• Title/Summary/Keyword: 건강평가

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An Study on Decision Tree Analysis with Imbalanced Data Set : A Case of Health Insurance Bill Audit in General Hospital (의사결정나무 분석에서 불균형 자료의 분석 연구 : 종합병원의 건강보험료 청구 심사 사례)

  • Heo Jun;Kim Jong-U
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 2006.05a
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    • pp.1667-1676
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    • 2006
  • 다른 산업과 달리 병원/의료 산업에서는 건강 보험료 심사 평가라는 독특한 검증 과정이 필수적으로 있게 된다. 건강 보험료 심사 평가는 병원의 수익 문제 뿐 아니라 적정한 진료행위를 하는 병원이라는 이미지와도 맞물려 매우 중요한 분야이며, 특히 대형 종합병원일수록 이 부분에 많은 심사관련 인력들을 투입하여, 병원의 수익과 명예를 위해서 업무를 수행하고 있다. 본 논문은 이러한 건강보험료 청구 심사 과정에서, 사전에 수많은 진료 청구 건 중 심사 평가에서 삭감이 될 수 있는 진료 청구 건을 데이터 마이닝을 통해서 발견하여, 사전의 대비를 철저히 하고자 하는 한 국내의 대형 종합병원의 사례를 소개하고자 한다. 데이터 마이닝을 적용함에 있어, 주요한 문제점 중의 하나는 바로 지도학습 기법을 적용하기에 곤란한 데이터 불균형 문제가 발생하는 것이다. 이런 불균형 문제를 해소하고, 비교 조건 중에 가장 효율적인 삭감 예상 진료 건 탐지 모형을 만들어 내기 위하여 데이터 불균형 문제의 기본 해법인 과, Sampling 오분류 비용의 다양하고 혼합적인 적용을 통하여, 적합한 조건을 가지는 의사결정 나무 모형을 도출하였다.

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칼럼 - 건강을 위해서는 채식만 해야 할까?

  • Mun, Hyeon-Gyeong
    • KAPE Magazine
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    • s.207
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    • pp.4-5
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    • 2013
  • 최근 매스컴이나 주변에서 육류를 먹으면 건강에 해가 되는 것 같이 이야기 하는 것을 많이 볼 수 있다. 채식만 하면 모든 건강 문제가 해결되는 것일까? 그렇다면 육류 과소비와 채식의 문제를 월간 "등급정보 $365^+$" 10월호에 이어 11월호에서 살펴보고자 한다.

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A Study on Health Concern, Self-rated Health, Health Status, and Health Promotion Behavior of Elderly Women in Urban Area (도시지역 여성노인의 건강관심도, 주관적 건강평가, 건강상태 및 건강증진행위와의 관계연구)

  • 신경림;김정선
    • Journal of Korean Academy of Nursing
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    • v.34 no.5
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    • pp.869-880
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    • 2004
  • Purpose: This study was conducted to examine the relationship among health concern, self-rated health, health status, and health promotion behavior of elderly women in urban areas. Method: The subjects of this study consisted of 271 Korean elderly women over 65years. The data was collected through personal interviews using questionnaires from March to May of 2003. The data was analyzed by the SPSS(ver.10.0) computer program, and it included descriptive statistics, t-test, one way ANOVA, and the pearson correlation coefficient. Result: There was a significant positive correlation between self-rated health and health status. Health promotion behavior related to all health concerns, self-rated health, and health status. Conclusion: This study showed that strategies of elderly care intervention to put in practice health promoting behavior is needed to improve quality of life in elderly women. In addition, health education appropriate for health maintenance and health promotion must be done fordaily living to maintain well-being for the rest of their lives.

A Study on the Situation and Demand with Nutrition Service in Health Promotion Center (건강검진센터에서의 영양서비스 현황 및 요구도 조사)

  • Chang, Ji-Ho
    • Journal of Nutrition and Health
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    • v.40 no.5
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    • pp.475-482
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    • 2007
  • This study was done to analyze nutrition counseling services in health promotion center and to investigate demands of subjects for nutrition services. Data was collected through the survey of 90 subjects. The results were as follows. The results of people receiving nutrition services showed that 58.5% of the counseling group and 46.4% of the non-counseling group answered having experience with nutrition services. And 50% of them received nutrition counseling through individual counseling. Diet therapy with health check-up results also appeared the highest in contents of nutrition counseling. As a source of nutrition information and health knowledge, subjects relied heavily or most on the TV, internet, books, magazines, and newspapers. On the other hand, they relied much less on advice from dietitians, nutritionists, medical doctors and nurses. The experience of receiving nutrition services and thinking about nutrition education related positively. It showed that the counseling group (95.1%) was significantly higher than the non-counseling group (80.5%) in necessity of nutrition assessment. But, necessity of nutrition counseling wasn't significantly different between the two groups. The method of nutrition counseling subjects preferred was individual consultation. The subjects answered to having need of analysis and evaluation of nutrient intake and calorie prescription in nutrition assessment and individual nutritional status results explanation in nutrition counseling. In conclusion all people visiting health promotion centers need nutrition service of some kind.

Ecological Health Assessments, Conservation and Management in Korea Using Fish Multi-Metric Model (어류를 이용한 한국의 하천생태계 건강성 평가)

  • An, Kwang-Guk;Lee, Sang-Jae
    • Korean Journal of Ecology and Environment
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    • v.51 no.1
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    • pp.86-95
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    • 2018
  • The objective of this study was to describe the development and testing of an initial ecological health assessment model, based on the index of biological integrity (IBI) using fish assemblages, before establishing the final and currently used model for ecological health assessment, conservation and management of freshwater fish in Korea. The initial fish IBI model was developed during 2004~2006 and included 10 metrics, and in 2007 the final IBI 8-metric model was established for application to streams and rivers in four major Korean watersheds. In this paper, we describe how we developed fish sampling methods, determined metric attributes and categorized tolerance guilds and trophic guilds during the development of the multi-metric model. Two of the initial metrics were removed and the initial evaluation categories were reduced from six to four (excellent, good, fair, poor) before establishing the final national fish model. In the development phase, IBI values were compared with chemical parameters (BOD and COD as indicators of organic matter pollution) and physical habitat parameters to identify differences in IBI model values between chemical and physical habitat conditions. These processes undertaken during the development of the IBI model may be helpful in understanding the modifications made and contribute to creating efficient conservation and management strategies for stream environments to be used by limnologists and fish ecologists as well as stream/watershed managers.

Change in Quality of Tuberculosis (TB) Care since National Quality Assessment Program of TB Healthcare Service (결핵 적정성 평가에 따른 국내 결핵 진료서비스 질 관리 현황)

  • Jang, Seong-Ja;Hwang, Mi-Jin;Lee, Chung-Hun;Lee, Hyeon-Ju;Shim, Tae-Sun;Kim, Dong-Sook
    • Quality Improvement in Health Care
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    • v.27 no.2
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    • pp.73-82
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    • 2021
  • Purpose: This study aims to examine the quality of tuberculosis (TB) care after the 1st to 3rd national quality assessment (QA) program for TB healthcare service in Korea was conducted. Methods: We analyzed Health Insurance Review & Assessment Service (HIRA) claims data of new TB patients during the period of January to June from 2018-2020. The new TB patients were defined as TB patients reported to Korea Centers for Disease Control and Prevention Agency (KCDA). The unit of analysis was the patient. Chi-square tests were used to analyze the differences in indicator value according to the types of medical facilities. The QA indicators of TB care were divided into 3 areas consisting of the following 7 quality indicators: 4 indicators of diagnosis test (the rate of acid-fast bacilli smear, the rate of acid-fast bacilli culture, the rate of Mycobacterium tuberculosis-polymerase chain reaction, drug susceptibility test), 1 compliance of treatment guideline, and 2 indicators of care management of TB patients (encounter rate, day of therapy). Results: The QA program for TB care was conducted among 8,246 patients from 534 facilities in 2020. The value of the 7 quality indicators was shown to increase as a result of the QA program. The indicators of the diagnostic test were all higher than 95%, with the exception of the drug susceptibility test which was 84.8%. Both indicators for care management of TB patients were 88.5%. Conclusion: The quality of TB care has been improving with the implementation of the QA program. In order to continue to improve the quality of TB care, it will be necessary to disclose the results of the QA program in medical facilities in the future.

Selection method of sports talents using physical activity promotion system (건강체력평가시스템을 활용한 스포츠영재 선발방법)

  • Lee, Mi Sook;Hong, Chong Sun
    • Journal of the Korean Data and Information Science Society
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    • v.24 no.4
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    • pp.793-802
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    • 2013
  • There are many problems to single sports talents out of test applicants. The physical activity promotion system has been performed to all elements school students of both 5 and 6 grades in order to evaluate overall health and physical activities since 2009. This system includes some variables which could measure the students' sports latent power, so that the system could be used to single out sports talents. In this work, we propose a primary screening method that element school teachers might evaluate sports talents based on the data of the physical activity promotion system. Two more sports talent indices which are sports flexibility index and sports endurance index are defined. The selection method of sports talents is developed by using sports latent indices including sports power and cardiorespiratory indices. This method is efficient from the view of time and cost aspects, since we do not need to remeasure all elements school students again.

Artificial Intelligence-based Real-time Risk Estimation Method of Construction Site Workers (인공지능기반 공사현장 작업자의 실시간 위험성 추정 방법)

  • Kang, Sung-Hwan ;Lee, Dong-Yeop;Cheung, Chong-Soo
    • Proceedings of the Korean Society of Disaster Information Conference
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    • 2023.11a
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    • pp.307-308
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    • 2023
  • 본 논문에서는 공사현장 작업자의 실질적 영향을 미치는 요소들을 고려하여 인공지능기반의 실시간 위험성 추정 기법을 개발하였다. 기존 재난안전학 또는 안전공학에서는 위험성평가를 실시하여 강도·빈도에 의하여 위험성을 추정하고 도출된 값을 통해 위험한 정도를 분류하는 경우가 많다. 그러나 대부분의 공사현장에서는 정적인 위험성평가를 통해 해당 유해위험요인을 근거로 형식적인 위험성평가가 이루어지고 있기 때문에 대부분의 사고 후 증빙 자료로만 활용되고 있는 것이 현실이다. 이 위험성평가를 진행하면서 변화하는 환경의 유해위험을 실시간으로 반영할 수 없게 되고, 이는 실질적인 작업자의 안전을 보장해 주지 못하는 문제를 발생시킨다. 이러한 점에서 위험성평가와 더불어 실질적인 안전한 작업장을 만들기 위해서 작업자의 건강정보 및 실시간 공사현장의 영상정보에 기반한 위험성 추정 기법은 실질적 안전사고를 예방하는 방법론 중 하나가 될 수 있다. 작업자의 건강정보는 개개인 맞춤형 건강 데이터에 근거한 해석이 가능하고 실시간 공사현장 영상은 작업 중 발생할 수 있는 돌발상황에 대비하기위해 사용된다. 이러한 위험성 추정 방법은 다양한 공사현장의 위험성 추정 기법으로 사용될 수 있다. 이로 인해 높은 정확도의 위험성 추정 수치를 얻을 수 있으며, 이는 실질적안 안전 예방활동에 있어서 매우 중요하게 작용한다. 위험성 추정 수치 예제를 통하여 본 논문에서 제시된 위험성 추정 방법론이 타당함을 확인하였다. 본 논문에는 기존 위험성평가에 더해 작업자의 건강정보 및 공사현장 실시간 영상정보를 이용하여 실질적인 작업자 안전을 위한 예방 방법을 제시하였다.

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