  • Paper is on defense for so-called internet crisis, the attack of DDoS (Distributed Denial of Service) which was targeted to the central government ministries, financial sector, and portal sites of chief counties including Korea on June 7th, 2009 as its start. By conducting attack with various DDoS attacking methods in the lab environment and dividing networks targeted by the attack by layers, this paper records and analyzes the chief information for attack, destination information of packets, defense policy setting, and the flow of packet attack with the subjects of the networks separated. This study suggests CFC system using multiple firewalls applying defense policy corresponding to the target layer for ultimate attack and tests it according to the result of analyzing the attack packet information and its amount, log analysis, access recording port, and MAC and IT information, etc. by layers. This article is meaningful in that it analyzes the attack by layers, establishes firewall policy for protecting each layer, and secures accurate mechanism for detect and defense.

제약산업의 경영전략, 경영성과에 의약품관련정책이 미치는 영향에 관한 연구 (Study on Medicine Related Policies for Management Strategies and Performances of the Pharmaceutical Industry)

  • 정재훈;조덕영;최수형
    • 보건의료산업학회지
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    • 제9권4호
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    • pp.157-169
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    • 2015
  • Objectives : The aim of this study was to investigate the effect of various Republic of Korea policies, including the medicine cost rationalization policy implemented By investigating the management strategy/performance changes of the industry caused by such policies. Methods : Pharmaceutical companies listed on the national stock exchange and the KOSDAQ were examined for 10 years from 2004 to 2013. Their financial statements were collected and market changes before and after drug price policy implementations were compared. Results : From the result of this research, among the medicine related policies, the drug price rationalization policy was found to have a significant effect on business management strategies in terms of safety, profitability and growth potential after its implementation. After the drug pricing transparency policy was implemented, management strategies were affected significantly in terms of safety and profitability. Conclusions : As a result, all of the medicine related policies were found to have regulatory effects. Based on these findings, implications, research limitations and future study plans are presented.

통증완화를 위한 오피오이드 사용의 교훈: 경제협력개발기구 회원국의 경험을 중심으로 (Lessons from Using Opioid to the Treatment of Chronic Pain: Focus on Experiences with the Organization for Economic Cooperation and Development Countries)

  • 임지혜;조재영
    • 보건행정학회지
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    • 제31권4호
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    • pp.409-422
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    • 2021
  • The growing use of prescription analgesic opioids has rapidly escalated the treatment of chronic pain since the 1990s; however, it is also highly needed to control opioid-related issues, including opioids misuse, abuse, and addiction. In 2018, Organization for Economic Cooperation and Development (OECD) secretariat administered the survey on opioids use and policies to OECD countries and presented it at the Health Committee meeting of December 2018. This study aimed to review the opioids use in OECD countries and their policies to prevent and reduce associated harms, also seek the available policy lessons from OECD countries. More recently, opioids prescribing rate have been increased 14.7% between 2011-2013 and 2014-2016 and steadily focused on the main substance misused and abused in Korea. In addition, policy efforts have contributed to developing a guideline for prescribing opioids to steer the appropriate use of prescription analgesic opioids since 2000 in Korea, so it is not enough to control opioids compared with other OECD countries. Therefore, taking a people-centered and public health perspective, it will consider the health system policies and interventions at a national level to improve their preparation and approach to control opioid-related issues.

보상과 보안의식이 육군지식포탈 사용자 의도에 미치는 영향 (The Effect of Reward and Security Awareness on User Intention of Knowledge Portal Service for ROK Army)

  • 이종길;구자일
    • 산업경영시스템학회지
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    • 제42권2호
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    • pp.36-48
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    • 2019
  • As the importance of Knowledge Management System (KMS) in the military increases, Republic of Korea Army (ROK Army) developed Army Knowledge Portal. Although the members in the military are encouraged to use the portal, few members currently use it. This study was conducted to find variables to predict the user's intention to use the portal, which contributes to activating the use of Army Knowledge Portal in the army. On the basis of Technology Acceptance Model (TAM), ten variables such as perceived ease of use, general information security awareness, information security awareness, expectation for external rewards, expectation for relationships, sense of self-worth, attitude toward compliance with security policy, attitude toward knowledge sharing, intention of non-combat knowledge sharing, and intention of combat knowledge sharing were considered as independent variables. 105 participants on active duty who currently use or have experience to use the portal participated in this study. The results indicated that general information security awareness and information security awareness increases compliance with the information security policy. In addition, the attitude toward knowledge sharing is enhanced by expectations for relationship and sense of self-worth. Based on the results, the authors propose the need for policy alternatives to reinforce the reward system and security policy, which activates the use of Knowledge Portal Service for ROK Army.