• 제목/요약/키워드: utilization for the public

검색결과 1,382건 처리시간 0.029초

도시 농촌간 의료이용 수준의 비교분석 (A Comparative Study on Medical Utilization between Urban and Rural Korea)

  • 주경식;김한중;이선희;민혜영
    • Journal of Preventive Medicine and Public Health
    • /
    • 제29권2호
    • /
    • pp.311-329
    • /
    • 1996
  • This study was designed to compare the level of medical utilization between the urban and rural areas of Korea and to explain the differences between the two regions. Data from the National Health Interview Survey performed by the Korean Institute of Health & Social Affairs in 1992 were used for this study utilizing a sample size of 21,841 people. The level of medical utilization such as the number of physician visits and the number of hospital admissions was compared between the regions with ANOVA. Various determinants for medical use were also compared by univariate analysis. Statistical models which included enabling factors, predisposing factors, need factors and region were constructed for bivariate analysis in order to further elucidate the level of medical utilization. The results were as follows: 1. There was greater medical use, both in terms of physician visits and inpatient care in the rural areas in spite of insufficient health resources. The particular reasons for higher medical utilization in rural areas were attributed to a higher number of initial physician visits as well as a longer the length of stay per hospital admission. Therefore, indicators representing the degree of met need (utilization/need) showed no significant difference between rural and urban areas in spite of the fact that the medical need is larger in rural areas. 2. Use of public health facilities received a significant portion of physician visits in the rural area. The government's effort to enhance primary health care through health centers, health subcenters and the nurse practitioner's post in rural areas has contributed to the increase of access to medical care in the rural areas. 3. There were some differences in the socio-demographic characteristics between two regions ; There were more elderly people over the age of 65: unstable marital status, less education and lower incomes also characterized the rural areas. Therefore, among rural people, there were more predisposing factors for medical use. Additionaly, need factors such as poor self-reported health status and high morbidity level were also high in the rural area. 4. In contrast it was learned that, the supply of health resources was mostly concentrated in the urban areas except for public health facilities. Therefore, geographical access to medical care was lower in the rural area both in terms travel time and travel cost. 5. The coefficient of the region variable was insignificant in the regression model which controlled the supply factor only. However, utilization was significantly higher in urban areas if the model included predisposing factors and need factors in addition to the supply factor. The results were interpreted as rural people have greater medical needs.

  • PDF

공동주택의 전기자동차 보급예측에 의한 충전설비 계획에 관한 연구 (The Study on Planning of EV Charging Facilities using Prevalence Estimates of EV in the Public Housing)

  • 장성규;허재선;조성민;신희상;김재철
    • 조명전기설비학회논문지
    • /
    • 제24권10호
    • /
    • pp.114-122
    • /
    • 2010
  • Today, effort to reduce greenhouse gas emissions is to be strengthened worldwide. And environment-friendly vehicle is being magnified because of energy saving and minimization of environmental pollution. In the future, the construction of EV charging facilities will be needed for Prevalence of EV in the Public Housing. So in this paper, we survey and analyze data of power usage and owned vehicles on the existing public housing according to season, day and time. And, we reviewed appropriate configuration ratio according to three kind of case. Besides, we calculate Prevalence Estimates of EV and utilization factor based on analysis result. And finally, we try to study for case model.

CT 보험급여 전후의 CT 및 MRI검사의 이용량과 수익성 변화 (Analysis of utilization and profit for CT and MRI after implementation of insurance coverage for CT)

  • 서종록;유승흠;전기홍;남정모
    • 한국병원경영학회지
    • /
    • 제2권1호
    • /
    • pp.1-21
    • /
    • 1997
  • In order to analyze the shifts in the volume and profits of Computed Tomography(CT) and Magnetic Resonance Imaging(MRI) utilization for a year before and after the implementation of insurance coverage for CT, this study has been undertaken examining CT and MRI cost data from 'Y' University Hospital situated in Seoul, Korea. Following are the results of this study: 1. The medical insurance payment for CT, implemented on January 1, 1996, increased CT utilization from January 1996 to April 1996 due to low insurance premiums: however, from May 1996 the number of CT cases significantly decreased as a result of strengthened medical cost reviews and the new 'Detailed standards for approval of CT' announced near the end of April 1996 by the insurer. 2. Since the implementation of insurance coverage for CT, CT fee reduction rates for reimbursements by the insurer to the hospital were 50% and 40% for January and February, respectively, and 31% and 15% for March and April. A significant point in the lowering of the reduction rate was reached in May at 11%; furthermore, since June the reduction rate fell below the average reduction rate for reimbursements for all procedures. If the 'Detailed standards for approval of CT' had been announced before the implementation of insurance coverage for CT, CT utilization would not have been so high due to the need to meet those 'standards'. In addition, loss of hospital profits resulting from the reduction for reimbursements would not have occurred. 3. The shifts in MRI utilization showed that there was no particular change with the beginning of insurance coverage for CT, and the introduction of the 'Detailed standards for approval of CT' made MRI utilization increase because MRI is free of restrictions imposed by the insurer. 4. The relationship between CT utilization and MRI utilization showed that they were supplementary to each other before insurance coverage for CT, but that CT was substituted for MRI because of strengthened medical cost reviews after t~e beginning of insurance coverage for CT. 5. The shifts in volume by patient characteristics showed that the number of inappropriate case patients, according to the insurer's "Standards for approval", decreased more than the number of appropriate case patients after the introduction of insurance coverage for CT. Therefore, the health insurance fee schemes for CT have influenced patient care. 6. The shifts in profits from CT utilization showed a net profit decrease of 31.6%. In order to match the pre-coverage profit level, 5,471 more cases would need to be seen and productivity would need to be increased by 32.7%. This profit decrease resulted from a decrease of CT utilization and low reimbursements. With insurance coverage, net profits from CT were 24.4%, and a margin of safety ratio was 39.6%. Because of the net profits and margin of safety ratio, CT utilization fees for insured appropriate cases could not be considered inappropriate. 7. The shifts in profits from MRI utilization before and after the introduction of CT coverage showed that in order to match pre-CT coverage profit levels, 2,011 more cases would need to be seen and productivity would need to be increased by 9.2%. The reasons for needing to increase the number of cases and productivity result from cost burdens created by adding new MRI units. But with CT coverage already begun, MRI utilization increased. Combined with a minor increase in the MRI fee schedule, MRI utilization showed a net profit increase of 18.5%. Net profits of 62.8% and a 'margin of safety ratio' of 43.1% for MRI utilization showed that the hospital relied on this non-covered procedure for profits. 8. The shifts in profits from CT and MRI utilization showed the net profits from CT decreased by 2.33billion Won while the net profits from MRI increased by 815.7million Won. Overall, these two together showed a net profit decrease of 1.51billion Won. The shifts in utilization showed a functional substitutionary relationship, but the shifts in profits did not show a substitutionary relationship. From these results, We can conclude that if insurance is to be expanded to include previously uncovered procedures using expensive medical equipment, detailed standards should be prepared in advance. The decrease in profits from the shifts in coverage and changes in fees is a difficult burden that should be shared, not carried by the hospital alone. Also, a new or improved fee schedule system should include revised standards between items listed and the appropriateness of the fee schedule should constantly be ensured. This study focused on one university hospital in Seoul and is therefore limited in general applicability. But it is valuable for considering current issues and problems, such as the influence of CT coverage on hospital management. Future studies will hopefully expand the scope of the issues considered here.

  • PDF

공유수면 인공구조물 설치에 따른 해역이용협의서 작성실태 평가 (Assessment of Documentation Status of the Statement on the Sea Area Utilization according to Artificial Structure Installation in Public Water)

  • 엄기혁;이대인;김귀영;윤성순
    • 환경영향평가
    • /
    • 제22권3호
    • /
    • pp.265-276
    • /
    • 2013
  • This study assessed documentation status of each environmental assessment items by analyzing the 243 case of marine EIS on the Consultation System of Sea Area Utilization. Observed rate of tidal elevation, current, temperature, salinity in maine environment were below 20%. The EFDC tool is applied substantially in hydrodynamic modeling. The verification process, however, is very insufficient using the recent observed data. Also, in-situ assessment rate of pelagic organism such as phytoplankton was below 50%, and assessment for Chlorophyll a was not accomplished. Ecological index evaluation for zooplankton and benthic ecosystem were not considered in statements. Especially, the rational assessment on the fisheries resources and protected species were very limited. It was necessary that the core assessment items (checklists) were established for environmental scoping. Furthermore, suggestion of information related to development, regional coastal management plan, aquaculture farms, and facilities were enhanced. The redundancy problem of proceedings between Environmental Impact Assessment and Sea Area Utilization Assessment System was improved.

공공도서관 홍보를 위한 서포터즈 활용에 대한 제언 (Suggestions for Utilization of Supporters To Promote Public Libraries)

  • 이성신;백수민
    • 한국비블리아학회지
    • /
    • 제33권3호
    • /
    • pp.103-122
    • /
    • 2022
  • 본 연구의 목적은 서포터즈 운영이 공공도서관에 대한 홍보 효과를 담보하기 위해서 어떤 점에 유의하면서 운영되어야 하는지를 실제 서포터즈로 활동하고 있는 이들에 대한 인터뷰를 통해서 알아보는 것이다. 이를 위해 2개 공공도서관의 9명의 서포터즈와 심층인터뷰를 진행했으며 인터뷰자료는 녹음 후 전사하여 질적분석 방법으로 분석하였다. 질적분석은 세그멘팅, 초기코딩, 심층코딩, 주제의 발견 순으로 진행하였다. 분석결과 서포터즈를 통한 홍보 효과를 달성하기 위해서 서포터즈 운영과 관련한 다음 사항을 제안하였다. 첫째, 서포터즈의 개인 역량 및 특성을 고려한 역할을 부여할 필요가 있다. 둘째, 담당 사서의 적극적 역할이 요구된다. 셋째, 도서관 측의 적극적 역할이 요구된다. 넷째, 적절한 보상이 이루어져야 한다. 다섯째, 서포터즈에 대한 사전 교육 시 해당 도서관에 대한 교육이 포함되어야 한다.

경찰행정의 시민참여 활성화방안에 관한 연구 - PCRM활용을 중심으로 - (A Study on the Activation Way for Citizens to Participate in Police administration - Centering on PCRM Utilization -)

  • 이종엽;이승철
    • 시큐리티연구
    • /
    • 제16호
    • /
    • pp.283-304
    • /
    • 2008
  • 정보통신 기술의 발전은 시민들을 인터넷을 통로로 그들이 원하는 정보와 공공서비스를 요구할 수 있게 되었으며, 정부는 여론을 수렴할 수 있게 됨으로써 시민들이 정부정책의 참여에 중요한 수단이 되고 있다. 따라서, 이 연구에서는 누구나가 쉽게 차여할 수 있는 정보통신 기술을 이용하여 경찰행정에의 시민참여방법으로 PCRM활용 가능성을 제안하고자 한다. 활용방안으로 크게 거시적 측면과 미시적 측면으로 구분할 수 있다. 거시적인 측면으로 첫째, 서비스 접근성과 사용편의성에 대한 고려이다. 둘째, 서비스의 쌍방성이다. 궁극적인 시민참여의 수준은 적극적인 상호참여의 수준으로 가야한다. 미시적인 측면에서는 첫째, 고객분석 및 세분화 전략을 수행해야 한다. 둘째, 정책 서비스 개발 및 홍보전략을 강화해야 한다. 셋째, 고객관리 활동 부분을 강화한다. 넷째, 총체적 고객관리를 수행해야 한다.

  • PDF

지능형 IT서비스 활성화를 위한 데이터 개방성 평가지표 개발 (Developing Data Openness Evaluation Index for Intelligent IT Service)

  • 진윤선;권오병
    • 한국IT서비스학회지
    • /
    • 제15권3호
    • /
    • pp.97-114
    • /
    • 2016
  • One of the key success factors for the intelligent IT service which is characterized by personalization and automation, is to obtain relevant data from either sensors or data storage for reasoning, analyzing and forecasting. The availability of the open data sources such as public portal sites remarkably increases the efficiency and quality of the intelligent IT service. However, with the condition that not all data in the existing public or private sites are opened or have various types of openness, it prohibits the value of utilization. For these reasons, it is highly required to evaluate the extent of openness of data storage. However, there are only a few studies which explore the factors which affect the degree of data openness with respect to intelligent IT services. Hence, this study aims to propose an evaluation model including the indices to evaluate a process of opening data for the intelligent IT service from a viewpoint of data utilization process. The indices are applied to evaluate the actual multinational websites, which provide public data for verification. We also discuss the implications of the evaluation according to the results.

공공데이터분석 기반 범죄예방환경설계 적용 : 서울시 중심으로 (Application of Crime Prevention Design based on Public Data Analysis: Focusing on Seoul)

  • 김성준
    • 시큐리티연구
    • /
    • 제60호
    • /
    • pp.91-111
    • /
    • 2019
  • 꾸준히 늘어나고 있는 강력범죄의 예방은 언제나 인류의 중요 화두 중 하나이다. 최근의 대표적인 예방법은 도시에 범죄예방환경설계(CPTED)을 적용해 설계하는 것이다. 이 개념에서 가장 중요한 것이 감시와 접근통제인데, 그 중 일반적으로 많이 사용되는 방법은 기계적 감시에 속하는 것이지만 새로운 흐름에 맞추어 공공데이터를 활용한 다른 관점에서의 클래식 범죄예방 정책 제안이 필요하다. 이에 본 연구에서는 활용하는 공공데이터로 한국의 중심지인 서울시 데이터 포탈에서 제공되는 최근 년도의 자치구별 5대 범죄 발생현황통계를 중심으로 범위를 설정, 가장 개선이 필요한 부분에 범죄예방정책을 제안하도록 한다. 데이터 분석 및 시각화 방법으로는 오픈소스인 Python 분석 프로그램을 사용하였다.

Investigation on the Awareness and Preference for Wood Culture to Promote the Values of Wood: III. Living Environment and Trend of Wood Utilization

  • Yeonjung, HAN;Myung Sun, YANG;Sang-Min, LEE
    • Journal of the Korean Wood Science and Technology
    • /
    • 제50권6호
    • /
    • pp.375-391
    • /
    • 2022
  • Improving public awareness of wood is crucial for expanding the use of wood and establishing a wood culture. In this study, the environment and trends of the public's wood utilization were analyzed using a questionnaire survey and online text mining at a time when eco-friendly practices are gaining popularity. As a result of reducing climatic and environmental concerns and its positive physical and psychological effects, the use of wood is predicted to rise in areas intimately connected to everyday living, such as wood furniture, wooden structures, and interior materials. Nonetheless, there was a negative awareness that wood was expensive, difficult to maintain, and associated with deforestation. The correlations between wood-related search terms on major Korean portal sites were analyzed and categorized into five groups: Wooden architecture, cultural education, woodworking, wood industry, and wood policy. As a building material, wood was seen as more traditional and friendly than reinforced concrete and stone. Eighty-six percent of respondents expected to utilize wood as a building material in the future, regardless of whether the wood is domestically produced or imported. Sixty-five percent responded favorably about the effects of wood on the health of wooden home inhabitants. It is believed that both active publicity and quantifiable value analysis of human and environmental friendliness are required to increase pro-environment awareness of wood utilization.