• Title/Summary/Keyword: utilization status

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Immigrant Women's Health Status, Health Behaviors and Health Care Utilization (다문화여성의 건강상태, 건강행위 및 보건의료이용 실태)

  • Jeong, Jin Young;Shim, Moon Sook
    • Journal of Korean Public Health Nursing
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    • v.28 no.2
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    • pp.200-210
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    • 2014
  • Purpose: This research is conducted in order to compare health status, health behaviors, and health care utilization between immigrant women and domestic women in South Korea. Methods: Research subjects comprised of 62 immigrant women living in a rural area of South Korea' extracted from a survey and health examination conducted during a period from 1st of August in 2013 to 8th of November in 2013 and 214 domestic women extracted from primitive data from the Korea National Health and Nutrition Examination Survey in 2011. Student t-test, Chi-square test, Mann-Whitney U test, and logistic regression were performed using the SPSS18.0K program for analysis. Results: Results of comparison between immigrant women and domestic women, showed no difference in obesity, hypertension, dyslipidemia, anemia, hepatitis B, previous history of tuberculosis, and history of decayed, missing, and filled teeth however, more immigrant women had experienced decayed, missing, and filled teeth compared to domestic women (p<0.001). Conclusions: Compared to domestic women, Iimmigrant women were more likely to have poor dental health conditions. Therefore, greater efforts is needed in order to solve poor dental health conditions for women.

A study on the utilization status and technical development of solar tracking daylighting systems (추적식 자연채광시스템 현황 및 기술 개발에 관한 연구)

  • Kim, Won Sik;Jeong, Hae Jun;Chun, Wongee;Han, Hyun Joo;Lim, Sang Hoon
    • Journal of Energy Engineering
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    • v.25 no.4
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    • pp.62-73
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    • 2016
  • Daylighting systems offer substantial advantages over conventional ones in illuminating the building interior. Especially, considering that lighting accounts for about 28% of total energy consumption in buildings, the use of daylighting systems deem very important in lessening the dependency on artificial lighting. This work has carried out a survey and analysis to explore the characteristics and current status of various daylighting systems with solar tracking features recently introduced in Korea.

Status and Trend of Home Health Nursing for Long-Term Care Insurance Beneficiaries (노인장기요양 방문간호 현황 및 추이)

  • Hwang, Rah Il;Pak, So Young
    • Journal of East-West Nursing Research
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    • v.25 no.2
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    • pp.157-165
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    • 2019
  • Purpose: This study aims to provide basic data for the development of measures and promoting home health nursing by examining the current status and trends in home health nursing for long-term care (LTC) insurance beneficiaries. Methods: Secondary data, including annual LTC insurance statistics reports for 2010-2017 and LTC manpower data, were used to compute current status and trends in the provision of home health nursing. Results: Beneficiaries of home health nursing under LTC insurance, insurance-covered costs for home health nursing, home health nursing provider, and home health nursing providing institution only accounted for 3% of all insurance-covered home care services, and were on a consistent decline since 2010. In particular, vulnerable rural regions with high proportion of individuals had poor infrastructure in terms of home health nursing institutions and manpower, but had a higher home health nursing utilization rate compared to urban regions. Conclusion: In addition to measures to support home health nursing service beneficiaries, policy measures are needed to support home health nursing service personnel and institutions. Furthermore, programs to cultivate the expertise of home health nurses and improve quality of home health nursing services should be developed in order to promote home health nursing utilization in vulnerable rural regions.

Evaluation of Utilization through Various Accuracy Analysis of Drone Photogrammetry (드론사진측량의 다양한 정확도 분석을 통한 활용성 평가)

  • Doo-Pyo Kim;Hye-Won Choi;Jae-Ha Kwak
    • Journal of the Korean Society of Industry Convergence
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    • v.26 no.1
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    • pp.121-131
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    • 2023
  • Although the utilization of drone photogrammetry that can generate spatial information using ultra-high-resolution images is increasing in the civil engineering and construction fields, analysis of areas that can be used is insufficient. Therefore, this study attempted to determine how far drone photogrammetry can be used in the civil engineering and construction fields by applying a detailed analysis method. The status map and cross-sectional map were actually vectorized using drone photogrammetry outcomes, compared and analyzed with the results acquired in the field, and the qualitative aspects of traffic safety facilities were analyzed to determine their usability. As a result, the accuracy of the plane position using drone photogrammetry was reliable, but the height accuracy was difficult to trust. Accordingly, although there is a possibility of preparing a status map, the use of it in areas requiring high accuracy such as cross-sectional plans was limited, and it is believed that it can be used in the construction management field where qualitative analysis is conducted.

Current Prescription Status of Contraindicated Drug Combinations Causing Serotonin Syndrome: Analysis of HIRA-NPS Data

  • Jae Gon Ryu;So Young Kim;Susin Park;Nam Kyung Je
    • Korean Journal of Clinical Pharmacy
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    • v.32 no.4
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    • pp.313-320
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    • 2022
  • Background: Serotonin syndrome is a life-threatening disease if not appropriately treated. This study aimed to investigate the prescription status of contraindicated drug combinations that cause serotonin syndrome and identify the related factors. Methods: A cross-sectional study was conducted using nationwide claims data. Adult patients taking serotonergic drugs with Parkinson's disease or mental disorders were selected. Based on international medical databases (MDBs) and the Korean Drug Utilization Review (DUR), the status of prescribing contraindicated drug combinations that induce serotonin syndrome, the related factors, and the difference between international MDBs and the Korean DUR were analyzed. Results: Of the 49,773 study subjects, 163 (0.3%) were prescribed contraindicated serotonergic drug combinations based on international MDBs, and among them, only 105 (64.4%) were contraindicated by the Korean DUR. Positive influencing factors for prescribing contraindicated drug combinations include patient age between 65 and 74 and physician's specialties (neurologists, and orthopedists). Negative influencing factors were physician's specialty (internists) and medical institution (primary institutions). Conclusion: Despite the implementation of DUR, 3 out of 1,000 study subjects received contraindicated drug combinations that caused serotonin syndrome. Hence, it is necessary to comply with the DUR and improve it in accordance with international MDBs.

The Effect of Patient-Physician Communication Satisfaction on Healthcare Utilization (환자만족이 의료이용에 미치는 영향 - 환자 - 의사 커뮤니케이션 만족을 중심으로)

  • Yoon, Hyejung;You, Myoungsoon
    • Korea Journal of Hospital Management
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    • v.24 no.4
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    • pp.43-56
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    • 2019
  • Purpose: Importance of patient satisfaction related to patient-centeredness has been emphasized, and it is known to have effect on various health outcomes including health resource utilization. However, the effect of patient satisfaction has been discussed mostly in terms of hospital marketing in Korea. This study aims to examine the effect of patient satisfaction in patient-physician communication on healthcare utilization in a nationally representative adult population of South Korea. Method: Patient satisfaction with physician communication is assessed using 4 items in the 2011 Korea Health Panel Survey. Generalized linear regression analysis is conducted using 9,325 adults' healthcare utilization in 2012. Findings: Adjusting for the socio-demographic, economic factors, individual health status, health behaviors and healthcare utilization in 2011, more satisfied individuals, more likely to utilize the outpatient service, especially in clinical setting. Practical Implications: The study findings suggests that in context of South Korea healthcare system such as insufficient medical consultation time and the absence of health delivery system, patient satisfaction as a subjective healthcare quality indicator would have effect on the individual's outpatient visit. This study contributes to stimulate patient satisfaction research and discussion in South Korea to further explore its relationship with potential and various health related outcomes. Further implications of the study are discussed.

Effectiveness of Community-based Case Management for Patients with Hypertension

  • Yun, Soon-Nyoung;Lee, In-Sook;Kim, Jin Hyun;Ko, Young
    • Research in Community and Public Health Nursing
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    • v.25 no.3
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    • pp.159-169
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    • 2014
  • Purpose: The purpose of this study was to evaluate the effectiveness of case management for patients with hypertension on their health status and medical service utilization. Methods: This study was a secondary analysis of data collected for a larger study of chronic disease management in 2008 using the National Health Insurance Corporation database. A total of 12,944 patients who received case management for hypertension were included in this analysis. The subjects of case management were classified into subgroups, namely, over-use, under-use, and non-use groups according to the amount of medical service utilization. To compare the medical service utilization, a control group was selected randomly. The data were analyzed through descriptive statistics, McNemar test, and ANOVA. Results: All the subgroups displayed significant differences in blood pressure, self-management, social support, and their characteristics of medical service utilization. The total medical expense of the under-use and non-use groups increased after case management. However, there was no decrease in the medical expense of the over-use group. Conclusion: This finding suggests that there is a need to re-examine why patients overuse medical services and to supplement specific strategies for encouraging appropriate medical service utilization, and enhancing case management efforts for the over-use group.

The Study of Health Care Service Utilization by The Former and The Latter Baby Boomers : - Using Korean Health Panel Data - (전·후기 베이비붐 세대의 의료서비스이용 연구 -한국의료패널 자료를 이용하여 -)

  • Kim, Kyeong-Na;Kim, Keon-Yeop;Nam, Hang-Me
    • The Korean Journal of Health Service Management
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    • v.10 no.4
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    • pp.97-107
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    • 2016
  • Objectives : This study aims to : (i) characterize and differentiate between two different periods of baby boomers, (ii) study the utilization of their health care services, and (iii) establish effective ways of providing better health service utilization and preventive policy strategies for upcoming and older generations. Methods : A multiple regression analysis using descriptive statistics, frequency analysis, and dummy variables was utilized to access the presence of correlations between socio-demographic factors and health care service utilization. Results : Medical insurance type, marital status, and chronic disease were factors that influenced health care service utilization. Furthermore, the factors that influenced individual medical expenses were cohabitation, inpatient days, and chronic disease. Conclusions : Primary findings and exploratory statistics revealed that there were strong correlations and interaction among some of the predictor variables. Because of the chronologically limited nature of the sample data set gathered in 2012, it would be helpful to continue to develop or research related constructs that may capture relationships more effectively among extended populations.

Estimation of the Utilization of a File with Distributed Free Space (분산된 저장 구조를 지닌 파일에서의 파일 활용성 산정)

  • Kim, Seong-Eon
    • Asia pacific journal of information systems
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    • v.2 no.2
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    • pp.71-84
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    • 1992
  • Analysis for the file with distributed free space such as a VSAM has been done. Birth and death process has been adopted to describe the status changes of control intervals in a VSAM file. File utilization is calculated as a function of the number of control intervals which contain different number of records in them. Effect of the control interval sizes and the loading factors are analyzed over the time horizon.

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The study for recent changes of disease-mix in health insurance data (의료보험 통계자료를 이용한 최근 우리나라 질병구조 변화관찰 - 의료보험관리공단 자료를 중심으로 -)

  • Yu, Seung-Hum;Jung, Sang-Hyuk
    • Journal of Preventive Medicine and Public Health
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    • v.23 no.3 s.31
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    • pp.345-357
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    • 1990
  • Accumulated data on medical care utilization among the insured in Korea Medical Insurance Corporation can explain the health status of the population. The purpose of this study was to analyze a change of the disease-mix and utilization pattern by controlling the size of the population enrollment. Major findings of the study are as follows : 1. The changes of inpatient disease-mix a. Utilization rate was 139.2% in 1988 against 1980. b. Disease groups higher than the average utilization rate included neoplasms, endocrine, nutritional and metabolic diseases and immunity disorders, mental disorders etc. Meanwhile, disease groups seen less often were infections and parasistic diseases, diseases of blood and bloodforming, diseases of the digestive system etc. c. Utilization rate was up 106.3% in 1988 compared to 1985, and diseases above that average level were ill-defined intestinal infections, chronic liver disease and cirrhosis, diabetes mellitus, essential hypertension, etc. d. The disease-mix by institution in 1988 compared to 1985 shows that chronic disorders rank high in general hospitals whereas opthalmologic, obstetric, and orthopedic diseases rank high in private clinics. 2. The changes of outpatient disease-mix a. Utilization rate was up 175.2% in 1988 compared to 1980. b. Disease groups higher than the average utilization rate included neoplasms, endocrine, nutritional and metabolic diseases and immunity disorders, mental disorders etc. And disease groups seen less often were infections and parasistic diseases, diseases of the respiratory system, diseases of the genitourinary system. etc. c. Utilization rate was up 104.0% in 1988 compared to 1985, and diseases above that average level were gastric ulcer, diseases of hard tissues of teeth, etc. And diseases seen below that average level were acute nasopharyngitis(common cold). acute upper respiratory infections of multiple or unspecified sites, etc. It was concluded that medical care utilization level was increased, and that, from 1980 to 1988, disease-mix shifted to the chronic disorders. Chronic disorders accounted for more medical care utilization in general hospitals.

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