• 제목/요약/키워드: system utilization

검색결과 5,031건 처리시간 0.035초

Drug Utilization Review 시행 전후 3차 의료기관에서의 노인주의약품 외래처방 현황 분석 (The Evaluation of Drug Utilization Review on Potentially Inappropriate Medications for Elderly Patients in a Tertiary Hospital)

  • 조여향;김광준
    • 한국임상약학회지
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    • 제29권1호
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    • pp.25-32
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    • 2019
  • Objective: South Korea made a list of potentially inappropriate medications (PIMs) for elderly patients in 2015 and has prompted medical professionals to prescribe proper medication by using the drug utilization review (DUR) system. It has been three years since the system was introduced, but related studies have rarely been conducted. This study aimed to evaluate the effect of the DUR system on the prescription of PIMs for elderly patients. Methods: The data on the prescription of PIMs for elderly patients (${\geq}65$ years) who received medical treatment between March 1st and May 31st in 2015 (before introduction of the DUR system) and who received medical treatment between March 1st and May 31st in 2018 (after introduction of the DUR system) were retrospectively collected from electronic medical records. Results: The prescriptions of PIMs decreased from 3,716 (7.7%) to 3,857 (6.9%) (p < 0.001). The prescription of escitalopram and paroxetine, among selective serotonin reuptake inhibitors, increased significantly, and that of short-acting benzodiazepines also increased significantly from 454 (0.93%) to 624 (1.2%). Conclusion: Prescription of PIMs for elderly patients significantly decreased (p < 0.001) after the DUR system was introduced. Further expanded studies of PIMs need to be conducted for the safety of elderly patients.

Design and Operation of 3-Pin FTL HVAC System

  • Chi, D.Y.;Sim, B.S.;Park, S.K.;Park, K.N.;Lee, J.M.;Ahn, S.H.;Lee, C.Y.;Kim, Y.J.
    • 한국원자력학회:학술대회논문집
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    • 한국원자력학회 2005년도 춘계학술발표회
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    • pp.1144-1145
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    • 2005
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농작물의 $CO_2$ 고정화 연계 LFG-MGT 시스템의 타당성 연구 (Feasibility study of LFG-MGT power generation system with $CO_2$ fixation development)

  • 박정극;허광범;임상규
    • 한국신재생에너지학회:학술대회논문집
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    • 한국신재생에너지학회 2009년도 춘계학술대회 논문집
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    • pp.821-824
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    • 2009
  • LFG-MGT CHP system development project with $CO_2$ enrichment in greenhouses was introduced. LFG is produced from the anaerobic digestion of landfilled waste and it has been utilized for power/heat generation since it contains around 50% of $CH_4$. Utilization of LFG from small scale landfill is also needed as well as large scale landfill. However, due to economy of scale, it is very difficult to develop business model. In this context, combining CHP system with greenhouses is considered as feasible option for LFG utilization. LFG-MGT CHP system with $CO_2$ fixation in greenhouses has been derived as an active greenhouse gas reduction strategy, The focus of the system is beyond carbon neutral LFG utilization to neutral carbon absorption. The system is feasible in terms of direct and indirect $CO_2$ emission reduction with more economical way.

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간이해역이용협의 유형분석 및 효율적 환경평가방안 (An Effective Environmental Assessment for the Simple Statement of the Sea Area Utilization Consultation System)

  • 이대인;엄기혁;김귀영
    • 환경영향평가
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    • 제22권3호
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    • pp.255-264
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    • 2013
  • This paper diagnosed the assessment problems and development types of the simple statement of the Sea Area Utilization Consultation System. and suggested the key assessment items for system improvement. The major types of Public Water occupation and use, and distribution characteristic of regional and coastal were analyzed by evaluate 529 review items during 2010-2012. The artificial structure installation including harbor and fishing port facilities in the South and West coast, and seawater supply and drainage for land-based aquaculture and power plant were dominated. The checklists considering each types of occupation and use in Public Water were suggested. In addition, policy proposals for system improvement were suggested.

국민기초생활보장수급자의 장기요양 서비스 이용 여부가 의료 이용에 미치는 영향 (Effect of Long-term Care Utilization on Health Care Utilization of the Medicaid Elderly)

  • 정운숙
    • 한국산학기술학회논문지
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    • 제15권11호
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    • pp.6746-6755
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    • 2014
  • 본 논문은 기초생활보장수급자를 대상으로 장기요양서비스 이용 여부가 의료 이용에 미치는 영향을 파악하기 위한 서술적 연구이다. 연구 대상은 장기요양 1등급 판정을 받은 기초생활보장수급자 5,834명을 대상으로 하였다. 기초생활보장수급자의 의료 이용에 미치는 영향을 다중회귀분석으로 분석한 결과 2007-2009년 총 진료비 변화량을 설명하는 $R^2$은 22.6%이었으며, 장기요양 서비스 이용자에 비해 미이용자는 8,297,329원 증가하였다(${\beta}=.29$, p< .001). 입원일 변화량의 $R^2$은 22.4%이었으며, 서비스 이용자에 비해 미이용자는 119.013일 증가하였다(${\beta}=.33$, p< .001). 총 진료비와 입원일 변화량에 영향을 미치는 요인은 장기요양서비스 이용 여부, 수발자 여부, 2009년 일상생활수행능력, 간호처치, 재활기능이 유의한 영향을 미치는 것으로 나타났다. 따라서 장기요양 서비스 미이용자의 의료 이용이 높게 나타남에 따라 미이용자에 대한 적정 의료와 요양서비스 이용을 지원할 수 있는 정책 마련이 필요로 된다.

Evaluation of Rainwater Utilization for Miscellaneous Water Demands in Different Types of Buildings Using Geographic Information System

  • Kim, Jinyoung;An, Kyoungjin;Furumai, Hiroaki
    • Environmental Engineering Research
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    • 제18권2호
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    • pp.85-90
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    • 2013
  • This study is an attempt to quantify rainwater utilization and miscellaneous water demand in Tokyo's 23 special wards, the core of the urban area in Tokyo, Japan, in order to elucidate the potential of further rainwater utilization. The rainwater utilization for miscellaneous appropriate water demands, including toilet flushing, air conditioning, and garden irrigation, were calculated for six different types of building: residential house, office, department store, supermarket, restaurant, and accommodation. Miscellaneous water demands in these different types of building were expressed in terms of equivalent rainfall of 767, 1,133, 3,318, 1,887, 16,574, and 2,227 (mm/yr), respectively, compared with 1,528 mm of Tokyo's average annual precipitation. Building types, numbers and its height were considered in this study area using geographic information system data to quantify miscellaneous water demands and the amount of rainwater utilization in each ward. Area precipitation-demand ratio was used to measure rainwater utilization potential for miscellaneous water demands. Office and commercial areas, such as Chiyoda ward, showed rainwater utilization potentials of <0.3, which was relatively low compared to those wards where many residential houses are located. This is attributed to the relatively high miscellaneous water demand. In light of rainwater utilization based on building level, the introduction of rainwater storage mechanisms with a storage depth of 50 mm for six different types of buildings was considered, and calculated as rainfall of 573, 679, 819, 766, 930, and 787 (mm), respectively. Total rainwater utilization using such storage facilities in each building from 23 wards resulted in the retention of 102,760,000 $m^3$ of water for use in miscellaneous applications annually, and this volume corresponded to 26.3% of annual miscellaneous water demand.

코로나19 사태에 온라인 강의의 시스템 특성이 강의만족도에 미치는 영향연구: ICT 활용능력의 조절효과를 중심으로 (A Study on the Effect of System Characteristics of Online Lectures on Lecture Satisfaction in the COVID-19 Crisis: Focused on the Moderating Effect of ICT Utilization Ability)

  • 莫雅婷;徐雨佳;이윤구
    • 디지털융복합연구
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    • 제19권9호
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    • pp.43-57
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    • 2021
  • 본 연구의 목적은 온라인 강의가 지속됨에 따라 온라인 강의 시스템, 이용 동기, ICT 활용능력, 강의만족도 간의 관계성을 찾기 위함이다. 이를 위해 우송대학교 재학생들을 대상으로 설문조사를 실시하여 유효표본 330부를 확보하였으며, SPSS 25.0을 활용하여 실증분석을 시행하였다. 연구 결과는 시스템의 편의성·용이성·보안성과 이용 동기가 강의만족도에 유의미한 영향을 미치며, 조절효과의 변수인 ICT 활용능력은 시스템 특성(용이성 및 보안성)과 강의만족도 간의 관계에서도 유의미한 상관관계가 있는 것으로 확인되었다. 따라서 학생들의 온라인 강의의 만족도를 높이기 위해 서는 새로운 온라인 시스템 개발은 물론 ICT활용 능력을 향상시키기 위한 별도의 교육프로그램 개발 및 운영의 필요성을 제시하였다. 끝으로 온라인 강의에 대한 만족도를 높이기 위해 향후 다양한 표본조사와 연구가 필요할 것으로 보인다.

위탁급식 전문업체 전사적자원관리(ERP) 품질이 업무 성과에 미치는 영향과 업무 성과 변수 간 인과관계 분석 (Effect of the ERP Quality on the Performance and Causal-Effect Analysis between Outcome Variables in the Contract Foodservice Management Company)

  • 김현아;양일선;김장미
    • Journal of Nutrition and Health
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    • 제38권2호
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    • pp.180-189
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    • 2005
  • The purposes of this study were 1) to analyze the effect of the ERP quality (system quality, information quality, service quality) on the performance (end user satisfaction, user's performance, system utilization) of business, 2) to conduct the causal-effect analysis between outcome variables (user's satisfaction, user's performance, system utilization) of ERP in the contract foodservice management company. The questionnaires were distributed to 260 end users (dietitians, foodservice management managers) in charge of managing the institutional foodservice such as the office (government agencies, factories), schools (universities, middle and high school) and hospitals which were managed by contract foodservice management company 'C' in Seoul and Kyunggi. The surveys were performed from July 26, 2004 to July 30. 2004. Two hundred and fifty (250) questionnaires were responded (response rate: 96.2%). The statistical analysis was conducted using SPSS Win (11.5). And the descriptive analysis, factor analysis, reliability test, pearson correlation, simple and multiple regression analysis were performed. The results showed that among the 3 factors (system quality, information quality, service quality), the system quality and information quality were proved to have an effect on the user's satisfaction and user's performance significantly (p < .05). The influence of ERP quality (system quality, information quality, service quality) on system utilization were testified to be statistically significant (p < .05). The user's performance were affected significantly by system utilization (p < 0.001) and end user's satisfaction (p < 0.001). As a conclusion, to improve user satisfaction, which is the ultimate performance variable of an ERP system, high quality of an ERP system is the pre-requisite. And the user satisfaction and performance of business would be higher with the better quality ERP system. When constructing ERP system for the contract foodservice management company, we should improve system utilization and user satisfaction altogether so that user's performance could be ultimately enhanced and we should make efforts to enhance the quality level of ERP. (Korean J Nutrition 38(2): 180~189, 2005)

시계열 개입 분석을 이용한 환자의뢰제도의 개입효과 평가 (An Evaluation of a Patient Referral System using Intervention Analysis)

  • 조우현;이해종;손명세;남정모;유승흠
    • Journal of Preventive Medicine and Public Health
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    • 제22권2호
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    • pp.236-241
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    • 1989
  • The purpose of this study was to introduce the methodology of intervention analysis with time series data and to investigate the influence of the patient referral system on medical care utilization in Kangwha county. The data were obtained at the Kangwha Medical Inurance Society and we analysed the material based on the outpatient care fee. The results were as fellows: 1. The average outpatient care utilization in the hospital decreased by 41.7% due to the patient referral system. 2. The utilization of the health instituation increased by 278.8 persons per month due to the patient referral system. 3. The patient referral system did not influence the total outpatient are utilization. The methodology of intervention analysis, which detected the effect of intervention, will be helpful to the study of public health area.

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환자흐름에의 영향요인 (The Factors Affecting Patient-Flow)

  • 박재용
    • 보건행정학회지
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    • 제3권2호
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    • pp.27-80
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    • 1993
  • It is widely known that patients' utilization pattern for medical care facilities and the patientflow are influenced by multi-factors, such as demographic characteristics, structural characteristics of society, socio-psychological characteristics(value, attitude, norms, culture, health behavior, etc.), economic characteristics(income, medical price, relative price, physician induced demand, etc.), geographical accessibility, systematic characteristics(health care delivery system, payment methods for physician fees, form of health care security, etc.), and characteristics of medical facilities(reliability, quality of medical care, convenience, kindness, tec.). This study was conducted to research the mechanism of patient-flow according to changes of health care system(implementation of national health insurance, health care referral system and regionalization of health care utilization, etc.) and characteristics of medical facilities(ownership of hospital, characteristics of medical services, non-medical characteristics, etc.). In this study, the fact could be ascertained that the patient-flow had been influenced by changes of health care system and characteristics of medical facilities.

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