• Title/Summary/Keyword: 심사기준

Search Result 361, Processing Time 0.024 seconds

Prescribing Pattern and Safety Analysis of Nonsteroidal Anti-inflammatory Drug and Gastro- Protective Agent following Reimbursement Guidelines Relaxation (요양급여심사기준 완화에 따른 비스테로이드성 항염제 및 위장관 보호제 처방 변화 및 안정성 분석)

  • Han, Mi Hye;Noh, Eunsun;Nam, Jin Hyun;Lee, Sang Won;Lee, Eui-Kyung
    • Korean Journal of Clinical Pharmacy
    • /
    • v.27 no.4
    • /
    • pp.250-257
    • /
    • 2017
  • Objective: The prevalence rate of osteoarthritis in Koreans aged 50 years or older is 14.3%, and the total amount of medical costs is more than KRW 1 trillion. Recently, the reimbursement guidelines for osteoarthritis treatment have changed. Methods: In this study, we sought to describe prescription patterns of nonsteroidal anti-inflammatory drugs (NSAIDs) and gastro-protective agent (GPA) and analyze the clinical and economic impacts of the new policy using the national health insurance claims data. The incidence of upper gastrointestinal adverse event by policy change was identified through the odds ratio, and changes in medicine and medical costs related to osteoarthritis through mean and median. Results: There were 204,552 patients before the reimbursement guidelines relaxation and 239,710 after it, a 17.2% rise. The prescription ratio was 3.3% for the patients prescribed with COX-2 selective NSAIDs alone and 1.3% for those with both COX-2 selective NSAIDs and GPA combination before the reimbursement guidelines relaxation. The reimbursement guidelines relaxation significantly increased their ratios to 6.9% and 2.8%, respectively. Gastrointestinal adverse events significantly reduced by 1.21%p after reimbursement guidelines relaxation. The average medicine cost per person increased significantly to KRW 140,291 from KRW 137,323 after the reimbursement guidelines relaxation, while the average medical cost per person slightly decreased from KRW 311,605 to KRW 310,755 after the relaxation, showing no meaningful difference. Conclusion: The reimbursement guidelines relaxation may influence on decreasing the upper gastrointestinal adverse event, increasing the medicine costs and maintaining the medical costs for osteoarthritis.

A Study on the Changes of the Basic Principles for the Examination of Documents and of Transport Document Related Articles under UCP600 (UCP 600의 서류심사기준(書類審査基準)의 기본원칙(基本原則)과 운송서류관련조항(運送書類關聯條項)의 변경내용(變更內容)에 관한 연구)

  • Oh, Won-Suk;Seo, Kyeong
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
    • /
    • v.43
    • /
    • pp.117-142
    • /
    • 2009
  • The purpose of this paper is to examine the basic principles for the examination of documents in terms of the basic duty to examine the documents, the time allowed to the banks to examine the documents, linkage among the documents, the originality of documents and their issuers, and the rejection formula of documents. Further this author would look at the changes of particular transport document including bill of lading, charter-party bill of lading and so on. From the seller's perspective, the changes of the principles and individual documents under UCP600 are the most important in the sense that they affect the criteria against which the payment is made. The major changes include the omission of the phrase "with reasonable care", in terms of the basic examination principles, substitute the phrase "five banking days following the day of presentation" for the phrase "reasonable time, not to exceed seven banking days following the days of receipt of documents", introduce the new wording about the linkage between the documents tendered, and make clear the meaning of the originality of documents as well as the rejection formula. For transport documents, even though dealing with bill of lading, charter-party bill of lading, transport document covering at least two different modes of transport, freight-forwarder bill of lading and freight collect transport documents, this paper focuses on the "transhipment" of bill of lading and the definition of charter-party bill of lading. Thus, UCP has been changed several times to reflect the new banking customs and practice. It, however, would not answer every questions which users and banks will raise. These questions may be best answered in the particular underlying contract. The UCP are necessary but not a sufficient instrument for the smooth operation of an international trade transaction. The rules are now out: it remains to be seen what the players do with it.

  • PDF

Mechanical and Thermal Analysis of Oxide Fuel Rods

  • Ilsoon Hwang;Lee, Byungho;Lee, Changkun
    • Nuclear Engineering and Technology
    • /
    • v.9 no.4
    • /
    • pp.223-236
    • /
    • 1977
  • An integral computer code has been developed for a mechanical and thermal design and performance analysis of an oxide fuel rod in a pressurized water reactor. The code designated as FROD 1.0 takes into account the phenomena of radial power depression within the pellet, cracking, densification and swelling of the pellet, fission gas release, clad creep, pellet-clad contact, heat transfer to coolant and buildup of corrosion layers on the clad surface. The FROD 1.0 code yields two-dimensional temperature distributions, dimensional changes, stresses, and internal pressure of a fuel rod as a function of irradiation time within a reasonable computation time. The code may also be used for the analyses of oxide fuel rods in other thermal reactors. As an application of FROD 1.0 the behavior of fuel rod loaded in the first core of Go-ri Nuclear Power Plant Unit 1 is predicted for the two power histories corresponding to steady state operation and Codition II of the ANS Classification. The results are compared with the design criteria described in the Final Safety Analysis Report and a discrepancy between these two values is discussed herein.

  • PDF

An Analysis of the Medical Fee Review Standards Observance Behavior of a Tertiary Care Hospital Medical Staffs (대학병원 의사의 진료비심사기준 준수행동 분석)

  • Youn, Kyung-Il
    • Korea Journal of Hospital Management
    • /
    • v.12 no.2
    • /
    • pp.1-24
    • /
    • 2007
  • The medical fee reimbursement denied by HIRA(Health Insurance Review Agency) amounted to about 1.2% of the total medical fee claim to HIRA for reimbursement. Most of the denials stem from the inappropriate prescriptions of medical staff violating the medical fee review standards issued by HIRA. Considering the significant impacts of the standards observance behavior on the hospitals' financial viability, we attempted to analyze the predisposition factors of medical staffs' review standards observance behavior. The TPB(Theory of Planned Behavior) was adopted as the theoretical framework of the analysis. Data were collected by administrating a survey on the concepts included in TPB model to the 187 medical staff of a tertiary care hospital. Of the 187 questionaries distributed, 150 were responded resulting 80.2% of response rate. The mean differences among the groups classified by age group, years of experience, medical specialty and gender were analysis using ANOVA. The relationships among the TPB concepts were analysed by applying the Structural Equations Modeling method. The TPB model consists of three exogenous concepts (attitude toward the behavior, subjective norm, and perceived behavioral control) and two endogenous concepts (intention and the behavior). The results of ANOVA indicated significant mean differences among the groups classified by the medical staff's age, years of experience, and medical specialty. The older and the more experienced had the higher mean of observance behavior score. The results of Structural Equations analysis showed that the subjective norm and perceived behavioral control had statistically significant influences on intention, but the influence of attitude to intention was not statistically significant. The influences of perceived behavioral control and intention on behavior were significant. Based on these results the theoretical and practical implications were discussed.

  • PDF

Analysis on 3G Mobile Spectrum Charges by International Comparison (국제간 비교를 통한 3세대 이동통신 주파수 할당대가 분석)

  • Kim, Tae-Sung;Kim, Min-Jeong;Jun, Hyo-Jung
    • The Journal of Korean Institute of Communications and Information Sciences
    • /
    • v.34 no.11B
    • /
    • pp.1261-1271
    • /
    • 2009
  • Emergence of new mobile communication services has generated new demand for spectrum. Because spectrum is a scarce public resource, demand for spectrum would exceed supply. As the demand for spectrum grows, the spectrum management policy becomes one of the most important issues in mobile telecommunications industry. Huge license charges for spectrum usage may obstruct the growth of mobile telecommunications industry. We analyze spectrum charges by international comparison for the case of 3G mobile telecommunication spectrum assignment. There are mainly two types of methods in spectrum assignment of 3G service, one is the auction and the other is the beauty contest. This article aims to analyze factors which influence on spectrum charges and to study the characteristic of spectrum charges of some selected countries. This study suggests the multiple regression model about spectrum charges.

Management System of Invasive Alien Species Threating Biodiversity in Korea and Suggestions for the Improvement (국내 생물다양성 위협 외래생물의 관리제도 및 개선방향)

  • Kim, Dong Eon
    • Journal of Environmental Impact Assessment
    • /
    • v.27 no.1
    • /
    • pp.33-55
    • /
    • 2018
  • It has been noted that the main cause of biodiversity loss is influx of alien species. Specifically, habitats destruction, economic loss, and human injury are increasing due to invasive alien species. There were 2,167 alien species in Korea. 21 alien species of extraterrestrials including Lycorma delicatula, Solenopsis invicta, Myocastor coypus, and Spartina alterniflora at high risk through ecological risk assessment, are designated as invasive alien species. Alert species, which may have negative impact on ecosystems when they are introduced into the country, are assigned to 127 species through the ecosystem risk evaluation. To list such alien species to prevent invasion of alien species in advance, and to minimize damage caused by imported alien species, a national level management system called the Conservation and Use of Biological deversity Act was established, but there is a lack of a systematic management system in accordance with degree of risk. There is also a risk assessment chart should be developed thatreflects ecological characteristics of each taxon and evaluation criteria in predicting the risk.

A Study on the Assessment of Program Outcomes Based on Capstone Design Course (캡스톤디자인 교과목 기반의 프로그램 학습성과 평가 연구)

  • Lee, Hee-Won;Kim, Sung-Hwan;Park, Keun;Kim, Jung-Yup
    • Journal of Engineering Education Research
    • /
    • v.13 no.6
    • /
    • pp.143-151
    • /
    • 2010
  • This paper presents a case study on the assessment of program outcomes using the capstone design course based on 16-year management experience and improvements of the school of mechanical design and automation engineering in the seoul national university of science and technology. First, the program outcomes related with the capstone design course are introduced, and the assessment methods and items are described. Based on them, the assessment results in 2008 were obtained and a strategy to improve the results were built after analyzation. As for the strategy, we revealed the assessment items and good examples in an internet web site in advance. As a result, we were able to obtain about 3.3% improved assessment results in 2009. Finally, the validity, efficiency, internal stability, and sustainability of the assessment of the program outcomes using the capstone design course are addressed in terms of a notion of the course-embedded assessment.

  • PDF

Corrosion Evaluation for Advanced Fuel Cycle Facilities (선진 핵연료주기 시설(AFC)의 부식건전성 조사, 분석)

  • Hwang, Seong Sik
    • Corrosion Science and Technology
    • /
    • v.11 no.6
    • /
    • pp.213-217
    • /
    • 2012
  • The amount of spent fuel from nuclear power plants has been increasing. An effective management plan of the spent fuel becomes a critical issue, because the storage capacity of each plant will reach its storage limit in a few years. The volume of high toxic spent fuel can be reduced through a fuel processing. Advanced Fuel Cycle (AFC) system is considered to be one of the options to reduce the toxicity and volume of the spent fuel. It is necessary to set up a test facility to demonstrate the feasibility of the process at the engineering scale. The objective of the work is a development of the safety evaluation technology for the AFC system. The evaluation technology of the AFC structural integrity and processes were surveyed and reviewed. Key evaluation parameters for the main processes such as electrolytic reduction, electrorefining, and electrowinning were obtained. The survey results may be used for the establishment of the AFC regulatory licensing procedure. The establishment of the licensing criteria minimizes the trials and errors of the AFC facility design. Issues taken from the survey on the regulatory procedure and design safety features for the AFC facility provide a chance to resolve potential issues in advance.

A Diagnostic Study of Research Trends of School Library and Teaching Librarian (학교도서관·사서교사 주제 학술논문의 연구 성향 분석)

  • Yoo, Sarah
    • Journal of the Korean BIBLIA Society for library and Information Science
    • /
    • v.28 no.4
    • /
    • pp.181-201
    • /
    • 2017
  • Even though the increasing number of researches of school libraries have grown for the last 36 years, the diverse and practical problems of school libraries and teaching librarians have not been addressed to the proper solutions. This article presents an overview of the characteristics and tendency of researches using the method of systematical review in order to check the assumptions and research consequences of school libraries and teaching librarians. Results show that survey study reviewing or comparing certain cases is the most common types of research methods, and that the majority of studies that relied only on prior studies or secondary data from other sources to make their claims and rarely specify the five criteria validating study process and methodological reliability. Some research questions for future study including necessity of change in problem-solving perspective are provided.

Considering Performance Measurement and Life-Cycle Costs for Andong Culture & Art Center BTL Project (VE기법을 적용한 안동문화예술회관 민간투자사업의 성능개선 사례연구)

  • Kim, Seong-Il;Lee, Kwang-Mo;Choi, Seok-Won
    • Proceedings of the Korean Institute Of Construction Engineering and Management
    • /
    • 2007.11a
    • /
    • pp.1005-1010
    • /
    • 2007
  • According to revision of Construction Technology Management Act (2005), the government ordering construction which cost is more than 10billion won should investigate the value engineering(VE) of a construction. In this sense, the government actively promote plans in 2008 after identifying the examining standards of the investigation on the VE(2007). It is substantial issue to introduce Pre-Qualification(PQ) in oder to restrain unlicensed VE consulting companies or VE consultants. This system will contribute to the quality and the settlement of the value engineering in our country. The reason why the Korea VE Society founded in 2006 is one of the afore-mentioned reasons. Therefore, we try to establish the value engineering of Build-Transfer-Lease Scheme by providing the practical application of construction value engineering and definite procedures through the example of Andong Culture and Art Center's research in one of the various construction fields.

  • PDF