• Health Policy and Management
• /
• v.34 no.1
• /
• pp.48-58
• /
• 2024

Background: The purpose of this study was to investigate the association between external medical service use and the characteristics of Chungcheongnam-do patients. We aimed to provide evidence of external medical service use enhance the healthcare delivery system in Chungcheongnam-do. Methods: We used the Health Insurance Cohort DB 2.0 of 2016-2019, and 2,570,439 patients were included in the study. Multivariate logistic regression and multinomial logistic regression were used to identify the association between external medical service use and each patient characteristic. Generalized linear model was used to identify the association between medical costs and external medical service use area. Results: During the study period, 32.2% of inpatients and 12.5% of outpatients had external medical service use in Chungcheongnam-do. In comparison to patients living in Cheonan and Asan, the odds ratio (OR) for external medical services use was higher across all regions. Specifically, hospitalized patients from Gyeryong, Nonsan, and Geumsan (OR, 116.817) and Gongju, Buyeo, and Cheongyang (OR, 72.931) demonstrated extremely high likelihood of external medical service use in the Daejeon area. Furthermore, compared to medical expenses incurred within Chungcheongnam-do, patients with external medical service use in the capitol area (outpatient=17.01%, inpatients=22.11%) and Daejeon area (outpatient=16.63%, inpatients=15.41%) spent more on healthcare services. Conclusion: This study found the evidence of external medical service use among Chungcheongnam-do patients. Further study should be conducted taking into account variables including satisfaction of local medical services, different types of patient diseases, and others. The study's findings may serve as a foundation for policy proposals aimed at ensuring the financial stability of our health insurance system, ensuring the efficient delivery of medical care, and localization of medical care.

• Journal of the Health Care and Life Science
• /
• v.9 no.1
• /
• pp.117-128
• /
• 2021

This study was performed to investigate health care system satisfaction and reform need using the data from the '2019 Health Care Experience Survey'. For 8,349 data with experience in medical use, health care system satisfaction and reform need level was analyzed by t-testing and ANOVA by characteristics of the study subjects, and multiple regression was conducted. Research has shown that health care users' recognition of the health care system is relatively low compared to reliability and satisfaction. It is necessary to promote policies and health care systems for senior citizens, low education levels. Since the reliability has the biggest impact on the satisfaction of the health care system, government should establish policies that they can trust, and in the process, they should gather opinions from the public and secure credibility through social consensus. Medical users were sympathetic to the need for reforms in the health care system, and felt the need to support vulnerable areas and vulnerable groups the most.

• Proceedings of the Korea Water Resources Association Conference
• /
• 2012.05a
• /
• pp.296-300
• /
• 2012

최근 지구 온난화에 따른 이상 기후변화로 인해 게릴라성 집중호우와 같은 다양한 강우패턴이 발생되고 있다. 특히 집중호우의 빈도 및 규모가 커지고 있으며 피해 또한 증가하고 있다. 이에 대한 대안으로 하도의 정비, 댐 건설, 제방의 증고와 같은 구조적인 대책과 홍수예경보, 홍수보험, 통합홍수관리와 같은 비구조적인 대책에 대한 접근이 이루어지고 있다. 그러나 미래 기후변화에 대한 예측의 한계와 구조적 대책의 물리적 한계를 감안할 때 구조적 대책에 의한 방법만으로 변화하는 기후에 대응하여 홍수재해를 완벽하게 대처하기에는 부족한 것이 사실이다. 따라서 비구조적 대책에 의한 홍수피해저감이 절실히 필요하다. 따라서 본 연구에서는 국제수문개발계획 대표유역인 낙동강유역에 위치한 위천유역을 연구대상으로 선택하였고 이러한 중소규모의 유역에서 홍수예경보의 한계를 극복하고 신뢰성을 높이기 위하여 홍수유출시에 일어나는 유역내의 복잡한 물리적인 현상을 직접 고려하지 않고 입력자료와 출력자료의 관계로부터 학습과 추론을 통해 결론을 도출해내는 신경망, 퍼지, 유전자 알고리즘과 같은 Date Mining 기법을 사용하여 자동우량과 자동수위에 의한 하류 홍수예경보시스템을 구축하기 위해 수위를 예측하였다.

• Journal of the Korea Society of Computer and Information
• /
• v.25 no.8
• /
• pp.119-128
• /
• 2020

In this research, a survey was done on two hundred and forty-six elders who receive care through LTC to verify the effect of market attributes on the user satisfaction of the Long-therm Care Service. The collected data were analyzed through SPSS 23.0 statistics program. This study reveals the following results: First, in service tangibility, competitiveness, administrative regulation, organizational process, and autonomy in choice all have a positive relation with user satisfaction. Second, in the aspect of credibility, house ownership, competitiveness, administrative regulation, and freedom in choice show a positive-relation with user satisfaction. Third, in responsiveness, the scale of the organization, monthly income, competitiveness, administrative regulation, organizational process, and autonomy in choice have a positive effect on user satisfaction. Forth, in assurance ability, monthly income, competitiveness, administrative regulation, organizational process, and autonomy in choice also positively affected user satisfaction. Lastly, in the aspect of perceptual openness, competitiveness, administrative regulation, organizational culture, organizational process, and autonomy in choice show a positive relationship with user satisfaction.

• The Korean Journal of Applied Statistics
• /
• v.34 no.5
• /
• pp.761-772
• /
• 2021

Simulation results for the comparison of estimators of interest are usually reported in tables or plots. However, if the simulations are conducted under various conditions for many estimators, the comparison can be difficult to be made with tables or plots. Furthermore, for algorithms that take a long time to run, the number of iterations of the simulation is costly to to be increased. The analysis of simulation results using regression models allows us to compare the estimators more systematically and effectively. Since variances in performance measures may vary depending on the simulation conditions and estimators, the heteroscedasticity of the error term should be allowed in the regression model. And multiple comparisons should be made because multiple estimators should be compared simultaneously. We introduce background theories of heteroscedasticity and multiple comparisons in the context of analyzing simulation results. We also present a concrete example.

• Korean Journal of Psychosomatic Medicine
• /
• v.24 no.1
• /
• pp.83-93
• /
• 2016

Objectives : The Center for Epidemiologic Studies Depression scale-Revised is a recently revised scale which has been reported as a valid tool for the assessment of depressive symptoms. It encompasses cardinal symptoms of depression described in the Diagnostic and Statistical Manual of Mental disorders, fourth edition. In this study, we assessed the reliability, validity and psychometric properties of the Korean version of the CESD-R(K-CESD-R). Methods : Forty-eight patients diagnosed as major depressive disorder, dysthymia, depressive disorder NOS according to the DSM-IV criteria using Mini International Neuropsychiatric Interview and 48 healthy controls were enrolled in this study. They were assessed with K-CESD-R, K-MADRS, PHQ-9, KQIDS-SR, STAI to check cross-validation. Statistical analyses were performed using calculation of Cronbach's alpha, Pearson correlation coefficient, Principal Component Analysis, ROC curve and optimal cut-off value. Results : The Cronbach's alpha of K-CESD-R was 0.98. The total score of K-CESD-R revealed significantly high correlations with those of K-MADRS, PHQ-9, KQIDS-SR(r=0.910, 0.966 and 0.920, p<0.001, respectively). Factor analysis showed two factors account for 76.29% of total variance. We suggested the optimal cut-off value of K-CESD-R as 13 according to analysis of the ROC curve which value sensitivity and specificity both equally. Conclusions : These Results showed that the K-CESD-R could be a reliable and valid scale to assess depressive symptoms. The K-CESD-R is expected as a useful and effective tool for screening and measuring depressive symptoms not only in outpatient clinic but also epidemiologic studies.

• The Journal of Korea Institute of Information, Electronics, and Communication Technology
• /
• v.9 no.3
• /
• pp.278-284
• /
• 2016

Software reliability in the software development process is an important issue. In infinite failure NHPP software reliability models, the fault occurrence rates may have constant, monotonic increasing or monotonic decreasing pattern. In this paper, infinite failures NHPP models that the situation was reflected for the fault occurs in the repair time, were presented about comparing property. Commonly, the software model of the infinite failures using the linear hazard rate distribution software reliability based on intercept parameter was used in business economics and actuarial modeling, was presented for comparison problem. The result is that a relatively large intercept parameter was appeared effectively form. The parameters estimation using maximum likelihood estimation was conducted and model selection was performed using the mean square error and the coefficient of determination. The linear hazard rate distribution model is also efficient in terms of reliability because it (the coefficient of determination is 90% or more) in the field of the conventional model can be used as an alternative model could be confirmed. From this paper, the software developers have to consider intercept parameter of life distribution by prior knowledge of the software to identify failure modes which can be able to help.

• Management & Information Systems Review
• /
• v.39 no.2
• /
• pp.39-60
• /
• 2020

Block chain technology is one of the core elements for realizing the 4^th industrial revolution, and many efforts have been made by government and companies to provide services based on block chain technology. In this study we analyzed the benefits of block chain technology for EVMS and designed EVMS block chain platform with increased data security and work efficiency for project management data, which are important assets in monitoring progress, foreseeing future events, and managing post-completion. We did the case studies on the benefits of block chain technology and then conducted the survey study on security, reliability, and efficiency of block chain technology, targeting 18 block chain experts and project developers. And then, we interviewed EVMS system operator on the compatibility between block chain technology and EVM Systems. The result of the case studies showed that block chain technology can be applied to financial, logistic, medical, and public services to simplify the insurance claim process and to improve reliability by distributing transaction data storage and applying security·encryption features. Also, our research on the characteristics and necessity of block chain technology in EVMS revealed the improvability of security, reliability, and efficiency of management and distribution of EVMS data. Finally, we designed a network model, a block structure, and a consensus algorithm model and combined them to construct a conceptual block chain model for EVM system. This study has the following contribution. First, we reviewed that the block chain technology is suitable for application in the defense sector and proposed a conceptual model. Second, the effect that can be obtained by applying block chain technology to EVMS was derived, and the possibility of improving the existing business process was derived.

• The Journal of Korea Institute of Information, Electronics, and Communication Technology
• /
• v.8 no.5
• /
• pp.412-418
• /
• 2015

NHPP software reliability models for failure analysis can have, in the literature, exhibit either constant, monotonic increasing or monotonic decreasing failure occurrence rates per fault. In this paper, infinite failures NHPP models that repairing software failure point in time reflects the situation, was presented for comparing property. Commonly used in business, economics, and actuarial modeling based on Lomax distribution, software reliability of infinite failures was presented for comparison problem. The result is that a relatively large shape parameter was effectively. The parameters estimation using maximum likelihood estimation was conducted and Model selection was performed using the mean square error and the coefficient of determination. In this research, software developers to identify software failure property follows shape parameter, some extent be able to help is considered.

• Journal of Oral Medicine and Pain
• /
• v.30 no.2
• /
• pp.257-268
• /
• 2005

It is recently suggested in Korea that Resource-Based Relative Value Scale (RBRVS) is an alternative plan of Korean Dental Fee Schedule which has been operated on a fee-for-service basis since the introduction of the national health insurance program in 1977. RBRVS applicable to diagnosis and treatment for temporomandibular disorders (TMD), a common cause of orofacial pain, is needed to be estimated in Korea and the establishment of the standard terminology of dental procedures for TMD should be preceded. The purposes of this study were to develop a new classification system of health care service items for TMD and to investigate time needed for each item, which enables RBRVS to be estimated prior to establishment the payment system of health care services for TMD. The dental service items for TMD in this study were categorized through Delphi process which 10 TMD specialists were participated in and the time needed for each service item was investigated by work sampling and time study method with a stopwatch. The results of this study demonstrated the new classification system of dental services for TMD comprising 151 service items and exhibited the average time for each items ranging from 7.22 min for cold laser therapy to 171.71 min for direct fabrication of anterior repositioning splint. Conclusively, it is suggested that the classification system for TMD developed in this study, considering specific characteristics on basis of resources for health care service of dental procedures, should be helpful to estimate payment level for each service item.